HSP-GU-190C-009 Manejo de Fracturas de Platillos Tibiales

8/2/2019 HSP-GU-190C-009 Manejo de Fracturas de Platillos Tibiales

http://slidepdf.com/reader/full/hsp-gu-190c-009-manejo-de-fracturas-de-platillos-tibiales 1/7

_gzui?m4 <

i @LMGDA HG OZLEXWZLU I &-HG ^FLXIFFAU XIJILFGU IEahi|a4 BU -CW-<9>E->>9

LFELW)"L @L_AZ}----------------+---------------} AG}}}E

}@0-)j

& #}; ; ; ; ;/}4 4 i# i i; ;4 ; ;V;#Nh;# ; ;#};#Bau~ixlf

Uiam Jafivlz BAUÎXLFITLEIAMAZXA^GHIL

XLJFL HG EAMXGMIHA

< DWUXIOIELEIAM

: AJDGXI_AU

5 ^ZAOGUIAMLFGU L \WIGMGU _L HIZICIHA

8 ÂJFLEIAM HILML I GREGÊIAMGU

7 @GXAHAFACIL

? LEXI_IHLHGU > ^ZAEGHI@IGMXAU

3 LFCAZIX@A HGLEXWLEIAM

2 IMHIELHAZGU HG G_LFWLEIAM

9 CFAULZIA I HGOIMIEIAMGU

<> JIJFIACZLOIL

<< ZGCIUXZAU

<: LMGRAU

GFLJAZA4 ZG_IUA4

Mavig`jzg hg :><<

^l|iml < hg 3



Uiam Jafivlz

LFELWD"L @LYAZ

o--- -- -- -- -- -x -- -- -- -- -QQQQQQi AGJaCAXLaeULI-#i-,H

³;&;d 4;³~}³Ui;4 ;;}³}³;#}};;;³³³³

BAUÎXLFITLEIAMAZXA^GHIL

IIVo -& -vgzuiam4 <

I @LMGdA HG OZLEXWZLU, -& -HG ^FLXIFFAU XIJILFGU IEahi|a4 BU^-CW-<9>E->>9

,

< DWUXIOIELEIAM

Flu ozlexwzlu hg fau ^flxiffau Xijilfgu gm lhwfxau gu wml hg flu ~zimei~lfguelwulu hg imel~leihlh y àxivg hg eamuwfxu l fau ugzvieiau hg Wzcgmeilu hgEafa`jil

: AJDGXI_AUHiugmlz wml |wil hg `lmgda efimiea jlulh l gm fl `gdaz gvihgmeil hiu~amijfguajzg gf `lmgda hg fau îlxiffau Xfjilfgu gm Lhwfxau hg wml `lmgzl <?ciel&ugewgmeilf y azhgmlhl hg lewgzha l fl ~zgugmxleiam efimiel hg elhl ~leigmxg

5 ^ZAOGUIAMLFGU L \WIGMGU _L HiZICIHA@ghieau azxa~ghiuxlu@ghieau hgf ugzvieia hg wzcgmeilu

8 ÂJFLEIAM HILML I GREGÊIAMGUâjflei?m lhwfxl |wg eamuwfxl lf ugzvieia hg wzcgmeilu hgf Bau~ixlf Ui`?mJafivlz eam hg fau ^flxiffau Xijilfgu

7 @GXAHAFACiLMa l~fiel

? LEXI_IHLHGU > ^ZAEGHI@IGMXAU

GXIAFACiLUam zguwfxlhau hg wml owgztl gm vlfca > vlza gm fl zahiffl eam elzcl lrilfXlzmjigm hg~gmhgm hgf czlha hg ofgriam > grxgmuiam hg fl zahiffl Ug ~zahweg wmlowgztl ~az eitlfflìgmxa gm gf ~flxiffa xijilf |wg <> hgu~fltl y hg~zi`g Fl `lyaz~zgvlfgmeil hg ozlexwzlu hgf ~flxiffa flxgzlf ug zgfleiaml eam fl imefimlei?m gm vlfcahgf gdg lmlx?ìea hg fl grxzgìhlh

GÎHG@IAFACILEazzgu~amhg l <' hg xahlu flu ozlexwzlu y l 2' hg flu ozlexwzlu hg lmeilma Fl`lyazol ea`~za`gxg gf ~flxiffa flxgzlf 77-3>'& g, `ghilf gm <>-:5' y jiflxgzlf <>-5>' Ug luaeilm eam fguiam ficl`gmxlzil gm 5> l 7?' hg fau eluau4 Fgui?m hgfeaflxgzlf `ghilf gm :>'& ea,lxgzlf flxgzlf gm 5'& fi|l`gmxa ezwtlha lmxgziaz gm<>' Ug luaeil eam fgui?m `gmiueli gm :> l 83' hg fau eluau y eam fgui?m hgfmgzvia ~gzamgza gm 5' hg fau eluau" gm ozlexwzlu xi~a I_) Ug zg~azxlm jwgmauzguwfxlhau eam ugcwiìgmxa hg 7 l <: lzigu hgf 23 lf 9>' gm guxlu ozlexwzlu

^lciml;: hg 3



I@LMGDA HG OZLEXWZLU I & --HG ^FLXIFFAU XIJILFGU , Eahi|a4 BU^-CW-<9>E->>9&

LFELx--H"L @LYAZo------------o-------------i AGJACAXLHE

UL,-V,?}Q;;³iiji³&}}};4 #³ik d#;#};4;}

au~ixlf

Uiam Jafivlz BAUÎXLFITLEIAMAZXA^GHIL

_gzuiam4 <

X&#~gI Xy~f=f³< Xy~g fixI#_ , O zle xwzg h gf ~,lxiffa ` gh il f& lfxl gm gzcil&ug, •i i l ua eil e am fg uiam hg f M ~g zamg za

&

, _ , Ozl exw zg h g l `j au ~fl xiffa u xij il fg u& h g~zg uiami [ lzxiewflzy hgu~fltlìgmxai, _ I i Ozlexwzl hg l` jau ~flxiffau xij ilfgu eami ihiuaeilei?m ` gxl oiua h iloiuil zil& ug luae il ea m

Ii fguiam hg fl L ~a~ffxgl "ui` iflz l fwrlei?m h g

Xy~ g I _ X}}_ Xy~ g _ I, zahiffl)&

o-----

Efluioielei?m hg Ueblxtkgz

AZIGMXLEIAM HILCMAUXIEL

I Xi~a iElzlexgziuxielu4 i I O zl exw zl e am hg u~fl tl ` igmxa h g f ~fl xiffa fl xg zl f&I iu im hg~zgu i?m lzxiewf lzF------+ ------------------< i II d Ozl e xwzl hgu~ fl t lh l y h g~zi` ih l h gf ~fl xiffai , fe + zl f,\I g l

} ; z,lexwzl eam hg~zgui?m egmxzlf hgf ~flxiffaI& i , - l xg z l f -

i

Lml`mguiu y Grl`gm OiuieaUg gmewgmxzl ghg`l& g|wiàuiu gm fl zahiofl& eam hafaz y fizzwxleiem ~lzl flzmavxfitleiam y ~lzl fl `lzebl Ug vlfazlm ~wfuau ~gziogzieau y owmeiam mgzviaulâz <>cgmgzlf bly bg`lzxzauiu Gu zlzl fl ~zgugmeil hg uimhza`g ea`~lzxi`gmxlf

Grl`gmgu ^lzlefimieauZlhiaczlool hg zahiffl4 gm ~zaygeeiam lmxgza~auxgziaz y flxgzlf Imhiu~gmuljfg^gzìxg vlfazlz wjieleiam& xi~a hg fl ozlexwzl A~eiamlf ~flel âuxgza lmxgziaz~gz~gmhiewflz l fl ~igzml

Zlhiaczlool hg zahiffl ~zaygeeiamgu lhieiamlfgu4 ajiiewlu l 8>¾ y elwhlf <7¾"i`~azxlmxg) Ug zglfitlm gm ~leigmxgu eam uau~gebl hg ozlexwzl hg ~flxiffau xijilfgu|wg ma ug ajugzvl gm flu ~zaygeeiamgu eamvgmeiamlfgu

Xaàczlool lrilf ea`~wxlzitlhl4 ^gzìxg vlfazlz fl grxgmuiam hgf ea`~zaìualzxiewflz& fl eam``weiam hg fl ozlexwzl "izm~azxlmxg)

^lciml;5 lu 3



Bau~ixl,

Uiam Jafivlz I_ & <I gzUIA;<4I

z00000000000z000000000000000}}0-}}-00000000000000000z00000000}

I @LMGDA HG OZLEXWZLU I &- &HG ^FLXIFFAU XIJILFGU IEahi|a4 BU^-CW-<9>E->>9

II

LFELI HoL @LYAZ}------------------8------------------} AG}}L}E

}}-;;x;i#&*ii;4#} }} *


AZIGMXLEIAM XGZL^GWXIELFl `gxl hgf xzlxlìgmxa gu ajxgmgz wml lzxiewfleiam guxljfg& lfigmlhl& `?vif ~lzlìmi itlz gf ziguca hg lzxzauiu ~auxzlwzmlxiel

GI xzlxlìgmxa azxa~ghiea guxl imhielha gm ozlexwzlu ma hgu~fltlhlu& imea`~fgxlu&eam hgu~fltlìgmxa zmfmizma& gm ~leigmxgu eam bwgua auxga~?zaxiea > eamhieiamguzmgeielu |wg ~zgefwylm gf `lmgda |wizwz|iea Ul imàvifitl fl grxzgìhlh eam wmlogzwfl im|wima~ghiel y ~auxgziazzmgmxg U2 zglfitl wml l~fielei?m hg wm jzleglzxiewflha& gvixlz gf l~aya ~az `gmau hwzlmxg 5 `gugu

GI xzlxlìgmxa |wizwz|iea ug zglfitl gm ozlexwzlu eam hgu~fltlìgmxa y hg~zgui?mhg fl uw~gzoieig lzxiewflz hg 8 l <> ``& gm ozlexwzlu ljigzxlu& ~leigmxgu eamuimhza`g ea`~lzxi`gmxlf& eam fguiam vluewflz luaeilhl& eam imguxljifihlh gm vlzaa vlfca `lyaz hg <>¾ Gm ~leigmxgu ~afiozlexwzlhau eam imguxljifihlhbgzmahimlzèl ug zglfitl guxljifitlei?m ~zaviuiamlf eam wm xwxaz grxgzma& gf ewlf~wghg ugz xzlmulzxiewflz hg~gmhigmha hg fl eamìmwei?m hg fl ozlexwzl y gf guxlhahg xgdihau jflmhau

GI `lmgda hg~gmhg hgf xi~a hg fl ozlexwzl Gm ozlexwzlu xi~a I& ug zglfitl zghweei?mljigzxl ìmi`l eam oidlei?m imxgzml eam xazmiffau elmwflhau hg ? 7 > 3 > `` gmmwzmgza hg hau Ug hgjg vlfazlz Il imxgczihlh hgf `gmiuea y ug hgjg zg~lzlzewlf|wigz fgui?m hgf ìuà

Gm ozlexwzlu xi~a II ug zg|wigzg zghweei?m ljigzxl& eam gfgvlei?m hg fau ozlc`gmxaui`~lexlhau hg fl uw~gzoieig lzxiewflz y oidlei?m imxgzml eam ~flel y xazmiffau& ui gfhgogexa `gxloiuilzia hgu~wgu hg fl gfgvleiam hg xl uw~gzoieig lzxiewflz gu czlmhgug eafaelm imdgzxau ?ugau GI `lmgda hg flu ozlexwzlu xi~a III gu uiìflz l flu hg xi~aII y uig`~zg zg|wigzgm eafaelei?m hg imdgzxau ?ugau

Flu ozlexwzlu xi~a I_ ug ~wghgm luaeilz eam ozlexwzlu hg fl gìmgmeil xijilf Ugzglfitl zghweei?m ljigzxl y auxgaufmxguiu eam ~flel hg ua~azxg y xazmiffau Agjiha lflu owgztlu l~fielhlu gm gf ~flxiffa `ghil, ma ug wxifitlm xazmiffau elmwflhauliuflhau

Flu ozlexwzlu xi~a _ y _I uam ugewmhlzilu l xzlw`l hg lfxl gmgzcil& ug ~wghgm~zgugmxlz eaà ozlexwzlu ljigzxlu Gu Fix4 ,gf g`~fga hg wm hiuxzlexaz eam wm eflvalmeflha gm fau e?mhifau ogàzlfgu y axza gm fl xijil hiuxlf Guxlu ozlexwzluzg|wigzgm zguxixwei?m hg fl uw~gzoieig lzxiewflz y oidlei?m imxgzml Ui gf xzlta hg flozlexwzl gu xzlmuvgzua gm gf ~flma a~wguxa lf hg fl ozlexwzg eamxzlflxgzlf ug ~wghgzglfitlz oidlei?m eam wml ~flel Ui g; xzlta hg ozlexwzg xgz` iml ajfiewa ug zg|wigzg

1lciml 8 - ei ? 3 *



Bau~ixlfUiam Jafivlz

LFELfD)"L @L_AZo------ ----------+ -------------d AG}}LH-E

;};}³;;; ;i-u;;4;};;³³i *}i#; 4;;;


_gzuiam4 <

}I @LMGDA HG OZLEXWZLU I #; -I HG ^FLXIFFAU XIJILFGU I Eahi|a4 BU^-CW-<9>E->>9

oidlei?m eam wml ~flel lmxihgufitlmxg eamxzlflxgzlf > eam wm xwxaz grxgzma ~lzlmgwxzlfitlz gf hgu~fltlìgmxa gm vlza > vl,ca hg fl ozlexwzl

Flu a~eiamgu hg xzlxlìgmxa gm ozlexwzlu Ueblxtkgz _ y _I imefwygm4< ^flel hg ua~azxg y xwxaz grxgzma eamxzlflxgzl#: ^flel hg ua~azxg jiflxgzlf "`ghilf y flxgzlf)5 Xwxaz grxgzma eizewflz > bfjzfha

Ui ug g`~fglm hau ~flelu ma hgjgm xgzìmlz lf ìuà mivgf ~lzl hiuìmwiz gfguxzgu uajzg fl xijil Lhg`lu guxl xgemiel lw`gmxl flu ea`~fieleiamgu hg xgdihau

jflmhau y zg|wigzg wml `lyaz gr~auieiam |wizwz|iel Ewlmha ug g`~fglm xwxazgugrxgzmau& ug zglfitl oidlei?m eam hau > xzgu ezlvgu hg Ueblmt& eam wm hiu~auixivaàmaxwjwflz& gf ewlf ug hgdl ~az ? l <> ug`lmlu bluxl |wg blyl gvihgmeil hgeamuafihlei?m ~lzl hiuìmwiz fl xgmhgmeil hg eafl~ua hg fl ozlexwzl gm vlza >

vlfca

Ug|wm fau ~zimei~iau hg Ueblxtkgz ug hgjg imàvifitlz <>`gmau ~auijfg fl ozlexwzl"`gmau hg 8 ug`lm lu) ui ug gficg `lmgda azxa~ghiea& gm xzlxlìgmxa |wizwz|iea& flimàvifitlei?m hgjg ugz `gmaz hg : ug`lmlu

Ug hgjg xzwezlzwml zmavifitlz xg`~zlml Ug zgeaìgmhl zmavifitlei?m ~luivleamximwl Ug ~gzìxg l~aya l flu 2 ug`lmlu gm ozlexwzlu xi~a < & : Y5

EZIXGZIAU HG IMCZGUA BAUÎXLFLZIA- leigmxg eam ozlexwzl ljigzxl& fgui?m mgwzavluewflz-^leigmxg eam ozlexwzl hgu~iltlhl > hg~zizmihl hg ~flxiffau xijilfgu |wg zg|wigzl`lmgda |wizwz|iea-^leigmxgu eam ~afixzlw`lxiuà& xzlw`lezlmgaegolfiea& |wg`lhwzlu& xzlw`lugvgza hg xgdihau jflmhau |wg imhi|wg guxljwitleiam wzcgmxg hg fl ozlexwzl

^l|iml 7 hg 3

EZIXGZIAU HG GCZGUA BAUÎXLFLZIA

-^leigmxg eam guxljifitlei?m |wizwz|iel hg ozlexwzlu-^leigmxg eam ozlexwzl ljigzxl eam guxljixitleiam |wizwz|iel hg fl ozlexwzl |wg blylea`~fgxlha `lmgda lmxiji?xiea ~az 3: bazlu

IMHIELEIAMGU ÂUXBAUÎXLFITLEIAM-Ma l~aya hg fl grxzgìhlh& àvifitlei?m hg fl zahiffl gm `lmgda azxa~ghiea-@lmgda lmlf|guiea-Eamxzaf ~az eamuwfxl grxgzml



Bau~ll}Uiam Jafivlz

@LMGDA HG OZLEXWZLU i &-- -HG ^FLXIFFAU XIJILFGU I Eahi|a4 BU^-CW-<9>E->>9

I LFELf ,)"L @LYAZHG JACAXL H-E

(@VQfA

z8***}f } }x6&|* l-4D&}&$}

BAU IX LFiTLEIAM

AZXA^GHIL

II _gzuiam4 <I

3- LFCAZIX@A HG LEXWLEIAM

Imczgua l wzcgmeilu hg ~leigmxg eamozlexwzl hg aflxifxau xiji lfgu

<,I

i

I#----- }---II

Lml`mguiuGr lzmgm Oiuiea

Guxwhiau

4

^#xz}zzlgxwzl #Fguiamguluaeilhlu

z I

*

Zghweeiamljigzxl y

auxgaui mxguiu"xazmiffau > ~flel) I

Imdgzxau ?ugauZg~lzlz fgu i?m

Imàvifitlei?mLmlfcguieaEamxzaf e

grxgzml

Ozlexwzl x i~a I_

I}

i

<z4i Hiuozleeiam grxgzmlI Oidl ei?m e am ~ fl el h gi ul~azxg- xwxaz grxgzml&, xwxaz bfjziha

Zg~lz le iam `gmiuel f4miL zxau A u^ AU

Zghweei?m ljigzxl v#auxgauimxguiu "~f lel ua~azxg)IOidlei?m g` imgmeil ` gh ilf IZg~lzlei?m `gmiuel f I

^l|iml ? hg 3

Ozlexwzl Lj igzx lFgui?m Mgwzavluewflz

@lmgda gu~ge io iea hgfguiamguOidl e i?m eam xwxazg rxg à - b i jz ih a@lmgia lmxi j i?x iea




LI- -ELFAIL@LYAZ

-+----- ----- --d HG}}LHE

dQ= a&0$* f(xz«ª& &i;o**& ***y

_gzuiam4 <

I @LMGDA HG OZLEXWZLU I &-HG ^FLXIFFAU XIJILFGU IEahi|a4 BU^-CW-<9>E->>9

iBau~ixl,

Uiam Jafivlz

2 IMHIELHAZGU HG G_LFWLEIAMMa l~fiel

9 CFAULZIA I HGOIMIEIAMGU

Uafwei?m hg eamximwihlh l mivgf hg fl xijil ~zari`lf "~flxiffau xijilfgu) hg elwulxzlw`lxiel eam czlhau vlziljfgu hg lmcwflei?m& eamìmwei?m y hgoazìhlh

<> JIJFIACZLOIL

Kavlf Kgmmgxb& Bgfogx Hlvih Xijilf ^flxglw Ozlexwzgu4 Gvlfwlxiam lmh Xzglx`gmx DL` Lelh Azxba~ Uwzc <9974 5":) 2?-98

Slxuam Xzley& Ueblxtkgz Daug~b Xijilf ^flxglw Ozlexwzgu Im Dw~ixgz UkgfgxlfXzlw`l <992 S J Ulwmhgzu ^biflhgf~bil

Siuu Hamlfh& Slxuam Xzley& Dabmuam Gzie Ozlexwzg ao xbg Kmgg Im Zaeksaah lmhCzggm Ozlexwzgu im Lhwfxu <99? Fi~~imeaxx Zlvgm ^biflhgf~bil

<< ZGCIUXZAUMa l~fiel

<: LMGRAUGuxl cwil ma cgmgzl lmgrau

^l|iml 3 hg 3

Documents

HSP-GU-190C-009 Manejo de Fracturas de Platillos Tibiales