RESUMEN
@#Introduction: Distal Radius Fractures (DRFs), with a reported annual incidence of 600,000, are common injuries treated by trauma surgeons. This prospective observational study aims to assess the efficacy of a modular external fixation system in the treatment of unstable distal radius fractures at 12-months follow-up. Materials and methods: Between December 2014 and December 2016, 35 patients (female: 21, male:14; mean age: 62.5), with unstable DRFs, treated with modular external fixation system, were selected for this prospective observational study. All the patients underwent clinical and radiological reviews at follow-up. Results: At 12-month follow-up, a mean DASH score of 15.73 and a mean PRWE score 20.10 were recorded. Mean radial inclination was 19.92°; mean ulnar variance was 1.12 mm and mean palmar inclination was 9.76°. Conclusion: Modular external fixator system revealed clinically and radiologically effective in the treatment of unstable and comminuted DRFs. Additional K-wires should be used to complement the fracture fixation, when there is unacceptable fragment reduction only with external fixator.
RESUMEN
El presente trabajo prospectivo ha tenido como objetivo la disminución de la incidencia de infección intrahospitalaria en un área de Terapia Intensiva de la M.C.B.A., a través del estudio de la cadena epidemiológica, la identificación de los factores de riesgo, la elaboración de normas de control y la formación de recursos humanos. Se efectuó el seguimiento longitudinal durante ocho meses y posteriormente en forma inmediata se pasó a desarrollar el programa de Control de Infecciones. Los resultados obtenidos a los ocho meses de aplicación han sido altamente satisfactorios y nos impulsaron a darlos a conocer, aunque para una programación de éste tipo la evaluación pueda ser considerada prematura