49-260
Artrosis postraumática en pacientes con fractura-luxación de Lisfranc
Postraumatic degenerative osteoarthritis in patients with Lisfranc fracture-dislocation
R,J, García Renedo, A, Carranza Bencano, R, Castro Prieto, I, Calvo De La Fuente, B, Busta Vallina, S, Plaza García
Recepción:
15/01/2015
Aceptación:
15/01/2015
Publicación:
15/01/2015
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Resumen (ES)
The posttraumatic degenerative osteoarthritis is one of the most frequent complications and moredisabling of Lisfrancs fracture - luxation (FLL). Objetive. Evaluate the degree of frequency of posttraumaticdegenerative osteoarthritis as complication and adverse effect in patients with Lisfrancs fracture - luxation andvalue what factors show straight relation or influence in its appearance and development. Material and Method.We have made a transversal prospective and retrospective study of cohorts on 83 patients with diagnosis ofLisfrancs fracture - luxation. We have used a data collecting protocol of items related to the injury, clinical,therapeutic parameters, complications and scales of clinical valuation. The assessment valuation of degenerativeosteoarthritis is made under radiological signs realized by means of appearance of radiological signs of Kellgrenand Lawrence classification and clinical correlation with presence of pain. Results. The degenerative osteoarthritisappeared as an influential factor in the results, regular and bad punctuations present major rate of degenerativeosteoarthritis (p=0,001), and as for the degree of degenerative osteoarthritis, the most serious cases of degenerativeosteoarthritis were placing in the group of bad punctuations (p=0,025). This group of patients presentedworse punctuations because they were recounting more pain, major consumption of analgesics, more limitationof the activities of the daily life, of the sports activities and limitation of the travelled distance. Conclusions. Thedegenerative osteoarthritis appeared as an influential factor in the results (p=0,001). The patients who developeddegenerative osteoarthritis were late more time in coming back to his employment or labor previous activity;they had a time more delayed from the surgery to the discharge and major total number of labor disabilities andeconomic compensations with regard to the patients who did not develop degenerative osteoarthritis, being allthese statistically significant values.
Palabras clave (ES):
Tratamiento
Secuelas
Fractura-luxación
Lisfranc
Artrosis
postraumática
Pie
Fractura
Mediotarso
Luxación
Resumen (EN)
The posttraumatic degenerative osteoarthritis is one of the most frequent complications and moredisabling of Lisfrancs fracture - luxation (FLL). Objetive. Evaluate the degree of frequency of posttraumaticdegenerative osteoarthritis as complication and adverse effect in patients with Lisfrancs fracture - luxation andvalue what factors show straight relation or influence in its appearance and development. Material and Method.We have made a transversal prospective and retrospective study of cohorts on 83 patients with diagnosis ofLisfrancs fracture - luxation. We have used a data collecting protocol of items related to the injury, clinical,therapeutic parameters, complications and scales of clinical valuation. The assessment valuation of degenerativeosteoarthritis is made under radiological signs realized by means of appearance of radiological signs of Kellgrenand Lawrence classification and clinical correlation with presence of pain. Results. The degenerative osteoarthritisappeared as an influential factor in the results, regular and bad punctuations present major rate of degenerativeosteoarthritis (p=0,001), and as for the degree of degenerative osteoarthritis, the most serious cases of degenerativeosteoarthritis were placing in the group of bad punctuations (p=0,025). This group of patients presentedworse punctuations because they were recounting more pain, major consumption of analgesics, more limitationof the activities of the daily life, of the sports activities and limitation of the travelled distance. Conclusions. Thedegenerative osteoarthritis appeared as an influential factor in the results (p=0,001). The patients who developeddegenerative osteoarthritis were late more time in coming back to his employment or labor previous activity;they had a time more delayed from the surgery to the discharge and major total number of labor disabilities andeconomic compensations with regard to the patients who did not develop degenerative osteoarthritis, being allthese statistically significant values.
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