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Durante la consolidación de las fracturas se administran muchos fármacos vía sistémica que alteran en mayor o menor grado la evolución de las mismas. También la condicionan el estado nutricional del enfermo, así como la presencia de hábitos tóxicos (alcohol y tabaco). Es importante conocer cuáles afectan más a la consolidación para elegir los que interfieren menos con ésta. Desde un punto de vista práctico se debe tener especial cuidado en utilizar los antiinflamatorios no esteroideos (AINE) con prudencia los primeros días, suministrar un adecuado aporte nutricional (sobre todo de proteínas), dejar de fumar, suspender el uso de fármacos para la osteoporosis y evitar el uso de ciprofloxacino (si hay otras alternativas).
Palabras clave:
consolidación
fracturas
factores locales
factores sistémicos
During fracture healing many drugs are administered systemically that alter, to a greater or lesser degree, the evolution of the injuries. Healing is also conditioned by the patient's nutritional status, and any habits that may exert a negative impact (alcohol or drugs). As to therapeutic drugs, it is important to know which affect healing most, so as to choose those that interfere less with this process. From the practical point of view, especial care must be taken to use non-steroidal antiinflammatory drugs (NSAIDs) carefully during the first few days, to provide an adequate nutritional intake (especially proteins), to get the patient to stop smoking, to discontinue the use of drugs for the treatment of osteoporosis and to avoid the use of cyprofloxacin (if other valid alternatives exist).
Keywords:
healing
fractures
local factors
systemic factors
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