27-159

Fracturas epifisiolisis graves de la extremidad proximal del radio. Resultado tras tratamiento quirúrgico

SEVERE EPIPHYSIOLYSIS OF THE PROXIMAL RADIUS. TREATMENT

C. FERNANDEZ MILIA, C. FERNANDEZ CORONO, G. MENENDEZ VIÑUELA, I. DOMÍNGUEZ GIL y D. HERNANDEZ VAQUERO Servicio de Traumatología y Ortopedia Hospital San Agustín (Avilés)
Recepción:
04/02/2009
Aceptación:
04/02/2009
Publicación:
09/02/2009


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Resumen (ES)

The fracture epiphysiolysis of radial neck is a grave lesion which mayinduce epiphyseal grown disturbances. A review of 22 cases suffering such fractures was carried out with a mean follow-up of 2 years. Of the total, 14 cases were treated by surgery, 10 of these showing either type III or Jeffery''s fractures. Eleven patients reequired open reduction. In 50% of the cases treated by open reduction and internal fixation, the clinical results were satisfactory. When internal fixation was not used, the satisfactory results reached 100%. Five of the 8 cases of the firt groups developed periarticular ossifications and 2 other showed epiphyseal closening. These type of complications were not seen in the second group. For epiphysiolysis of the radial neck with severe displacement. The ideal treatment seems to be a careful open reduction avoiding internal fixation.

Palabras clave (ES):

Radio
Tratamiento
Quirúrgico
Cuello
Epifisiolisis
Fractura
Osteosíntesis
Jeffery
Radial
Proximal
Extremidad

Resumen (EN)

The fracture epiphysiolysis of radial neck is a grave lesion which mayinduce epiphyseal grown disturbances. A review of 22 cases suffering such fractures was carried out with a mean follow-up of 2 years. Of the total, 14 cases were treated by surgery, 10 of these showing either type III or Jeffery''s fractures. Eleven patients reequired open reduction. In 50% of the cases treated by open reduction and internal fixation, the clinical results were satisfactory. When internal fixation was not used, the satisfactory results reached 100%. Five of the 8 cases of the firt groups developed periarticular ossifications and 2 other showed epiphyseal closening. These type of complications were not seen in the second group. For epiphysiolysis of the radial neck with severe displacement. The ideal treatment seems to be a careful open reduction avoiding internal fixation.

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