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2019, Number 1

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Revista Cubana de Salud y Trabajo 2019; 20 (1)

Attachment to the guidelines for duration of occupational disability due to pathology in ankle fractures

Castro VOJ, Haro AME, Quiñones MKA

Language: Spanish
References: 20
Page: 43-46
PDF size: 194.53 Kb.


ABSTRACT

Introduction: Ankle fractures are frequent in our environment. The time for labor reintegration is determined by the type of treatment, whether it is a conservative or a surgical treatment, and by the rehabili-tation therapy. Therefore, it is important to grant the days of disability necessary for a full recovery. Objective: To determine the attachment to guidelines for duration of disability due to injury in patients with ankle fracture in the General Hospital of Zone N° 30 of the Mexican Institute of Social Security in Mexicali, Baja California, during 2015. Material and method: A descriptive and cross-sectional study in the division of Orthopedics of the General Hospital of Zone N° 30. We included files of patients with ankle fracture diagnosis that generated days of disability during 2015; we analyzed if there was attachment or not to the Disability Duration Guidelines by Pathology. Results: 63 files were reviewed, of which 48 were from men (76.2%) and 15 from women (23.8%); type B of Weber was the most frequent type of fracture, observed in 30 (47,6%) cases; the most frequent age range was 30-39 years (41.2%). It was determined that there is attachment to guidelines in 36 (57.1%) of the cases. Conclusions: It was found that in more than the half there is attachment to guidelines, which speaks of the standardization criteria by specialized doctors within the institute.


REFERENCES

  1. Yáñez J, Arzac IR, Fiorentini G, Yañez M. Fracturas de tobillo. Comparación entre la cirugía abierta y el método mínimamente invasivo. Rev Asoc Argent Ortop Traumatol. 2016;81:27-34.

  2. Zong-Huan L, Ai-Xi Y, Xiao-Peng G, Bai-Wen Q, et al. Absorbable implants versus metal implants for the treatment of ankle fractures: A meta-analysis. Exp Ther Med. 2013;1531-7.

  3. Bugle KE. Focus on ankle fractures. Bone Joint J. 2012;1-4.

  4. Bellringera S, Broganb K, Cassidya L, Gibbs J. Standardized virtual fracture clinic management of radiographically stable Weber B ankle fractures is safe, cost effective and reproducible. Injury Int J Care Injured. 2017;48:1670-3.

  5. Briet J, Houwert R, Smeeing D, Dijkgraaf M, et al. Differences in classification between mono- and polytrauma and low- and high-energy trauma pa-tients with an ankle fracture: a retrospective cohort study. J Foot Ankle Surg. 2017;56:793-6.

  6. Reginald N, Broughton N, Williams C. Measuring recovery after ankle fractures: a systematic review of the psychometric properties of scoring systems. J Foot Ankle Surg. 2018;57:149-54.

  7. McPhail SM, Dunstan J, Canning J, Haine T. Life impact of ankle fractures: qualitative analysis of pa-tient and clinician experiences. TP. BMC Musculo-skeletal Disorders. 2012;13:224.

  8. Lopes L, Gusmão I, Nogueira R, Vieira G, et al. Reproducibility of the Lauge-Hansen, Danis-Weber, and AO classifications for ankle fractures. Rev Bras Ortop. 2018;53(1):101-6.

  9. Goost H, Wimmer MD, Barg A, Kabir K, et al. Frac-tures of the ankle joint: investigation and treatment options. Dtsch Arztebl Int. 2014;111(21):377-88.

  10. Sandoval MA. Revisión de tratamiento de fracturas de tibia en pacientes del CEMEV (Tesis). Veracruz: Universidad de Veracruz; 2006.

  11. Walsh A, Sinclair V, Watmough P, Henderson A. Ankle fractures: Getting it right first time. Foot. 2018;34:48-52.

  12. Thomason K, Ramesh A, McGoldrick N, Cove R, et al. Primary ankle arthrodesis for neglected open We-ber B ankle fracture dislocation. J Foot Ankle Surg. 2014;53:446-8.

  13. División de Discapacidad para el Trabajo. Instructi-vo de uso de las Guías de duración de la incapacidad por patología, en apoyo a la prescripción de la incapacidad temporal para el trabajo. México: Instituto Mexicano del Seguro Social; 2014.

  14. Amaha K, Arimoto T, Saito M, Tasaki A, et al. Shorter recovery can be achieved from using walk-ing boot after operative treatment of an ankle frac-ture. Asia Pac J Sports Med Arthrosc Rehabil. 2017; 7:10-4.

  15. Lai T, Fleming J. Minimally invasive plate osteosynthesis for distal tibia fractures. Clin Podiatr Med Surg.2018;35:223-32.

  16. Rodríguez Y, Cabrer J, Gómez I, Requeiro J. Fijación interna en la fractura expuesta del tobillo. Pre-sentación de dos casos. Medisur. 2014;12(5):757-62.

  17. Sánchez SJ, Navarro R, Navarro R, Brito E, et al. Clasificación de las fracturas de tobillo. Canar Med Quir. 2011;49-53.

  18. Kortekangas T, Flinkkilä T, Niinimäki J, Lepojärvi S, et al. Effect of syndesmosis injury in SER IV (Weber B)–type ankle fractures on function and incidence of osteoarthritis. Foot Ankle Int. 2015;36: 180-7.

  19. Kiliana M, Csörgöa P, Vajczikova S, Luhab J, et al. Antiglide versus lateral plate fixation for Danis-Weber type B malleolar fractures caused by supina-tion-external rotation injury. J Clin Orthop Trauma. 2017;8(4):327-31.

  20. Guía de valoración de incapacidad laboral para médicos de atención primaria. 2ª ed. Madrid: Escuela Nacional de Medicina del Trabajo (Enmt). Instituto de Salud Carlos III. Ministerio de Economía y Competitividad Ciencia; 2015.




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