(SPA)(ENG) Magia para su rodilla /// Magic for your knee by romulexx

castellano · @romulexx · Jun 18 '18

$3.03

(SPA)(ENG) Magia para su rodilla /// Magic for your knee

<div class="text-justify">

![](https://cdn.steemitimages.com/DQmWnjm3bKQrtApwDM7GSSCTpJA7RK96FD3WrXQxXRTBVCi/image.png)

![](https://cdn.steemitimages.com/DQmbPvsqkYKLShZFa8PtRirdt8CqLFFuWJYtA5Ehzk8aW14/image.png)

<div class="pull-left">

Hace tan solo unos meses tuve la oportunidad de poder atender a una paciente, donde el motivo de mi asistencia era debido a que había presentado un golpe en su rodilla, al valorarla pude darme cuenta de que era solo una lesión traumática, y se podía observar un pequeño hematoma.

>Only a few months ago I had the opportunity to attend a patient, where the reason for my assistance was because I had a blow to his knee, to assess it I could realize that it was just a traumatic injury, and could be observed a small bruise

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<div class="pull-right">

![](https://cdn.steemitimages.com/DQmU4UfhGrzsUxD9fj67wyGoscrBUrJm5ajsDXtHYCkyYAN/image.png)

</div>

![](https://cdn.steemitimages.com/DQmYQDrtbS63B4idJzeFihVuDBLctqRXcKo5hiqFG3TgMfY/image.png)

<div class="pull-right">

Es importante mencionar que la paciente no siguió las ordenes que se le habían indicado, y un mes después acudió de nuevo a mi consulta médica, donde se pudo observar que la herida se había complicado con un defecto cutáneo debido al hematoma subcutáneo que presentaba.

>It is important to mention that the patient did not follow the orders that had been indicated, and a month later she went back to my doctor's office, where it could be seen that the wound had been complicated by a skin defect due to the subcutaneous hematoma she presented.

</div>

<div class="pull-left">

![](https://cdn.steemitimages.com/DQmUmYt5kpoMPatRVQ3b7Bh3MSprLs716J4y7VpnC1c33mE/image.png)

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![](https://cdn.steemitimages.com/DQmRDsyUyLejBKZx92YygV4m84gTWGbqDbTsrrqaZLCocUT/image.png)

Al ver esa lesión, no dude en planear un procedimiento quirúrgico, la idea era tratar de terminar de drenar ese hematoma, y luego realizar la cobertura mediante un colgajo de piel por avance, usando la técnica de “Keystone”, la cual consiste en aproximar los bordes del defecto realizando unas incisiones en semicírculo, así como se observa en las fotografías.

>When seeing that injury, do not hesitate to plan a surgical procedure, the idea was to try to finish draining that hematoma, and then make the coverage through a skin flap by advance, using the technique of "Keystone", which consists in approaching the edges of the defect making some incisions in a semicircle, as seen in the photographs.

![](https://cdn.steemitimages.com/DQmb1zgFPqZg5DuBmPpDbfwE8XG1uFjpXFKhcLCzGDceh5g/image.png)

![](https://cdn.steemitimages.com/DQmPAGVhomKGpYyoNKKUKrk6ZVjxkBMjFmSDugnuU8eyhav/image.png)

<div class="pull-left">

La paciente fue llevada a quirófano, y como pueden observar se realizo lo que se tenia en mente, nos guiamos usando las líneas que habíamos dibujado para realizar el abordaje quirúrgico, de esta manera pudimos verificar que diera la cobertura adecuada.

>The patient was taken to the operating room, and as you can see what was done in mind, we guided ourselves using the lines we had drawn to perform the surgical approach, in this way we were able to verify that it gave the adequate coverage.

</div>


<div class="pull-right">

![](https://cdn.steemitimages.com/DQmRFoYYCvCo7G1KUqCwbh5WcocQrmtWVZnLLRYJhzmzxta/image.png)

</div>

![](https://cdn.steemitimages.com/DQmNSwbrN687ihJFMPNdjjmKSBN9aFCpqPFgFENvSDVBmiv/image.png)


<div class="pull-left">

![](https://cdn.steemitimages.com/DQmdar7A8StqZvsXBwe2mcS6ux4g6v1YzN8umE7ZDoe141s/image.png)

</div>

<div class="pull-right">

Como pueden observar, quizás no se vea tan bien, sin embargo, este tipo de técnica tiene una excelente evolución durante la evolución post quirúrgica, hay que tomar en cuenta que por ser una zona de flexión se tuvo que usar suturas muy resistentes para garantizar la cicatrización adecuada.

>As you can see, it may not look so good, however, this type of technique has an excellent evolution during the post-surgical evolution, it must be taken into account that due to being a flexion zone, very strong sutures had to be used to guarantee the proper healing.

</div>


![](https://cdn.steemitimages.com/DQmVYCEeEPb7HJekEDUKonqR9PZkhyRNMm5uYQVMuvoL7bc/image.png)

A continuación, se mostrará una serie de fotografías, donde se logra apreciar la excelente evolución medica de la lesión en su estado post operatorio, logrando poder captar visualmente la impresionante cicatrización de la paciente.

>Next, a series of photographs will be shown, where it is possible to appreciate the excellent medical evolution of the lesion in its postoperative state, being able to visually capture the impressive healing of the patient.


![](https://cdn.steemitimages.com/DQmZGN1aVFbxH8pp8TW9qmAWwZ9aFN1A5FQD3Vu3uKCPUT6/image.png)

![](https://cdn.steemitimages.com/DQmfNKqtiVuPqB5F7SpeYy3zHK2FYpnbVxgs42WYyHrDSzY/image.png)

Después de un mes se habían retirados los puntos, y como pueden observar se darán cuenta que ya no existe el defecto cutáneo y que la piel había cicatrizado muy bien, a pesar de que se encuentra en una zona de flexión.

>After a month the stitches had been removed, and as you can see they will realize that the skin defect no longer exists and that the skin had healed very well, even though it is in a zone flexion.

</div>

https://www.youtube.com/watch?v=E1GsGjfmc5s

<div class="text-justify">

![](https://cdn.steemitimages.com/DQmWDXm1P8sCh7fXgk4VcFi8bkgopJkZKS3KRpDWiEYSQKF/image.png)

<div class="pull-left">

Es importante mencionar que un buen medico se valora así mismo cuando puede observar la excelente evolución de sus pacientes en tan corto tiempo.

En este caso les puedo asegurar que tuve mucha paciencia, lo cual creo que fue indispensable para hacerle seguimiento a la lesión.

Espero y les haya gustado este caso, el cual me parece que es uno de los mejores que he realizado, y esta demás decir que están cordialmente invitados a leer mis artículos.


</div>

<div class="pull-right">


>It is important to mention that a good doctor is valued when he can observe the excellent evolution of his patients in such a short time.

>In this case I can assure you that I had a lot of patience, which I think was essential to follow up on the injury.

>I hope and you have liked this case, which seems to me to be one of the best I have done, and this one to say that you are cordially invited to read my articles.

</div>


![](https://cdn.steemitimages.com/DQmVzjF5CTvGNdc7WNbi6i4S5awtxbfUrBLX9LdfCRbxnLx/image.png)

<center><h3>Text, Desing and photos by @romulexx</h3>

Camera: BLU Vivo 5R, Sony IMX258 13 mpxl
1.12µm pixels y f/2.2
</center>

![](https://cdn.steemitimages.com/DQmTwksFdsgJdRdmrbJMHg343XbRobA2C5gvPvkThsA47BX/image.png)

![](https://cdn.steemitimages.com/DQmRGVEjnXxnVhxSZ6me9g3LqtKbVJNhGP5WjaqkN5PiTH1/image.png)

<center>
<h2>Remember
Upvote – Follow - Resteem
with love @romulexx</h2>
</center>

</div>

👍 hendrikdegrote, talentclub, pharesim, hr1, curie, wackou, handmade, vact, meerkat, anwenbaumeister, roelandp, choogirl, la-colmena, ivan-perez-anies, c-squared, themonkeyzuelans, bursatilonline, aniestudio, pi500, liberosist, markangeltrueman, dresden, decomoescribir, thinknzombie, massivevibration, jduarte, juancar347, gabriellecd, torkot, marialefleitas, simnrodrguez, marpa, romulexx, carlgnash, oscarps, benleemusic, untaljames, fermionico, poetarojo, jazzhero, vicokiwi, oscarcc89, jennylu, abnerpantoja, juancarlos2906, cricri27, alexisvalera, michelios, locikll, conbame, donrito7597, ajrf, gaescla, maracay, vickaboleyn, soniabalzan, lucas-alma, pollyanna, carlos-cabeza, porestelente, psico, titina, zenkly, engranaje, and 159 others

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@a-0-0 · Jun 18 '18

Go here https://steemit.com/@a-a-a to get your post resteemed to over 72,000 followers.

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@fermionico · Jun 18 '18 (edited)

Medicina y procesos operatorios para la salud..! ¡Excelente post!

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@romulexx · Jun 19 '18

Muchas gracias amigo que bueno que te haya gustado

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@engranaje · Jun 18 '18

Los procedimiento quirúrgicos delicados, forman parte de la destreza de unas manos que operan como si fuera arte..! ¡Votado por Engranaje!

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@romulexx · Jun 19 '18

Pero que excelente noticia, nunca. Antes me había votado este proyecto, gracias por el apoyo

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@c-squared · Jun 19 '18

c-squared-comment

<div class="pull-left">https://cdn.steemitimages.com/DQmaSUWYsJ3AMUEMRqCSaoKJVNvtsbKm4fNAtmTidr8Uggc/C%20Squared%20Logo%20Transparency%20200px.png</div><br>Este post fue compartido en el canal hispano #la-colmena de la comunidad de curación  <a href="https://discord.gg/g7YANRy">Curation Collective</a> y obtuvo upvote y resteem por la cuenta de la comunidad @c-squared después de su curación manual.<hr>This post was shared in the #la-comena channel in the <a href="https://discord.gg/B8JFmJ4">Curation Collective Discord community</a> for curators, and upvoted and resteemed by the @c-squared community account after manual review.

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@romulexx · Jun 19 '18

Que buena noticia, de ahora en adelante intentaré seguir esforzándome para realizar Post con un contenido que les agrade

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@la-colmena · Jun 19 '18

___
<div class="text-justify">

<div class="pull-right">
https://steemitimages.com/120x120/https://cdn.steemitimages.com/DQmQnrGgQ9V7AvxGHnAcUzH9fPishxC17MbH1izusSmVcQd/La%20Colmena%20logo%20en%20PNG.png
</div>

¡Felicidades! Este post obtuvo upvote y fue compartido por **@la-colmena**, un proyecto de **Curación Manua**l para la comunidad hispana de steemit. Si quieres saber mas sobre nuestro proyecto acompáñanos en  **#la-colmena**, nuestro canal de discord dentro de <a href="https://discord.gg/g7YANRy">**Curation Collective**</a><h1>

</div>

___

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@romulexx · Jun 19 '18

De verdad muchas gracias por el gran apoyo sin duda alguna esto da motivos para seguir publicando

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@donrito7597 · Jun 19 '18

Excelente post, gracias a Dios nos ha dado buenos Médicos para ayudar a curar y sanar a la humanidad, Bendición y sabuduría doctor.

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@romulexx · Jun 19 '18

Muchas gracias, la idea  es esa AYUDAR solo así podremos aportar un granito de arena para mejorar este gran país

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@julioccorderoc · Jun 20 '18

Aunque no se nada de medicina, tengo una duda, ¿No sentía molestia al flexionar la pierna? Como tiene menos piel, aunque me imagino que esta tendrá la capacidad de estirarse. Saludos!

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@romulexx · Jun 21 '18

no fíjate, la piel en esa área por ser un área de flexión tiene a ceder, lo importante es después de que cicatrice realizar la movilización para ayudar a la elasticidad del area afectada de piel, saludos!

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@bursatilonline · Jun 20 '18

Caramba para ser medico hace impresionantes post...... deberia dejar la medicina y ayudarnos en el servidor de Discord de Proyecto Crecer a enseñar markdown... jajajjajja, bromeo... Excelente  post.

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@romulexx · Jun 21 '18

jajajaja, bueno te cuento que con el simple hecho de ser medico y especialista en cirugía ortopédica y traumatologia ya el hacer cualquier cosa se nos hace fácil, jejejeje cuando quieran y si me invitan podría trabajar en ese proyecto

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