Revista Colombiana de Ortopedia y Traumatología最新文献_第6页

Prevalencia de fracturas periprotésicas de fémur en una serie determinada de pacientes con reemplazo de cadera 一组髋关节置换术患者股骨假体周围骨折的患病率

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.04.009

Yesith F. Cristancho, Angie K. Pacheco, Anyi L. Páez, Astrid N. Mariño, C. M. González, J. M. Alvarado, L. Vargas

引用次数: 0

Sangrado perioperatorio en el reemplazo total de rodilla 全膝关节置换术围手术期出血

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.05.005

Sebastián Osorio , José Francisco Reyes , Álvaro Reyes , Sofia Elizabeth Muñoz

{"title":"Sangrado perioperatorio en el reemplazo total de rodilla","authors":"Sebastián Osorio , José Francisco Reyes , Álvaro Reyes , Sofia Elizabeth Muñoz","doi":"10.1016/j.rccot.2022.05.005","DOIUrl":"10.1016/j.rccot.2022.05.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Total knee arthroplasty (TKA) is the treatment of choice for knee osteoarthritis in advanced stages. The number of procedures has increased exponentially in recent years, but because it is a surgery, complications are inherent, with perioperative bleeding being one of those that generates the most interest in the profession due to its high associated morbidity and mortality. The objective of this research was to describe the clinical factors involved in major perioperative bleeding and the need for blood transfusion in TKA.</p></div><div><h3>Material and methods</h3><p>Descriptive observational study based on retrospective data in patients undergoing TKA. An analysis of the variables was made, taking into account perioperative blood loss and the need for allogeneic red blood cell transfusion.</p></div><div><h3>Results</h3><p>777 patients were recruited, with a mean age of 69 years (SD: 9.7). Four patients were transfused with cumulative incidence of 0.5% (95% CI: 0.14 - 1.3), 3 of them were revision surgeries. The blood loss of the patients who required transfusion was on average 1590ml vs 730ml of those who did not require it, the surgical time was 115minutes vs 74minutes and the preoperative hemoglobin 14.8g/dl vs 12.7g/dl respectively.</p></div><div><h3>Conclusions</h3><p>Allogeneic transfusions in TKA occurred more frequently in surgeries with prolonged surgical time and in revision surgeries. No statistically significant differences were found between age, gender and body mass index (BMI).</p></div><div><h3>Level of evidence</h3><p>Level III; Retrospective study.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 103-109"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82796059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artritis tuberculosa de tobillo, a propósito de un caso 肺结核性踝关节关节炎，关于一个病例

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.05.007

Solangel Rodriguez Materon , Manuel Eduardo Niño Romero

{"title":"Artritis tuberculosa de tobillo, a propósito de un caso","authors":"Solangel Rodriguez Materon , Manuel Eduardo Niño Romero","doi":"10.1016/j.rccot.2022.05.007","DOIUrl":"10.1016/j.rccot.2022.05.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The Tuberculosis (TBC) annual report of the World Health Organization (WHO) during the year 2021 reports 9.9 million new cases and 1.3 million of deaths attributable to the disease. Osteoarticular extra pulmonary involvement corresponds to 1-3% of cases; 50% correspond to the spine and the minority to small joints.</p></div><div><h3>Case report</h3><p>We present the case of a 21-year-old patient who is seen in clinic for pain and functional limitation of the ankle that started 14 months prior. The patient had no respiratory symptoms. After 18 months, and with reactivation of pulmonary symptoms, a diagnosis of septic arthritis due to tuberculosis was confirmed with culture and real-time polymerase chain reaction (PCR).</p></div><div><h3>Results</h3><p>Due to chronic septic arthritis, the patient presents severe and irreversible joint damage of the ankle. There are no episodes of relapse or recurrence of joint infection after 2 years of follow-up.</p></div><div><h3>Discussion</h3><p>The extra pulmonary presentation of tuberculosis infection is infrequent, especially in small joints. It is important to consider differential diagnoses when managing it. Chronic septic arthritis due to TBC can mimic any other type of disease, hence, microbiological diagnostic aids must be available. An analysis of the case is done in parallel with the literature.</p><p><em>Level of evidence:</em> V</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 124-128"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91523608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Espondilodiscitis y absceso epidural por Chryseobacterium indologenes. Reporte de caso

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.05.001

Sebastián Formica , Luis Alberto Lee , Guillermo Holtmann , Fernando Paton

{"title":"Espondilodiscitis y absceso epidural por Chryseobacterium indologenes. Reporte de caso","authors":"Sebastián Formica , Luis Alberto Lee , Guillermo Holtmann , Fernando Paton","doi":"10.1016/j.rccot.2022.05.001","DOIUrl":"10.1016/j.rccot.2022.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Spondylodiscitis is the infection of the vertebral plates, which can extend to the intervertebral disc and generate an epidural abscess. More frequent in the lumbar spine, then dorsal and finally cervical. From 2 to 7% of bone infections, mortality rate from 1 to 20%. Hematogenous spread (common).</p><p>The most common germ is <em>Staphylococcus aureus</em>, followed by <em>Streptococcus</em>, <em>Mycobacterium tuberculosis</em>, and <em>Enterobacteriaceae</em>. <em>Chryseobacteria</em> are aerobic gram-negative rods <em>Chryseobacterium indologenes</em> is the most frequent, common in immunocompromised patients.</p></div><div><h3>Clinical case</h3><p>55-year-old male with a history of lumbar surgery in 2014, due to degenerative pathology. He presented a surgical site infection and a surgical toilet was performed, without obtaining germ, empirical antibiotic treatment (ciprofloxacin and TMS).</p><p>Years later he presented progressive lumbar and radicular pain. Loosening of the radiological implant, and spondylodiscitis in MRI. Biopsy under CT, <em>Staphylococcus epidermidis</em>, sensitivity (ciprofloxacin and rifampicin).</p><p>Abscess is drained and prosthesis removed. Positive cultures for <em>C. indologenes</em>, susceptibility (levofloxacin and rifampicin).</p></div><div><h3>Conclusion</h3><p>Epidural abscess is a rare but potentially devastating condition. Treatment is determined by the neurological status and condition of the patient.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 118-123"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86789727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medición del ángulo coronal del ligamento cruzado anterior durante artroscopia

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.05.003

Cristian Leonardo Devia-Rey , Jorge Rolando Ortiz-Morales , Jhon Fredy Castañeda-Lopez

{"title":"Medición del ángulo coronal del ligamento cruzado anterior durante artroscopia","authors":"Cristian Leonardo Devia-Rey , Jorge Rolando Ortiz-Morales , Jhon Fredy Castañeda-Lopez","doi":"10.1016/j.rccot.2022.05.003","DOIUrl":"10.1016/j.rccot.2022.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The reconstruction of the anterior cruciate ligament (ACL) is a frequently performed surgery, with a wide interest in knowing how to evaluate the proper position and angulation of this ligament. An angle in the coronal plane of 63–76° has been reported in both healthy and post-surgical patients.</p></div><div><h3>Objective</h3><p>To determine the coronal plane angle of the ACL <em>in vivo</em> in Colombian adult population through arthroscopy.</p></div><div><h3>Materials and methods</h3><p>Study case series, where 47 adult patients were included who underwent knee arthroscopy between October 2018 and March 2019, obtaining intra-surgical images of the ACL with a lenses of 0° and 30° through transpatellar portal and anterolateral portal, ACL angle was measured in each arthroscopy. Regarding the descriptive analysis of the data, absolute frequencies and percentages were calculated for the qualitative variables, and means, modes, medians and standard deviations for the quantitative variables.</p></div><div><h3>Results</h3><p>The average angles of the ACL were 57.54°±6.78° and 71°±7.24° with the lenses of 30° and 0° respectively, in addition a constant angulation was evidenced regardless of gender and knee laterality, maintaining a normal distribution in the studied population.</p></div><div><h3>Conclusions</h3><p>The average of the angles with each lens is similar to that reported in the world literature, and that they did not vary much between lateralities and between men and women, and therefore it is recommended that the angulation in Colombian patients undergoing ACL reconstruction either 71.8° in the transpatellar portal with the 0° lens or 57.5° in the anterolateral portal with the 30° lens.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 91-96"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74425105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medición de la pérdida ósea glenoidea y defecto de Hill-Sachs por resonancia magnética: Estudio de correlación y concordancia con la medición por tomografía computarizada 磁共振测量关节骨丢失和希尔-萨克斯缺损:与ct测量的相关性和一致性研究

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.04.007

S. Bermúdez, Andrés Julián Uribe Jimenez, José Bareño Silva, Mauricio Estrada Castrillón, J. Fernández

引用次数: 0

Prótesis unicompartimental de rodilla: Cohorte descriptiva

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.06.003

Manuel Jaramillo Jiménez , Camilo José Peña , Maria Ema González , Carlos Mario González , Carlos Mario Obando , Antonio Paz , Carlos Alberto Jaramillo Vélez , Erika Tatiana Loaiza , Jorge Acosta-Reyes

{"title":"Prótesis unicompartimental de rodilla: Cohorte descriptiva","authors":"Manuel Jaramillo Jiménez , Camilo José Peña , Maria Ema González , Carlos Mario González , Carlos Mario Obando , Antonio Paz , Carlos Alberto Jaramillo Vélez , Erika Tatiana Loaiza , Jorge Acosta-Reyes","doi":"10.1016/j.rccot.2022.06.003","DOIUrl":"10.1016/j.rccot.2022.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine surgery satisfaction, quality of life, pain, 10-year survival, and function in patients after unicompartmental knee arthroplasty at a third level clinic in Medellin, from 2005 to 2015.</p></div><div><h3>Materials and methods</h3><p>Information from 22 unicompartmental arthroplasties in 20 patients was gathered, measuring surgery satisfaction using Likert-type scale and Health-Related Quality of Life (HRQOL) through the SF-36. Functionality and pain were obtained using the Knee Society Score (KSS) scale, with a different score for each variable. Finally, survival was defined as those prostheses that had not required revision as primary outcome. Other clinical and surgical variables were determined according to their nature by means, medians or frequencies.</p></div><div><h3>Results</h3><p>Patient satisfaction was 88.2, KSS was 83 for knee component and 76 for functionality. The HRQOL SF-36 scores grouped in two main components – physical function and mental health – were 53.3 and 60, respectively. Survival specified in this study was 77.3% in a 9.05 years average follow-up.</p></div><div><h3>Conclusions</h3><p>Unicompartmental knee arthroplasty is a valid treatment option for osteoarthritis of the medial compartment. In this series of patients, the surgery satisfaction was 88.2%, the average survival was 77.3% at the end of a follow up of 9.05 years, in which the main causes of revision were infection and osteolysis. Finally, the functionality and health-related quality of life in our study are comparable to other reports with similar follow-ups in other regions of the world.</p><p><strong>Level of evidence:</strong> Level of evidence IV.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 97-102"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87994071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variabilidad intraobservador e interobservador de las líneas de Gilula en el diagnóstico de las luxaciones carpianas 腕脱位诊断中Gilula线观察者内和观察者间的变异性

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.04.011

Antonio García-Jiménez , Ignasi Gich-Saladich , Judit Martínez-Zaragoza

{"title":"Variabilidad intraobservador e interobservador de las líneas de Gilula en el diagnóstico de las luxaciones carpianas","authors":"Antonio García-Jiménez , Ignasi Gich-Saladich , Judit Martínez-Zaragoza","doi":"10.1016/j.rccot.2022.04.011","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.011","url":null,"abstract":"<div><h3>Objective</h3><p>Alteration of Gilula's lines in the posteroanterior (PA) radiology of the wrist is a sign of perilunate dislocation. Our objective is to evaluate the intraobserver and interobserver variability of the Gilula lines in perilunate dislocations and the agreement between general orthopaedic surgeons, hand surgeons and residents of orthopaedic surgery, who participated in the study.</p></div><div><h3>Materials and methods</h3><p>Six observers evaluated 30 PA carpal X-rays, including 15 with a diagnosis of perilunate dislocation and 15 without carpal lesions. These observers were the residents of orthopaedic surgery; orthopaedic surgeons not specialised in hand pathology and hand surgeons. All had to classify the X-rays as normal or pathological attending only to Gilula's lines. We calculated the intraobserver and interobserver variability using the Kappa coefficient.</p><p>In this study, we have discussed indistinctively of concordance, agreement and variability as synonyms.</p></div><div><h3>Results</h3><p>Intraobserver concordance was very good (0.867–1.000) in residents and in hand surgeons, and moderate or good (0.553–0.795) in general orthopaedic surgeons.</p><p>Interobserver concordance was very good (0.875) among hand surgeons, while it was good among general orthopaedic surgeons (0.679) and residents (0.751).</p><p>Interobserver concordance was greater among residents and hand surgeons (Kappa 0.875, very good agreement) than among residents and general orthopaedic surgeons (Kappa 0.702, good agreement).</p></div><div><h3>Conclusion</h3><p>The observation of Gilula lines is a good diagnostic method in case of suspicion of perilunate dislocation, with good intraobserver and interobserver agreement both in traumatologists in training and those who are already trained, whether or not they are specialists in hand surgery.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 86-90"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137442096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hibernoma en el muslo, reporte de caso clínico 大腿冬眠瘤，临床病例报告

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.02.002

Alberto Alonso-Recio, Juan Mingo-Robinet, Marta Baruque-Astruga, Ricardo Briso-Montiano

引用次数: 0

Factores de riesgo de luxación de cadera presentes en neonatos de un hospital infantil 儿童医院新生儿髋关节脱位的危险因素

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.04.012

Marco Tulio Mahecha-Toro , Víctor Alejandro Vargas-Martínez , Gabriel Ochoa-Del-Portillo , Jerson Alfonso Hernández-Vargas , Gustavo Andrés Zamora-Vásquez , Claudia Castellanos-Peñaranda

{"title":"Factores de riesgo de luxación de cadera presentes en neonatos de un hospital infantil","authors":"Marco Tulio Mahecha-Toro , Víctor Alejandro Vargas-Martínez , Gabriel Ochoa-Del-Portillo , Jerson Alfonso Hernández-Vargas , Gustavo Andrés Zamora-Vásquez , Claudia Castellanos-Peñaranda","doi":"10.1016/j.rccot.2022.04.012","DOIUrl":"10.1016/j.rccot.2022.04.012","url":null,"abstract":"<div><h3>Introduction</h3><p>Developmental Dysplasia of the Hip (DDH) has significant repercussions on health if it is not diagnosed and treated in a timely manner. The purpose of this research is to describe the risk factors and prevalence for DDH in children born between 01/01/2016 and 12/31/2019 in a Children's Hospital in Bogotá, Colombia.</p></div><div><h3>Materials and methods</h3><p>Descriptive cross-sectional study. The Developmental Hip Dislocation (DHD) was clinically evaluated through Ortolani, Barlow and Galeazzi's signs, exploring the possible association with family history in the first and second degree of consanguinity. 2×2 contingency tables were created and the <em>X</em><sup>2</sup> test or Fisher's exact test was applied, considering a statistical significance of (<em>p</em>  =13). A prevalence of 2.2× every 1000 live births was documented.</p></div><div><h3>Conclusions</h3><p>No association between sex and history of first degree of consanguinity was documented, but and an association with second degree history was founded. The estimated prevalence in a single hospital highlights the importance of strengthening and expanding screening programs.</p><p>Level of evidence: III. Descriptive study of transverse cut.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 63-71"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74473774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0