Controversias en fracturas de tobillo: ¿Es diferente la visión del especialista en pie y tobillo?

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• dc.contributor.author González-Lucena, Gemmaca
• dc.contributor.author Pérez-Prieto, Danielca
• dc.contributor.author López-Alcover, A.ca
• dc.contributor.author López-Alcover, A.ca
• dc.contributor.author Ginés-Cespedosa, Albertoca
• dc.date.accessioned 2018-07-23T07:48:52Z
• dc.date.issued 2018
• dc.description.abstract OBJECTIVE: To analyse the differences in the management of ankle fractures between orthopaedic/trauma surgeons and foot and ankle specialists. MATERIAL AND METHOD: An e-mail survey was performed asking some of the country's orthopaedic surgeons controversial questions regarding the analysis of 5 clinical cases of different ankle fractures. RESULTS: Seventy-two surgeons responded to the questionnaire (response rate of 24.2%): 37 foot and ankle specialists and 35 non-specialist orthopaedic surgeons. For trimalleolar fracture, 40.5% of the specialists would request a computed tomography scan compared to 14% of the non-specialists (P=.01). Ninety-four percent of all the respondents would synthesise the posterior malleolus; 91% of the non-specialists would use an antero-posterior approach, either with a plate or with screws (P=.006). No differences were found between groups in the treatment of syndesmotic injuries (P>.05). For trans-syndesmotic fracture (Weber B) with signs of medial instability, 54% of the non-specialists would revise the internal lateral ligament compared to only 32% of the specialists (P=.06). CONCLUSIONS: The foot and ankle specialists ask for more complementary tests to diagnose ankle fractures. In turn, they use a greater diversity of surgical techniques in synthesis of the posterior malleolus (posterior plate) and the medial malleolus (cerclage wires). Finally, they indicated a lower revision rate of the internal lateral ligament.
• dc.format.mimetype application/pdf
• dc.identifier.citation González-Lucena G, Pérez-Prieto D, López-Alcover A, Ginés-Cespedosa A. et al. Controversias en fracturas de tobillo: ¿Es diferente la visión del especialista en pie y tobillo?. Rev Esp Cir Ortop Traumatol. 2018 Jan - Feb;62(1):27-34. DOI: 10.1016/j.recot.2017.10.001
• dc.identifier.doi http://dx.doi.org/10.1016/j.recot.2017.10.001
• dc.identifier.issn 1888-4415
• dc.identifier.uri http://hdl.handle.net/10230/35221
• dc.language.iso spa
• dc.publisher Elsevierca
• dc.relation.ispartof Revista Española de Cirugía Ortopédica y Traumatología. 2018 Jan - Feb;62(1):27-34
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.recot.2017.10.001
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Ankle fractures
• dc.subject.keyword Diagnosis
• dc.subject.keyword Diagnóstico
• dc.subject.keyword Encuestas
• dc.subject.keyword Fracturas de tobillo
• dc.subject.keyword Surveys
• dc.subject.keyword Tratamiento
• dc.subject.keyword Treatment
• dc.subject.other Turmells -- Malalties -- Tractament
• dc.title Controversias en fracturas de tobillo: ¿Es diferente la visión del especialista en pie y tobillo?ca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion