{"id":41462,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estabilizacion-con-un-biomaterial-remodelable-de-las-fracturas-en-hueso-esponjoso\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estabilizacion-con-un-biomaterial-remodelable-de-las-fracturas-en-hueso-esponjoso","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estabilizacion-con-un-biomaterial-remodelable-de-las-fracturas-en-hueso-esponjoso\/","title":{"rendered":"Estabilizacion con un biomaterial remodelable de las fracturas en hueso esponjoso."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Joaquin Sanchez Sotelo <\/strong><\/h2>\n<p>Introducci\u00f3n. El principal problema de las fracturas en hueso esponjoso es la inestabilidad resultante de la fragmentaci\u00f3n del hueso trabecular. Tras la reducci\u00f3n de estas fracturas, queda una zona de defecto \u00f3seo que facilita su redesplazamiento. Existen tres alternativas para afrontar el problema del defecto trabecular de las fracturas en hueso esponjoso: (1) aceptar que la fractura consolide desplazada -como en ciertas fracturas vertebrales-, (2) estabilizar la fractura con medios externos en las condiciones necesarias para que el organismo rellene el defecto trabecular con nuevo hueso o (3) rellenar primariamente el defecto con alg\u00fan sistema de refuerzo estructural. La atractiva tercera soluci\u00f3n se ha visto limitada por las caracter\u00edsticas de los sistemas de refuerzo estructural cl\u00e1sicos: la obtenci\u00f3n de autoinjerto genera morbilidad y el cemento acr\u00edlico carece de propiedades biol\u00f3gicas. existen actualmente nuevos biomateriales remodelables que podr\u00edan ser de utilidad en este sentido. Norian srs pertenece a este grupo. Se trata de un fosfato c\u00e1lcico inyectable que en condiciones fisiol\u00f3gicas se transforma en una apatita similar a la fase mineral del hueso. Es biocompatible, alcanza una resistencia a la comprensi\u00f3n axial de 55 mpa (similar o superior a la del hueso esponjoso) y es remodelado por el mismo proceso osteob\u00e1stico-osteocl\u00e1stico que el hueso. La fractura de extremidad distal del radio representa un excelente modelo de fractura sobre hueso esponjoso en el que se puede ensayar la utilidad del empleo de este tipo de biomateriales.  objetivo. Comparar los resultados cl\u00ednico-radiol\u00f3gicos y las complicaciones del tratamiento de las fracturas inestables de extremidad distal del radio con un biomaterial remodelable denominado norian srs frente al tratamiento conservador.  material y m\u00e9todo. Ciento diez fracturas tipos a3 o c2 de la clasificaci\u00f3n ao fueron distribu\u00eddas aleatoriamente en dos grupos: reducci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estabilizacion con un biomaterial remodelable de las fracturas en hueso esponjoso.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estabilizacion con un biomaterial remodelable de las fracturas en hueso esponjoso. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Joaquin Sanchez Sotelo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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 Munuera Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  sancho martin <\/li>\n<li>pedro Guillen Garc\u00eda (vocal)<\/li>\n<li>enrique Martinez moreno (vocal)<\/li>\n<li>Carlos Resines erasun (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Joaquin Sanchez Sotelo Introducci\u00f3n. El principal problema de las fracturas en hueso esponjoso es la inestabilidad resultante [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","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-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-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-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-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-gradient":""}},"footnotes":""},"categories":[9,141,4233,254],"tags":[17679,4988,105031,3776,7817,2389],"class_list":["post-41462","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-ortopedica","category-traumatologia","tag-carlos-resines-erasun","tag-enrique-Martinez-moreno","tag-joaquin-sanchez-sotelo","tag-luis-garcia-sancho-martin","tag-luis-munuera-Martinez","tag-pedro-guillen-garcia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/41462","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=41462"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/41462\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=41462"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=41462"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=41462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}