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Cuanto más desfavorables sean las condiciones de palanca, peor será el ajuste de la prótesis. El resultado es la inestabilidad y la irritación permanente de los tejidos blandos.","Text",[],[],{"_uid":328,"image":329,"title":332,"component":333,"copyright":9,"image_style":334,"component_style":335},"a6ea42da-0565-4d49-b6b2-f4fa467f288b",{"id":330,"alt":9,"name":9,"focus":102,"title":9,"filename":331,"copyright":9,"fieldtype":11},2080707,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2330x3106\u002F34e24bfb03\u002Fstump_1.jpg","Muñón del brazo","Image",[],[336],"lg:col-span-4",{"_uid":338,"image":339,"title":342,"component":333,"copyright":9,"image_style":343,"component_style":344},"7da8f1a6-75c7-4b1d-962d-2144943a65e9",{"id":340,"alt":9,"name":9,"focus":102,"title":9,"filename":341,"copyright":9,"fieldtype":11},2080708,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3000x4000\u002Fe00f6f5c16\u002Fstump_2.jpg","Muñón femoral",[],[336],{"_uid":346,"image":347,"title":350,"component":333,"copyright":9,"image_style":351,"component_style":352},"85052933-2159-4ce0-9a65-206e52b0d7ec",{"id":348,"alt":9,"name":9,"focus":102,"title":9,"filename":349,"copyright":9,"fieldtype":11},2080709,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2590x3454\u002F73c842d96f\u002Fstump_3.jpg","Muñón tibial",[],[336],{"_uid":354,"text":355,"component":324,"text_style":356,"component_style":357},"b9ee71d6-3c1f-4fff-b529-d8c79c32e658","## No es apto para la prótesis -¿Y ahora qué?\n\nSi el muñón después de la amputación es tan corto que la adaptación protésica es difícil o imposible, se puede realizar una intervención quirúrgica para llevar el muñón a la longitud óptima que permita o mejore la adaptación protésica. El hueso restante se corta suavemente y se implanta un clavo de distracción intramedular para que pueda formarse nuevo tejido óseo y se estiren los tejidos blandos.",[],[],{"_uid":359,"text":360,"component":324,"text_style":361,"component_style":362},"9b0703b8-d07c-4a0a-b37a-0d260f5f7039","## Un clavo de distracción intramedular también puede alargar un muñón tras una amputación",[],[],{"_uid":364,"text":365,"component":324,"text_style":366,"component_style":367},"f6e1eb84-bc62-4351-80e1-9053dce14bbb","El alargamiento tanto del hueso como de los tejidos blandos circundantes con un clavo de distracción intramedular se realiza de la misma manera que el alargamiento de una pierna. Una longitud inicial extremadamente corta del muñón puede ser limitante, por lo que puede ser necesario utilizar diseños especiales del clavo de distracción intramedular. Sin embargo, si al final se puede utilizar este ventajoso implante, tampoco es necesario un fijador externo en estas situaciones, lo que supone un alivio considerable, especialmente en el caso de muñones femorales cortos.",[],[368],"lg:col-span-8",{"_uid":370,"image":371,"title":374,"component":333,"copyright":9,"image_style":375,"component_style":378},"b4e4b13f-625a-4401-83db-c839cff440e2",{"id":372,"alt":9,"name":9,"focus":102,"title":9,"filename":373,"copyright":9,"fieldtype":11},2080736,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1862x3724\u002F4d5ac7549a\u002Fstump_4.jpg","Ortesis bilaterales tras el alargamiento de la pierna",[376,377],"object-contain","w-80",[336],{"id":102,"alt":102,"name":9,"focus":102,"title":102,"filename":9,"copyright":102,"fieldtype":11},"En condiciones desfavorables, el muñón tras una amputación puede ser tan corto que no se puede fijar una prótesis de forma segura a pesar de haber agotado todas las posibilidades de adaptación protésica. En estos casos, sólo se puede fijar una prótesis tras alargar el hueso y los tejidos blandos circundantes. El alargamiento del muñón con un clavo de distracción intramedular ultracorto es una alternativa al fijador externo.","Page",[],[],"Un muñón de amputación demasiado corto puede hacer imposible la adaptación de la prótesis. Al igual que un alargamiento de la pierna puede ayudar, también puede hacerlo un alargamiento del muñón.","stumpfverlaengerung","es\u002Fespectro-de-tratamiento\u002Falargamiento-del-munon-tras-la-amputacion",120,[],780693,"61ab599f-8f6a-488f-8f7a-054d984f2e58","2021-05-17T15:59:52.000Z",[],"spezialgebiete\u002Fstumpfverlaengerung",[395,399,401,405,409],{"path":396,"name":397,"lang":398,"published":21},"expertise\u002Fstump-lengthening","Stump lengthening","en",{"path":400,"name":251,"lang":204,"published":21},"espectro-de-tratamiento\u002Falargamiento-del-munon-tras-la-amputacion",{"path":402,"name":403,"lang":404,"published":21},"tyf-alalaj\u002Fitalh-altrf-almtbqy-bad-albtr","إطالة الطرف المتبقي بعد البتر","ar",{"path":406,"name":407,"lang":408,"published":21},"spektr-lecheniya\u002Fostatochnoe-udlinenie-konechnosti-posle-amputacii","Остаточное удлинение конечности после ампутации","ru",{"path":410,"name":411,"lang":412,"published":21},"zhi4-liao2-fan4-wei2\u002Fcan2-zhi1-yan2-zhang3","残肢延长","zh",1792469130270]