{"id":865,"date":"2022-05-18T07:01:59","date_gmt":"2022-05-18T07:01:59","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/splinting-es\/"},"modified":"2022-05-19T05:57:26","modified_gmt":"2022-05-19T05:57:26","slug":"splinting-es","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/es\/splinting-es\/","title":{"rendered":"F\u00e9rulas"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Editor original <\/b>&#8211; <a href=\"\/User:Shwe_Shwe_U_Marma\" title=\"User:Shwe Shwe U Marma\">Shwe Shwe U Marma<\/a><br \/>\n<b>Colaboradores principales<\/b> &#8211; <a href=\"\/User:Shwe_Shwe_U_Marma\" class=\"mw-userlink\" title=\"User:Shwe Shwe U Marma\"><bdi>Shwe Shwe U Marma<\/bdi><\/a>, <a href=\"\/User:Naomi_O%27Reilly\" class=\"mw-userlink\" title=\"User:Naomi O'Reilly\"><bdi>Naomi O&#8217;Reilly<\/bdi><\/a>, <a href=\"\/User:Nikhil_Benhur_Abburi\" class=\"mw-userlink\" title=\"User:Nikhil Benhur Abburi\"><bdi>Nikhil Benhur Abburi<\/bdi><\/a> y <a href=\"\/User:Tarina_van_der_Stockt\" class=\"mw-userlink\" title=\"User:Tarina van der Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenidos<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definition\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Definici\u00f3n<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Purpose_of_Splinting\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\"><b>Finalidad de las f\u00e9rulas<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Different_Types_of_Splints\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Diferentes tipos de f\u00e9rulas<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Splints_for_Upper_Extremity\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">F\u00e9rulas para la extremidad superior<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Splints_for_Lower_Extremity\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">F\u00e9rulas para la extremidad inferior<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Indications_of_Splinting\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Indicaciones de la aplicaci\u00f3n de f\u00e9rulas<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Contraindications_of_Splinting\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Contraindicaciones de la aplicaci\u00f3n de f\u00e9rulas<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Side_Effects_of_Splinting\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Efectos secundarios de la aplicaci\u00f3n de f\u00e9rulas<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Advantages_of_Splinting\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Ventajas de las f\u00e9rulas<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Disadvantages_of_Splinting\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Desventajas de las f\u00e9rulas<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Complications_of_Splinting\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Complicaciones de las f\u00e9rulas<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Considerations_for_Effective_Splinting\"><span class=\"tocnumber\">9.1<\/span> <span class=\"toctext\">Consideraciones para una aplicaci\u00f3n eficaz de la f\u00e9rula<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">10<\/span> <span class=\"toctext\">Referencias<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Definition\">Definici\u00f3n<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Definition\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=1\" title=\"Edit section: Definition\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Una <a href=\"\/Splint\" class=\"mw-redirect\" title=\"Splint\">f\u00e9rula<\/a> es un soporte r\u00edgido hecho de metal, yeso o pl\u00e1stico. Se utiliza para proteger <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">[1]<\/a><\/sup>, dar soporte o inmovilizar una parte del cuerpo lesionada o inflamada.<sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">[2]<\/a><\/sup>\n<\/p>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Arm_splint.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Arm_splint.png\/400px-Arm_splint.png\" decoding=\"async\" width=\"400\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Arm_splint.png\/600px-Arm_splint.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Arm_splint.png\/800px-Arm_splint.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Arm_splint.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figura 1.<\/b> F\u00e9rula de antebrazo<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:445px;\"><a href=\"\/File:Thomas%27s_splint.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e5\/Thomas%27s_splint.jpg\/443px-Thomas%27s_splint.jpg\" decoding=\"async\" width=\"443\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/e\/e5\/Thomas%27s_splint.jpg 1.5x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Thomas%27s_splint.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figura 2.<\/b> F\u00e9rula de Thomas<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Purpose_of_Splinting\"><b>Finalidad de las f\u00e9rulas<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Purpose of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=2\" title=\"Edit section: Purpose of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<ul>\n<li>Inmovilizaci\u00f3n.<\/li>\n<li>Ayuda para promover la curaci\u00f3n.<\/li>\n<li>Posicionamiento o soporte durante la funci\u00f3n.<\/li>\n<li><a href=\"\/Pain-Modulation\" title=\"Pain-Modulation\">Alivio del dolor.<\/a> <sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">[3]<\/a><\/sup><\/li>\n<li>Sustituir m\u00fasculos d\u00e9biles.<\/li>\n<li>Prevenci\u00f3n y correcci\u00f3n de contracturas y deformidades. <sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">[4]<\/a><\/sup><\/li>\n<li>Restauraci\u00f3n o mantenimiento del <a href=\"\/Range_of_Motion\" title=\"Range of Motion\">rango de movimiento<\/a>. <sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">[5]<\/a><\/sup><\/li>\n<li><a href=\"\/Edema_Assessment\" title=\"Edema Assessment\">Control del edema.<\/a> <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">[6]<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Different_Types_of_Splints\">Diferentes tipos de f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Different Types of Splints\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=3\" title=\"Edit section: Different Types of Splints\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Las f\u00e9rulas se clasifican en funci\u00f3n del movimiento permitido como:\n<\/p>\n<ul>\n<li>Est\u00e1ticas.<\/li>\n<li>Din\u00e1micas.<\/li>\n<li>Est\u00e1ticas en serie.<\/li>\n<li>Est\u00e1ticas progresivas.<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Splints_for_Upper_Extremity\">F\u00e9rulas para la extremidad superior.<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Splints for Upper Extremity\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=4\" title=\"Edit section: Splints for Upper Extremity\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<table cellspacing=\"1\" cellpadding=\"1\" border=\"1\" width=\"800\">\n<caption><b>Tabla1.<\/b> F\u00e9rulas para la extremidad superior <sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">[3]<\/a><\/sup><br \/>\n<\/caption>\n<tbody>\n<tr>\n<th scope=\"col\"><b>Regi\u00f3n<\/b>\n<\/th>\n<th><b>Tipo de f\u00e9rula<\/b>\n<\/th>\n<\/tr>\n<tr>\n<td>Lado cubital de la mano\n<\/td>\n<td>F\u00e9rula de canal\u00f3n cubital\n<\/td>\n<\/tr>\n<tr>\n<td>Lado radial de la mano\n<\/td>\n<td>F\u00e9rula de canal\u00f3n radial\n<\/td>\n<\/tr>\n<tr>\n<td>Pulgar, primer metacarpiano y huesos del carpo\n<\/td>\n<td>F\u00e9rula en espiga para el pulgar\n<\/td>\n<\/tr>\n<tr>\n<td>Lesiones en los dedos\n<\/td>\n<td>\n<ul>\n<li>Sindactilia<\/li>\n<li>F\u00e9rula de aluminio en forma de U<\/li>\n<li>F\u00e9rula para bloqueo de la extensi\u00f3n<\/li>\n<li>F\u00e9rula para dedo en martillo<\/li>\n<\/ul>\n<div class=\"thumb tleft\">\n<div class=\"thumbinner\" style=\"width:173px;\"><a href=\"\/File:Mallet_finger_splint_(thermoplastic).jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Image showing mallet finger splint applied\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Mallet_finger_splint_%28thermoplastic%29.jpg\/171px-Mallet_finger_splint_%28thermoplastic%29.jpg\" decoding=\"async\" width=\"171\" height=\"128\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Mallet_finger_splint_%28thermoplastic%29.jpg\/257px-Mallet_finger_splint_%28thermoplastic%29.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Mallet_finger_splint_%28thermoplastic%29.jpg\/342px-Mallet_finger_splint_%28thermoplastic%29.jpg 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Mallet_finger_splint_(thermoplastic).jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>F\u00e9rula para dedo en martillo<\/p><\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Mu\u00f1eca\/mano\n<\/td>\n<td>\n<ul>\n<li>F\u00e9rula para antebrazo dorsal\/volar<\/li>\n<li>Yeso corto para el brazo<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Antebrazo\n<\/td>\n<td>\n<ul>\n<li>F\u00e9rula en pinza de az\u00facar simple<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Lesiones de codo, antebrazo proximal y mu\u00f1eca esquel\u00e9ticamente inmadura\n<\/td>\n<td>\n<ul>\n<li>F\u00e9rula larga para la parte posterior del brazo<\/li>\n<li>Yeso largo para el brazo<\/li>\n<li>F\u00e9rula en pinza de az\u00facar doble<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><span class=\"mw-headline\" id=\"Splints_for_Lower_Extremity\">F\u00e9rulas para la extremidad inferior<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Splints for Lower Extremity\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=5\" title=\"Edit section: Splints for Lower Extremity\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h4>\n<table cellspacing=\"1\" cellpadding=\"1\" border=\"1\" width=\"800\">\n<caption><b>Table.2<\/b> Splints for Lower Extremity <sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">[3]<\/a><\/sup><br \/>\n<\/caption>\n<tbody>\n<tr>\n<th scope=\"col\"><b>Regi\u00f3n<\/b>\n<\/th>\n<th><b>Tipo de f\u00e9rula<\/b>\n<\/th>\n<\/tr>\n<tr>\n<td>Tobillo\n<\/td>\n<td>\n<ul>\n<li>F\u00e9rula posterior de tobillo<\/li>\n<li>F\u00e9rula de estribo<\/li>\n<\/ul>\n<div class=\"thumb tleft\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Ankle_splint.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Ankle_splint.png\/300px-Ankle_splint.png\" decoding=\"async\" width=\"300\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Ankle_splint.png\/450px-Ankle_splint.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0d\/Ankle_splint.png\/600px-Ankle_splint.png 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_splint.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figura 3.<\/b> F\u00e9rula de estribo para el tobillo<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Parte inferior de la pierna, tobillo y pie\n<\/td>\n<td>Yeso corto para la pierna\n<\/td>\n<\/tr>\n<tr>\n<td>Rodilla y parte inferior de la pierna\n<\/td>\n<td>F\u00e9rula posterior de rodilla\n<\/td>\n<\/tr>\n<tr>\n<td>Pie\n<\/td>\n<td>Yeso corto para la pierna con extensi\u00f3n de la placa de los dedos del pie\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span class=\"mw-headline\" id=\"Indications_of_Splinting\">Indicaciones de la aplicaci\u00f3n de f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Indications of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=6\" title=\"Edit section: Indications of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Sprained_Ankle.JPG\" class=\"image\"><img loading=\"lazy\" alt=\"Image showing swollen sprained left ankle\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/71\/Sprained_Ankle.JPG\/300px-Sprained_Ankle.JPG\" decoding=\"async\" width=\"300\" height=\"165\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/71\/Sprained_Ankle.JPG\/450px-Sprained_Ankle.JPG 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/71\/Sprained_Ankle.JPG\/600px-Sprained_Ankle.JPG 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Sprained_Ankle.JPG\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figura 4.<\/b> Esguince de tobillo inflamado, una indicaci\u00f3n del uso de f\u00e9rulas<\/div>\n<\/div>\n<\/div>\n<p>Las f\u00e9rulas se utilizan para inmovilizar las lesiones musculoesquel\u00e9ticas y nerviosas, favorecer la curaci\u00f3n y prevenir da\u00f1os mayores. Las indicaciones para la colocaci\u00f3n de f\u00e9rulas son numerosas, pero suelen incluir:\n<\/p>\n<ul>\n<li>Estabilizaci\u00f3n temporal de fracturas agudas, esguinces, distensiones o lesiones nerviosas antes de una evaluaci\u00f3n adicional o un tratamiento quir\u00fargico definitivo.<\/li>\n<li>Inmovilizaci\u00f3n de una presunta fractura oculta (como una fractura de escafoides).<\/li>\n<li>Lesiones graves de los tejidos blandos que requieren inmovilizaci\u00f3n y protecci\u00f3n contra nuevas lesiones.<\/li>\n<li>Tratamiento definitivo de patrones espec\u00edficos de fractura&nbsp;estable.<\/li>\n<li>Neuropat\u00eda perif\u00e9rica que requiere protecci\u00f3n de las extremidades.<\/li>\n<li>Inmovilizaci\u00f3n parcial para lesiones menores de tejidos blandos.<\/li>\n<li>Tratamiento de la inestabilidad articular, incluida la luxaci\u00f3n. <sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">[2]<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Contraindications_of_Splinting\">Contraindicaciones de la aplicaci\u00f3n de f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Contraindications of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=7\" title=\"Edit section: Contraindications of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>No existen contraindicaciones espec\u00edficas para la colocaci\u00f3n de f\u00e9rulas. Sin embargo, algunas lesiones y comorbilidades espec\u00edficas del paciente requieren una atenci\u00f3n especial:\n<\/p>\n<ul>\n<li><b>Lesiones que da\u00f1an la piel o heridas abiertas:<\/b>\n<ul>\n<li>Debe considerarse la administraci\u00f3n de antibi\u00f3ticos en estos pacientes, en funci\u00f3n de la gravedad de la lesi\u00f3n. Estos pacientes tambi\u00e9n requieren un cuidado adicional de los tejidos blandos, que puede requerir el desbridamiento del tejido y el cierre de la piel antes de la aplicaci\u00f3n de la f\u00e9rula.<\/li>\n<\/ul>\n<\/li>\n<li><b>Lesiones que provocan&nbsp;d\u00e9ficits sensoriales o neurol\u00f3gicos:<\/b>\n<ul>\n<li>Las complicaciones de la colocaci\u00f3n de una f\u00e9rula, como el s\u00edndrome compartimental, las lesiones por presi\u00f3n o la mala reducci\u00f3n, pueden pasar desapercibidas si el paciente tiene una lesi\u00f3n nerviosa concurrente. Estos pacientes deben ser evaluados por un cirujano antes de la aplicaci\u00f3n de la f\u00e9rula, ya que los hallazgos neurol\u00f3gicos pueden ser un signo de emergencia quir\u00fargica.<\/li>\n<\/ul>\n<\/li>\n<li><b>Lesiones del sistema vascular:<\/b>\n<ul>\n<li>Esto requiere una atenci\u00f3n especial por parte de los cirujanos vasculares, ya que pueden requerir una intervenci\u00f3n quir\u00fargica urgente. Adem\u00e1s, la evaluaci\u00f3n del sistema vascular es esencial tanto antes como despu\u00e9s de la aplicaci\u00f3n de la f\u00e9rula, ya que la reducci\u00f3n de algunas fracturas puede provocar una lesi\u00f3n u obstrucci\u00f3n arterial aguda, si queda atrapada entre los fragmentos de la fractura.<\/li>\n<\/ul>\n<\/li>\n<li><b>Pacientes con enfermedad vascular perif\u00e9rica o neuropat\u00eda perif\u00e9rica:<\/b>\n<ul>\n<li>Hay que tener especial cuidado al aplicar las f\u00e9rulas de las extremidades inferiores en estos pacientes,&nbsp;ya que su sensibilidad basal puede estar alterada. Estos pacientes tienen dificultades para detectar las \u00falceras por presi\u00f3n, la irritaci\u00f3n de la piel y el posible compromiso vascular.<sup id=\"cite_ref-:1_2-2\" class=\"reference\"><a href=\"#cite_note-:1-2\">[2]<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Side_Effects_of_Splinting\">Efectos secundarios de la aplicaci\u00f3n de f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Side Effects of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=8\" title=\"Edit section: Side Effects of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<ul>\n<li>El uso excesivo de f\u00e9rulas puede conducir a dolor cr\u00f3nico, rigidez articular o debilidad muscular. <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">[7]<\/a><\/sup><\/li>\n<li>Irritaci\u00f3n de la piel. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">[8]<\/a><\/sup><\/li>\n<li>Incomodidad. <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">[9]<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Advantages_of_Splinting\">Ventajas de las f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Advantages of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=9\" title=\"Edit section: Advantages of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>El uso de f\u00e9rulas ofrece muchas ventajas respecto a la escayola:\n<\/p>\n<ul>\n<li>Las f\u00e9rulas se aplican con mayor rapidez y facilidad.<\/li>\n<li>Pueden ser est\u00e1ticas (es decir, que impiden el movimiento) o din\u00e1micas (es decir, funcionales; ayudan al movimiento controlado).<\/li>\n<li>Las f\u00e9rulas no son circunferenciales, lo que permite que se produzca la hinchaz\u00f3n natural que tiene lugar durante la fase inflamatoria inicial de la lesi\u00f3n.<\/li>\n<li>Una f\u00e9rula puede retirarse m\u00e1s f\u00e1cilmente que una escayola, lo que permite inspeccionar regularmente el lugar de la lesi\u00f3n.<sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">[10]<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Disadvantages_of_Splinting\">Desventajas de las f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Disadvantages of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=10\" title=\"Edit section: Disadvantages of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<p>Las desventajas de las f\u00e9rulas son:\n<\/p>\n<ul>\n<li>Mala adherencia por parte del paciente.<\/li>\n<li>Movimiento excesivo en el lugar de la lesi\u00f3n.<\/li>\n<li>Limitaciones en su uso, como en las fracturas inestables o potencialmente inestables.<sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">[10]<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Complications_of_Splinting\">Complicaciones de las f\u00e9rulas<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Complications of Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=11\" title=\"Edit section: Complications of Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Acute_Compartment_Syndrome.JPG\" class=\"image\"><img loading=\"lazy\" alt=\"Image showing compartment syndrome in arm with blister formation\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f1\/Acute_Compartment_Syndrome.JPG\/300px-Acute_Compartment_Syndrome.JPG\" decoding=\"async\" width=\"300\" height=\"225\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f1\/Acute_Compartment_Syndrome.JPG\/450px-Acute_Compartment_Syndrome.JPG 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f1\/Acute_Compartment_Syndrome.JPG\/600px-Acute_Compartment_Syndrome.JPG 2x\"><\/a>  <\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Acute_Compartment_Syndrome.JPG\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><b>Figura 5.<\/b> S\u00edndrome compartimental<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>S\u00edndrome compartimental.<\/li>\n<li>Isquemia.<\/li>\n<li>Lesi\u00f3n por calor.<\/li>\n<li>\u00dalceras por presi\u00f3n y ruptura de la piel.<\/li>\n<li>Edema.<\/li>\n<li>Infecci\u00f3n.<\/li>\n<li>Dermatitis.<\/li>\n<li>Rigidez articular.<\/li>\n<li>Alteraci\u00f3n del rango de movimiento.<\/li>\n<li>Disminuci\u00f3n de la fuerza.<\/li>\n<li>Sensibilidad alterada.<\/li>\n<li>Lesi\u00f3n neurol\u00f3gica.<sup id=\"cite_ref-:2_10-2\" class=\"reference\"><a href=\"#cite_note-:2-10\">[10]<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Considerations_for_Effective_Splinting\">Consideraciones para una aplicaci\u00f3n eficaz de la f\u00e9rula<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span> <a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Considerations for Effective Splinting\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=12\" title=\"Edit section: Considerations for Effective Splinting\">edit source<\/a> <span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h3>\n<ul>\n<li>Los pliegues sirven de puntos de referencia para la fabricaci\u00f3n de la f\u00e9rula.<\/li>\n<li>Las prominencias \u00f3seas pueden causar presi\u00f3n.<\/li>\n<li>Asegurar tres puntos de presi\u00f3n.<\/li>\n<li>F\u00e9rulas hechas a medida para adaptarse a los contornos del cuerpo en lugar de f\u00e9rulas prefabricadas.<\/li>\n<li>Educaci\u00f3n del paciente para una mejor adherencia.<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">Referencias<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">[<\/span><a href=\"\/index.php?title=Splinting&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Splinting&amp;action=edit&amp;section=13\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">]<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">VanBlarcom CW, editor. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.thejpd.org\/article\/S0022-3913(99)70234-9\/fulltext\">The glossary of prosthodontic terms<\/a>. Mosby; 1999.<\/span>\n<\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-2\">2.2<\/a><\/sup><\/span> <span class=\"reference-text\">Althoff AD, Reeves RA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557673\/\">Splinting<\/a>. StatPearls [Internet]. 2020 May 24.<\/span>\n<\/li>\n<li id=\"cite_note-:0-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_3-2\">3.2<\/a><\/sup><\/span> <span class=\"reference-text\">Boyd AS, Benjamin HJ, Asplund CA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/26784832_Splints_and_Casts_Indications_and_Methods\">Splints and casts: indications and methods<\/a>. American family physician. 2009 Sep 1;80(5):491-9.<\/span>\n<\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Singh KA, Shah H, Joseph B. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/online.boneandjoint.org.uk\/doi\/abs\/10.1302\/0301-620X.102B10.BJJ-2020-0181.R4\">Comparison of plaster-of-Paris casts and Woodcast splints for immobilization of the limb during serial manipulation and casting for idiopathic clubfoot in infants: a prospective randomized trial<\/a>. The Bone &amp; Joint Journal. 2020 Oct 3;102(10):1399-404.<\/span>\n<\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Rezaei B, Mahdavinejad R. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/japer.in\/storage\/models\/article\/PuhlW9qhFMTWZ0y8u4MRHzXx4GSaVQRsF5R7Y7JeXDZtYo4GMUcPDkPvWRyt\/massage-therapy-and-splint-in-males-with-carpal-tunnel-syndrome.pdf\">Massage therapy and Splint in males with Carpal Tunnel syndrome<\/a>. Journal of Advanced Pharmacy Education &amp; Research| Jan-Mar. 2020;10(S1).<\/span>\n<\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Giang TA, Ong AW, Krishnamurthy K, Fong KN. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1016\/j.hkjot.2016.03.002\">Rehabilitation interventions for poststroke hand oedema: a systematic review<\/a>. Hong Kong Journal of Occupational Therapy. 2016 Jun 1;27:7-17.<\/span>\n<\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Gravlee JR, Van Durme DJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aafp.org\/afp\/2007\/0201\/p342.html\">Braces and splints for musculoskeletal conditions<\/a>. American family physician. 2007 Feb 1;75(3):342-8.<\/span>\n<\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Johnston JJ, Spelman L. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27613591\/\">Pressure-induced localised granuloma annulare following use of an elbow splint<\/a>. Prosthetics and orthotics international. 2017 Jun;41(3):311-3.<\/span>\n<\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">So H, Chung VC, Cheng JC, Yip RM. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/1756-185X.13162\">Local steroid injection versus wrist splinting for carpal tunnel syndrome: a randomized clinical trial<\/a>. International Journal of Rheumatic Diseases. 2018 Jan;21(1):102-7.<\/span>\n<\/li>\n<li id=\"cite_note-:2-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-1\">10.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_10-2\">10.2<\/a><\/sup><\/span> <span class=\"reference-text\">Boyd AS, Benjamin HJ, Asplund CA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aafp.org\/afp\/2009\/0101\/p16.html\">Principles of casting and splinting<\/a>. American family physician. 2009 Jan 1;79(1):16-22.<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20220429155058 Cache expiry: 0 Dynamic content: true Complications: [] CPU time usage: 0.076 seconds Real time usage: 0.081 seconds Preprocessor visited node count: 198\/1000000 Post\u2010expand include size: 35\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 6389\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 13.624 1 Special:Contributors\/Splinting 100.00% 13.624 1 -total -->\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Editor original &#8211; Shwe Shwe U Marma Colaboradores principales &#8211; Shwe Shwe U Marma, Naomi O&#8217;Reilly, Nikhil Benhur Abburi y Tarina van der Stockt Contenidos 1 Definici\u00f3n 2 Finalidad de las f\u00e9rulas 3 Diferentes tipos de f\u00e9rulas 3.1 F\u00e9rulas para la extremidad superior 3.2 F\u00e9rulas para la extremidad inferior 4 Indicaciones de la aplicaci\u00f3n de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-865","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages\/865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/comments?post=865"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages\/865\/revisions"}],"predecessor-version":[{"id":867,"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/pages\/865\/revisions\/867"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/es\/wp-json\/wp\/v2\/media?parent=865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}