Revista Colombiana de Ortopedia y Traumatología最新文献_第8页

Revisión narrativa: unidad de ortogeriatría, la propuesta para reducir los desenlaces adversos en adultos mayores con fracturas de cadera por fragilidad 叙事综述:老年矫形科，减少老年人髋部脆性骨折不良结局的建议

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.010

Estephania Chacón-Valenzuela , Carolina Muñoz-Muñetón , Ana María Pardo-Amaya , Sandra Milena Caicedo-Correa , Diego Chavarro-Carvajal , Efraín Leal-García

{"title":"Revisión narrativa: unidad de ortogeriatría, la propuesta para reducir los desenlaces adversos en adultos mayores con fracturas de cadera por fragilidad","authors":"Estephania Chacón-Valenzuela , Carolina Muñoz-Muñetón , Ana María Pardo-Amaya , Sandra Milena Caicedo-Correa , Diego Chavarro-Carvajal , Efraín Leal-García","doi":"10.1016/j.rccot.2022.04.010","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Hip fracture is a public health problem due to its association with high mortality rates at one year, functional decline and worsening of quality of life. A multidisciplinary approach improves outcomes for elderly patients with fragility fracture.</p></div><div><h3>Objective</h3><p>To carry out a narrative review to evaluate the evidence of orthogeriatric units as a strategy to reduce adverse outcomes in older adults with fragility hip fractures.</p></div><div><h3>Material and Methods</h3><p>A literature search was carried out in the following databases: PubMed, Cochrane and Scielo, with the terms: “hip fracture” or “fragility fracture” AND “multidisciplinary team” or “Geriatric co management” or AND “orthogeriatric” or “ortho-geriatric”.</p></div><div><h3>Results</h3><p>Care by orthogeriatrics reduces pre-operative surgical time, postoperative complications and hospital stay. Interdisciplinary assessment has been shown to be effective in reducing functional decline, in-hospital mortality, 30-day mortality, and the risk of institutionalization compared to other models of care. These factors impact on the optimization of resources, reducing health costs.</p></div><div><h3>Conclusion</h3><p>Orthogeriatric services are the ideal model to treat fragility fractures in older adults. In Colombia, more orthogeriatric units should be implemented to improve in-hospital care, create follow-up and rehabilitation programs.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 50-54"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771360","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

Subluxación rotatoria atloaxoidea o síndrome de Grisel. A propósito de un caso 共济失调旋转半脱位或格里塞尔综合征。关于一个案例

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.002

Marta Molinedo Quílez, Amparo Fontestad Utrillas, Paúl Vicente Alonso de Armiño, Marta Sancho Rodrigo, Daniel Marín Puyalto, Iraia Berasategi Noriega

引用次数: 0

Evaluación funcional de la rodilla en reconstrucción del ligamento cruzado anterior al retorno al deporte: validación de la escala ACL-RSI modificada 恢复运动前交叉韧带重建膝关节的功能评估:改良ACL-RSI量表的验证

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.003

Juan Herrera-Rodríguez , Jorge Ortiz-Morales , Richard Bastidas , Jonathan Ambrosio-Alvear

{"title":"Evaluación funcional de la rodilla en reconstrucción del ligamento cruzado anterior al retorno al deporte: validación de la escala ACL-RSI modificada","authors":"Juan Herrera-Rodríguez , Jorge Ortiz-Morales , Richard Bastidas , Jonathan Ambrosio-Alvear","doi":"10.1016/j.rccot.2022.04.003","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Reconstruction of the anterior cruciate ligament (ACL) can allow the athlete to return to the level prior to the injury, despite the success of the procedure, a high percentage does not achieve it due to physical and psychological factors. One of the most used methods for the subjective evaluation of knee functionality after resumption of physical activity is the ACL-RSI scale (Anterior Cruciate Ligament – Return to Sport injury).</p></div><div><h3>Objective</h3><p>To evaluate the functionality of the knee in the return to sport in patients with RLCA and to validate the modified ACL-RSI scale in athletes with recreational activity.</p></div><div><h3>Materials and methods</h3><p>Translation and re-translation of the modified ACL-RSI scale was performed, selected words on the scale were culturally adapted, and it was applied to 44 recreational athletes in the 9-month postoperative ACL with return to physical activity. performed descriptive analysis of the results, exploratory factorial analysis of the scale and application of Cronbach's alpha to assess the reliability of the scale.</p></div><div><h3>Results</h3><p>The mean age was 33.7 years. Cronbach's alpha obtained for the modified ACL-RSI scale was 0.928. The means of the answers show functional results between 4 and 6 on a scale of 10 in terms of physical and psychological factors related to RLCA, the worst result was related to jumping during sports activity (mean 4.1).</p></div><div><h3>Conclusions</h3><p>The modified, culturally adapted ACL-RSI scale is valid and applicable to assess knee function in RLCA on return to sport. The functional results of the RCLA show means less than 6 for all items, both physical and psychological.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 27-31"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771354","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 : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.007

Salvador José Gómez Bermúdez , Andrés Julián Uribe Jimenez , Jose Bareño Silva , Mauricio Estrada Castrillón , Juan Carlos Jaramillo Fernández

{"title":"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","authors":"Salvador José Gómez Bermúdez , Andrés Julián Uribe Jimenez , Jose Bareño Silva , Mauricio Estrada Castrillón , Juan Carlos Jaramillo Fernández","doi":"10.1016/j.rccot.2022.04.007","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.04.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim is to define whether the measurement of glenoid and Hill–Sachs defects by magnetic resonance imaging is equivalent to the measurement by simple tomography in patients with anterior shoulder instability.</p></div><div><h3>Materials and methods</h3><p>Descriptive, observational, cross-sectional study of a cohort of imaging studies of patients with a history of anterior shoulder dislocation, comprising magnetic resonance and simple tomography of the shoulder, performed in a fourth level hospital.</p></div><div><h3>Results</h3><p>The cohort consisted of 20 cases; a high and statistically significant correlation was found for the measurement of the glenoid diameter and defect, with a <em>p</em>  <!-->0.05 between the MRI and simple tomography. In addition, the Hill–Sachs interval measurement was found to be statistically significant, but the correlation index was not high, 60%. For intraobserver agreement, a Kappa index was calculated for MRI of 0.8 compared to CT with <em>p</em>-value <0.05 significant for engaging and non-engaging defects.</p></div><div><h3>Conclusion</h3><p>Simple MRI is a reliable imaging method with high correlation index for the measurement of diameter and glenoid defects with good agreement to establish whether Hill–Sachs defects are engaging or not.</p></div><div><h3>Level of Evidence</h3><p>Level III</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"36 1","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91771356","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

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 : 2022-01-01 DOI: 10.1016/j.rccot.2022.04.009

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

引用次数: 0

Interdisciplinarity or transdisciplinarity 跨学科或跨学科

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2021-10-01 DOI: 10.1016/j.rccot.2022.01.002

Juan Manuel Herrera-Arbelaez

引用次数: 0

Interdisciplinariedad o transdiciplinariedad 跨学科或跨学科

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2021-10-01 DOI: 10.1016/j.rccot.2022.01.001

Juan Manuel Herrera-Arbelaez

引用次数: 0

Recomendaciones de manejo del paciente con pie diabético. Curso de instrucción 糖尿病足患者的管理建议。教学课程

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2021-10-01 DOI: 10.1016/j.rccot.2021.12.001

Rodrigo Triana-Ricci , Fermín Martinez-de-Jesús , Maria Patricia Aragón-Carreño , Rubén Saurral , Carlos Andrés Tamayo-Acosta , Melissa García-Puerta , Pascual Vicente Bernal , Keli Silva-Quiñonez , Diego Felipe Feijo , Claudia Reyes , Juan Manuel Herrera-Arbeláez

{"title":"Recomendaciones de manejo del paciente con pie diabético. Curso de instrucción","authors":"Rodrigo Triana-Ricci , Fermín Martinez-de-Jesús , Maria Patricia Aragón-Carreño , Rubén Saurral , Carlos Andrés Tamayo-Acosta , Melissa García-Puerta , Pascual Vicente Bernal , Keli Silva-Quiñonez , Diego Felipe Feijo , Claudia Reyes , Juan Manuel Herrera-Arbeláez","doi":"10.1016/j.rccot.2021.12.001","DOIUrl":"10.1016/j.rccot.2021.12.001","url":null,"abstract":"<div><p>Diabetic foot is one of the most fatal outcomes for patients with diabetes; the importance of control in a disease that progresses until presenting important macroscopic changes in the lower limb is absolutely relevant. Along diabetes progression, the disease can lead to increased morbidity and invasive and limiting interventions for the patient, hence the importance of early and timely detection and intervention of the pathology by the medical team. These recommendations are addressed to general practitioners and specialized faculty in various medical branches, emphasizing how a comprehensive approach to the patient with diabetic foot should be carried out. Covering prevention, initial diagnosis, evaluation of the progression of the pathology, stratification with the proposed classifications, and finally the treatment according to the stage in which the patients are, is actually well described herein in order to minimize unsatisfactory outcomes, interventions and complications derived from the progression of diabetic foot. We are talking about recommendations and not guidelines due to the absence in a large number of opportunities of properly structured scientific evidence (I and II). Perhaps, the most important thing to emphasize in all these recommendations is to remind the reader that in cases of treating a diabetic foot, it should always be kept in mind that the contralateral foot is not healthy because it has also been subjected to the same disease, for the same period of time and stressed equally as well. Therefore, even if the contralateral foot does not have symptoms, it should be considered equally ill and should be examined and treated likewise.</p><p>Evidence level: IV.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 4","pages":"Pages 303-329"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87191294","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

Management recommendations for diabetic foot patients. Instructional course 糖尿病足患者的管理建议。教学课程

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2021-10-01 DOI: 10.1016/j.rccot.2022.02.001

Rodrigo Triana-Ricci , Fermín Martinez-de-Jesús , Maria Patricia Aragón-Carreño , Rubén Saurral , Carlos Andrés Tamayo-Acosta , Melissa García-Puerta , Pascual Vicente Bernal , Keli Silva-Quiñonez , Diego Felipe Feijo , Claudia Reyes , Juan Manuel Herrera-Arbeláez

{"title":"Management recommendations for diabetic foot patients. Instructional course","authors":"Rodrigo Triana-Ricci , Fermín Martinez-de-Jesús , Maria Patricia Aragón-Carreño , Rubén Saurral , Carlos Andrés Tamayo-Acosta , Melissa García-Puerta , Pascual Vicente Bernal , Keli Silva-Quiñonez , Diego Felipe Feijo , Claudia Reyes , Juan Manuel Herrera-Arbeláez","doi":"10.1016/j.rccot.2022.02.001","DOIUrl":"https://doi.org/10.1016/j.rccot.2022.02.001","url":null,"abstract":"<div><p>Diabetic foot is one of the most fatal outcomes for patients with diabetes; the importance of control in a disease that progresses until presenting important macroscopic changes in the lower limb is absolutely relevant. Along diabetes progression, the disease can lead to increased morbidity and invasive and limiting interventions for the patient, hence the importance of early and timely detection and intervention of the pathology by the medical team. These recommendations are addressed to general practitioners and specialized faculty in various medical branches, emphasizing how a comprehensive approach to the patient with diabetic foot should be carried out. Covering prevention, initial diagnosis, evaluation of the progression of the pathology, stratification with the proposed classifications, and finally the treatment according to the stage in which the patients are, is actually well described herein in order to minimize unsatisfactory outcomes, interventions and complications derived from the progression of diabetic foot. We are talking about recommendations and not guidelines due to the absence in a large number of opportunities of properly structured scientific evidence (I and II). Perhaps, the most important thing to emphasize in all these recommendations is to remind the reader that in cases of treating a diabetic foot, it should always be kept in mind that the contralateral foot is not healthy because it has also been subjected to the same disease, for the same period of time and stressed equally as well. Therefore, even if the contralateral foot does not have symptoms, it should be considered equally ill and should be examined and treated likewise.</p><p>Evidence level: IV.</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 4","pages":"Pages 330-357"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136850295","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

Efecto de un protocolo de rehabilitación sobre la funcionalidad y calidad de vida en pacientes con reemplazo total de rodilla. estudio de cohorte transversal 康复方案对全膝关节置换患者功能和生活质量的影响。横断面队列研究

Revista Colombiana de Ortopedia y Traumatología Pub Date : 2021-07-01 DOI: 10.1016/j.rccot.2021.09.002

León Alberto Sardi-Barona , Olga Cecilia Suárez-Caicedo , Miguel Ángel Campo-Ramírez , David Alejandro Escobar-Vidal , María Fernanda Guevara-Mendoza , Hugo Hurtado-Gutiérrez

{"title":"Efecto de un protocolo de rehabilitación sobre la funcionalidad y calidad de vida en pacientes con reemplazo total de rodilla. estudio de cohorte transversal","authors":"León Alberto Sardi-Barona , Olga Cecilia Suárez-Caicedo , Miguel Ángel Campo-Ramírez , David Alejandro Escobar-Vidal , María Fernanda Guevara-Mendoza , Hugo Hurtado-Gutiérrez","doi":"10.1016/j.rccot.2021.09.002","DOIUrl":"10.1016/j.rccot.2021.09.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Total knee replacement (TKR) has one of the highest success rates, and functionality and quality of life depend largely on appropriate physical rehabilitation. There is no physical rehabilitation guideline registered with the Ministry of Health in Colombia. Therefore, the general objective of this study was to determine the effect of physiotherapy intervention on functionality and quality of life in patients undergoing TKR.</p></div><div><h3>Materials & methods</h3><p>A cross-sectional cohort study, comprising three assessments (preoperative, at 3 and at 6 months) using the WOMAC and SF12 questionnaires, physiotherapy assessment, and 36 sessions of home physiotherapy in 10 adults over 65 years of age. The sample was taken from the participating surgeon's waiting list between November 2017 and June 2018. Results. Stiffness and pain obtained p-values of .00 and .01 respectively from the WOMAC questionnaire. A significance level of .009 was found in functional ability between the 1st and 3rd assessments. The SF12 questionnaire results reflected a better state of health, with little limitation on moderate effort or climbing stairs. Strength went from 3- to 4+ in 80% of the population. Functional ranges exceeding 90̊ of flexion were achieved in joint range of motion.</p></div><div><h3>Discussion</h3><p>Outcomes in terms of functionality and quality of life are in line with those reported in the international literature.</p></div><div><h3>Level of evidence</h3><p>III</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 3","pages":"Pages 280-288"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72740442","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