Descripción de resultados de la reconstrucción de placa plantar en inestabilidad de la segunda articulación metatarsofalángica


Autoria(s): Cogua Rodriguez, Adriana Victoria
Contribuinte(s)

Morales González, Mauricio

Montoya Murillo, Diana Paola

Romero, Carolina

Alvárez, Laura

Farfán, Miguel

Data(s)

05/08/2016

Resumo

Objetivo: Describir los desenlaces funcionales, complicaciones postoperatorias, dolor y satisfacción de un grupo de pacientes con diagnóstico de inestabilidad de segunda articulación metatarsofalángica y lesión de la placa plantar, que fueron intervenidos quirúrgicamente para su reconstrucción en el Hospital Universitario de cuarto nivel Fundación Santa Fé de Bogotá, en el periodo comprendido entre Enero de 2010 hasta Diciembre de 2015. Métodos: Estudio descriptivo de corte transversal que evalúa desenlaces funcionales, dolor y satisfacción para un grupo consecutivo de pacientes con diagnóstico de inestabilidad de la segunda articulación metatarsofalángica que fueron intervenidos quirúrgicamente mediante reconstrucción de la placa plantar entre Enero de 2010 a Diciembre de 2015 en el Hospital Universitario Fundación Santa fe de Bogotá. Resultados: El procedimiento se realizó a 39 pacientes (40 MTF), encontrando mejoría en dolor, función y satisfacción. El dolor postoperatorio paso de severo a leve en el 80% de los pacientes, 67.5% de los pacientes presentaron prueba de aprehensión positiva, 85% alineamiento adecuado, el reporte de escala de AOFAS postoperatoria fue de 87, y los resultados fueron satisfactorios en un 94.5%. La principal complicación con la cirugía fue la extensión residual del dedo operado (22.5%). Conclusiones: La reconstrucción de la placa plantar en casos de inestabilidad metatarsofalángica ha demostrado tener resultados satisfactorios, en el presente estudio encontramos mejoría respecto a dolor, función y satisfacción posterior a la realización del procedimiento. Sin embargo puede presentar complicaciones como extensión residual del dedo o elevación, rigidez y recidiva.

Objective: Describe the functional outcomes, postoperative complications, pain and satisfaction of a group of patients diagnosed with unstable second metatarsophalangeal joint and plantar plate tears, which underwent surgery for reconstruction at the University Hospital of fourth level Fundación Santa Fe de Bogota in the period from January 2010 to December 2015. Methods: Descriptive cross-sectional study evaluating functional outcomes, pain and satisfaction for a consecutive group of patients with a diagnosis of instability of the second metatarsophalangeal joint were operated by reconstruction of the plantar plate between January 2010 to December 2015 at the University Hospital Fundación Santa Fe de Bogota Results: In 39 patients (40 MTF) was performed the procedure, finding improvement in pain, function and satisfaction. Postoperative pain passage of severe to mild in 80% of patients, 67.5% of patients had positive apprehension test, 85% proper alignment, the postoperative AOFAS scale was 87, and the results were satisfactory in a 94.5%. The main complication with surgery was the residual extension of the operated finger (22.5%). Conclusions: The plantar plate reconstruction in cases of metatarsophalangeal instability has shown satisfactory results; in the present study we found improvement on pain, function, and satisfaction with procedure. However it can be complications as residual finger extension or elevation, stiffness and relapse

Formato

application/pdf

Identificador

http://repository.urosario.edu.co/handle/10336/12352

Idioma(s)

spa

Publicador

Facultad de Medicina

Direitos

info:eu-repo/semantics/restrictedAccess

Fonte

instname:Universidad del Rosario

reponame:Repositorio Institucional EdocUR

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TEME

Palavras-Chave #Traumatología #616.7 #Ortopedia #Trastornos del movimiento #Centros Traumatológicos #Plantar plate repair #Crossover toe #Metatarsophalangeal joint instability #Weil metatarsal osteotomy #Metatarsalgia #Metatarsal synovitis
Tipo

info:eu-repo/semantics/bachelorThesis

info:eu-repo/semantics/acceptedVersion