Barrera-Ochoa S, Haddad S, Rodríguez-Alabau S, Teixidor J, Tomás J, Molero V
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Vall d'Hebron, Universidad Autónoma Barcelona (UAB), Barcelona, España; Grupo de Ingeniería Tisular Musculoesquelética, Institut de Recerca Vall d'Hebron , Barcelona, España; Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Quirón-Dexeus, ICATME, Barcelona, España.
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Vall d'Hebron, Universidad Autónoma Barcelona (UAB), Barcelona, España.
Rev Esp Cir Ortop Traumatol. 2017 Jan-Feb;61(1):19-27. doi: 10.1016/j.recot.2016.07.007. Epub 2016 Nov 29.
To report the outcomes of surgical treatment of lower limb fractures in patients with chronic spinal cord injuries.
A total of 37 lower limb fractures were treated from 2003 to 2010, of which 25 fractures were treated surgically and 12 orthopaedically.
Patients of the surgical group had better clinical results, range of motion, bone consolidation, and less pressure ulcers and radiological misalignment. No differences were detected between groups in terms of pain, hospital stay, and medical complications.
There is no currently consensus regarding the management of lower limb fractures in patients with chronic spinal cord injuries, but the trend has been conservative treatment due to the high rate of complications in surgical treatment.
Chronic spinal cord injuries patients with lower limb fractures who are treated surgically achieved a more reliable consolidation, practically a free range of motion, low rate of cutaneous complications, and pain associated with the fracture. This allows a quick return to the previous standard of living, and should be considered as an alternative to orthopaedic treatment in these patients.
报告慢性脊髓损伤患者下肢骨折的手术治疗结果。
2003年至2010年共治疗37例下肢骨折，其中25例采用手术治疗，12例采用骨科治疗。
手术组患者的临床效果、活动范围、骨愈合情况更好，压疮和放射学对位不良较少。两组在疼痛、住院时间和医疗并发症方面未发现差异。
目前对于慢性脊髓损伤患者下肢骨折的治疗尚无共识，但由于手术治疗并发症发生率高，趋势一直是保守治疗。
接受手术治疗的慢性脊髓损伤合并下肢骨折患者实现了更可靠的骨愈合、几乎自由的活动范围、较低的皮肤并发症发生率以及与骨折相关的疼痛。这使得患者能够快速恢复到以前的生活水平，应被视为这些患者骨科治疗的替代方案。
