{"id":737,"date":"2019-02-21T13:42:34","date_gmt":"2019-02-21T13:42:34","guid":{"rendered":"https:\/\/ingenieriadebarcelona.es\/?p=737"},"modified":"2024-10-14T08:02:07","modified_gmt":"2024-10-14T08:02:07","slug":"tratamiento-del-pie-de-charcot-pie-diabetico-complejo-mediante-cirugia-en-un-solo-tiempo-con-fijador-circular-estatico","status":"publish","type":"post","link":"https:\/\/ingenieriadebarcelona.es\/?p=737","title":{"rendered":"Tratamiento del pie de Charcot (Pie diab\u00e9tico)"},"content":{"rendered":"<h2>Tratamiento del pie de Charcot (Pie diab\u00e9tico) complejo mediante cirug\u00eda en un solo tiempo con fijador circular est\u00e1tico<\/h2>\n<p><strong><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-738 alignleft\" src=\"https:\/\/ingenieriadebarcelona.es\/wp-content\/uploads\/2019\/04\/peu-charlot-300x192.png\" alt=\"\" width=\"300\" height=\"192\" srcset=\"https:\/\/ingenieriadebarcelona.es\/wp-content\/uploads\/2019\/04\/peu-charlot-300x192.png 300w, https:\/\/ingenieriadebarcelona.es\/wp-content\/uploads\/2019\/04\/peu-charlot.png 469w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Material y m<\/strong><strong>\u00e9<\/strong><strong>todo<\/strong><\/p>\n<p>Revisi\u00f3n retrospectiva de 10 casos tratados con fijaci\u00f3n externa circular est\u00e1tica desde 2016, con los siguientes:<\/p>\n<p><strong>Criterios de inclusi\u00f3<\/strong><strong>n: <\/strong><\/p>\n<ul>\n<li>Deformidad asociada a alguno de los siguientes signos: \u00falcera cut\u00e1nea, osteomielitis o inestabilidad articular<\/li>\n<li>Neuropat\u00eda perif\u00e9rica<\/li>\n<li>fallo del tratamiento ortop\u00e9dico previo.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Criterios de exclusi<\/strong><strong>\u00f3<\/strong><strong>n: <\/strong><\/p>\n<ul>\n<li>obstrucci\u00f3n vascular perif\u00e9rica sin revascularizar;<\/li>\n<li>incapacidad para cumplir el tratamiento;<\/li>\n<li>pacientes no deambulantes,<\/li>\n<li>contraindicaci\u00f3n m\u00e9dica para la cirug\u00ed<\/li>\n<\/ul>\n<p>De los 10\u00a0pacientes, 7\u00a0 hombres y 3\u00a0mujeres, 6\u00a0ten\u00edan afectaci\u00f3n del pie izquierdo y 4\u00a0del derecho. La edad promedio de nuestros pacientes era de 58 a\u00f1os (rango 39-71). Valoramos adem\u00e1s estadio de Eichenholtz, clasificaci\u00f3n de Brodsky, presencia de \u00falceras cut\u00e1neas, osteomielitis e inestabilidad.<\/p>\n<p>Todos los pacientes fueron tratados con fijaci\u00f3n circular con un seguimiento medio de 17 meses (rango 11-24 meses). Postoperatoriamente, valoramos la conservaci\u00f3n de la extremidad, curaci\u00f3n de la \u00falcera cut\u00e1nea, estabilidad e \u00edndice de reulceraciones.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Resultados<\/strong><\/p>\n<p>En todos los pacientes se consigui\u00f3 <strong>un pie plant\u00edgrado funcional<\/strong>, curaci\u00f3n de la \u00falcera cut\u00e1nea sin recesi\u00f3n de la misma. Cuatro casos presentaron infecci\u00f3n cut\u00e1nea en las agujas, resuelta con cuidados locales. Evidenciamos rotura de aguja en 2 casos, que no requirieron recambio. <strong>Todos los pacientes est\u00e1n satisfechos<\/strong> y optar\u00edan por la misma t\u00e9cnica, de ser necesario.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Conclusiones<\/strong><\/p>\n<p>En el pie de Charcot los objetivos son <strong>evitar la amputaci\u00f3n<\/strong> y conseguir un pie plant\u00edgrado funcional, sin \u00falcera cut\u00e1nea.<\/p>\n<p>La cirug\u00eda en un solo tiempo con fijaci\u00f3n externa circular est\u00e1tica es una t\u00e9cnica reproducible en nuestro medio, v\u00e1lida adem\u00e1s para aquellos casos en que la fijaci\u00f3n interna puede estar contraindicada.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tratamiento del pie de Charcot (Pie diab\u00e9tico) complejo mediante cirug\u00eda en un solo tiempo con fijador circular est\u00e1tico Material y m\u00e9todo Revisi\u00f3n retrospectiva de 10 casos tratados con fijaci\u00f3n externa circular est\u00e1tica desde 2016, con los siguientes: Criterios de inclusi\u00f3n: Deformidad asociada a alguno de los siguientes signos: \u00falcera cut\u00e1nea, osteomielitis o inestabilidad articular Neuropat\u00eda &#8230; <a title=\"Tratamiento del pie de Charcot (Pie diab\u00e9tico)\" class=\"read-more\" href=\"https:\/\/ingenieriadebarcelona.es\/?p=737\" aria-label=\"Leer m\u00e1s sobre Tratamiento del pie de Charcot (Pie diab\u00e9tico)\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":738,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,10,9,21,6],"tags":[],"class_list":["post-737","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulos","category-doctores","category-especialidad","category-pie","category-traumatologia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - 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