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- W2002045574 abstract "Estudiar la evolución de pacientes con fracturas de cotilo tratadas de forma conservadora. Se recogieron de forma consecutiva 37 casos de fracturas de cotilo, tratados de forma conservadora con un seguimiento mínimo de 5 años. Las fracturas se trataron con reposo en cama y tracción seguido de un período de descarga y otro de carga parcial. Los pacientes se valoraron clínica y radiográficamente. El tipo de tratamiento fue evaluado según la tracción empleada, el tiempo de descarga y de carga parcial. Se evaluó el grado de desplazamiento y su relación con la evolución posterior. Veinte fracturas no presentaron desplazamiento, 8 un desplazamiento entre 2-5 mm y en 9 casos fue superior a 5 mm. Al final del seguimiento 8 pacientes presentaron dolor, 15 movilidad limitada y 8 signos radiográficos de artrosis. El grado de desplazamiento se correlacionó con el resultado final. El tratamiento conservador puede ser una indicación en las fracturas de cotilo cuando el estado del paciente, el tipo de fractura o la calidad de hueso no permitan una osteosíntesis. To study the evolution of patients with acetabular fractures treated conservatively A series of 37 consecutive cases treated conservatively was analyzed. The minimum follow-up was 5 years. Fractures were treated with bed rest and traction, which were followed by a non weight-bearing period and a partial weight period. Patients were clinically and radiographically assessed. The different kinds of treatment were evaluated on the basis of the type of traction used, the length of the non weight-bearing period and the duration of the partial weight bearing one. The degree of displacement was also considered, in particular as it related with the patients’ subsequent evolution. Twenty fractures did not undergo any sort of displacement, 8 had a displacement of 2-5 mm, with 9 cases having a displacement higher than a 5 mm. At the end of follow-up, 8 patients experienced pain, 15 limited mobility and 8 had radiographic signs of osteoarthritis. The degree of displacement was correlated with the final result obtained. Conservative treatment can be an appropriate indication for acetabular fractures when the patient’s condition, the type of fracture or bone quality advise against performing an osteosynthetic procedure." @default.
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- W2002045574 date "2006-01-01" @default.
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- W2002045574 title "Resultados del tratamiento conservador de las fracturas de cotilo" @default.
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- W2002045574 doi "https://doi.org/10.1016/s1888-4415(06)76372-x" @default.
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