Manejo inicial clínico-quirúrgico en fractura expuesta: una revisión sistemática
| Pages | 1-7 |
| Date | 01 January 2026 |
| Published date | 01 January 2026 |
| Author | Lizzeth Elizabeth Cevallos Paredes,Ginno Daniel Moina Nivelo,John Enrique Chiriboga Garnica,Nadia Fernanda Quinatoa Chamorro |
| Subject Matter | Ciencias sociales |
Resumen
El presente artículo tuvo com o objetivo analizar las mejores prácticas clínicas y quirúrgicas en el m anejo inicial
de las fracturas expuestas, lesiones traumáticas complejas asociadas a un elevado riesgo de complicaciones,
tales com o infecciones graves y amputaciones. Para lograrlo, se llevó a cabo una revisión sistemática de 20
estudios publicados en los últimos ocho años, indexados en bases de datos como PubMed y SciELO. La revisión
se realizó siguiendo la metodología PRISMA y considerando criterios de inclusión como la actualidad, la
relevancia clínica y el rigor metodológico de los estudios. Los hallazgos resaltaron la importancia del
desbridamiento, la irrigación, el uso de colgajos musculares y la administración temprana de antibióticos para la
reducción de complicaciones. Asimismo, se confirmó que la clasificación de Gustilo -Anderson sigue siendo una
referencia clave, aunque se propone un enfoque más integral que considere tanto la gravedad de la fractura como
el estado clínico del paciente. En consecuencia, se proponen protocolos de manejo estandarizados y
personalizados con el fin de optimizar los resultados clínicos y disminuir la morbilidad. Esto reviste especial
importancia dada la alta incidencia de accidentes de tránsito en poblaciones jóvenes, lo que refuerza la necesidad
de una atención inmediata y efectiva para mejorar la calidad de vida de los pacientes afectados.
Manejo inicial clínico-quirúrgico en fractura
expuesta: una revisión sistemática
Initial clinical-surgical management in open fracture:
a systematic review
Recibido: 17-01-25 Aceptado: 02-04-25
Lizzeth Elizabeth Cevallos Paredes
https://orcid.org/0009-0000-2477-4068
lizzy1993.lc@gmail.com
Hospital General IESS Riobamba
Riobamba-Ecuador
John Enrique Chiriboga Garnica
https://orcid.org/0009-0006-9753-8983
johnchiri619@hotmail.com
Hospital General Macas
Macas-Ecuador
Ginno Daniel Moina Nivelo
https://orcid.org/0009-0006-4832-8373
Gdanielmn@hotmail.com
Cuenca Health Center
Cuenca-Ecuador
Nadia Fernanda Quinatoa Chamorro
https://orcid.org/0009-0000-3725-8492
quinatoafernanda464@gmail.com
Hospital IESS Guaranda
Riobamba-Ecuador
2026. V6. N 1.
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