Complications associated with the techniques for anterior cruciate ligament reconstruction in patients under 18 years old: A systematic review
Conclusions The different anterior cruciate ligament reconstruction techniques in patients under 18 years old had low complications related to lower limb growth, arthrofibrosis and review. There was a higher percentage of cases of length discrepancy and axis deviation with physeal-sparing techniques than with the other surgical techniques. The evidence level studies cannot determine causality. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

Efficacy and safety of the topical application of tranexamic acid in primary cementless hip arthroplasty: Prospective, randomised, double-blind and controlled study
Conclusions The use of topical tranexamic acid in cementless total hip arthroplasty results in a decrease in bleeding and transfusion requirements without increasing the incidence of complications. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

Do we publish what we preach? Analysis of Spanish Shoulder and Elbow Surgery Society publication rates
Discussion The majority of papers presented at SECHC congresses do not end up with a publication. The papers that are published do not usually contain significant differences compared to the content delivered at the congress. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

Ankle fracture controversies: Do the foot and ankle specialists have a different vision?
Conclusions The foot and ankle specialists ask for more complementary tests to diagnose ankle fractures. In turn, they use a greater diversity of surgical techniques in synthesis of the posterior malleolus (posterior plate) and the medial malleolus (cerclage wires). Finally, they indicated a lower revision rate of the internal lateral ligament. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

The use of an intraarticular catheter on fast-track primary knee arthroplasty, is it a step forward?
This study compares the efficacy in post-operative pain control of the intraarticular catheter compared to the epidural catheter after primary total knee arthroplasty. Material and method Randomised clinical trial consisting of two groups of patients. A control group with intradural anaesthesia and an intraoperative epidural catheter (ropivacaine) and an intervention group using the same anaesthetic technique and an intraarticular catheter with an elastomeric pump (ropivacaine+dexketoprofen). Data such as demographic, anaesthetic and surgical variables, pain intensity according to Verbal Rating Scale, opioid use and compl...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

Tibial bone lengthening via external fixation: Comparative study of the traditional technique and a technique with intramedullary nail assistance
Discussion and conclusions Lengthening over an intramedullary nail is more effective than using external fixation alone for tibial lengthening with regard to time of external fixation, index of external fixation and complication rate. We found no advantages in terms of consolidation and joint mobility. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

Percutaneous K wire fixation in pediatric lateral condylar fractures of humerus: A prospective study
Conclusion Percutaneous K-wire fixation is an effective treatment for unstable displaced lateral condylar fractures of the humerus in children. If fracture displacement after closed reduction exceeds 2mm, open reduction and internal fixation is recommended. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - February 6, 2018 Category: Orthopaedics Source Type: research

Tibiotalocalcaneal fusion with a cemented coated retrograde nail as a salvage procedure for infected ORIF of the ankle
We present a case of ankle fracture in a patient with associated morbidity and multiple complications following osteosynthesis, in which tibiotalocalcaneal arthrodesis with cemented with antibiotic coated retrograde nail has achieved a satisfactory final result. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Lumbar segmental artery pseudoaneurysm after L5 pedicle screw placement. A rare vascular complication
We present a case of a massive bleed after a pedicular screw placement during lumbar canal stenosis surgery. Screw malposition led to intraoperative haemodynamic instability after failed attempts to control bleeding in the surgical site. Contrast enhanced CT imaging revealed a lumbar intersegmentary artery injury that was eventually controlled by means of a coil embolisation. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Predictive factors of hospital stay, mortality and functional recovery after surgery for hip fracture in elderly patients
Conclusions Evaluation of physical, cognitive and social status prior to hip fracture should be the basis of an individual treatment plan because of its great prognostic value. Multidisciplinary teams with continuous monitoring of medical problems should prevent and treat complications as soon as possible. Intravenous iron and specific nutritional supplements can improve functional recovery six months after hip fracture. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Adult spinal deformity treated with minimally invasive surgery. Description of surgical technique, radiological results and literature review
We describe the technique used and review the references on the subject. We conclude that the MIS technique for treating adult spinal deformity has comparable results to those of the conventional techniques but with fewer complications. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arthroplasty with scaphoid anchorage
Conclusion Resurfacing arthroplasty is proposed as a good and novel alternative in treating isolated SST joint arthritis. Achieving the correct balance between the strength and mobility of the wrist, without causing carpal destabilisation, is important to obtain satisfactory clinical and functional results. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Surgical treatment of extra-articular distal-third diaphyseal fractures of the humerus using a modified posterior approach and an extra-articular plate
Conclusion Surgical fixation of these fractures through a modified posterior approach with a posterolateral plate minimises iatrogenic nerve injury, provides better visualisation of the proximal humerus, provides stable fixation of these injuries and results in high union rates and overall excellent functional results. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Factors associated with lumbar disc hernia recurrence after microdiscectomy
Conclusion In our series we found that the higher rate of disc height, the percentage of spinal canal occupied by the hernia and degenerative facet joint changes were associated with hernia recurrence. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research

Outcomes using wedge stem with full hydroxiapatite coverage with a minimum of 5 years ’ follow-up
Conclusions The radiological results confirm the benefits of this type of stem with good osteointegration. The clinical and subjective results are promising. With good surgical technical and without complications the risk of aseptic loosening should be absent or minimal. (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 21, 2017 Category: Orthopaedics Source Type: research