Factores de riesgo asociados a pseudoartrosis en fracturas de huesos largos de pacientes adultos

Abstract

Abstract: Objective. To determine the main risk factors associated with pseudoarthrosis (non union) due to fracture of long bones in the adult population.Methods: A bibliographic review of scientific articles was performed, consulting MedLine, Pubmed, Elsevier, BJM, clinicalkey, Scopus, JAMA Surg. documents from scientific societies dedicated to medicine, as well as systematic reviews, meta-analyzes, cohort studies and multivariate analyzes. In Spanish and English. Finally taking into account all the articles that included analyzes of risk factors associated with pseudoarthrosis in fractures of long bones in adult patients.Results: 10 articles were selected. 3 literature reviews, 5 analytical studies and 2 systematic reviews. The documents were independently reviewed. A basic descriptive analysis was made according to frequencies and percentages of the distribution of the most frequent risk factors, first finding smoking 70%, followed by exposed fracture, severe soft tissue damage, and a 50% large postsurgical fracture gap.Conclusions:The risk factors associated with pseudoarthrosis are multifactorial. Among the main ones are the toxic effect of smoking and the characteristics of the previous fracture.