Ayala-Higareda D, Tafoya-Arreguín GA, Martínez-Ruíz JJ

Language: Spanish
References: 8
Page: 67-70
PDF size: 533.68 Kb.

ABSTRACT

Fractures with joint involvement have been extensively studied along the evolution of traumatology. For them, multiple classification systems such as AO/OTA have been created, which widely describe the different types of fractures for any region of the skeleton. More specifically, there are specialized classifications for each bone segment or for each component of some bone. In all these classification systems the morphology of the fracture with one or multiple fragments is described to give a prognosis and management plan, planning the reconstruction of this fracture. In friction fractures it is not possible to have these fragments so there is no classification in which we can encompass this group of fractures.
A simple, reproducible and easily localized classification system (WHAKES) is proposed in order to be able to stage, give a description and be able to predict a prognosis and treatment, because in a global way we can know the degree of joint chondral damage of each friction fracture, which is linked to the therapeutic decision and prognosis.
The restitution of joint congruence has always been the main priority in all types of bone lesions, therefore in friction fractures, as we are losing fragments in which reconstruction is not possible, it is of vital importance to know the degree of joint involvement and thus to know what we expect after the short and long term treatment (the greater joint affection, the greater soft tissue injury and worse functional prognosis).

REFERENCES

1. S. Terry Canale, MD. Campbell Cirugía Ortopédica, Décima edición. Editorial Elsevier. Pp 509-520. A.I. Kapandji. Fisiología Articular. Sexta edición. Editorial Panamericana. Pp76- 100.

2. Bernar F. Morrey. Traumatología del codo. Editorial Marban. Pp 53-70.

3. Roberto W. Bucholz, James D. Heckman, Charles Court-Brown. Rockwood and Green´s. Fracturas en el adulto. Sexta edición. Editorial Marban. Pp 953-972.

4. David E. Ruchelsman, MD; Nirmal C. Tejwani, MD, PhD; Kenneth A. Egol, MD. Open Reduction and Internal Fixation of Capitelar Fractures with Headless Screw. Surgical technique. J. Bone Joint Surg Am, 2009 Mar;91 (supplement 2 part 1): 38-49.

5. Timothy H. Bell, MD; Louis M. Ferreira, BSc, BEng; Colin P. McDonald, PhD; James A. Johnson, PhD; Graham J.W King, MD, MSc, FRCSC. Contribution of the olecranon to Elbow Stability. An in vitro biomechanincal study. J Bone Joint Surg Am, 2010 Apr;92 (4):949- 957.

6. Marc J. Richard, MD; J. Mach Aldridge III, MD; Ethan R. Wiesler, MD; David S. Ruch, MD. Traumatic valgus instability of the elbow: pathoanatomy and results of direct repair. J Bone Joint Surg Am, 2008 Nov 01;90 (11):2416-2422

7. Aaron M. Chamberlain, MD; Surena Namdari, MD; Jay D. Keener, MD. What´s new in shoulder and elbow surgery?. J Bone Joint Surg Am, 2015 Oct 21;97 (20):1719-1727.

8. Kagan Ozer, MD; Kyros Ipaktchi, MD. Wind swep elbow: injury pattern and reconstruction. J Orthop Trauma. Vol 27, num 1, Jan 2013.