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5. Nuestra experiencia en campaña humanitaria en Liberia

Author

Laredo-Ortíz, Carlos, García-Bernal, Francisco J., Regalado-Bilbao, Javier, Navarro-Sempere, Leopoldo, and García-Henares, Juan-Fernando

Subjects
Quemadura, Cirugía Plástica humanitaria, Burns sequels, Secuelas quemadura, Burns, Humanitarian Plastic Surgery
Abstract

Resumen Las Organizaciones No Gubernamentales (ONG) intentan aportar bienes básicos y servicios sanitarios a aquellas personas afectadas ya sea por catástrofes humanas o naturales, o bien por situaciones de extrema pobreza. Con este planteamiento, surgió un acuerdo de colaboración entre la Sociedad Española de Cirugía Plástica Reparadora y Estética (SECPRE) y los Hermanos de San Juan de Dios, uno de cuyos frutos ha sido, por segundo año consecutivo, esta campaña en el Saint Joseph´s Catholic Hospital de Monrovia (Liberia). En este artículo describimos nuestra estancia en dicho proyecto de ayuda humanitaria desarrollado en noviembre del 2017, tratando de transmitir no sólo las condiciones de trabajo a las que nos enfrentamos, sino también la experiencia personal de todos los componentes del equipo, con el objetivo de que sea útil para miembros de próximas campañas. Non-Governmental Organizations (NGO) aim to provide basic goods and health care to people affected by human and natural disasters or by situations of extreme poverty. With this objective, collaboration took place between the Spanish Society os Plastic, Reconstructive and Aesthetic Surgery (SECPRE) and the order of the Brothers of San Juan de Dios. One of its achievements has been that this campaign has taken place for the second consecutive year at Saint Joseph´s Catholic Hospital in Monrovia (Liberia). In this article, we describe our personal experience during the humanitarian project carried out in November 2017. We intend to communicate not only the working conditions, but also the personal experience of all the team members involved, with the aim of supporting future campaigns.

Published
2018

24. Results of osteotomy, open reduction, and internal fixation for late-presenting malunited intra-articular fractures of the base of the middle phalanx.

Author

Del Piñal F, García-Bernal FJ, Delgado J, Sanmartín M, and Regalado J

Subjects
Adolescent, Adult, Female, Finger Injuries complications, Fractures, Malunited etiology, Humans, Male, Middle Aged, Time Factors, Treatment Outcome, Finger Injuries surgery, Finger Joint surgery, Fracture Fixation, Internal methods, Fractures, Malunited surgery, Osteotomy methods
Abstract

Purpose: To present our results in the treatment of late-presenting impaction fractures of the base of the middle phalanx treated by osteotomy with full exposure of the articular surface to restore the normal anatomy., Methods: Eleven patients with a malunited (impacted) fracture of the base of the middle phalanx were treated by osteotomy more than 5 weeks after the injury. All fractures had varying degrees of impaction, comminution, and dorsal subluxation. The malunited joint surface was visualized by dislocating the joint by hyperextension (shotgun approach). The restoration of the cup-shape contour of the middle phalangeal base was accomplished by osteotomy and mobilization of small osteochondral fragments. Rigid fixation was performed by cerclage wire, screws, or a combination of these. A distal radius bone graft was placed beneath disimpacted fragments in 9 of the 11 procedures., Results: Ten of 11 patients were followed-up for more than than 1 year. One patient with a volar lateral impaction fracture was lost to follow-up study 4 weeks after the surgery and was excluded from the results. All patients except 1 achieved a functional range of motion of the proximal interphalangeal joint. Moderate limitations of the distal interphalangeal joint motion were common. Grip and thumb-affected finger tip pinch strengths were 95% and 90%, respectively, of the healthy side. The average pain level (as rated on a visual analog scale of 0-10) improved from a preoperative score of 9.1 to a postoperative score of 0.8. One patient was somewhat dissatisfied; all other patients were satisfied or very satisfied. All returned to their previous work at an average of 13 weeks after surgery., Conclusions: Favorable results have been achieved in this challenging scenario in the short- and middle-term in 9 of 10 patients. Previous surgery and moderate to severe wearing of the cartilage of the proximal phalanx head negatively affected the results.

Published
2005
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