Tratamiento ortopodológico en fracturas de calcáneo. Revisión bibliográfica. A propósito de 4 casos clínicos
2007
Background: The fracture of calcaneus is the most frequent one of everything you fracture of the foot, no being obvious the indications of the surgical treatment as well as the re-habilitative treatment. Pruduce important sequelae that they affect the quotidian life of the patient altering your working capacity, receiving advice the treatment ortopodologico to decrease these and the incorporation to the normal life. Methods: On tramiento accomplishes a bibliographic revision according to protocol himself firstly ortopodologico in fractures of calcaneus. Ortopodologico with resins and technique of live adaptation in four clinical cases brought about of fracture of calcaneus and appreciating the result with several scales validated in population sets itself a treatment anglosajona ( AOFAS Hindfoot, FFI, Calcaneal Fracture Scoring System, FHSQ, and Test of Richter ) before the treatment and to the 6 months of the same. Schmidt's classification and Weiner in fractures of calcaneus used, and for the assessment in bipedestation the visual scale FPI ( Foot Position Index ), like incorporation to all of the exploration. Results: It were found in the bibliographic revision that there are not a lot of studies in fractures of calcaneus and the ones that you have are overcoat on arthritis reumatoide in tongue anglosajona and surgical treatments, and in Spain there are some publications of clinical cases appreciating of a shallow way the result. Ortopodologicos with resins using TAD observed the substantial improvement with the mentioned scales in the treatments. Conclusions: Making certain that the patient's quality of life and the fact that a level vacuum of studies validated of the different kinds of level treatments has still ortopodologicos have improved the utilization of plantar supports of resin with TAD, which is why he would need to Create a scale for himself and to validate it for the Spanish population.
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