Revista Espanola de Cirugia Ortopedica y Traumatologia This 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.

Prospective study on effectiveness and safety of arthroscopic Bankart using a single anterior portal for patients with anterior shoulder instability
ConclusionsBoth techniques were satisfactory regarding functional outcomes and complications, except for type-III SLAP lesions. Using only one anterior portal, the surgical time was shorter, and the costs were lower when dispensing with a second cannula and a suture passing instrument.RESUMENObjetivoevaluar la efectividad y seguridad de la técnica artroscópica de Bankart utilizando un solo portal anterior en pacientes con inestabilidad anterior de hombro.Pacientes y métodosestudio prospectivo de 82 pacientes operados con técnica de Bankart artroscópica de hombro utilizando un solo portal anterior. Comparación con una...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 2, 2019 Category: Orthopaedics Source Type: research

Endoscopic release of the median nerve in the proximal third of the forearm. A new approach
ConclusionsIt is possible to perform a complete decompression of the median nerve in the forearm using an endoscopic approach, safely with lower comorbidity for the patient.ResumenIntroducciónEl síndrome de pronador ha requerido clásicamente de una cirugía abierta que deja gran cicatriz; técnicas endoscópicas iniciales requerían abordajes de 4 cm en promedio y sin lograr una liberación de todas las estructuras. El propósito de este estudio es describir un nuevo abordaje endoscópico que permita descomprimir el nervio mediano de forma segura y completa con una cicatriz de menor tamaño y menos visible.Métodos...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 2, 2019 Category: Orthopaedics Source Type: research

Chronic recurrent multifocal osteomyelitis in pediatrics: A diagnostic challenge
We present the case of a 14-year-old male with a 2-week history of pain located at the tibial metaphysis and fever. X-ray revealed a lytic lesion in the tibial metaphysis. MRI revealed an intramedullary bone lesion with perilesional bone oedema. CT-guided biopsy discounted malignancy and microbiological cultures were negative. The patient's symptoms and fever worsened after the biopsy; therefore antibiotherapy was commenced for a suspected superinfection. A body MRI was performed given the persistence of the fever, which found a second active lesion in the spine that was diagnosed as CRMO and progressed well with anti-infl...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 2, 2019 Category: Orthopaedics Source Type: research

Influence of instrumentation on the surgical time to implant a total knee prosthesis
ConclusionsIn our study, the time taken for TKA was significantly lower when we used customized cutting blocks rather than other systems.ResumenObjetivoDemostrar si existe diferencia en el tiempo que se prolonga la cirugía para implantar una prótesis de rodilla (PTR) atendiendo al sistema de instrumentación empleado.Material y métodoAnálisis retrospectivo de la duración de 243 intervenciones (tiempo piel-piel y tiempo de isquemia) realizadas por el mismo cirujano. 72 casos intervenidos con instrumental convencional (IC), 68 asistidos por navegador (CAS, de computer assisted surgery) y 103 con bloques de corte persona...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Anthropometrical study of the human glenoid in a normal Spanish population
ConclusionIn comparison, the southern Spanish population have a glenoid size similar to the Caucasian population, but smaller than that of the American population. The data shown could be useful to improve the design of shoulder prostheses for the southern Spanish population.ResumenObjetivoEl objetivo de este estudio es evaluar el tamaño de la glena en una población española normal, compararla con resultados previos en otras poblaciones y relacionarlo con los tamaños de implante que se comercializan para la artroplastia invertida de hombro.Material y métodosEstudio antropométrico de la glena humana utilizando tomogra...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Talus fractures. Functional results for polytraumatized patients
Publication date: September–October 2019Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 63, Issue 5Author(s): F.J. Hierro-Cañas, P. Andrés-Cano, G. Rabadán-Márquez, M.A. Giráldez-Sánchez, P. Cano-LuisAbstractTalar fractures are uncommon lesions (0.1–0.9%) and have a high rate of complications. One of the situations in which a fracture of the talus can occur is in the context of polytrauma which may further compromise the functional prognosis.The aim of this study was to analyse the functional results in patients with talar fractures whether or not they occurred in the ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Do surgical site complications after ankle fracture surgery reduce with Aquacel Extra Ag®?
ConclusionsThe theoretical advantages of silver impregnated dressings need further prospective randomised controlled studies to assess the appropriate indications for their use in orthopaedic surgery.ResumenIntroducciónLas fracturas de tobillo representan un 10% del total de fracturas. La mayor parte requieren tratamiento quirúrgico, que conlleva un importante riesgo de complicaciones de la herida. El objetivo de este estudio ha sido determinar si los apósitos impregnados con plata (Aquacel Ag Extra®) reducen la tasa de complicaciones de la herida quirúrgica tras el tratamiento de las fracturas de tobillo en comparaci...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Comparative cohort study of the SuperPath approach and the conventional posterior approach in primary cementless hip replacement surgery
ConclusionThis prospective randomized study reveals that the learning curve for the SuperPath approach provides similar outcomes to the conventional posterior approach within the first year after surgery. The SuperPath approach was associated with longer skin-to-skin operation time, and greater blood loss.ResumenAntecedentes y objetivoEn la actualidad no existe un consenso sobre cuál es el mejor abordaje de cadera para implantar una prótesis. Sin embargo, sí existe una tendencia a reducir al máximo la lesión sobre los tejidos periarticulares, lo cual puede influir en los resultados a corto plazo. El abordaje Superpath...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Sociodemographic factors affecting the comprehension of clinical information by inpatients undergoing trauma surgery
ConclusionsIn clinical practice, it is fundamental to keep in mind the factors that affect the information process. According to our results, the factors that define greater vulnerability in relation to the information process are age and low educational level.ResumenIntroducciónEl proceso de la información clínica es el pilar de la relación médico-paciente; comienza con la información proporcionada antes de la firma del consentimiento informado y finaliza al terminar la relación médico-enfermo. La influencia de las variables demográficas en el proceso de información ha sido poco estudiada en el paciente hospital...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Tension subcutaneous haematomas associated with anticoagulants in the elderly: Do they have earlier morbidity and mortality than hip fractures?
ConclusionTension haematomas in the extremities associated with anticoagulants occur in patients with multiple comorbidities that make them vulnerable. Surgical drainage is usually delayed by numerous factors which lead to skin defects that require further surgical operations, and prolonged hospital stays that are associated with medical complications. In our study, the average length of stay and in-hospital mortality rate were higher than those for hip fractures, so we should not underestimate this pathology.ResumenIntroducciónLas complicaciones del tratamiento con fármacos anticoagulantes han sido ampliamente descritas...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Comparative study of radiological and functional outcomes following a direct anterior approach versus to a posterolateral approach to the hip
ConclusionsOur results show an initial advantage of the DAA group regarding functional recovery and pain that enabled shorter hospitalization time. This difference equalled out over two months following the procedure. Likewise, we detected a greater complication rate in the DAA group using standard cementless stems.ResumenObjetivoRealizar una comparación funcional y radiográfica de los resultados iniciales obtenidos con la utilización de los abordajes anterior directo y posterolateral en artroplastia total de cadera.Material y métodoEstudio longitudinal prospectivo multicéntrico en 80 pacientes (80 artroplastias total...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Chronic Achilles tendon rupture associated with rupture of the peroneus brevis tendon. A clinical case
We present a rare combination of a delayed Achilles tendon rupture and a peroneus brevis tendon rupture and its management. The importance of the presented case is the combination of both ruptures that adds difficulty to the surgical technique. A thorough analysis should be made of the magnetic resonance findings when planning a tendon transposition. To our knowledge, there are no reports of a simultaneous combination of an Achilles tendon rupture and a peroneus brevis tendon rupture.ResumenEl manejo de una rotura crónica de tendón de Aquiles es un desafío. La mayoría de los cirujanos optan por técnicas de aumentació...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - September 5, 2019 Category: Orthopaedics Source Type: research

Clinical outcome and subchondral bone oedema presence at two-year follow-up after high density autologous chondrocyte implantation treatment in the knee
ConclusionsHD-ACI is an effective and safe treatment that improves pain, clinical perception and functionality of the joint. No correlation was found between the presence of bone oedema and the patients’ clinical outcome.ResumenAntecedentes y objetivoRecientemente se ha descrito una nueva modalidad de la técnica de implante de condrocitos autólogos sobre membrana de colágeno I/III llamada HD-ACI (High Density Autologous Chondrocyte Implantation) que está basada en el aumento de la densidad celular. El objetivo de este trabajo fue estudiar la evolución clínica y la incidencia de la aparición de edema óseo en pacie...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 2, 2019 Category: Orthopaedics Source Type: research

Superior labral anterior to posterior (SLAP) injury in the workplace
ConclusionsSLAP injuries in the workplace are rare and are often a diagnostic finding during surgical intervention performed for a different associated injury. Arthro-magnetic resonance imaging and magnetic resonance imaging have lower reliability than physical exams in the diagnosis of work-related SLAP injuries. A radiologist specializing in musculoskeletal pathology could probably improve the reliability of imaging test interpretation in work-related SLAP injuries.ResumenAntecedentes y objetivoLa lesión del labrum superior anteroposterior (SLAP) es una conocida causa de dolor y disfunción del hombro en pacientes activ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 2, 2019 Category: Orthopaedics Source Type: research

Results measured by means of a motion capture system in proximal humerus fractures treated by osteosynthesis with locking plate
ConclusionLocking plate osteosynthesis in proximal humerus fragility fractures achieved good functional and quality of life scores. Motion capture systems can be a useful tool for the functional assessment of shoulder pathology allowing an objective evaluation of range of motion.ResumenObjetivoEvaluar los resultados de las fracturas de húmero proximal tratadas mediante osteosíntesis con placa empleando captura de movimiento y escalas funcionales.Material y métodoEstudio retrospectivo de 47 pacientes mayores de 65 años, tratados mediante osteosíntesis con placa bloqueada en el mismo centro, desde enero de 2010 a diciem...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 2, 2019 Category: Orthopaedics Source Type: research