Superior capsular reconstruction of irreparable rotator cuff tear using autologous hamstring graft
ConclusionSCR with a hamstring graft improves the function of the shoulder in PSIRCT, and is an alternative technique for treating these injuries without closing the door to other types of surgery.ResumenObjetivoEl objetivo de este estudio es investigar los resultados clínicos y los hallazgos radiográficos tras la reconstrucción de la cápsula superior (RCS) en las roturas irreparables posterosuperiores sintomáticas (RIPS) del manguito de los rotadores mediante una nueva técnica de RCS utilizando injerto autógeno de isquiotibiales.Material y métodosDesde 2014 hasta 201...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Prognosis of deep infection in spinal surgery using implants, treated by retention, removal of bone graft and lengthy antibiotherapy
ConclusionsTreatment based on debridement, retention of the instrumentation, graft replacement and lengthy courses of antimicrobial therapy seems a very effective strategy in the treatment of patients with deep surgical site infection in spine surgery.ResumenObjetivoLa infección profunda de la herida quirúrgica (IPHQ) es una complicación que predispone a un alto riesgo de fracaso en cirugía raquídea con fijación vertebral. El objetivo del presente estudio ha sido valorar la tasa de IPHQ en este tipo de pacientes y su pronóstico siguiendo un abordaje terapéutico homog&...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Classification of the transverse pattern of Mason II radial head fractures and its usefulness in arthroscopic osteosynthesis. Anatomo-surgical study
ConclusionsDepending on the location of the fracture in the head of the radius with respect to the bicipital tuberosity, we will need access through a specific arthroscopic portal, with the medial quadrants (anteromedial and posteromedial) being the most technically demanding.ResumenObjetivoLa reducción y fijación de la fractura de la cabeza del radio tipo Mason II asistida por artroscopia es una técnica válida que proporciona buenos resultados. El objetivo de este estudio es llamar la atención sobre la utilidad de la localización de la fractura en la cabeza del radio en cuadrantes...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Reliability of the talocalcaneal angle for the evaluation of hindfoot alignment
The objective of this study was to standardize the TCA measurement technique, and to evaluate the inter and intra-observer reproducibility of the proposed technique.MethodsThe foot CT scans of a group of 30 patients between 10 and 17 years of age were analysed. Ten patients had talocalcaneal coalitions, ten calcaneonavicular coalitions and ten had no coalitions. The inter and intra-observer reproducibility of the TCA was evaluated by the intraclass correlation coefficient (ICCs). A mixed-effects ANOVA model was used to calculate the ICCs for ICC2 agreement (A, 1). This procedure was applied to the three observers (inter-ob...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Discoid meniscus in children and adolescents: Correlation between morphology and meniscal tears
ConclusionThe results of this series support the theory that a larger meniscal size would be one of the main predisposing factors for the DM to be injured.Study designCross-sectional study (Level of evidence: III).ResumenIntroducciónAlgunos autores han sugerido que su menor vascularización, la estabilidad periférica y el grosor del menisco discoide (MD) lo predispondrían a lesionarse. Los objetivos de este estudio son: 1) Analizar las características morfológicas por resonancia magnética (RM) de este grupo, y 2) Correlacionar el tamaño del menisco con la presencia de ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Results of partial resurfacing of humeral head in patients with avascular necrosis
Publication date: January–February 2019Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 63, Issue 1Author(s): M. Ranalletta, A. Bertona, I. Tanoira, L.A. Rossi, S. Bongiovanni, G.D. MaignónAbstractObjectiveThe aim of this study was to report the short-term results and complications of partial humeral head resurfacing (HemiCup®) in patients treated by avascular necrosis.Material and methodsBetween 2010 and 2014, 9 patients who underwent partial resurfacing of humeral head were evaluated. All the patients were treated by avascular necrosis. ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Review of catastrophic hand diagnosis over 15 years in a tertiary hospital: Do we make proper use of the term?
ConclusionWe advocate limiting the use of ‘catastrophic hand’ to cases that meet criteria of ‘mutilated hand’ and ‘metacarpal hand’ to avoid indiscriminate use of the term and optimise therapeutic management.ResumenObjetivoDescribir las características de los pacientes diagnosticados de «mano catastrófica» por el Servicio de Cirugía Plástica en un hospital de tercer nivel en el periodo comprendido entre 2000 y 2015; analizar la evolución del uso del término «mano catastrófica», y realizar una revisión bibliog...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Treatment of complex Charcot foot by single stage surgery with static circular fixation. Case series report
ConclusionsThe objectives of the study in Charcot foot are to avoid amputation and achieve a functional plantigrade foot, without ulcer.Single-stage surgery with static circular external fixation is reproducible in our country, and also a valid technique for those cases in which internal fixation may not be the best option.ResumenObjetivoPresentamos los resultados de una serie de casos de pie de Charcot tratados mediante cirugía en un solo tiempo con fijador circular estático.Material y métodoRevisión retrospectiva de 10 casos tratados con fijación externa circular estática desde 2...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Prognosis and treatment of acrometastases: Observational study of 35 cases treated in a single institution
ConclusionAcrometastases are more frequently seen in the lower extremities and the most frequent tumour was hypernephroma followed by lung. The treatment of acrometastases depends on the prognosis of the primary tumour, so a multidisciplinary approach is essential. The mean survival in our series did not imply a poorer prognosis for acrometastases, so it is feasible to consider surgical options such as wide resection and reconstruction. A unique acrometastases is a good prognosis signal.ResumenObjetivoExiste cierta contradicción en la literatura acerca del tumor primario que se asocia con más frecuencia a las...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Cost of osteoporotic hip fracture in Spain per Autonomous Region
ConclusionsOHF place a large burden on Spanish Regional Health Systems, including high economic costs. We found notable differences in mean costs across the Regions, mainly caused by the differential length of the first hospital stay and the outpatient care in subsequent months. These differences may be associated with differences in surgical delay. A national consensus on the management of OHF is desirable; moreover, agreeing common guidelines could have major socio-economic and healthcare benefits.ResumenObjetivoSe estimó la utilización de recursos sanitarios (URS) y costes asociados durante los 12 mes...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

An unusual case of posterior elbow dislocation with proximal radioulnar translocation
This article stresses the importance of making an early diagnosis of this variety of dislocation; this is the best way to prevent it from going unnoticed. The use of Computed Tomography (CT) helped this early diagnosis, enabling an immediate closed orthopaedic reduction and achieving a cure without sequelae.ResumenPresentamos el caso de una niña de 9 años que sufrió una luxación posterior del codo derecho con translocación proximal entre el cúbito y el radio. Se trata de un tipo de luxación excepcional que en nuestro caso no se acompañó de lesiones de las super...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Letter to the Editor on “Efficacy and safety of the topical application of tranexamic acid in primary cementless hip arthroplasty: Prospective, randomised, double-blind and controlled study”
Publication date: January–February 2019Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 63, Issue 1Author(s): B. Barrachina, I. Iriarte, A. Albinarrate, A. Lopez-Picado (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - January 10, 2019 Category: Orthopaedics Source Type: research

Interimplant femoral fractures: Risk factors, treatment and evolution
Conclusionsinterimplant fractures are predominant in elderly women. Osteoporosis is a statistically significant risk factor. Despite optimal treatment and fracture healing, functional outcomes were decreased. Specific classification systems and therapeutic algorithms are necessary to improve the management and prognosis of these patients.ResumenObjetivoDeterminar los factores de riesgo implicados en el desarrollo de las fracturas interimplante de fémur, analizar los tratamientos empleados en las mismas y su influencia en el pronóstico clínico y funcional de los pacientes.Material y métodosEstudi...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Leiomyosarcomas affecting main vessels in the lower extremities
Discussion and conclusionsVascular leiomyosarcomas are highly aggressive tumours with a low survival rate at 5 years. In our study, 50% of the patients remain in complete remission with a mean follow-up of 23 months. Their onset frequently associates the presence of tumour mass with thrombotic phenomena (33% of our cases). Tumour resection surgery usually compromises the main vascular structures, which implies resection and vascular reconstructive techniques to salvage the limb.ResumenObjetivosEvaluar los resultados de la resección en bloque y la reconstrucción vascular de leiomiosarcomas con afectació...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Assessment of clinical parameters of the polytraumatized patient as predictors of hospital expenditure and of its distribution
ConclusionsPolytraumatized patients with severe multisystem injury present increased costs in multiple components of the treatment cost. Patients with TBI or chest trauma present a higher cost for admission to ICU and those with orthopaedic trauma are associated with greater expenditure on surgical activity.ResumenIntroducciónLa enfermedad traumática continúa representando un importante problema socio-sanitario. El objetivo del estudio es valorar predictores clínicos del gasto total, así como analizar que componentes del coste se modifican con cada parámetro clínico del poli...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Connections between the median and ulnar nerves evidenced by electromyography in Lima, Peru, 2016
ConclusionIt is concluded that of the 4 types of connection studied the most frequent in our environment was the Riche-Cannieu with predominance of the left arm and in isolation.ResumenIntroducciónLas conexiones son uniones frecuentes entre 2 elementos anatómicos similares. En el antebrazo, entre los nervios mediano y cubital se presentan algunas de las más comunes, las cuales tienen importancia clínica debido a que producen variaciones en la inervación motora y sensitiva que pueden crear confusiones al momento de diagnosticar alguna enfermedad del nervio periférico.Mét...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Early dislocation in primary total hip arthroplasty using a posterior approach with repair of capsule and external rotators
ConclusionsCapsular repair and transosseous reattachment of the external rotators can help to reduce the incidence of dislocation in patients undergoing primary total hip arthroplasty through a posterior approach.ResumenObjetivoDeterminar la incidencia de luxación después de una artroplastia total de cadera primaria utilizando un abordaje posterior con reparación capsular y reinserción transósea de rotadores externos.Material y métodoEstudio de una cohorte histórica entre enero del 2009 y diciembre del 2015 de todos los casos de luxación de artroplastia total de cader...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Burch-Schneider ring associated with morselized bone allografts, survival and clinical outcomes after acetabular revision surgery
The objective of the study is to evaluate the results and survival of these types of implants in acetabular revision surgery in the medium follow-up.Material and methodsRetrospective study on a cohort of 64 patients (67 replacements) with BS rings associated with morselized bone allografts in a 2 years minimum follow-up. Data were collected regarding clinical outcomes, graft incorporation, implant mobilization, survival and complications.ResultsThe mean follow-up was 5.06 years (R = 2.2–12). The Merle scale improved from 8 points to 15 points at the end of follow-up (p 
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Metal-on-metal surface hip arthroplasties. Is annual monitoring of blood metal levels necessary?
ConclusionIn the medium term and in asymptomatic patients, the metallic blood levels remained unchanged; therefore, it does not seem appropriate to repeat these tests on a permanent basis in annual controls.ResumenIntroducciónLa determinación periódica de los niveles de cromo (Cr) y cobalto (Co) en sangre ha sido utilizada para evaluar las reacciones adversas secundarias al desgaste metal-metal en las artroplastias de superficie de cadera. El objetivo de nuestro estudio es evaluar los niveles de Cr y Co en sangre en una serie de pacientes asintomáticos con artroplastias de superficie con un segu...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Normal values of 3 methods to determine patellar height in children from 6 to 12 years
This study shows that the Koshino–Sugimoto index had the highest reliability, reproducibility and similarity in the population studied, both intraobserver and interobserver.The other methods evaluated also had variability indices to be taken into account, but were inferior to the Koshino–Sugimoto index.ResumenEl objetivo del estudio es comparar 3 métodos para medición de rótula alta en niños, Caton-Deschamps, Blackburne-Peel y Koshino-Sugimoto, y determinar cuál es el valor normal de cada método en un grupo de niños normales.Materiales y métodosEs un estud...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

One year follow-up after treatment with CCH for Dupuytren's contracture: A prospective view
ConclusionsTreatment with CCH for Dupuytren's contracture is an effective treatment in the medium term. It has a poorer outcome in combined joint disorders, 5th finger, PIP and severe cases.ResumenObjetivoEl tratamiento con colagenasa Clostridium histolyticum (CCH) ocupa hoy en día una alternativa para la contractura de Dupuytren. Nuestro objetivo es valorar su eficacia a un año en una serie de pacientes consecutivos.Material y métodoEstudio prospectivo con seguimiento mínimo de los pacientes de un año. Valoración de resultados y efectos adversos.ResultadosSe incluye un total de 75...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Surgical treatment of hip ankylosis due to heterotopic ossification secondary to spinal cord injury
ConclusionsSurgical excision of hip ossification in order to achieve functional ROM of the hip is the best treatment for patients with neurogenic heterotopic ossification of the hip.ResumenObjetivoExponer nuestra experiencia en el diagnóstico y tratamiento quirúrgico de la anquilosis de cadera secundaria a osificación heterotópica periarticular.Material y métodosEstudio descriptivo, longitudinal, de cohortes, retrospectivo, de 20 pacientes consecutivos (30 caderas) afectos de osificación heterotópica periarticular secundaria a lesión medular en los últimos 10 a...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Scaphoid–trapezium hereditary coalition. A case report
We present a case of bilateral intercarpal coalition between the trapezium and scaphoid as an incidental finding, confirming its hereditary origin since a parent has the same bilateral coalition.ResumenLas coaliciones carpianas son relativamente frecuentes entre huesos de la misma hilera del carpo. Son mucho más infrecuentes las coaliciones entre huesos de diferente hilera. Presentamos un caso de coalición intercarpiana entre trapecio y escafoides bilateral como hallazgo casual, confirmando su origen hereditario ya que uno de los progenitores presenta la misma coalición. (Source: Revista Espanola de Ci...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

Lumbar arthrodesis infection by multi-resistant Klebsiella pneumoniae, successfully treated with implant retention and ceftazidime/avibactam
We present the first case of infection of a lumbar instrumentation by Klebsiella pneumoniae producing carbapenemase D, OXA-48 type, and successfully treated.ResumenCada vez son más los pacientes portadores de implantes protésicos (prótesis ortopédicas, instrumentaciones lumbares, material de osteosíntesis). En la última década se han incrementado las infecciones producidas por enterobacterias resistentes a carbapenémicos (bacteriemias, abscesos, infecciones urinarias, etc.) con gran dificultad para el tratamiento y una importante comorbilidad asociada. Presentamos el ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - November 24, 2018 Category: Orthopaedics Source Type: research

The hunted hunter. SECOT needs a refoundation to face the fourth industrial revolution
Publication date: September–October 2018Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 62, Issue 5Author(s): E. Guerado (Source: Revista Espanola de Cirugia Ortopedica y Traumatologia)
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Midterm results of Magnum large head metal-on-metal total hip arthroplasty
We present the results of the prospective follow up of a sample of large head metal-metal total hip arthroplasty obtained after the safety alert regarding a higher incidence of revision of these implants.Material and methodsAll patients implanted with the Recap-M2a-Magnum cup between 2008 and 2011 were included. They were prospectively reviewed recording Harris Hip Score, clinical symptoms of chromium or cobalt intoxication. Serum levels of these ions were requested as well as X-rays and ultrasonography. An MRI was performed in the cases of positive ultrasonography.ResultsTwenty-six males with a mean age of 48.54 years [32...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Analysis of the order-implantation relationship for musculoskeletal tissue transplantation
DiscussionA non-utilization rate of 30% was identified, of which 17% was from surgery that was not performed and 13% from surgery that was performed, but the tissue was returned to the tissue bank, because it was not required. In a further 10% there was partial return of the tissue. Based on this analysis, we consider that it is important to have direct confirmation of the surgery to avoid sending tissue for discontinued surgeries, since in addition to the economic impact, the bank must ensure adequate temperature maintenance during transportation and storage in the transplantation centre, to avoid discarding said tissue i...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Endoscopic treatment of sciatic nerve entrapment in deep gluteal syndrome: Clinical results
The objective was to evaluate the clinical results in patients with DGS treated with an endoscopic technique.MethodsRetrospective study of patients with DGS treated with an endoscopic technique between 2012 and 2016 with a minimum follow-up of 12 months. The patients were evaluated before the procedure and during the first year of follow-up with the WOMAC and VAIL scales.ResultsForty-four operations on 41 patients (36 women and 5 men) were included with an average age of 48.4 ± 14.5. The most common cause of nerve compression was fibrovascular bands. There were two cases of anatomic variant at the exit of ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Development of appropriateness criteria for hip arthroscopy in patients with femoroacetabular impingement
ConclusionsWe developed an explicit set of criteria for the appropriate use of hip arthroscopy in FAI using the RAND/UCLA method, providing a tool that would identify patients who are potential candidates for surgical treatment using arthroscopic hip surgery.ResumenIntroducciónEl uso de la artroscopia de cadera como tratamiento del choque femoroacetabular (CFA) ha aumentado exponencialmente en los últimos años sin que exista evidencia robusta o consenso sobre los pacientes que se benefician de ella.ObjetivoElaborar criterios explícitos para la indicación adecuada de la artroscopia de cade...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Changes in patellar height due to bone-tendon-bone graft
ConclusionsThe use of patellar tendon with closure of the paratenon in ACL reconstruction was not shown to modify patellar height within the radiological follow-up of two years.ResumenObjetivoLas complicaciones asociadas al uso de injertos del ligamento cruzado anterior (LCA) son frecuentes. Los cambios en la altura, sobre todo de la patela baja, pueden ser la razón de la aparición de dolor en la zona anterior de la rodilla. Diversos estudios han asociado la reconstrucción del LCA mediante la técnica de injerto hueso-tendón-hueso con patela baja.MétodosCuarenta y tres pacientes con...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Experience using the ‘Shetty test’ for initial foot and ankle fracture screening in the Emergency Department
ConclusionsThe Shetty test is a valid clinical screening tool to decide whether simple radiography is indicated for foot and ankle injuries. It is a simple, quick and reproducible test.ResumenObjetivoLa práctica indiscriminada de radiografías en los traumatismos de pie y tobillo no está justificada y numerosos estudios han corroborado la utilidad de los tests de despistaje clínicos como las reglas del tobillo de Ottawa. El objetivo de nuestro estudio es validar clínicamente el denominado test de Shetty.Material y métodoEstudio transversal observacional mediante aplicación de...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Initial support with no immobilisation as therapy of choice for fractures of the fifth metatarsal
ConclusionsFunctional treatment for metatarsal fractures provides earlier healing and fewer adverse effects than conventional therapies, and becomes first choice for non-displaced fractures and most displaced fractures of the fifth metatarsal.ResumenObjetivoComprobar la efectividad del tratamiento de las fracturas del quinto metatarsiano mediante la aplicación de la carga precoz del miembro afecto sin inmovilización (tratamiento funcional).Material y métodoEstudio analítico observacional retrospectivo de casos y controles realizado sobre 382 fracturas del quinto metatarsiano en el que se compara...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Monitoring of glycolytic activity secondary to ischaemia in knee replacement surgery
ConclusionsIn our study, postoperative serum lactate values were significantly higher than preoperative lactate values, with no correlation to the duration of ischaemia during knee replacement surgery.ResumenObjetivosEvaluar de forma no invasiva la lesión tisular secundaria a la isquemia aplicada durante la cirugía sustitutiva de rodilla. Objetivos secundarios: evaluar si dicha lesión se correlaciona con el tiempo que se prolonga la isquemia y la influencia de las variables instrumental y sexo.Material y métodoEstudio de cohortes prospectivo. Se han determinado los niveles pre- y postoperatorios...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Utility of percutaneous catheters for local anaesthetics infusion for postoperative pain control in lumbar arthrodesis. A prospective cohort study
ConclusionsA trend to lower pain records was found in the group treated with catheters, although differences were not statistically significant.ResumenObjetivoValorar si la administración asociada de levobupivacaína a través de dos catéteres percutáneos submusculares conectados a dos bombas elastoméricas en el postoperatorio de la artrodesis instrumentada lumbar es más eficaz que el uso aislado de analgesia intravenosa controlada por el paciente con cloruro mórfico y comparar sus efectos secundarios.Material y métodoEstudio observacional, prospectivo, de cohort...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Comparative functional analysis between pyrolytic carbon prostheses and ligamentous suspension/reconstruction in the treatment of rhizarthrosis
ConclusionsPyrolytic carbon prostheses have shown inferior functional outcomes, compared with resection/suspension/reconstruction arthroplasties.ResumenObjetivoEvaluar el resultado funcional a medio plazo de la utilización del implante de carbón pirolítico (PyroDisk) en el tratamiento de la rizartrosis del pulgar, comparando sus resultados con la artroplastia de resección-suspensión-reconstrucción ligamentosa.Material y métodoEstudio transversal que compara de forma retrospectiva 2 grupos de pacientes entre 40 y 65 años con rizartrosis del pulgar. Los 32 paciente...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Metacarpophalangeal portal safety: An anatomical study
ConclusionsThe third finger was the safest to perform metacarpophalangeal portals, while the ulnar side of the second finger and radial side of the fourth had the highest risk of nerve injury.ResumenObjetivoCuantificar el riesgo de lesión de la inervación dorsal al realizar portales directos de la articulación metacarpofalángica del segundo al quinto dedo.Material y métodoSe realizó un estudio anatómico de 11 extremidades superiores de cadáveres frescos.Tras colocarlos en torre de tracción, se realizaron los portales metacarpofalángicos a ambos lados del...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Metacarpophalangeal joint of the thumb arthrodesis using intramedullary interlocking screws XMCP™
Publication date: September–October 2018Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 62, Issue 5Author(s): C.N. Novoa-Parra, D. Montaner-Alonso, J. Morales-RodríguezAbstractThe study objective was to assess the results of a thumb metacarpophalangeal joint (MCPJ) arthrodesis using intramedullary interlocking screws at 25°, XMCP ™ (Extremity Medical, Parsippany, NJ). Radiographs evaluated the angle of arthrodesis, time of fusion and fixation of the implant. Clinical and functional outcomes were assessed using the DASH questionnaire...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - August 29, 2018 Category: Orthopaedics Source Type: research

Outcomes of rotator cuff augmentation surgery with autologous fascia lata
ConclusionOur preliminary results regarding rotator cuff augmentation surgery with autologous fascia lata showed a significant improvement in pain levels after 6 months compared to the patients with no augmentation, who required 12 months to reach the same values. After a year of follow up, there were no differences between the mean Constant and pain scores in either intervention group The number of retears in the non-graft group was greater than that in the group with grafts although the difference was not significant.ResumenObjetivoEvaluar si el injerto de refuerzo con fascia lata autógena mejora los resultados fu...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Osteochondromas of the proximal humerus. Diagnostic and therapeutic management
ConclusionsOsteochondromas of the proximal humerus do not differ from those in other locations. Symptomatic cases and those in which malignancy is suspected would be operated, the former preferably at the end of growth. The surgical treatment is summarised in planning the approach, using CT and/or MRI, extraperiosteal en bloc resection, and eventual bone reconstruction, ideally with allograft.ResumenObjetivo1) Recordar la epidemiología y semiología de los osteocondromas del extremo proximal del húmero (EPH); 2) determinar las indicaciones de su tratamiento y 3) hacer recomendaciones relativas al tratam...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Comparison of functional results of two fixation systems using single-row suturing of rotator cuff
Discussion and conclusionsThe functional results of the single-row cuff suture are satisfactory, although biomechanical studies show advantages in favor of sutures that reproduce a transoseo system. It our series of patients the presence of knotting does not show per se a significant functional difference being both superimposable techniques in absolute values of functionality and patient satisfaction.ResumenIntroducciónLa reparación artroscópica de los trastornos del manguito rotador es un procedimiento técnicamente exigente pero exitoso. En la actualidad hay disponibles muchas alternativas de ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Surgical treatment in bone metastases in the appendicular skeleton
DiscussionThe presence of a fracture in previously damaged territory is a catastrophic complication for most cancer patients. A clear understanding of the life expectancy of patients with bone metastases is of great help to prevent errors and failures in treatment.ResumenIntroducciónLa enfermedad ósea metastásica es el proceso neoplásico más común que afecta al sistema esquelético. El 80% de las metástasis óseas están dadas por los carcinomas de mama, pulmón, riñón, tiroides y próstata. La escala de Katagiri permite hacer una ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Tibial tunnel widening associated with anterior cruciate ligament reconstruction using autogenous hamstrings: A comparison between antero-medial portal and transtibial techniques
ConclusionsThe diameter of the tibial tunnel emergence for hamstring autologous anterior cruciate ligament reconstructions was significantly lower for the medial portal technique when compared with the conventional TT technique.ResumenObjetivoEvaluar el diámetro de la emergencia del túnel tibial con relación a la técnica de reconstrucción del ligamento cruzado anterior, empleando isquiotibiales autógenos, y comparar las técnicas a través del portal anteromedial (PAM) y la convencional transtibial (TT).MétodosEstudio prospectivo, aleatorizado y comparativo de 36...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Cross-linked polyethylene does not reduce wear in total knee arthroplasty
ConclusionsCross-linked polyethylene does not significantly reduce the generation of polyethylene particles in patients with total knee arthroplasty, 3 years after the surgical procedure.ResumenObjetivoComparar dos pares de fricción (metal/polietileno de ultra alto peso molecular [UHMWPE], metal/polietileno de alto entrecruzamiento) mediante análisis cuantitativo y cualitativo de partículas de polietileno en líquido sinovial a los 3 años postintervención en pacientes portadores de prótesis total de rodilla (PTR).Material y métodosSe llevó a cabo un estudio de c...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Septic arthritis caused by Granulicatella adiacens after anterior cruciate ligament reconstruction
We describe a case of septic arthritis after ACL reconstruction. We found no published case of septic arthritis caused by this microorganism after knee arthroscopy. It is probably the first case published in the literature.ResumenLa artritis séptica tras una artroscopia de rodilla es muy poco frecuente. Se estima una tasa de infección postoperatoria en torno al 0,15-0,84%1, según las series. El procedimiento artroscópico más frecuentemente asociado a infección es la reconstrucción del ligamento cruzado anterior (LCA), cuya frecuencia está en torno al 0,3-1,7%2. El mic...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

O-POSSUM score predicts morbidity and mortality in patients undergoing hip fracture surgery
ConclusionBy comparing the observed results with those predicted, the O-POSSUM scale is reliable in predicting mortality and overestimates morbidity.ResumenObjetivoValorar la capacidad del índice O-POSSUM de predecir la morbimortalidad de los pacientes intervenidos por fractura de la cadera.Material y métodoSe revisaron retrospectivamente las historias clínicas de todos los pacientes mayores de 65 años intervenidos de fracturas de la cadera entre enero de 2012 y diciembre de 2013. Se incluyó a 229 pacientes, la edad media fue de 82,3 años y 170 fueron mujeres. Se recogier...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Arthrodesis of the proximal interphalangeal joint of the 4th and 5th finger using an interlocking screw device to treat severe recurrence of Dupuytren's disease
ConclusionThe system offers a reliable method for IPJ arthrodesis at a precise angle. It promotes stable fixation that does not require prolonged immobilisation. It can be used together with other procedures on the hand with severe recurrence of DD. The functional outcomes for this group of patients using this device were poor.ResumenObjetivoValorar el resultado radiológico y funcional de la artrodesis de la articulación IFP del 4.° o 5.° dedo de la mano mediante el sistema intramedular de tornillos entrelazados a compresión APEX™ (Extremity Medical, Parsippany, NJ) en pacientes afectos d...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Clinical assessment of patients with isolated hip fractures associated with an upper limb fracture
ConclusionsPatients with an associated fracture have a higher previous functional capacity and they are more independent. Nevertheless, after the fracture they need more help from the healthcare system for optimal functional recovery.ResumenIntroducciónHay una proporción de pacientes con fractura de cadera que tienen una fractura de miembro superior concomitante. Queremos conocer si estos pacientes muestran un peor nivel funcional y si presentan diferencias en distintos parámetros clínicos con respecto a los que tienen una fractura aislada de cadera.Material y métodosSe han revisado retro...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Remote cerebellar hemorrhage caused by undetected dural tear after lumbar spinal surgery
We report a case of 67-year-old female who suffered a cerebellar and subarachnoid haemorrhage and subdural haematoma after elective lumbar fusion surgery and eventually required decompressive craniectomy.ResumenLa hemorragia cerebelosa (HC) distal es una complicación infrecuente pero grave tras cirugía espinal. Aunque el mecanismo de aparición sigue siendo desconocido, sucede tras la pérdida de líquido cefalorraquídeo (LCR) por desgarro dural, no siempre objetivado, lo que produce un sangrado venoso a distancia. El pronóstico depende en gran medida de la gravedad de dicha he...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

3D printing utility for surgical treatment of acetabular fractures
ConclusionsIn conclusion, our results suggest that the use of preoperative planning, by printing 3D mirror imaging models of the opposite hemipelvis and pre-contouring plates over the mould, might effectively achieve a predefined surgical objective and reduce the inherent risks in these difficult procedures.ResumenIntroducciónLa planificación y premodelado 3D nos permiten un diagnóstico más efectivo y poder realizar una simulación del procedimiento quirúrgico.Material y métodosDescribimos 20 fracturas de acetábulo en las que se premoldearon las placas de osteosí...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research

Consequences of quality of reduction on osteosynthesis complications and quality of life in elderly patients with subtrochanteric fracture
Publication date: July–August 2018Source: Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 62, Issue 4Author(s): P. Codesido-Vilar, A. Mejía-Casado, J. Riego-Fernández, N. Rodriguez-Casas, S. García-Cabanas, J. Rivas-Felice, L. García-QuevedoAbstractObjectiveTo compare results in terms of orthopaedic complications and quality of life in elderly patients with subtrochanteric fracture treated with intramedullary nailing according to fracture reduction status.Patients and methodsA prospective cohort study including 90 elderly patient...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - July 11, 2018 Category: Orthopaedics Source Type: research