Revista Espanola de Cirugia Ortopedica y Traumatologia Revista Espanola de Cirugia Ortopedica y Traumatologia RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Radial longitudinal deficiency. Analysis of clinical and radiological results
ConclusionsIn patients with centralization at 1 year, good clinical and radiological correction were observed, however this was lost over time. The management of soft tissues prior to centralization is believed to give better results. The use of intramedullary nail from the ulna to the carpus could be associated with damage to the distal ulna.ResumenIntroducciónLa deficiencia radial longitudinal comprende anormalidades óseas, musculotendinosas y neurovasculares de etiología multifactorial del lado radial de la extremidad superior. El tratamiento incluye mejorar la longitud, la apariencia y el funcionamiento de la m...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - April 25, 2019 Category: Orthopaedics Source Type: research

Piezoelectric focal waves application in the treatment of plantar fascitis
ConclusionTreatment with piezoelectric focal shock waves in PF may reduce pain from the first session and achieves a subjective perception of improvement, maintaining these results at 6 months post-treatment.ResumenIntroducción y objetivosLa Fascitis plantar (FP) es una causa frecuente de talalgia y discapacidad. Pretendemos valorar la efectividad del Tratamiento con Ondas de Choque (TOC) Focales Piezoeléctricas con apoyo ecográfico y mantenimiento del efecto a 3 y 6 meses.Material y métodosEstudio retrospectivo cuasi-experimental junio 2015 a Junio 2017, con 90 pacientes, 36,6% hombres y 63,3% mujeres, edad media 52 a...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - April 25, 2019 Category: Orthopaedics Source Type: research

Factors associated with the development of avascular necrosis of the femoral head after non-displaced femoral neck fracture treated with internal fixation
ConclusionsThe patients aged 69 years or younger were at increased risk of developing ANFH after undisplaced femoral neck fracture treated with percutaneous screws.ResumenObjetivoIdentificar los factores con influencia sobre la aparición de necrosis avascular de cabeza femoral (NACF) en pacientes con fracturas del cuello femoral no desplazadas tratadas con fijación interna.Material y métodoEstudio retrospectivo de casos y controles. Se incluyeron las fracturas de cuello femoral no desplazada, tratadas con fijación interna, y que presentaron NACF tras un seguimiento postoperatorio de al menos 2 años. Se registraron las...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - April 25, 2019 Category: Orthopaedics Source Type: research

Tibial perivascular epithelioid cell tumour (PEComa). A case report and literature review
ConclusionsThis is the first-case report in Latin America. Immunohistochemical stains were negative and we believe it may be due to non-described ethnic variations.ResumenIntroducciónLa célula perivascular epiteloide (PEC) es un tipo celular constante presente en un grupo de tumores que incluyen el angiomiolipoma, tumores «de azúcar» de células claras pulmonares y de sitios extrapulmonares, linfangioleiomiomatosis, entre otros. Las características de la PEC incluyen: apariencia epiteloide con citoplasma claro agranular, un núcleo central redondo a oval y un nucléolo discreto además de expresar marcadores inmunohi...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - April 25, 2019 Category: Orthopaedics Source Type: research

Analysis of surgical delay and its influence on morbimortality in patients with hip fracture
ConclusionThe mortality rate was statistically significantly higher in the MM group. When comparing results, patients in the AG, AC, and MM groups presented higher rates of general complications.ResumenIntroducciónEl tratamiento quirúrgico demorado en fracturas de cadera (>48 h) se ha asociado con una mayor frecuencia de eventos clínicos adversos. Sin embargo, no está clara la influencia de los motivos de demora en estos resultados. El objetivo de este estudio es el análisis de las causas de demora quirúrgica y su influencia en la morbimortalidad en pacientes con fractura de cadera con indicación de tratamiento...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - April 25, 2019 Category: Orthopaedics Source Type: research

Prevalence of labrum and articular cartilage injuries of the hip on 3T magnetic resonance imaging of asymptomatic elite soccer players
ConclusionAsymptomatic labral or cartilaginous injuries of the hip were reported in 25% of the included professional soccer players. These injuries were associated with anatomical features of FAI.ResumenObjetivoEstablecer la prevalencia de lesiones del labrum y el cartílago articular de la cadera en futbolistas profesionales asintomáticos y explorar la asociación con hallazgos en las pruebas de imagen de choque femoroacetabular (CFA).MétodosEstudio de corte transversal que evaluó por imagen de resonancia magnética en 3 tesla (IRM 3 T) un total de 84 caderas en jugadores de fútbol profesional, con edades entre los 18...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Ewing sarcoma, analysis of survival at 6 years with multidisciplinary therapy
ConclusionsEarly diagnosis and multidisciplinary therapy in referral centres are the best strategies currently available to us to provide these patients the maximum possibilities of cure of this disease.ResumenObjetivoEl objetivo de este estudio es presentar nuestra serie de casos de sarcoma de Ewing y los datos de supervivencia obtenidos a medio plazo utilizando un protocolo de terapia multidisciplinar.Material, método y resultadosCuarenta y un sarcomas de Ewing fueron diagnosticados, tratados y evolucionados en nuestro centro entre 2004 y 2009 con una media de edad de 18,29 años. Hasta un 78% correspondieron a Ewing ó...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Experimental study of the application of a new bone cement loaded with broad spectrum antibiotics for the treatment of bone infection
DiscussionThe development of new formulations of bone cement that release more, and more prolonged, new generation antibiotics such as linezolid, present an in vivo behaviour superior to commercial cement, respecting the bone structure. This behaviour would have a clinical implication in fighting infections by increasingly resistant germs in the treatment of prosthetic infection.ResumenObjetivosValorar el comportamiento histológico, en un modelo animal de conejo, de un nuevo cemento óseo modificado, el cual aumenta la liberación local de antibiótico, en la infección ósea.Material y métodosSe han utilizado 16 conejos...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Acute management of acetabular fractures by total hip arthroscopy using an anterior approach
ConclusionsGiven certain acetabular fractures, acute THA using a direct anterior approach in the supine position and under scope control with a revision cup plus associated minimal osteosynthesis, if necessary, facilitates adequate fracture stabilisation with full functional recovery of the patient with immediate loading and excellent results in the short and medium term with minimal complications.ResumenIntroducciónLas fracturas acetabulares en pacientes de edad avanzada presentan un reto terapéutico, ya que su osteosíntesis puede estar dificultada por la conminución y la mala calidad ósea. En determinados casos, una...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Primary total hip arthroplasty with fourth-generation ceramic bearings: Clinical and survival results with a minimum follow-up of 5 years
ConclusionsPrimary hip prostheses with fourth-generation ceramic bearings showed good survival in the medium term, and good clinical results.ResumenObjetivoEvaluar los resultados clínicos y la supervivencia de las prótesis de cadera primarias con par cerámica-cerámica (C-C) de cuarta generación implantadas en nuestro centro con un seguimiento mínimo de 5 años.Material y métodoSe estudiaron 205 artroplastias primarias de cadera realizadas entre 2008 y 2012. Los resultados clínicos, prequirúrgicos y a los 5 años de seguimiento fueron evaluados mediante el Harris Hip Score (HHS), el Short Form-36 (SF-36),...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Spinal osteosarcoma in the paediatric age group: Case series and literature review
ConclusionsDue to a lack of long series of cases of osteosarcoma in the mobile spine during childhood, the optimal treatment and prognosis in these patients is uncertain. Block resection improves local control of the disease, without demonstrating improvement in overall survival. Intralesional resection is associated with a higher rate of local recurrence. Oncological treatment is essential in the treatment of this pathology. A correct differential diagnosis of the tumour (osteosarcoma vs. osteoblastoma) is vital for its correct treatment.ResumenIntroducción y objetivoEl tumor maligno de raquis más frecuente en la edad p...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Seasonality in incidence and mortality of hip fracture
ConclusionsThe seasonal distribution of hip fractures presented an increase over the average in the month of October and a decrease in February. Mortality increased over the average in the month of August and decreased in March.ResumenObjetivoDeterminar si existe relación estacional en la incidencia y en la mortalidad intrahospitalaria de los pacientes con fractura de cadera.Pacientes y métodosEstudio descriptivo longitudinal de casos que incluye 1.104 pacientes mayores de 64 años ingresados por fractura de la extremidad proximal del fémur en el Hospital Clínico Universitario Virgen de la Victoria de Málaga durante u...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Which route of administration of acid tranexamic, intravenous or intra-articular, is more effective in the control of post-surgical bleeding after a total hip arthroplasty? A prospective, controlled and randomized study
ConclusionsThe different routes of administration of TXA in THA have a similar effect in the reduction of postoperative bleeding. There was no evidence of an increase in complications.ResumenIntroducciónUna complicación frecuente tras una artroplastia total de cadera es el sangrado, y para reducirlo se utiliza el ácido tranexámico (TXA) intravenoso. Recientemente se han publicado los beneficios de su aplicación tópica. Consideramos necesario realizar un estudio que justifique qué vía de administración resulta superior.Material y métodoEstudio prospectivo, controlado, aleatorizado en 2 brazos realizado entre febre...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Experimental validation of finite elements model in hip fracture and its clinical applicability
ConclusionThe FEA computational model developed by this multi-disciplinary research team could be considered, as a whole, a complete FEA model of the proximal extremity of the femur with future clinical applicability since it was able to simulate and imitate the biomechanical behaviour of human femurs contrasted with a traditional experimental model made from anatomical specimens. On this basis, qualitative and quantitative interactions can be assessed which consolidate it as a powerful computational experimentation test bench for the human proximal femur.ResumenLa fractura de la extremidad proximal de fémur es objeto de ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research

Effect of the calcaneal medializing osteotomy on soft tissues supporting the plantar arch: A computational study
Publication date: March–April 2019Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 63, Issue 2Author(s): R. Larrainzar-Garijo, C. Cifuentes de la Portilla, B. Gutiérrez-Narvarte, E. Díez-Nicolás, J. BayodAbstractMedializing calcaneal osteotomy forms part of the treatment options for adult acquired flat foot. The structural correction that is achieved is widely known. However, the effect of this procedure on the soft tissues that support the plantar arch has been little studied, since it is not possible to quantify experimentally the tension and deformation variations generat...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - March 8, 2019 Category: Orthopaedics Source Type: research