Resumen

VIVAS, Mauro R.. Puntaje predictivo de resultado en la cirugía reconstructiva de miembros inferiores. Ensayo preliminar. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.6, pp.771-779. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.6.1140.

Introduction: Post-traumatic sequelae in the limbs are a very difficult condition to approach due to the severity of the injuries and the lack of treatment protocols, which considerably hinder the choice of the best treatment alternative. The objective of this study was to analyze the outcomes of reconstructive treatment with a pre-surgical score designed ad-hoc and to evaluate its predictability. Materials and Methods: A retrospective cohort-type analysis of the outcomes of external fixation treatment was performed in 32 patients with traumatic leg sequelae in the last 7 years who were staged with a pre-operative score designed ad-hoc. This was compared with the results obtained with the ASAMI score with a minimum 2-year follow-up. Results: We obtained a direct relationship between pre-surgical staging and the final outcome. This relationship is reflected by obtaining a high percentage of excellent outcomes in low-risk patients (50%) and 60% of poor outcomes in high-risk patients. Conclusions: The current evidence is contradictory and there is controversy over which is the best treatment option. We found that high-risk patients have a high percentage of poor outcomes and may not benefit from reconstructive surgery.

Palabras clave : Tibia; Ilizarov; post-traumatic sequelae.

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