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2018, Number 2

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Revista Cubana de Ortopedia y Traumatología 2018; 32 (2)

Delayed consolidation patients infiltrated with autologous platelet lysate

Blanco GS, Govín GJF, Govín GLG, Toledo SN, Cruz SPM, Cecilia SR, Armas GL, Barreto MR, Gámez PA, Rodríguez OCÁ, González PY

Language: Spanish
References: 21
Page: 1-15
PDF size: 320.57 Kb.


ABSTRACT

Introduction: The delay of consolidation is a complication that results from an abnormal bone consolidation process.
Objective: To characterize patients with delayed consolidation infiltrated with autologous platelet lysate.
Methods: An observational, descriptive, cross-sectional and retrospective case study was conducted at Comandante Pinares General Teaching Hospital, from January 2008 to December 2017. One hundred eighty six (186) medical records were reviewed and eighty (80) were selected, since they met the study criteria. 6 mL of autologous platelet lysate was infiltrated in the foci of fractures. Serial radiographs were used to assess the bone healing time and complications were recorded. The variables of the study were age, sex, color of the skin, affected bone locations, anatomical sites of the bone, time of bone consolidation, complications. The distribution of absolute and relative frequencies was used in the analysis of qualitative variables and arithmetic mean for the quantitative age variable. Chi-square test was used for the relationship between independent qualitative variables.
Results: The delayed consolidation was more frequency in white men, aged between 26 and 45 years. It predominated in the lower third of the tibia. Tibia was the bone that required more time for consolidation, more than 16 weeks. No complications associated with the implant are described.
Conclusions: The delayed consolidation continues being a complication of difficult treatment. It is frequent in young and white men. The autologous platelet lysate is a good adjuvant in the treatment of this complication.


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