Examinando por Materia "Fracture Healing"
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Ítem Acceso abierto Effectiveness of early fracture stabilization compared to late stabilization in polytrauma patients in emergency(Universidad Privada Norbert Wiener, 2018-07-08) Yaipen Sernaque, Natalia; Bonilla Asalde, César AntonioObjective: To analyze the evidence about the effectiveness of early stabilization of fractures compared with late stabilization, reduction of costs and hospital days in the prevention of complications of polytraumatized patients in the emergency service. Material and methods: 10 scientific articles were included, constituted by a systematic and cohort review that synthesizes the results of multiple primary research. Published in scientific databases that respond to articles published in Spanish, Portuguese, and English, with an age of no more than seven years, and the selected articles were subjected to a critical reading, using the GRADE system to assign the strength of recommendation. Results: Shows that of the total of 10 articles reviewed, 100% (N=10/10) of these show that early stabilization of fractures compared to late stabilization in polytraumatized patients is effective since complications are prevented, there are reduced costs and fewer hospital days. Conclusions: 10 of the 10 articles evidenced in the reviewed research that early stabilization of fractures compared to late stabilization is effective, preventing complications, reducing costs and fewer hospital days.Ítem Acceso abierto Effectiveness of internal fixation compared to external fixation for reducing complications in fracture patients(Universidad Privada Norbert Wiener, 2018-12-02) Rodríguez Pacco, Carolina Rosario; Cordova Vargas, Teodora; Uturunco Vera, Milagros LizbethObjective: Systematize the evidence on the effectiveness of internal fixation versus external fixation to reduce complications in patients with fractures. Methodology: It was a systematic observational and retrospective review, the search has been restricted to articles with full text, subjected to critical reading, using the GRADE evaluation to identify their level of evidence. Results: Of a total of 10 scientific articles reviewed 100% (10), from China 60% (06), United Kingdom 20% (02), United States 10% (01), and Qatar 10% (01). Likewise, 100% (10) from China, the United Kingdom, the United States and Qatar were systematically reviewed. According to the findings of the scientific articles analyzed, 70% (07) showed that internal fixation compared to external fixation presented a decrease in complications in patients with fractures and 30% (03) showed that internal fixation compared to external fixation external fixation presented similar complications in patients with fractures. Conclusions: The study concluded that internal fixation compared to external fixation presented a decrease in complications in patients with fractures such as infections, hospital stay and rapid recovery.
