Tratamiento quirúrgico de fractura de meseta tibial Schatzker tipo VI: reporte de un caso y revisión de la literatura
DOI:
https://doi.org/10.5281/zenodo.3271803Keywords:
rodilla, fracturas de la tibia, terapiaAbstract
Introducción: las fracturas de alta energía de la meseta tibial pueden causar problemas relacionados con el manejo, por la severa conminación que conduce a una mala alineación; y complicaciones tardías tales como la artrosis postraumática. El tratamiento puede ser bastante difícil, por su gravedad y las secuelas funcionales. Se presenta el caso de una fractura de meseta tibial Schatzker VI resuelta quirúrgicamente con doble placa.
Caso Clínico: se trata de un hombre de 34 años previamente sano que se presentó a la sala de emergencias después de una caída mientras realiza competición de bicicleta de montaña, sufre trauma axial en varo forzado de rodilla izquierda. Las radiografías mostraron una fractura conminuta de meseta tibial que afectaron las dos plataformas, que fue clasificada según Schatzker como tipo VI. Se realizó 2 tiempos quirúrgicos; se colocó primariamente tutores externos hasta que el complejo secundario disminuya y posteriormente se realizó la cirugía definitiva con doble placa, obtuvimos una recuperación satisfactoria.
Conclusiones: el manejo de fracturas complejas de meseta tibial requieren un adecuado entendimiento del patrón de fractura, su relación con las partes blandas y tener un protocolo terapéutico oportuno, esperando el tiempo prudente para realizar una estabilización definitiva, que puede durar varias semanas hasta que el complejo secundario mejore.
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References
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