Evaluación de resultados y eficacia del fijador circular hexápodo asistido por ordenador en la patología compleja de pie y tobillo
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0024
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21/06/2023
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Universidad Complutense de Madrid
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Abstract
La patología compleja de pie y tobillo involucra numerosas articulaciones con alteraciones multiplanares y pacientes multioperados. Aunque la corrección aguda de la deformidad mediante osteotomías y fijación interna ha dado buenos resultados, la corrección precisa delas deformidades usando esta técnica es difícil. Además, las resecciones óseas necesarias implican cambios en la biomecánica de la marcha y los materiales de síntesis interna están contraindicados en algunas patologías. Aunque existe cierta experiencia en el manejo de estas patologías mediante fijación externa circular clásica (tipo Ilizarov), son mucho menos abundantes las publicaciones en las que se utiliza la fijación externa circular hexápoda asistida por ordenador, que viene siendo utilizada por el investigador principal desde el año 2007.El objetivo de esta tesis es analizar los resultados clínicos del tratamiento la patología compleja de pie y tobillo mediante fijación externa circular hexápoda asistida por software. Material y método Se usa una metodología dual que combina el análisis cualitativo y cuantitativo. Por un lado se realizan una descripción detallada de los tratamientos para las diferentes patologías abordadas(incluyendo casos clínicos) y, por otro, se realiza un estudio observacional retrospectivo de una serie de pacientes...
Complex foot and ankle conditions involve numerous joints with alterations at multiple levels and multi-operated patients. Although acute correction of deformities by osteotomies and internal fi xation has provided satisfactory results, the technique seldom results in accurate correction. Moreover, the required bone resections lead to changes in the biomechanics of gait and internal fixation hardware is contraindicated in certain cases. Although there is some literature on the management of these conditions with classical circular (Ilizarov-type) external fixators, far fewer reports exist on the use of computer-assisted hexapod circular external fi xators, which have been applied by the principal, investigator since 2007.The purpose of this dissertation is to analyze the clinical results of treating complex foot conditions by means of computer-assisted hexapod circular external fixation. Materials and methods. A dual methodology was used, combining quantitative and qualitative analysis. On the one hand, a detailed description of the treatments for the different conditions considered (including case reports) was made. On the other, a retrospective observational study of a patient cohort was conducted...
Complex foot and ankle conditions involve numerous joints with alterations at multiple levels and multi-operated patients. Although acute correction of deformities by osteotomies and internal fi xation has provided satisfactory results, the technique seldom results in accurate correction. Moreover, the required bone resections lead to changes in the biomechanics of gait and internal fixation hardware is contraindicated in certain cases. Although there is some literature on the management of these conditions with classical circular (Ilizarov-type) external fixators, far fewer reports exist on the use of computer-assisted hexapod circular external fi xators, which have been applied by the principal, investigator since 2007.The purpose of this dissertation is to analyze the clinical results of treating complex foot conditions by means of computer-assisted hexapod circular external fixation. Materials and methods. A dual methodology was used, combining quantitative and qualitative analysis. On the one hand, a detailed description of the treatments for the different conditions considered (including case reports) was made. On the other, a retrospective observational study of a patient cohort was conducted...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, leída el 21-06-2023