RESUMO
El objetivo de nuestro trabajo es llevar a cabo una revisión bibliográfica sobre las fracturas de pelvis, centrándonos principalmente en el uso de la fijación externa para el tratamiento de las fracturas de pelvis en el contexto de urgencias. El principal problema con el que se encuentra el cirujano ortopédico, en el tratamiento de urgencias de las fracturas de pelvis de alta energía, es con la necesidad de realizar un tratamiento quirúrgico rápido, pero que sea lo suficientemente estable para mantener una reducción hasta que el paciente pueda ser sometido a una intervención definitiva. Se han desarrollado múltiples métodos de fijación externa con el objetivo de dar respuesta a estas necesidades. Se llevará a cabo un análisis de las diferentes opciones, así como de los diferentes trabajos publicados.(AU)
The aim of our work is to make a review of pelvis' fractures, mainly focusing in the use of the external fixation in the treatment of pelvis fracture in the emergency context. The main problem the orthopedic surgeon must face is the need to perform a treatment that must be fast, but also must supply enough stability to maintain a reduction of the fracture until the patient can have the final surgery done. There are many methods of external fixation, that have been developed in order to achieve these objectives. We will make an analysis of the different options and a review of the literature.(AU)
Assuntos
Humanos , Masculino , Feminino , Pelve/lesões , Pelve/cirurgia , Fixação de Fratura , Fraturas Ósseas , Reabilitação , Traumatologia , OrtopediaRESUMO
Anterior elbow dislocation is an infrequent lesion, usually produced by direct trauma to the proximal ulna after a fall on the elbow in flexion, and is often associated with soft tissue injuries. The authors report a case of a complex injury produced by a high-energy trauma in the right arm of a 65-year-old patient. His limb was trapped inside an industrial spin-dryer, resulting in a closed anterior elbow dislocation, diaphyseal ulnar shaft, radial styloid process fractures, and an associated compartment syndrome. The injury mechanism and its treatment are described to better manage the soft tissue injury and early elbow mobilization using the FEARM hinged external fixator. A good result was achieved, with almost complete restoration of the patient's arm functions, and he has returned to his previous working activities.