Resumen

GUTIERREZ BLANCO, Mario O.; LEYVA BASTERRECHEA, Francisco  y  ALVAREZ LOPEZ, Alejandro. Treatment of open fractures of the tibial diaphysis. Rev Cub Med Mil [online]. 2008, vol.37, n.4. ISSN 0138-6557.

A bibliographic review and updating of the treatments of patients with open fractures of the tibial diaphysis was made aimed at making easier the study of this polemic topic for residents and specialists in Traumatology.Wçe went deep into the knowledge of important aspects such as the classifications and, specifically, the factors modifying them, the significance of blood irrigation, and surgical debridement. Special emphasis was given to the use of systemic and local antibiotics and to the combination of the latter with bone cement. The amputation criteria, which are very frequent in this entity were analyzed, as well as the methods of bone stabilization (external or internal fixation), due the controversy on its precise indications. Important aspects on the definite management of wounds are exposed, according to time and to the types of closing applied to open fractures, taking into account their high level of contamination. All this should lead to a better treatment of patients with traumatic lesions.

Palabras clave : Open fractures of tibial diaphysis; diagnosis.

        · resumen en Español     · texto en Español     · Español ( pdf )