{"id":818,"date":"2024-04-01T19:17:54","date_gmt":"2024-04-01T19:17:54","guid":{"rendered":"https:\/\/www.traumasosecuador.com\/?p=818"},"modified":"2024-04-01T19:20:01","modified_gmt":"2024-04-01T19:20:01","slug":"clavos-tens-un-avance-en-la-fijacion-de-fracturas-diafisarias-de-tibia-en-ninos","status":"publish","type":"post","link":"https:\/\/www.traumasosecuador.com\/?p=818","title":{"rendered":"Clavos Tens Un avance en la fijaci\u00f3n de fracturas diafisarias de tibia en ni\u00f1os."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Introducci\u00f3n:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Las fracturas diafisarias de tibia en la poblaci\u00f3n pedi\u00e1trica representan un desaf\u00edo para los traumat\u00f3logos ortopedistas. La elecci\u00f3n del m\u00e9todo de fijaci\u00f3n adecuado es crucial para garantizar una correcta consolidaci\u00f3n \u00f3sea, minimizar el da\u00f1o a los tejidos blandos y permitir un retorno temprano a las actividades normales del ni\u00f1o. Los clavos tens se han convertido en una alternativa innovadora a los m\u00e9todos tradicionales, ofreciendo una serie de ventajas para el tratamiento de estas fracturas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Caso de Estudio:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Paciente:<\/strong> Tom\u00e1s, 10 a\u00f1os.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diagn\u00f3stico:<\/strong> Fractura diafisaria de tibia tras una ca\u00edda jugando al f\u00fatbol.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Antecedentes:<\/strong> No alergias conocidas. No enfermedades preexistentes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Examen f\u00edsico:<\/strong> Deformidad evidente en la regi\u00f3n tibial. Dolor a la palpaci\u00f3n y crepitaci\u00f3n. Impotencia funcional del miembro inferior.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Estudios radiogr\u00e1ficos:<\/strong> Radiograf\u00edas anteroposterior y lateral de tibia confirman fractura diafisaria con desplazamiento.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tratamiento:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reducci\u00f3n cerrada de la fractura:<\/strong> Bajo anestesia general, se realiz\u00f3 una reducci\u00f3n manual de la fractura bajo control radiogr\u00e1fico.<\/li>\n\n\n\n<li><strong>Fijaci\u00f3n con clavo tens :<\/strong> Se realiz\u00f3 una incisi\u00f3n m\u00ednimamente invasiva y se insert\u00f3 el clavo tens. Se verific\u00f3 la correcta posici\u00f3n y alineaci\u00f3n del clavo.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Postoperatorio:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Control del dolor:<\/strong> Se administr\u00f3 analgesia intravenosa y posteriormente oral para controlar el dolor.<\/li>\n\n\n\n<li><strong>Movilizaci\u00f3n temprana:<\/strong> Se inici\u00f3 fisioterapia precoz con ejercicios de rango de movimiento y fortalecimiento muscular.<\/li>\n\n\n\n<li><strong>Seguimiento radiogr\u00e1fico:<\/strong> Se realizaron radiograf\u00edas seriadas para evaluar la evoluci\u00f3n de la consolidaci\u00f3n \u00f3sea.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Resultados:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alivio del dolor inmediato.<\/strong><\/li>\n\n\n\n<li><strong>Movilizaci\u00f3n sin dolor a las 2 semanas.<\/strong><\/li>\n\n\n\n<li><strong>Consolidaci\u00f3n \u00f3sea completa a las 12 semanas.<\/strong><\/li>\n\n\n\n<li><strong>Retorno a las actividades deportivas sin limitaciones a los 6 meses.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Discusi\u00f3n:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Los clavos tens ofrecen una serie de ventajas para la fijaci\u00f3n de fracturas diafisarias de tibia en ni\u00f1os:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fijaci\u00f3n r\u00edgida y estable:<\/strong> Permite una reducci\u00f3n anat\u00f3mica y una estabilidad axial y rotacional \u00f3ptima, lo que favorece la consolidaci\u00f3n \u00f3sea.<\/li>\n\n\n\n<li><strong>M\u00ednimamente invasivo:<\/strong> Reduce el trauma quir\u00fargico, el sangrado y la cicatrizaci\u00f3n.<\/li>\n\n\n\n<li><strong>Preservaci\u00f3n del crecimiento \u00f3seo:<\/strong> El dise\u00f1o del clavo evita la interferencia con las placas de crecimiento fisario, permitiendo un desarrollo \u00f3seo normal.<\/li>\n\n\n\n<li><strong>Recuperaci\u00f3n r\u00e1pida:<\/strong> La fijaci\u00f3n estable y la movilizaci\u00f3n temprana favorecen una recuperaci\u00f3n m\u00e1s r\u00e1pida y una reinserci\u00f3n social y deportiva precoz.<\/li>\n\n\n\n<li><strong>Versatilidad:<\/strong> Se puede utilizar en una amplia gama de fracturas diafisarias de tibia en ni\u00f1os de diferentes edades y pesos.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Conclusiones:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Los clavos tens son una opci\u00f3n eficaz y segura para la fijaci\u00f3n de fracturas diafisarias de tibia en ni\u00f1os. Ofrecen una serie de ventajas sobre los m\u00e9todos tradicionales, lo que se traduce en una mejor experiencia para los pacientes y una recuperaci\u00f3n m\u00e1s r\u00e1pida. El caso de Tom\u00e1s es un ejemplo del \u00e9xito de esta t\u00e9cnica en la poblaci\u00f3n pedi\u00e1trica.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Referencias:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Osteos\u00edntesis en Ni\u00f1os:<\/strong> [se quit\u00f3 una URL no v\u00e1lida]<\/li>\n\n\n\n<li><strong>Fracturas diafisarias de tibia en ni\u00f1os:<\/strong> [se quit\u00f3 una URL no v\u00e1lida]<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Palabras clave:<\/strong> Clavos tens, osteos\u00edntesis, fijaci\u00f3n \u00f3sea, fracturas diafisarias de tibia, ni\u00f1os, m\u00ednimamente invasivo, titanio, versatilidad, facilidad de uso, caso de \u00e9xito, traumatolog\u00eda y ortopedia pedi\u00e1trica, reducci\u00f3n cerrada, consolidaci\u00f3n \u00f3sea, movilizaci\u00f3n temprana.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Para m\u00e1s informaci\u00f3n sobre los clavos tens en ni\u00f1os, consulte con un especialista en traumatolog\u00eda y ortopedia pedi\u00e1trica.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nota:<\/strong> Este art\u00edculo informativo no reemplaza la consulta con un profesional m\u00e9dico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n: Las fracturas diafisarias de tibia en la poblaci\u00f3n pedi\u00e1trica representan un desaf\u00edo para los traumat\u00f3logos ortopedistas. La elecci\u00f3n del m\u00e9todo de fijaci\u00f3n adecuado es crucial para garantizar una correcta consolidaci\u00f3n \u00f3sea, minimizar el da\u00f1o a los tejidos blandos y permitir un retorno temprano a las actividades normales del ni\u00f1o. Los clavos tens se han [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":820,"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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-818","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/www.traumasosecuador.com\/wp-content\/uploads\/2024\/04\/Redes-sociales-MARZO-2024-traumasos.png","_links":{"self":[{"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/posts\/818","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=818"}],"version-history":[{"count":1,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/posts\/818\/revisions"}],"predecessor-version":[{"id":819,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/posts\/818\/revisions\/819"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=\/wp\/v2\/media\/820"}],"wp:attachment":[{"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=818"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=818"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.traumasosecuador.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}