O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor

Descripción del Articulo

Modalidad de obtención de segunda especialidad sin designación de jurado según Oficio N.° 009-2025–OGYT-FMH/USMP
Detalles Bibliográficos
Autor: Avalos Reyna, Marco Antonio
Formato: tesis de maestría
Fecha de Publicación:2022
Institución:Universidad de San Martín de Porres
Repositorio:USMP-Institucional
Lenguaje:inglés
OAI Identifier:oai:repositorio.usmp.edu.pe:20.500.12727/13462
Enlace del recurso:https://hdl.handle.net/20.500.12727/13462
Nivel de acceso:acceso abierto
Materia:Distal femur fracture
Complication
Locking plate
High-energy
https://purl.org/pe-repo/ocde/ford#3.02.10
id USMP_7b8c6240ef05fac9a066356f2d799814
oai_identifier_str oai:repositorio.usmp.edu.pe:20.500.12727/13462
network_acronym_str USMP
network_name_str USMP-Institucional
repository_id_str 2089
dc.title.es_PE.fl_str_mv O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
title O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
spellingShingle O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
Avalos Reyna, Marco Antonio
Distal femur fracture
Complication
Locking plate
High-energy
https://purl.org/pe-repo/ocde/ford#3.02.10
title_short O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
title_full O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
title_fullStr O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
title_full_unstemmed O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
title_sort O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
author Avalos Reyna, Marco Antonio
author_facet Avalos Reyna, Marco Antonio
author_role author
dc.contributor.advisor.fl_str_mv Kojima, Kodi Edson
dc.contributor.author.fl_str_mv Avalos Reyna, Marco Antonio
dc.subject.es_PE.fl_str_mv Distal femur fracture
Complication
Locking plate
High-energy
topic Distal femur fracture
Complication
Locking plate
High-energy
https://purl.org/pe-repo/ocde/ford#3.02.10
dc.subject.ocde.es_PE.fl_str_mv https://purl.org/pe-repo/ocde/ford#3.02.10
description Modalidad de obtención de segunda especialidad sin designación de jurado según Oficio N.° 009-2025–OGYT-FMH/USMP
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2024-03-22T17:28:31Z
dc.date.available.none.fl_str_mv 2024-03-22T17:28:31Z
dc.date.issued.fl_str_mv 2022
dc.type.es_PE.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.es_PE.fl_str_mv info:eu-repo/semantics/publishedVersion
format masterThesis
status_str publishedVersion
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12727/13462
url https://hdl.handle.net/20.500.12727/13462
dc.language.iso.es_PE.fl_str_mv eng
language eng
dc.relation.ispartof.fl_str_mv SUNEDU
dc.rights.es_PE.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.es_PE.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.es_PE.fl_str_mv application/pdf
dc.format.extent.es_PE.fl_str_mv 18 p.
dc.publisher.es_PE.fl_str_mv Universidad de San Martín de Porres
dc.publisher.country.es_PE.fl_str_mv PE
dc.source.es_PE.fl_str_mv Repositorio Académico USMP
Universidad San Martín de Porres - USMP
dc.source.none.fl_str_mv reponame:USMP-Institucional
instname:Universidad de San Martín de Porres
instacron:USMP
instname_str Universidad de San Martín de Porres
instacron_str USMP
institution USMP
reponame_str USMP-Institucional
collection USMP-Institucional
bitstream.url.fl_str_mv https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/1/avalos_ma.pdf
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/2/f_avalos_ma.pdf
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/3/r_avalos_ma.pdf
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/4/license.txt
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/5/avalos_ma.pdf.txt
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/7/f_avalos_ma.pdf.txt
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/9/r_avalos_ma.pdf.txt
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/6/avalos_ma.pdf.jpg
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/8/f_avalos_ma.pdf.jpg
https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/10/r_avalos_ma.pdf.jpg
bitstream.checksum.fl_str_mv 46e795f24fa24e075b9c3aaead5ff25b
fd5bd30ef53f612ef39f1fea8247f93f
a9747594bab985e8a39ccee12cc877b4
8a4605be74aa9ea9d79846c1fba20a33
ed33f8cc307cdc924de4eb26e1626ce2
e1c06d85ae7b8b032bef47e42e4c08f9
bb2f3e6ace747b545f7f446c4a74e2ca
8abf1aee5b2c012b0fcce43f23ee65cf
97e7a31717112c07c6bb481cde99065c
0ad2fa5f196c8c0a096fa94a2bd2186c
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv REPOSITORIO ACADEMICO USMP
repository.mail.fl_str_mv repositorio@usmp.pe
_version_ 1845621689985007616
spelling Kojima, Kodi EdsonAvalos Reyna, Marco Antonio2024-03-22T17:28:31Z2024-03-22T17:28:31Z2022https://hdl.handle.net/20.500.12727/13462Modalidad de obtención de segunda especialidad sin designación de jurado según Oficio N.° 009-2025–OGYT-FMH/USMPObjectives: To determine the incidence and risk factors of complications in high-energy distal femur fractures fixed with lateral locking plate. Design: Retrospective review Setting: Level I trauma center Patients and methods: Forty-seven patients were included, with 87.2% men and an average age of 38.9 years. The main radiographic parameters collected were the lateral distal femoral angle (LDFA), posterior distal femoral angle (PDFA), length of comminution, length of the plate, screw working length, bone loss, medial contact after reduction and plate-bone contact, location of the callus formation, and implant failure. The complications recorded were nonunion, implant failure, and infection. Results: Complex C2 and C3 fractures accounted for 85.1% cases. Open fractures accounted for 63.8% cases. The mean LDFA and PDFA were 79.8  4.0 and 79.3 6.0, respectively. The average total, proximal and distal working lengths were 133.3  42.7, 60.4  33.4, and 29.5  21.8 mm, respectively. The infection rate was 29.8%, and the only risk factor was open fracture (p=0.005). The nonunion rate was 19.1%, with a 2 longer working length (p=0.035) and higher PDFA (p=0.001) as risk factors. The location of callus formation also had influence in the nonunion (p=0.034). Conclusions: High-energy distal femur fractures have a higher incidence of nonunion and infection. Nonunion has as risk factors a longer working length, higher PDFA, and no callus formation on the medial and posterior sides. The risk factor for infection was open fracture.application/pdf18 p.engUniversidad de San Martín de PorresPEinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/4.0/Repositorio Académico USMPUniversidad San Martín de Porres - USMPreponame:USMP-Institucionalinstname:Universidad de San Martín de Porresinstacron:USMPDistal femur fractureComplicationLocking plateHigh-energyhttps://purl.org/pe-repo/ocde/ford#3.02.10O High-energy distal femur fractures - a retrospective review of its complication rate and risk factorinfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/publishedVersionSUNEDUSegunda especialidad en Ortopedia y traumatologíaUniversidade De São Paulo Faculdade De MedicinaOrtopedia y traumatologíahttps://orcid.org/0000-0001-9543-081X46162445912809https://purl.org/pe-repo/renati/level#tituloSegundaEspecialidadhttps://purl.org/pe-repo/renati/type#trabajoAcademicoORIGINALavalos_ma.pdfavalos_ma.pdfTrabajoapplication/pdf836083https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/1/avalos_ma.pdf46e795f24fa24e075b9c3aaead5ff25bMD51f_avalos_ma.pdff_avalos_ma.pdfAutorizaciónapplication/pdf261535https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/2/f_avalos_ma.pdffd5bd30ef53f612ef39f1fea8247f93fMD52r_avalos_ma.pdfr_avalos_ma.pdfSimilitudapplication/pdf838029https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/3/r_avalos_ma.pdfa9747594bab985e8a39ccee12cc877b4MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/4/license.txt8a4605be74aa9ea9d79846c1fba20a33MD54TEXTavalos_ma.pdf.txtavalos_ma.pdf.txtExtracted texttext/plain24656https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/5/avalos_ma.pdf.txted33f8cc307cdc924de4eb26e1626ce2MD55f_avalos_ma.pdf.txtf_avalos_ma.pdf.txtExtracted texttext/plain2https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/7/f_avalos_ma.pdf.txte1c06d85ae7b8b032bef47e42e4c08f9MD57r_avalos_ma.pdf.txtr_avalos_ma.pdf.txtExtracted texttext/plain26686https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/9/r_avalos_ma.pdf.txtbb2f3e6ace747b545f7f446c4a74e2caMD59THUMBNAILavalos_ma.pdf.jpgavalos_ma.pdf.jpgGenerated Thumbnailimage/jpeg4953https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/6/avalos_ma.pdf.jpg8abf1aee5b2c012b0fcce43f23ee65cfMD56f_avalos_ma.pdf.jpgf_avalos_ma.pdf.jpgGenerated Thumbnailimage/jpeg4646https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/8/f_avalos_ma.pdf.jpg97e7a31717112c07c6bb481cde99065cMD58r_avalos_ma.pdf.jpgr_avalos_ma.pdf.jpgGenerated Thumbnailimage/jpeg5375https://repositorio.usmp.edu.pe/bitstream/20.500.12727/13462/10/r_avalos_ma.pdf.jpg0ad2fa5f196c8c0a096fa94a2bd2186cMD51020.500.12727/13462oai:repositorio.usmp.edu.pe:20.500.12727/134622024-03-23 03:05:29.147REPOSITORIO ACADEMICO USMPrepositorio@usmp.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
score 13.02468
O High-energy distal femur fractures - a retrospective review of its complication rate and risk factor
Nota importante:
La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).

Ejemplares Similares