{"id":630,"date":"2023-08-08T17:02:19","date_gmt":"2023-08-08T17:02:19","guid":{"rendered":"https:\/\/www.traumasosecuador.com\/?p=630"},"modified":"2023-08-08T17:14:26","modified_gmt":"2023-08-08T17:14:26","slug":"que-es-una-reduccion-abierta-y-fijacion-interna-en-fracturas-de-tibia","status":"publish","type":"post","link":"https:\/\/www.traumasosecuador.com\/?p=630","title":{"rendered":"\u00bfQu\u00e9 es una reducci\u00f3n abierta y fijaci\u00f3n interna en fracturas de tibia?"},"content":{"rendered":"\n

La tibia, o espinilla, es el hueso m\u00e1s grande de la parte inferior de la pierna. Junto a este hueso, m\u00e1s hacia el lado exterior de la pierna, se encuentra el peron\u00e9. La tibia forma parte de la articulaci\u00f3n de la rodilla. Los extremos de la tibia y del peron\u00e9 forman parte de la articulaci\u00f3n del tobillo.<\/h2>\n\n\n\n

Hay distintos tipos de lesiones que pueden da\u00f1ar la tibia o el peron\u00e9 y hacer que se rompan en una o m\u00e1s partes. Esto puede ocurrir en la parte del hueso cerca de la rodilla, cerca de la mitad m\u00e1s larga del hueso o en la parte del hueso cerca del tobillo (si la fractura es en esa zona, puede decirse que se quebr\u00f3 el tobillo). Es posible que se rompa solo uno de estos huesos, o podr\u00eda tener una fractura en ambos. En algunos tipos de fractura, el hueso se rompe, pero los fragmentos \u00f3seos siguen alineados correctamente. En otros tipos de fracturas, los fragmentos \u00f3seos se salen de su posici\u00f3n.<\/p>\n\n\n\n

Si se fractura la tibia o el peron\u00e9, podr\u00eda necesitar una cirug\u00eda de reducci\u00f3n abierta y fijaci\u00f3n interna para alinear los huesos y consolidarlos. Durante una reducci\u00f3n abierta, el traumat\u00f3logo coloca los fragmentos \u00f3seos en el lugar que les corresponde durante una cirug\u00eda. Durante una reducci\u00f3n cerrada, un proveedor de atenci\u00f3n m\u00e9dica mueve los huesos f\u00edsicamente y los coloca en su lugar sin necesidad de una cirug\u00eda.<\/p>\n\n\n\n

La fijaci\u00f3n interna es el m\u00e9todo utilizado para volver a unir los huesos. Esto podr\u00eda hacerse con tornillos, placas, varillas, alambres o clavos que el cirujano coloca dentro de los huesos para sujetarlos en su posici\u00f3n correcta. As\u00ed se evita que los huesos se consoliden incorrectamente. Para realizar esta cirug\u00eda, el paciente suele estar dormido con anestesia general.<\/p>\n\n\n\n

\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n<\/figure>\n\n\n\n

<\/p>\n\n\n\n

En nuestro paciente utilizamos dos placas:<\/p>\n\n\n\n

    \n
  • Placa Anat\u00f3mica de meseta Tibial en T<\/li>\n\n\n\n
  • Placa Anat\u00f3mica de meseta tibial en L<\/li>\n\n\n\n
  • Injerto en pasta<\/li>\n<\/ul>\n\n\n\n

    Luego de 24 horas el paciente fue dado de alta para continuar con su rehabilitaci\u00f3n.<\/p>\n","protected":false},"excerpt":{"rendered":"

    La tibia, o espinilla, es el hueso m\u00e1s grande de la parte inferior de la pierna. Junto a este hueso, m\u00e1s hacia el lado exterior de la pierna, se encuentra el peron\u00e9. La tibia forma parte de la articulaci\u00f3n de la rodilla. Los extremos de la tibia y del peron\u00e9 forman parte de la articulaci\u00f3n […]<\/p>\n","protected":false},"author":1,"featured_media":634,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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