{"id":80619,"date":"2018-03-10T00:04:23","date_gmt":"2018-03-10T00:04:23","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-experimental-de-la-osteosintesis-intra-y-extramedular-en-las-fracturas-trocantereas-de-cadera\/"},"modified":"2018-03-10T00:04:23","modified_gmt":"2018-03-10T00:04:23","slug":"estudio-clinico-experimental-de-la-osteosintesis-intra-y-extramedular-en-las-fracturas-trocantereas-de-cadera","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-experimental-de-la-osteosintesis-intra-y-extramedular-en-las-fracturas-trocantereas-de-cadera\/","title":{"rendered":"Estudio clinico-experimental de la osteosintesis intra y extramedular en las fracturas trocantereas de cadera."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Bego\u00f1a Bel\u00e9n Seral Garc\u00eda <\/strong><\/h2>\n<p>Introduccion  la traumatolog\u00eda geri\u00e1trica est\u00e1 creando un problema sanitario complejo. el aumento de personas ancianas se acelera cada d\u00e9cada. Las fracturas del extremo proximald el f\u00e9mur actualmente una grave problem\u00e1tica desde el punto de vista socialy econ\u00f3mico. La incidencia de las fracturas de cadera est\u00e1 aumentando en el mundo occidental debido al aumento de la vida media. se considera que enlas fracturas trocant\u00e9reas estables el sistema extramedular modelo dhs (dynamic hip screw) es el \u00abgolden standard\u00bb. En fracturas inestables hay gran controversia sobre las ventajas e inconvenientes de los sitemas extramedualres dhs \u00f3 los intramedulares como el clavo gamma (kemplf, 1985).  material y metodos  hemos realizado un estudio cl\u00ednico-experimetnal de las fracturas trocant\u00e9reas tratadas consitema extramedular dhs y sistema intramedualr gamma en el servicio de traumatolog\u00eda del hospital cl\u00ednico universitario de zaragoza. se han aplicado unos criterios de inclusi\u00f3n y hemos considerado las caracter\u00edsticas del paciente, de la fractura, de la cirug\u00eda y del implante, asi como la evoluci\u00f3n radiol\u00f3gica, complicaciones en el psotoperatorio y resultados funcionales. En el estudio experimental se ha relizado un modelo de mallado de f\u00e9mdur, de los tipos de fractura. El objetivo de nuestro trabajo ha sido traspolar los datos biomec\u00e1nicos a los datos cl\u00ednicos mediante una simulaci\u00f3n num\u00e9rica del comportamiento del hueso y de los implantes utilizados, con elementos finitos. Hemos determinado y comaprado para ambos grupos: el grado de desplazamiento de foco de fractura, la transmisi\u00f3n de cargas en el f\u00e9mur y en los implantes.  resultados y conclusiones  1- con relaci\u00f3n al sistema dhs, el clavo gamma consigue resultados similares en las fracturas estables.  2- en las fracturas inestables, el clavo gamma permite una reanudaci\u00f3n m\u00e1s precoz de la marcha.  3- las dificultades y los errores t\u00e9cnicos determinan con el clav<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico-experimental de la osteosintesis intra y extramedular en las fracturas trocantereas de cadera.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico-experimental de la osteosintesis intra y extramedular en las fracturas trocantereas de cadera. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Bego\u00f1a Bel\u00e9n Seral Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/09\/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>Fernando Seral I\u00f1igo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Gonzalez gonzalez <\/li>\n<li>daniel Palanca mart\u00edn (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bego\u00f1a Bel\u00e9n Seral Garc\u00eda Introduccion la traumatolog\u00eda geri\u00e1trica est\u00e1 creando un problema sanitario complejo. el aumento de [&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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