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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2012, Number 1

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Rev Esp Med Quir 2012; 17 (1)

Incidence of pseudo osteoarthritis at Hospital Regional General Ignacio Zaragoza, ISSSTE

Mora RFG, Romero CEA, Mejía RLC, Hernández MS, Isunza RA, Mota GE

Language: Spanish
References: 37
Page: 34-38
PDF size: 143.68 Kb.


ABSTRACT

Introduction: Pseudarthrosis is the lack of bony union, clinical and radiologically treated with immobilization for more than 6 months. Tibia is the most common site of pseudarthrosis and posttraumatic chronic osteomyelitis. Direct causes of pseudoarthrosis include infection, instability and hypovascularity, which may have a traumatic or iatrogenic origin.
Objective: To know the incidence of non-union (pseudarthrosis) at the Hospital Regional General Ignacio Zaragoza, ISSSTE.Material and methods: We performed a retrospective, transversal, observational and descriptive research, which included 5,319 patients with a diagnosis of fracture in any extremity at the Hospital Regional General Ignacio Zaragoza, ISSSTE, over the period of March 1, 2008 to 30 June, 2011.
Results: We found a total of 126 patients with pseudarthrosis, which corresponds to 2% of patients hospitalized for any fracture during the research period; 71% were male, and 29% female.
Discussion: Pseudarthrosis was more frequent in male patients at the tibia, secondary to a mechanism of high energy, being this mechanism increasingly prevalent in our society.
Conclusion: Incidence found at the Hospital Ignacio Zaragoza is 2%, which is similar to the literature, and lower than the information reported by Raymond (5%).


REFERENCES

  1. Raymond YL. Treatment of established and anticipated nonunion

  2. of the tibia in childhood. J Ped Orthop 2002;22:754-

  4. Tadashi T. Retardo de consolidación/no unión. Disponible

  5. en: www.aofoundation.org/AOFileServer/

  6. PortalFiles?FilePath=/

  7. Manish K. Ilizarov’s method for treatment of nonunion

  8. of diaphyseal fractures of the humerus. Indian J Orthop

  9. 2010;44(4):444-447.

  10. Jacobo NM. Pseudoartrosis de los huesos largos tratadas

  11. con osteosíntesis e injerto óseo de banco de tejidos. Rev

  12. Cubana OrtopTraumatol 2004;8(2).

  13. Emara KM, Allam MF. Ilizarov external fixation and then

  14. nailing in management of infected nonunions of the tibial

  15. shaft. J Trauma 2008;65(3):685-691.

  16. Jain AK, Sinha S. Infected nonunion of the long bones. Clin

  17. Orthop Relat Res 2005;(431):57-65.

  18. Bruno D. Enhancement of difficult nonunion in children

  19. with osteogenic protein-1 (OP-1). Clin Orthop Relat

  20. 2009;467:3230-3238.

  21. Shroeder JE. The outcome of closed, intramedullary exchange

  22. nailing with reamed insertion in the treatment of femoral

  23. shaft nonunions. J Orthop Trauma 2009;23:653-657.

  24. Michael DM. A prospective, randomized clinical trial comparing

  25. an antibiotic-impregnated bioabsorbable bone substitute

  26. with standard antibiotic-impregnated cement beads in the

  27. treatment of chronic osteomyelitis and infected nonunion.

  28. J Orthop Trauma 2010;24:483-490.

  29. Raymond YL. Treatment of established and anticipated nonunion of the tibia in childhood. J Ped Orthop 2002;22:754- 760.

  30. Tadashi T. Retardo de consolidación/no unión. Disponible en: www.aofoundation.org/AOFileServer/ PortalFiles?FilePath=/

  31. Manish K. Ilizarov’s method for treatment of nonunion of diaphyseal fractures of the humerus. Indian J Orthop 2010;44(4):444-447.

  32. Jacobo NM. Pseudoartrosis de los huesos largos tratadas con osteosíntesis e injerto óseo de banco de tejidos. Rev Cubana OrtopTraumatol 2004;8(2).

  33. Emara KM, Allam MF. Ilizarov external fixation and then nailing in management of infected nonunions of the tibial shaft. J Trauma 2008;65(3):685-691.

  34. Jain AK, Sinha S. Infected nonunion of the long bones. Clin Orthop Relat Res 2005;(431):57-65.

  35. Bruno D. Enhancement of difficult nonunion in children with osteogenic protein-1 (OP-1). Clin Orthop Relat 2009;467:3230-3238.

  36. Shroeder JE. The outcome of closed, intramedullary exchange nailing with reamed insertion in the treatment of femoral shaft nonunions. J Orthop Trauma 2009;23:653-657.

  37. Michael DM. A prospective, randomized clinical trial comparing an antibiotic-impregnated bioabsorbable bone substitute with standard antibiotic-impregnated cement beads in the treatment of chronic osteomyelitis and infected nonunion. J Orthop Trauma 2010;24:483-490.




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