{"id":117859,"date":"2018-03-11T10:47:33","date_gmt":"2018-03-11T10:47:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-radiologico-de-la-correlacion-del-trazo-de-fractura-del-maleolo-interno-con-la-lesion-sindesmal-en-fracturas-de-tobillo\/"},"modified":"2018-03-11T10:47:33","modified_gmt":"2018-03-11T10:47:33","slug":"estudio-radiologico-de-la-correlacion-del-trazo-de-fractura-del-maleolo-interno-con-la-lesion-sindesmal-en-fracturas-de-tobillo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/complutense-de-madrid\/estudio-radiologico-de-la-correlacion-del-trazo-de-fractura-del-maleolo-interno-con-la-lesion-sindesmal-en-fracturas-de-tobillo\/","title":{"rendered":"Estudio radiol\u00f3gico de la correlaci\u00f3n del trazo de fractura del maleolo interno con la lesi\u00f3n sindesmal en fracturas de tobillo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Javier S\u00e1nchez Morata <\/strong><\/h2>\n<p>El tratamiento de las fracturas de tobillo, puede cambiar considerablemente seg\u00fan el estado de la sindesmosis. Sin embargo, la capacidad de determinar con certeza la presencia de dicha lesi\u00f3n es limitada y por eso, los datos objetivos que puedan ayudar a predecir o identificar da\u00f1o sindesm\u00f3tico en el preoperatorio son muy apreciados. como objetivo principal, este estudio trata de encontrar un modelo predictivo de lesi\u00f3n sindesmal, basado en la descripci\u00f3n de un nuevo \u00e1ngulo formado por el trazo principal de la fractura del maleolo interno con una perpendicular a la l\u00ednea de la superficie de carga del pil\u00f3n tibial, a partir del cual se debe sospechar lesi\u00f3n de la sindesmosis. la hip\u00f3tesis principal que se pretende demostrar es que los trazos de fractura de maleolo interno m\u00e1s verticales tienen menor probabilidad de asociar lesi\u00f3n sindesmal.  a partir de 138 fracturas de tobillo que afectan al mal\u00e9olo interno, se han analizado todos los par\u00e1metros de la radiograf\u00eda simple conocidos que pueden conducir al diagn\u00f3stico de lesi\u00f3n sindesmal m\u00e1s el nuevo \u00e1ngulo (crurofocal medial). a partir de los resultados, se obtienen tres modelos que pueden predecir la lesi\u00f3n sindesm\u00f3tica utilizando par\u00e1metros obtenidos de la radiograf\u00eda simple. La medici\u00f3n del \u00e1ngulo crurofocal medial, se incluye en estos modelos y demuestra ser una t\u00e9cnica v\u00e1lida y reproducible. la validaci\u00f3n de los modelos y la ausencia de valores menores de 60 grados del \u00e1ngulo crurofocal medial en los casos con lesi\u00f3n sindesmal presente, conducen a confirmar la hip\u00f3tesis y ver cumplido el objetivo principal.  se encuentra relaci\u00f3n significativa entre la medida del \u00e1ngulo crurofocal medial y el tipo de fractura seg\u00fan lauge-hansen; incluida dicha clasificaci\u00f3n en uno de los modelos desarrollados, se confirma el valor que sigue manteniendo a\u00fan en la pr\u00e1ctica diaria. se establece relaci\u00f3n estad\u00edsticamente significativa entre la presencia de lesi\u00f3n sindesmal y el desarrollo de artrosis postraum\u00e1tica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio radiol\u00f3gico de la correlaci\u00f3n del trazo de fractura del maleolo interno con la lesi\u00f3n sindesmal en fracturas de tobillo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio radiol\u00f3gico de la correlaci\u00f3n del trazo de fractura del maleolo interno con la lesi\u00f3n sindesmal en fracturas de tobillo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Javier S\u00e1nchez Morata <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/2015<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Luis Fernando Llanos Alcazar<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Marco Martinez <\/li>\n<li>eduardo Jos\u00e9 Ortiz cruz (vocal)<\/li>\n<li>enrique Gil garay (vocal)<\/li>\n<li>Mar\u00eda no N\u00fa\u00f1ez-samper pizarroso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Javier S\u00e1nchez Morata El tratamiento de las fracturas de tobillo, puede cambiar considerablemente seg\u00fan el estado [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","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":"","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":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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