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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e110-e115
DOI: 10.1055/s-0043-1776977
Técnica Quirúrgica | Surgical Technique

Secuela rotacional de falange en paciente pediátrico: Corrección con osteotomía desrotadora de metacarpiano y osteosíntesis con tornillo compresivo endomedular. Reporte de un caso

Article in several languages: español | English
Lucía d'Oliveira 
1   Centro Hospitalario Pereira Rossell, Montevideo, Montevideo, Uruguay
,
Matías Craviotto 
2   Hospital Central de las Fuerzas Armadas, Cirugía de Mano y Miembro Superior, República Dominicana
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Resumen

Las secuelas rotacionales en las falanges de pacientes pediátricos son, afortunadamente, poco frecuentes y se pueden tratar mediante osteotomías correctivas del hueso en el cual presenta la secuela. El tratamiento ideal debe lograr, además de la corrección del defecto rotacional: conservar el cartílago de crecimiento indemne junto con su potencial de crecimiento, evitar cicatrices extensas y un postoperatorio mas confortable sin el retiro de clavos. Presentamos el caso de una paciente de edad pediátrica con una secuela rotacional de una fractura subcondilar de falange proximal de 5° dedo mano hábil en la cual se realizó una osteotomía desrotadora de 5° metacarpiano y estabilización con tornillo endomedular sin cabeza para corrección del defecto.

Palabras Clave

fractura falange - secuela rotacional - mano pediátrica - osteotomía metacarpiano - tornillo endomedular


Publication History

Received: 08 December 2021

Accepted: 16 August 2023

Article published online:
05 December 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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