Patrón de decisión quirúrgica en la prescripción de amputaciones con escala MESS en fracturas de tibia expuesta grado III-B Gustilo-Anderson.
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| Title: | Patrón de decisión quirúrgica en la prescripción de amputaciones con escala MESS en fracturas de tibia expuesta grado III-B Gustilo-Anderson. |
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| Authors: | Águila-Ledesma, I. R.1 drivanaguila@gmail.com, Medina-Rodríguez, F.2, Altamirano-Gutiérrez, L. M.1, Núñez-Gómez, D. A.1, Torres-González, R.3, Pérez-Atanasio, J. M.3 |
| Source: | Acta Ortopédica Mexicana. Jan/Feb2019, Vol. 33 Issue 1, p2-7. 6p. 1 Color Photograph, 3 Charts. |
| Abstract (English): | Introduction: The management of severely traumatized extremity continues to be a matter of debate. Gustilo-Anderson tibial fractures III-B have a wide spectrum of variants, there are no guidelines using this classification for management. MESS has demonstrated functional and prognostic association. Objective: To identify the pattern of decision made by surgeons for the prescription of amputations in tibial fractures exposed grade III-B Gustilo-Anderson with MESS scale. Material and methods: This is a descriptive, observational, prospective, transversal, analytical study. One hundred thirty-one orthopedists from a traumatic pathology referral center were evaluated, using the MESS scale to evaluate 10 representative clinical cases of Gustilo-Anderson grade III-B tibial fractures presented in an electronic device. The concordance of the decisions between working surgeons and experts was evaluated. Inferential analysis was performed using the χ² (p < 0.05) of the study variables: surgeon experience, academic postgraduate studies, frequent clinical practice of amputations, concordance of decisions with MESS scale with respect to the prescription pattern obtained by experts. Results: There was no association between the variables, with the application of MESS. (χ² = 1.28, p = 0.2575). Surgeons of more than 10 years, increased once the possibility of matching the result of experts (OR = 2.088, 95% CI) (p = 0.0066). Conclusion: Academic degrees, surgical experience, and frequent clinical practice do not influence the correct application of the MESS scale. Surgeons with more than 10 years of experience have doubled the possibility of a precise decision. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: El manejo de la extremidad severamente traumatizada continúa siendo materia de debate. Las fracturas de tibia III-B de Gustilo-Anderson tienen un amplio espectro de variantes, no hay guías mediante esta clasifi cación para un manejo. MESS ha demostrado asociación funcional y pronóstica. Objetivo: Identifi car el patrón de decisión por parte de los cirujanos para la prescripción de amputaciones en fracturas de tibia expuesta grado IIIB Gustilo-Anderson con escala MESS. Material y métodos: Es un estudio descriptivo, observacional, prospectivo, transversal y analítico. Se evaluaron 131 ortopedistas de un centro de referencia de patología traumática, quienes con uso de la escala MESS evaluaron 10 casos clínicos representativos de fracturas de tibia expuesta grado III-B de Gustilo-Anderson presentados en dispositivo electrónico. Se evaluó la concordancia de las decisiones entre cirujanos que laboran y expertos. Se realizó análisis inferencial mediante χ² (p < 0.05) de las variables del estudio: experiencia del cirujano, postgrados académicos, práctica clínica frecuente de amputaciones, concordancia de las decisiones con escala MESS con respecto al patrón de prescripción obtenido por expertos. Resultados: No se encontró asociación entre las variables con la aplicación de MESS (χ² = 1.28, p = 0.2575). Los cirujanos de más de 10 años incrementaron una vez la posibilidad de coincidir con el resultado de expertos (OR = 2.088, IC 95%) (p = 0.0066). Conclusión: Las variables como postgrados académicos, experiencia quirúrgica y práctica clínica frecuente no infl uyen en la correcta aplicación de la escala MESS. Los cirujanos de más de 10 años de experiencia incrementaron al doble la posibilidad de una decisión precisa. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 135875821 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Patrón de decisión quirúrgica en la prescripción de amputaciones con escala MESS en fracturas de tibia expuesta grado III-B Gustilo-Anderson. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Águila-Ledesma%2C+I%2E+R%2E%22">Águila-Ledesma, I. R.</searchLink><relatesTo>1</relatesTo><i> drivanaguila@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Medina-Rodríguez%2C+F%2E%22">Medina-Rodríguez, F.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Altamirano-Gutiérrez%2C+L%2E+M%2E%22">Altamirano-Gutiérrez, L. M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Núñez-Gómez%2C+D%2E+A%2E%22">Núñez-Gómez, D. A.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Torres-González%2C+R%2E%22">Torres-González, R.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Pérez-Atanasio%2C+J%2E+M%2E%22">Pérez-Atanasio, J. M.</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. Jan/Feb2019, Vol. 33 Issue 1, p2-7. 6p. 1 Color Photograph, 3 Charts. – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: The management of severely traumatized extremity continues to be a matter of debate. Gustilo-Anderson tibial fractures III-B have a wide spectrum of variants, there are no guidelines using this classification for management. MESS has demonstrated functional and prognostic association. Objective: To identify the pattern of decision made by surgeons for the prescription of amputations in tibial fractures exposed grade III-B Gustilo-Anderson with MESS scale. Material and methods: This is a descriptive, observational, prospective, transversal, analytical study. One hundred thirty-one orthopedists from a traumatic pathology referral center were evaluated, using the MESS scale to evaluate 10 representative clinical cases of Gustilo-Anderson grade III-B tibial fractures presented in an electronic device. The concordance of the decisions between working surgeons and experts was evaluated. Inferential analysis was performed using the χ² (p < 0.05) of the study variables: surgeon experience, academic postgraduate studies, frequent clinical practice of amputations, concordance of decisions with MESS scale with respect to the prescription pattern obtained by experts. Results: There was no association between the variables, with the application of MESS. (χ² = 1.28, p = 0.2575). Surgeons of more than 10 years, increased once the possibility of matching the result of experts (OR = 2.088, 95% CI) (p = 0.0066). Conclusion: Academic degrees, surgical experience, and frequent clinical practice do not influence the correct application of the MESS scale. Surgeons with more than 10 years of experience have doubled the possibility of a precise decision. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: El manejo de la extremidad severamente traumatizada continúa siendo materia de debate. Las fracturas de tibia III-B de Gustilo-Anderson tienen un amplio espectro de variantes, no hay guías mediante esta clasifi cación para un manejo. MESS ha demostrado asociación funcional y pronóstica. Objetivo: Identifi car el patrón de decisión por parte de los cirujanos para la prescripción de amputaciones en fracturas de tibia expuesta grado IIIB Gustilo-Anderson con escala MESS. Material y métodos: Es un estudio descriptivo, observacional, prospectivo, transversal y analítico. Se evaluaron 131 ortopedistas de un centro de referencia de patología traumática, quienes con uso de la escala MESS evaluaron 10 casos clínicos representativos de fracturas de tibia expuesta grado III-B de Gustilo-Anderson presentados en dispositivo electrónico. Se evaluó la concordancia de las decisiones entre cirujanos que laboran y expertos. Se realizó análisis inferencial mediante χ² (p < 0.05) de las variables del estudio: experiencia del cirujano, postgrados académicos, práctica clínica frecuente de amputaciones, concordancia de las decisiones con escala MESS con respecto al patrón de prescripción obtenido por expertos. Resultados: No se encontró asociación entre las variables con la aplicación de MESS (χ² = 1.28, p = 0.2575). Los cirujanos de más de 10 años incrementaron una vez la posibilidad de coincidir con el resultado de expertos (OR = 2.088, IC 95%) (p = 0.0066). Conclusión: Las variables como postgrados académicos, experiencia quirúrgica y práctica clínica frecuente no infl uyen en la correcta aplicación de la escala MESS. Los cirujanos de más de 10 años de experiencia incrementaron al doble la posibilidad de una decisión precisa. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 2 Titles: – TitleFull: Patrón de decisión quirúrgica en la prescripción de amputaciones con escala MESS en fracturas de tibia expuesta grado III-B Gustilo-Anderson. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Águila-Ledesma, I. R. – PersonEntity: Name: NameFull: Medina-Rodríguez, F. – PersonEntity: Name: NameFull: Altamirano-Gutiérrez, L. M. – PersonEntity: Name: NameFull: Núñez-Gómez, D. A. – PersonEntity: Name: NameFull: Torres-González, R. – PersonEntity: Name: NameFull: Pérez-Atanasio, J. M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan/Feb2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 23064102 Numbering: – Type: volume Value: 33 – Type: issue Value: 1 Titles: – TitleFull: Acta Ortopédica Mexicana Type: main |
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