Md-Orthopaedic Surgeon

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¿Es la tomografía computarizada útil en la evaluación de las fracturas de radio distal?
Fabio Suárez, M.D.*, Aída García, M.D.**, Julián Escobar, M.D.***
* Director del programa de supra especialidad de Cirugía de Mano y Miembro Superior, Hospital Militar Central, Universidad Militar Nueva Granada,
Servicio de Ortopedia y Traumatología, Hospital Militar Central.
** Docente, grupo de Cirugía de Mano, Hospital Militar Central, Universidad Militar Nueva Granada, Servicio de Ortopedia y Traumatología.
*** Residente tercer año, Hospital Militar Central, Universidad Militar Nueva Granada, posgrado de Ortopedia y Traumatología.
Cra. 24 No 87-15 Fecha de recepción: marzo 19 de 2010
Fecha de aprobación: agosto 22 de 2010
132 Rev Col Or Tra
Suárez F, García A, Escobar J of ages, male and female, including traumas of loss, moderate and high energy, analyzed the x-rays and CT with three-dimensional reconstruction by 2 orthopedics hand surgeons of independent form, using the same element of measurement, we analyze the height, the variance, the radial inclination, tilt radial, the evidence of step and intra-articulate fracture, the age, side of lesion and the sex; comparing the radiographic findings with the findings in the CT and the three-dimensional reconstruction.
The main findings show the evidence of intra-articulate fracture extension do not diagnose in x-rays in 56.3% of the cases, modifying the therapeutic conduct in most of these and the poor agreement (index kappa 0,1224) of the simple x-ray with the CT as it proves diagnostic of the fractures of distal radio.
The greater use of the CT for the evaluation of this type of fractures is just totally if the great one is analyzed by the number of complications, as well as the surgical interventions, that will be avoided before a initial correct diagnose.

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