Revista Colombiana de Ortopedia y Traumatología最新文献_第7页

Caracterización de las fracturas en la población pediátrica: estudio multicéntrico colombiano 儿童人群骨折特征:哥伦比亚多中心研究

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.05.006

Ana Xiomara Cortés Neira , José Ignacio Martínez Suárez , Rodrigo Huertas Tafur , Jhon Fredy Castañeda López

{"title":"Caracterización de las fracturas en la población pediátrica: estudio multicéntrico colombiano","authors":"Ana Xiomara Cortés Neira , José Ignacio Martínez Suárez , Rodrigo Huertas Tafur , Jhon Fredy Castañeda López","doi":"10.1016/j.rccot.2022.05.006","DOIUrl":"10.1016/j.rccot.2022.05.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Fractures in children are a public health problem and an important cause of morbidity and mortality. The objective of this study is to carry out a demographic and clinical characterization of the fractures in children treated in two hospitals of different regions of Colombia.</p></div><div><h3>Materials and methods</h3><p>Descriptive, retrospective study by searching for ICD-10 diagnosis codes and reviewing medical records. Univariate data analysis, expressing the quantitative variables in absolute values and measures of central tendency and the qualitative variables in tables of frequencies and percentages.</p></div><div><h3>Results</h3><p>The annual incidence of pediatric fractures in the regional hospital was 61.34 / 10,000 and in the pediatric hospital 9.16 / 10,000, with the highest peaks around school holidays. Male sex predominated, left laterality and the age group most affected was 4-7 years. Fractures of the distal radius, supracondylar humerus, and diaphyseal ulna and radius were the most frequent. Falls from standing height were the most common injury mechanism, yet traffic accidents were a major cause of fractures in the regional hospital. Conservative management was the most used.</p></div><div><h3>Discussion</h3><p>There is agreement with other studies regarding the predominance of males, falls, and upper limb involvement in pediatric fractures. However, there are some differences depending onthe time of year and geographic region. Knowing the characteristics of pediatric fractures is essential to develop preventive strategies.</p><p>Level of evidence: IV.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 2","pages":"Pages 72-80"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84638771","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: 1

De ebanistas, jardineros e ingenieros. Nuevas tecnologías para nuevos tiempos 木工、园丁和工程师。新时代的新技术

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.06.002

Carlos Oliver Valderrama-Molina

引用次数: 0

Salvamento de extremidad en tumor de células gigantes de radio distal con aloinjerto osteocondral, reporte de 2 casos

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.05.002

Andres Galeano , Carlos Alberto Sanchez , Francisco Castro , Pablo Arbeláez

引用次数: 0

Comparación entre suturas para cierre profundo y superficial en reemplazo total de rodilla: seguimiento a un año 全膝关节置换术中深、浅缝合线的比较:随访一年

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-04-01 DOI: 10.1016/j.rccot.2022.04.006

María Camila Canencio, Omar Amado, Rolando Espitia, Elina Huérfano

引用次数: 0

Renovación y trasformación 更新与变革

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.06.001

Enrique Vergara Amador

引用次数: 0

Genu valgo artrósico severo: Prótesis de estabilidad aumentada en artroplastia primaria 严重节肢膝关节外翻:原发性关节置换术中增强稳定性的假体

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.004

Santiago P. Vedoya, Germán Garabano, Agustín Catan, Joaquín Rodriguez, Hernán Del-Sel

{"title":"Genu valgo artrósico severo: Prótesis de estabilidad aumentada en artroplastia primaria","authors":"Santiago P. Vedoya, Germán Garabano, Agustín Catan, Joaquín Rodriguez, Hernán Del-Sel","doi":"10.1016/j.rccot.2022.04.004","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.004","url":null,"abstract":"<div><h3>Purpose</h3><p>This retrospective level 2 analysis evaluates the prosthesis type selected in our department for the treatment of the severe valgus knee and proposes a new classification for the valgus knee osteoarthritis.</p></div><div><h3>Material and methods</h3><p>A total knee arthroplasty with a constrained or hinged knee prosthesis was performed in 28 valgus knees. The average follow-up was 6.2 years. A new classification that considerates the ligament sufficiency status was developed in order to relate the different knee types with the different type of eventually needed implants.</p></div><div><h3>Results</h3><p>Constrained prosthesis was used in 17 patients with an attenuated medial collateral ligament, and a rotating hinge in 11 patients with incompetent medial collateral ligament and/or recurvatum. The postoperatory Knee Society Score was of 85 points. The valgus knee was classified in 5 types considering the knee valgus deformity, the ligament sufficiency and joint stability and wear.</p></div><div><h3>Discussion</h3><p>The classification proposed clearly defines the ligament status and valgus knee types, and it seems to be a comprehensive tool to select the appropriate prosthesis. Constrained prosthesis must be used on patients who present coronal instability with attenuated medial collateral ligament. Rotating hinges must be reserved for those patients who have medial collateral ligament incompetence, recurvatum, combined instability and/or severe muscular deficiency.</p><p>Level 3 of evidence.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 32-37"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771358","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

Comparación entre suturas para cierre profundo y superficial en reemplazo total de rodilla: seguimiento a un año 全膝关节置换术中深、浅缝合线的比较:随访一年

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.006

María Camila Canencio , Omar Amado , Rolando Espitia , Elina Huerfano

{"title":"Comparación entre suturas para cierre profundo y superficial en reemplazo total de rodilla: seguimiento a un año","authors":"María Camila Canencio , Omar Amado , Rolando Espitia , Elina Huerfano","doi":"10.1016/j.rccot.2022.04.006","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Different materials and techniques have been developed for superficial and deep closure in total knee replacement (TKR), but there is no solid evidence that allows to recommend a specific technique that decreases the surgical post-operative complications. The purpose of this study is to compare the use of two deep closure techniques (barbed suture vs. braided absorbable suture) and superficial (staples vs. polypropylene suture) in TKR.</p></div><div><h3>Materials and methods</h3><p>An observational retrospective study was carried out in 240 patients. Those individuals were excluded with previous open knee surgery, arthrofibrosis, patients who underwent TKR due to tumor lesions or a follow up for less than one year.</p></div><div><h3>Results</h3><p>The skin was closed in 176 patients with staples and in 64 patients with Prolene®. Deep closure was performed with Stratafix® in 164 patients and with Vicryl® in 75 patients. Also, complications related to the wound and functionality were recorded in the first postoperative year. Superficial infection for closure with prolene presented an HR in favor of 2.6 with a confidence interval (CI) of 95%=1.1–6.2; <em>p</em>    =0.05</p></div><div><h3>Conclusions</h3><p>This study demonstrated a significant increase in the incidence of superficial infection after TKR when deep closure is performed with barbed sutures and superficial closure with polypropylene suture. However, there were no significant differences in other complications related with the wound neither postoperative functionality with the different superficial and deep closure techniques that were evaluated.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 43-49"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771357","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

Neurotización del nervio circunflejo por vía axilar, estudio cadavérico

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.005

Raúl González Chávez , Bárbara Gómez Eslava , Felipe Valbuena Bernal , Luis Alejandro García González

{"title":"Neurotización del nervio circunflejo por vía axilar, estudio cadavérico","authors":"Raúl González Chávez , Bárbara Gómez Eslava , Felipe Valbuena Bernal , Luis Alejandro García González","doi":"10.1016/j.rccot.2022.04.005","DOIUrl":"10.1016/j.rccot.2022.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>To confirm the technical feasibility of neurotization of the axillary nerve by the motor branch of the long head of the triceps in order to define the surgical anatomy of the radial and axillary nerves.</p></div><div><h3>Materials and method</h3><p>Twenty cadaver shoulders were operated on for transfer of the radial nerve branch for the long head of the triceps to the anterior branch of the axillary nerve by axillary approach. The correct choice of the receiving nerve was confirmed by posterior approach.</p></div><div><h3>Results</h3><p>An adequate dissection of the first motor branch of the radial nerve of the axillary nerve and of the anterior branch of the Axillary Nerve was achieved, The origin of the motor branch was found on average at 3.8mm (+/−7.3mm) distal to the superior border of the latissimus dorsi tendon. The axillary nerve was found 11.3mm (+/−2.13mm) cephalad to the upper border of the latissimus dorsi and 3.05mm (+/−1.3mm) distal to the teres minor. A tensionless coaptation was obtained in all cases.</p></div><div><h3>Conclusion</h3><p>Neurotization of the axillary nerve with the first branch of the radial nerve was successfully achieved through the axillary approach. This approach is adequate, avoiding position change to prone and double approach, and if additional reconstruction procedures are required at the same surgical time, Oberlin type and supraclavicular explorations of the brachial plexus can be performed without changing position.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 2-8"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89738734","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

Current Concepts in the Management of Patellofemoral Pain Syndrome 髌股疼痛综合征治疗的新概念

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.008

Juan Pablo Martínez-Cano , Sebastián Rojas-Canizales , Sergio Cortés-Cabrera

{"title":"Current Concepts in the Management of Patellofemoral Pain Syndrome","authors":"Juan Pablo Martínez-Cano , Sebastián Rojas-Canizales , Sergio Cortés-Cabrera","doi":"10.1016/j.rccot.2022.04.008","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Patellofemoral pain syndrome (PFPS) is one of the leading causes of knee pain, manifesting itself during daily life activities. This study presents a review on PFPS treatment modalities.</p></div><div><h3>Materials and methods</h3><p>State of the art review on the treatment of PFPS with grades of recommendation. Active and passive conservative interventions are reviewed, as well as surgical alternatives.</p></div><div><h3>Results</h3><p>Hip and lower-limb muscle strengthening and stretching are active interventions that provide long-lasting benefits. Passive interventions include patellofemoral joint bracing, kinesiotaping and foot orthoses, and are considered useful coadjuvants to active interventions, with quick relief for patients but usually in the short term. Surgical treatment is only recommended in a small subset of patients with specific anatomic abnormalities in the patellofemoral joint.</p></div><div><h3>Discussion</h3><p>Conservative treatment remains as the mainstream in the management of patellofemoral pain syndrome.</p></div><div><h3><em>Level of Evidence</em></h3><p>IV, Clinical Review.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 20-26"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90123026","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: 1

Axial view of the shoulder. Description of a technique 肩部的轴向视图。技术描述

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.001

Rodrigo Alfonso Vargas-Lara , Rafael Fernando Serrano-Sánchez , Dick Jonathan Rozo-Avellaneda

{"title":"Axial view of the shoulder. Description of a technique","authors":"Rodrigo Alfonso Vargas-Lara , Rafael Fernando Serrano-Sánchez , Dick Jonathan Rozo-Avellaneda","doi":"10.1016/j.rccot.2022.04.001","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.001","url":null,"abstract":"<div><p>Shoulder fracture is one of the most frequently treated injuries in trauma centers, with an overall incidence that appears to have increased in recent years, ranging from 219 to 419 cases per 100 000 person-years.</p><p>In clinical terms, shoulder girdle injury is difficult to diagnose due to the close relationship between the shoulder and the chest, and imaging identification of the different types of injuries can be challenging.</p><p>In this context, X-rays are the most appropriate method and the cornerstone of the initial approach to shoulder trauma, and at least 3 views are recommended: true anteroposterior view (AP), axial or axillary projection or modified axial projection (Velpeau view), and lateral scapula shoulder or Y view. However, patient positioning is often problematic due to the additional pain associated with limb mobilization in order to achieve the proper position for radiographic projection.</p><p>The following is the description of a technique for performing an axial shoulder projection that is free of these complications, easy to standardize, and applicable to any traumatic or degenerative disease of the proximal humerus or glenohumeral joint, which, to the best of the authors’ knowledge, has not been previously published.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 16-19"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771355","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