![]() Si el desbridamiento ha sido exhaustivo, se obtiene un mejor resultado con el cierre primario de la herida. El uso de fijadores externos debería limitarse a los casos de politraumatismos. El método de fijación de elección para las fracturas abiertas de las diáfisis de la extremidad inferior es el enclavado endomedular. Cuanto más radical es el desbridamiento, menor es la tasa de infección. Procurando despejar controversias y establecer los principios básicos de su tratamiento actual.Įl empleo de antibióticos en el tratamiento inicial de las fracturas abiertas es un concepto bien establecido, cuanto más precoz es su administración mayor es la reducción de la posibilidad de infección. Se presenta una revisión del estado actual del tratamiento de las fracturas abiertas. The loss of soft tissue must be repaired as soon as possible and using the simplest but most efficient system on the orthoplastic ladder secondary closure, free graft, rotational flap, free microvascularised flap.Īlthough some treatment guidelines are clear, each open fracture is different and must be adapted to each fracture and to each patient. If the debridement has been exhaustive, a better result is obtained with the primary closure of the wound. The use of external fixation should be limited to cases of multiple traumas. The fixation method of choice for open fractures of the diaphysis of the leg is the intramedullary nail. The more radical the debridement is, the lower the rate of infection. The use of antibiotics in the initial treatment of open fractures is a well known concept, and the earlier they are given the greater is the reduction in the likelihood of infection. The Journal is included in the major databases: MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, and IBECS.Ī review is presented on the current status of open fracture treatments, and an attempt is made to clear up controversies and establish the basic principles of their current treatment. ![]() ![]() All works are evaluated blind by at least 3 peer reviewers, whose judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. The Editorial Committee consists of 10 independent members, specialists of recognised prestige that are not associated with the governing bodies of the Society. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. ![]() In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim the publication of the best original research articles in Spanish. The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |