{"id":69457,"date":"2018-03-09T23:13:55","date_gmt":"2018-03-09T23:13:55","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/complicaciones-de-clavo-gamma-analisis-y-revision-de-2000-casos\/"},"modified":"2018-03-09T23:13:55","modified_gmt":"2018-03-09T23:13:55","slug":"complicaciones-de-clavo-gamma-analisis-y-revision-de-2000-casos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/alcala\/complicaciones-de-clavo-gamma-analisis-y-revision-de-2000-casos\/","title":{"rendered":"Complicaciones de clavo gamma: an\u00e1lisis y revisi\u00f3n de 2000 casos."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Castrillo Amores Miguel \u00e1ngel <\/strong><\/h2>\n<p>Introduccion.  la fractura de cadera, considerada por los antiguos como fractura terminal, \u00abinsoluble y penosamente mortal\u00bb, tiene una incidencia tan elevada que parece justificar la denominaci\u00f3n de \u00abepidemia silenciosa\u00bb que se le ha dado.  objetivo e hip\u00f3tesis.  nuestro objetivo es establecer las posibles causas de las complicaciones y los mecanismos para tratar de evitarlas, as\u00ed como analizar qu\u00e9 tratamiento ser\u00eda el m\u00e1s id\u00f3neo en cada caso, constatando la eficacia del clavo gamma(r) como osteos\u00edntesis en la extremidad proximal del f\u00e9mur mediante el estudio de las complicaciones que requirieron reintervenci\u00f3n quir\u00fargica.  material y m\u00e9todo.  se realiz\u00f3 un estudio sobre las complicaciones de clavo gamma que fueron reintervenidas, analizando de forma retrospectiva, aquellas m\u00e1s frecuentes que tuvieron que sufrir reintervenci\u00f3n quir\u00fargica. La poblaci\u00f3n muestral la componen 2000 pacientes en que se implant\u00f3 osteos\u00edntesis con clavo gamma. se seleccion\u00f3 como muestra 122 casos.  resultados.  sobre la base de 29 datos y variables analizados, se desarrollaron 9 grupos de estudio.  discusi\u00f3n y conclusiones.  existe una mayor incidencia entre los 80 y los 90 a\u00f1os, sexo femenino y cadera izquierda.  i. Refracturas.  la refractura tuvo lugar siempre en distinta localizaci\u00f3n a la fractura inicial. En clavos de menor longitud las refracturas se producen m\u00e1s cercanas a la punta del clavo, mientras que las refracturas m\u00e1s distales,  como son las supracond\u00edleas, son m\u00e1s frecuentes en clavos gamma largos. Existe una mayor tendencia a refracturas con clavos cortos. El encerrojado distal, supone un punto de debilidad de la cortical. Proponemos colocar un clavo gamma largo para obviar el encerrojado distal  ii. Fallo de osteos\u00edntesis.  un defecto de t\u00e9cnica quir\u00fargica puede estar implicado en su aparici\u00f3n. es m\u00e1s frecuente en fracturas inestables. La varizaci\u00f3n se asocia frecuentemente con fen\u00f3meno de cort<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Complicaciones de clavo gamma: an\u00e1lisis y revisi\u00f3n de 2000 casos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Complicaciones de clavo gamma: an\u00e1lisis y revisi\u00f3n de 2000 casos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Castrillo Amores Miguel \u00e1ngel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/07\/2004<\/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> Fern\u00e1ndez Camacho Francisco Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Castillo ojugas <\/li>\n<li>Luis Fern\u00e1ndez berrendero (vocal)<\/li>\n<li>tomas Epeldegui torre (vocal)<\/li>\n<li> Torre escudero basilio de la (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Castrillo Amores Miguel \u00e1ngel Introduccion. la fractura de cadera, considerada por los antiguos como fractura terminal, \u00abinsoluble [&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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