{"id":42919,"date":"1999-12-05T00:00:00","date_gmt":"1999-12-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-de-valor-pronostico-en-el-tratamiento-de-las-fracturas-bimaleolares\/"},"modified":"1999-12-05T00:00:00","modified_gmt":"1999-12-05T00:00:00","slug":"factores-de-valor-pronostico-en-el-tratamiento-de-las-fracturas-bimaleolares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-de-valor-pronostico-en-el-tratamiento-de-las-fracturas-bimaleolares\/","title":{"rendered":"Factores de valor pronostico en el tratamiento de las fracturas bimaleolares."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rosa Busquets Net <\/strong><\/h2>\n<p>Existen dudas sobre la efectividad del tratamiento quirurgico de las fracturas bimaleolares. La aplicaci\u00f3n clinica de los estudios sobre la biomecanica del tobillo es dificil. La finalidad de este estudio es la identificacion de las variables que pueden influir en el resultado clinico. Se ha realizado la revision de ciento cincuenta y dos pacientes que presentaban fracturas bimaleolares y trimaleolares de tobillo. Se incluyeron los cuatro tipos de fracturas de la clasificaci\u00f3n de lauge-hansen. En el estudio participaron seis hospitales. El seguimiento medio fue de 15 meses. Cuarenta y cinco pacientes fueron sometidos a tratamientos no quir\u00farquico. Ciento siete pacientes fueron tratados quirurgicamente. El resultado clinico fue valorado mediante un sistema de puntuacion. Los resultados anatomicos fueron valorados utilizando ocho medidas diferentes en las radiografias anteroposterior, de perfil y mortaja (realizada con un soporte). Se han analizado los cambios radiologicos a largo plazo. Se han identificado parametros con valor pronostico. los pacientes de mayor edad presentan un resultado clinico peor. Los pacientes intervenidos eran m\u00e1s jovenes que los no operados. Con el tratamiento quirurgico se obtuvieron mejores resultados. Tambien afecta al resultado clinico final el grado de desplazamiento articular previo  a la reducci\u00f3n. Se han identificado los parametros radiologicos con valor pronostico realizando una regresi\u00f3n logistica multiple: el desplazamiento del maleolo tibial y peroneal. Existe una relaci\u00f3n entre la presencia de m\u00faltiples anormalidades de medici\u00f3n en la reducci\u00f3n y un peor resultado clinico y con el tratamiento no quir\u00fargico, pero no con la artrosis.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de valor pronostico en el tratamiento de las fracturas bimaleolares.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de valor pronostico en el tratamiento de las fracturas bimaleolares. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rosa Busquets Net <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/05\/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>Antonio Navarro Quilis<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>Manuel LLuis perez (vocal)<\/li>\n<li>vicenc Fonolloid pla (vocal)<\/li>\n<li> Fernandez Martinez Jorge  Juli\u00e1n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rosa Busquets Net Existen dudas sobre la efectividad del tratamiento quirurgico de las fracturas bimaleolares. La aplicaci\u00f3n [&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":[9,141,10665],"tags":[13935,107511,13950,107279,107509,107510],"class_list":["post-42919","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-osea","tag-antonio-navarro-quilis","tag-fernandez-Martinez-jorge-julian","tag-manuel-armengol-carrasco","tag-manuel-lluis-perez","tag-rosa-busquets-net","tag-vicenc-fonolloid-pla"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42919","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=42919"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42919\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=42919"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=42919"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=42919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}