Revista de Ortopedia y Traumatología最新文献

{"title":"Artrodesis mediocarpiana con placa Spider®","authors":"B. de Francisco-Marugán,&nbsp;A. García-López,&nbsp;Y. Lópiz-Morales,&nbsp;J. Otero-Otero,&nbsp;L. López-Durán","doi":"10.1016/S0482-5985(07)74570-4","DOIUrl":"10.1016/S0482-5985(07)74570-4","url":null,"abstract":"<div><h3>Objetivo</h3><p>Con este estudio pretendemos valorar la efectividad de la placa Spider^® en la artrodesis mediocarpiana</p></div><div><h3>Material y método</h3><p>Hemos estudiado 11 pacientes intervenidos de artrodesis mediocarpiana con placa Spider^® que presentaban un proceso degenerativo avanzado del carpo estadio II o III. El seguimiento medio ha sido de 15 meses (7 a 25 meses).</p></div><div><h3>Resultados</h3><p>Se observa una importante disminución del dolor en todos los casos, manteniéndose una flexión postquirúrgica de 33° (12° a 37°); una extensión de 29° (12° a 33°); una desviación radial postoperatoria de 12° (0° y 16°) y una desviación cubital de 17° (0° a 20°). Se apreció un aumento de la fuerza de prensión después de la cirugía. Se observó la consolidación de la artrodesis en todos los casos, con una pequeña disminución del índice de la altura del carpo.</p></div><div><h3>Conclusiones</h3><p>Esta técnica quirúrgica nos ha permitido obtener buenos resultados clínico-radiológicos y una movilización precoz tras la cirugía.</p></div><div><h3>Purpose</h3><p>The aim of this study was to assess the effectiveness of Spider™ plates in midcarpal arthrodesis.</p></div><div><h3>Materials and methods</h3><p>We studied 11 patients with advanced stage II and III degenerative process of the carpus treated by midcarpal arthrodesis with Spider™ plates. Mean followup was 15 months (7-25 months).</p></div><div><h3>Results</h3><p>A significant decrease in pain was seen in all cases. Postoperative flexion was 33° (12°-37°); extension 29° (12°-33°); there was one postoperative radius deviation of 12 °(0°-16°) and one ulnar deviation of 17° (0°-20°). After surgery an increase in grasping strength was seen. Arthrodesis healing was seen in all cases, with a small decrease in the carpal height index.</p></div><div><h3>Conclusions</h3><p>This surgical technique has allowed us to obtain good clinical and radiological results and early postoperative mobilization.</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74570-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73938755","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}

{"title":"Diseño y desarrollo de un sistema de osteosíntesis para la reconstrucción-artrodesis mínimamente invasiva de fracturas intraarticulares de calcáneo","authors":"F. López-Oliva Muñoz,&nbsp;T. Sánchez-Lorente,&nbsp;G. López-Hernández,&nbsp;M.J. Rodríguez-Macías,&nbsp;F. Forriol","doi":"10.1016/S0482-5985(07)74575-3","DOIUrl":"10.1016/S0482-5985(07)74575-3","url":null,"abstract":"<div><h3>Objetivo</h3><p>Desarrollar una instrumentación que restaure la forma del calcáneo fracturado y facilite la artrodesis primaria de la articulación subastragalina mínimamente invasive en las fracturas intraarticulares graves del calcáneo.</p></div><div><h3>Material y método</h3><p>Se estudió un nuevo sistema de osteosíntesis para las fracturas de calcáneo en tres fases consecutivas: a) diseño del sistema, b) ensayos biomecánicos y c) prueba de los prototipos en el cadáver.</p></div><div><h3>Resultados</h3><p>Los fundamentos del diseño original han sido validados con mínimos cambios. Desde el punto de vista biomecánico el implante desarrollado ha superado las pruebas de resistencia y fatiga y ha demostrado un buen manejo quirúrgico en el cadáver.</p></div><div><h3>Conclusiones</h3><p>El implante diseñado cumple sus objetivos, se adapta a las condiciones mecánicas y dimensionales del calcáneo.</p></div><div><h3>Purpose</h3><p>To develop instruments that can restore the shape of a fractured calcaneus and facilitate minimally invasive primary arthrodesis of the subtalar joint in severe calcaneal intraarticular fractures.</p></div><div><h3>Materials and methods</h3><p>We studied a new osteosynthesis system for calcaneal fractures in three consecutive phases: a) system design, b) biomechanical tests and c) prototype testing in cadavers.</p></div><div><h3>Results</h3><p>The basic characteristics of the original design were validated with minimal changes. From the biomechanical point of view the implant developed has passed strength and fatigue tests and has shown itself to provide good surgical management in cadavers.</p></div><div><h3>Conclusions</h3><p>The implant designed achieves its purpose, and adapts to the mechanical conditions and dimensions of the calcaneal bone.</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74575-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85002586","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}

{"title":"Luxación anterior recidivante de hombro","authors":"A. Garaizábal-Bastos","doi":"10.1016/S0482-5985(07)74567-4","DOIUrl":"10.1016/S0482-5985(07)74567-4","url":null,"abstract":"","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74567-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73501805","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}

{"title":"Tratamiento quirúrgico de las pseudoartrosis asépticas de diáfisis humeral. Estudio biomecánico","authors":"D. Roca Romalde ,&nbsp;D. Lacroix ,&nbsp;V.L. Caja López ,&nbsp;I. Proubasta Renart ,&nbsp;J.A. Planell Estany","doi":"10.1016/S0482-5985(07)74574-1","DOIUrl":"10.1016/S0482-5985(07)74574-1","url":null,"abstract":"<div><h3>Objetivos</h3><p>Comparar la rigidez y la distribución de tensiones en los implantes de dos modelos experimentales: un húmero con pseudoartrosis diafisaria estabilizado con placa y un húmero con pseudoartrosis diafisaria estabilizado con clavo encerrojado.</p></div><div><h3>Material y método</h3><p>Con un húmero de cadáver y los dos dispositivos de fijación se crearon las geometrías con el programa de diseño CATIA v4.2^® (IBM, Armonk, USA). Posteriormente estas geometrías se modelaron con el preprocesador informático MSC-PATRAN^® (IBM, Armonk, USA). Finalmente se establecieron las propiedades mecánicas de los materiales, las condiciones de contorno y las cargas a las que fueron sometidos los modelos.</p></div><div><h3>Resultados</h3><p>El modelo con clavo fue más rígido que el modelo con placa a compresión, tracción y torsión, sin embargo, el modelo con placa fue más rígido que el modelo con clavo en flexión anteroposterior, lateromedial y cizallamiento lateromedial. La distribución de tensiones ha sido más heterogénea en el clavo que en la placa, siendo esta última el implante que soporta los mayores valores tensionales en todos los estados de carga estudiados.</p></div><div><h3>Conclusiones</h3><p>La rigidez del modelo experimental depende no solo del implante sino del estado de carga aplicado, siendo superior el clavo en unas condiciones de carga y la placa en otras. El clavo sin embargo, absorbe menos tensión que la placa en todos los estados de carga estudiados.</p></div><div><h3>Purpose</h3><p>To compare the firmess and stress distribution patterns in the implants of two experimental models: a humerus with shaft pseudoarthrosis stabilized with a plate, and a humerus with shaft nonunions stabilized with a locking nail.</p></div><div><h3>Materials and methods</h3><p>The two fixation devices are attached to cadaver humerus bones; geometries are created with the CATIA 4.2 design software (IBM, Armonk, USA). Subsequently, these geometries were modelled with the MSC PATRAN^® computer processor (IBM, Armonk, USA). Finally, the mechanical properties of the materials were established as well as the contour properties and the loads the models were subjected to.</p></div><div><h3>Results</h3><p>The nailed model was firmer that the plated model as regards compression, traction and torsion. Nonetheless, as far as A/P and lateral-medial flexion and lateral-medial shear stresses were concerned, the plated model was firmer than the nailed model. Stress distribution was more heterogeneous in the nail than in the plate, the latter being the implant type supporting the highest stress levels in all the loading phases studied.</p></div><div><h3>Conclusions</h3><p>For some stress levels, the nail proved to be more stable than the plate, although for other stress levels the opposite was the case. In any case, the nail provides a better stress distribution than the plate.</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74574-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88084959","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}

{"title":"Pseudoaneurisma de arteria femoral profunda secundario a osteosíntesis de una fractura proximal de fémur. Presentación como complicación tardía","authors":"C. Esteve-Balzola,&nbsp;A. Vicente-Guillén,&nbsp;M. Gómez-Guijarro","doi":"10.1016/S0482-5985(07)74573-X","DOIUrl":"10.1016/S0482-5985(07)74573-X","url":null,"abstract":"<div><h3>Introducción</h3><p>El diagnóstico de pseudoaneurisma de la arteria femoral profunda como complicación tras la osteosíntesis del fémur proximal es poco frecuente. Su presentación de forma tardía es excepcional, aumentando la dificultad de su diagnóstico.</p></div><div><h3>Caso clínico</h3><p>Se presenta el caso de un varón de 40 años que tras precipitación presenta fractura subcapital de femur izquierdo desplazada en varo. Se procedió a la reducción cerrada de la fractura y osteosíntesis mediante tornillo dinámico de cadera. Su evolución inicial fue satisfactoria. A las ocho semanas el paciente reingresó por dolor a nivel del muslo izquierdo. Tras estudio mediante arteriografía se llegó al diagnóstico de pseudoaneurisma y rotura de la rama anastomótica magna de la arteria femoral profunda, procediéndose a su embolización selectiva.</p></div><div><h3>Conclusión</h3><p>La presentación diferida del pseudoaneurisma de la arteria femoral profunda es poco frecuente. Puede cursar de forma subclínica por lo que para su diagnóstico precoz debemos mantener un alto nivel de sospecha.</p></div><div><h3>Introduction</h3><p>Diagnosis of deep femoral artery pseudoaneurysm as a complication of proximal femoral osteosynthesis is unusual. Late presentation of this condition is exceptional and increases the difficulty of its diagnosis.</p></div><div><h3>Clinical case</h3><p>A 40-year-old man presented a subcapital left femur fracture with varus displacement caused by a fall. A dynamic hip screw was used for osteosynthesis to achieve closed reduction of the fracture. Initial evolution was satisfactory. Eight weeks later the patient was hospitalized due to left thigh pain. An arteriography was performed and a pseudoanerysm together with the rupture of the greater anastomotic branch of the deep femoral artery were diagnosed. Selective embolization was carried out.</p></div><div><h3>Conclusion</h3><p>Late presentation of deep femoral artery pseudoanerysm is infrequent. As it may evolve subclinically, it is necessary to keep it in mind for an early diagnosis</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74573-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85884804","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}

{"title":"Tratamiento con linezolid oral en osteomielitis postraumáticas","authors":"F.J. Romero-Candau ,&nbsp;R. Pérez-Ferri ,&nbsp;J.M. Madrigal ,&nbsp;F. Najarro ,&nbsp;F. Santos ,&nbsp;F. Huesa","doi":"10.1016/S0482-5985(07)74571-6","DOIUrl":"10.1016/S0482-5985(07)74571-6","url":null,"abstract":"<div><h3>Objetivo</h3><p>Valorar la eficacia y seguridad de linezolid oral asociado a cirugía en el tratamiento de las osteomielitis postraumáticas.</p></div><div><h3>Material y método</h3><p>Estudio prospectivo monitorizado de todos los pacientes ingresados en la unidad de infecciones óseas y articulares del hospital con osteomielitis postraumática por cocos grampositivos meticilín resistentes tratados con cirugía programada y linezolid, 600 mg cada doce horas, desde junio de 2002 hasta diciembre de 2004.</p></div><div><h3>Resultados</h3><p>Hemos tratado con linezolid a nueve pacientes con osteomielitis postraumática. Los microorganismos aislados han sido: un <em>Staphylococcus aureus</em> meticilín resistente, un estafilococo coagulasa negativo meticilín resistente, siete <em>Staphylococcus epidermidis</em> meticilín resistentes. Dos pacientes han tenido infección asociada con <em>Pseudomonas aeruginosa</em>. La duración media del tratamiento ha sido de 9,5 semanas (rango 6-12). En el seguimiento realizado ocho pacientes están clínicamente curados con estabilización de la fractura y sin signos de infección. Un paciente está en situación de pseudoartrosis infectada. El linezolid ha sido tolerado de manera excelente y no ha habido necesidad de suspender la medicación por toxicidad en ningún caso.</p></div><div><h3>Conclusiones</h3><p>En nuestra experiencia, linezolid oral asociado a cirugía puede ser una excelente opción de tratamiento en osteomielitis postraumática causada por bacterias grampositivas resistentes a meticilina que no respondan a la administración de otros antimicrobianos o que no toleren éstos.</p></div><div><h3>Purpose</h3><p>To assess the efficacy and safety of oral linezolid associated with surgery in the treatment of posttraumatic osteomyelitis.</p></div><div><h3>Materials and methods</h3><p>Monitored prospective study of all patients suffering from posttraumatic osteomyelitis caused by Methicillin-resistant Gram positive cocci treated with elective surgery and linezolid 600 mg every 12 hours from June 2002 to December 2004.</p></div><div><h3>Results</h3><p>We have used linezolid to treat 9 patients with posttraumatic osteomyelitis. The microorganisms isolated were: Methicillin-resistant <em>Staphylococcus aureus</em>, 1; Methicillin-resistant <em>Staphylococcus epidermidis</em>, 7. Two patients had an associated infection caused by <em>Pseudomonas aeruginosa</em>. Mean duration of treatment was 9.5 weeks (range 6-12). During follow-up 8 patients were found to be clinically cured with fracture stabilization and with no sign of infection. One patient had an infected mal-union. Linezolid was excellently tolerated and in none of the cases it was necessary to discontinue administration due to toxicity.</p></div><div><h3>Conclusions</h3><p>In our experience oral linezolid associated with surgery can be an excellent option for the treatment of posttraumatic osteomyelitis caused by Methicillin-resistant Gram positive bacteria that do","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74571-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75707080","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}

{"title":"Colgajo microvascular corticoperióstico de cóndilo femoral para las pseudoartrosis diafisarias recalcitrantes de extremidad superior","authors":"F. del Piñal,&nbsp;F.J. García-Bernal,&nbsp;J. Delgado,&nbsp;M. Sanmartín,&nbsp;J. Regalado,&nbsp;L. Cagigal,&nbsp;B. González","doi":"10.1016/S0482-5985(07)74569-8","DOIUrl":"10.1016/S0482-5985(07)74569-8","url":null,"abstract":"<div><h3>Objetivo</h3><p>Presentar nuestra experiencia en el tratamiento de pseudoartrosis recalcitrantes en la extremidad superior mediante colgajos corticoperiósticos microquirúrgicos.</p></div><div><h3>Material y método</h3><p>Cinco adultos (18-54 años), intervenidos antes de su traslado a nuestro centro en varias ocasiones (entre 3 y 7 veces), fueron tratados de pseudoartrosis diafisarias de la extremidad superior (dos húmeros, dos cúbitos y un radio). Tras el desbridamiento radical y osteosíntesis, el defecto óseo se rellenó con injerto de esponjosa y un colgajo corticoperióstico del cóndilo femoral, anastomosado a los vasos locales. Todos los casos comenzaron la movilización inmediata sin protección.</p></div><div><h3>Resultados</h3><p>La supervivencia de los colgajos fue del 100%, sin complicaciones postoperatorias. Se consiguió la consolidación radiológica en menos de tres meses en todos los casos. Tres pacientes recuperaron el rango completo de movilidad articular y dos el rango de movilidad funcional.</p></div><div><h3>Conclusión</h3><p>Los colgajos corticoperiósticos pueden ayudar a solventar pseudoartrosis recalcitrantes en la extremidad superior, incluso en casos de antecedentes de infección. Puede ser apreciado un evidente puente óseo en las radiografías 2 meses después del procedimiento.</p></div><div><h3>Purpose</h3><p>To present our experience in the treatment of recalcitrant nonunion in the upper limb using microsurgical corticoperiosteal flaps.</p></div><div><h3>Materials and methods</h3><p>Five adults (18-54 years of age), operated before referral to our centre on different occasions (3-7 times), were treated for upper limb shaft nonunion (2 humerus, 2 ulnas and 1 radius). After radical debridement and osteosynthesis, the bone defect was filled with cancellous bone graft and a corticoperiosteal flap from the femoral condyle, with anastomosis of local blood vessels. In all cases immediate mobilization was initiated without protection.</p></div><div><h3>Results</h3><p>Flap survival was 100%, there were no postoperative complications. Healing determined by X-rays was seen in less than 3 months in all cases. Three patients recovered complete joint functional range of motion (ROM).</p></div><div><h3>Conclusion</h3><p>Corticoperiosteal flaps can help to resolve recalcitrant nonunions in the upper limb, even in cases that have suffered infection. An obvious bone bridge can be seen in X-rays 2 months after the procedure.</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74569-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84396020","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}

{"title":"Mionecrosis de la extremidad inferior por Clostridium septicum en paciente con leucemia mieloide aguda","authors":"J. Pena-Vázquez,&nbsp;E. López-Anglada Fernández,&nbsp;J. Gosálbez-García,&nbsp;J. Paz-Aparicio,&nbsp;J. Paz-Jiménez","doi":"10.1016/S0482-5985(07)74572-8","DOIUrl":"10.1016/S0482-5985(07)74572-8","url":null,"abstract":"<div><h3>Objetivo y caso clínico</h3><p>Se expone el caso clínico de un paciente de 64 años de edad diagnosticado de leucemia mieloide aguda (LMA) con aplasia medular que desarrolló un proceso compatible con una infección necrosante de partes blandas (INPB) en el muslo derecho en un plazo de 12 horas. Se realizó de urgencia una fasciotomía y desbridamiento radical de la extremidad afecta y se instauró tratamiento antibiótico con penicilina. A las cuatro horas de la intervención se produjo el fallecimiento del paciente.</p></div><div><h3>Conclusiones</h3><p>La singularidad del caso presentado reside en el hallazgo en la necropsia de una mionecrosis de la extremidad inferior, producida por contigüidad a partir de una enterocolitis necrosante por <em>Clostridium septicum</em> en el contexto de un paciente inmunodeprimido, hecho que sin duda contribuyó al rápido desenlace del cuadro clínico, a pesar del tratamiento realizado.</p></div><div><h3>Purpose and clinical case</h3><p>This is a clinical case of a 64 year-old patient diagnosed with acute myeloid leukemia (AML) with medullary aplasia who developed infectious soft tissue necrosis (ISTN) of the right thigh in a time-frame of 12 hours. An emergency fasciotomy and radical debridement of the affected limb were carried out and antibiotic treatment with penicillin was initiated. Four hours after surgery the patient died.</p></div><div><h3>Conclusions</h3><p>The unique nature of this case lies in the fact that on autopsy lower limb myonecrosis was found, caused by contiguity to necrotizing enterocolitis caused by <em>Clostridium septicum</em> in an immunodepressed patient, a fact that undoubtedly contributed to the rapid clinical progress of the condition and its end-result, in spite of the treatment applied</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74572-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72568744","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}

{"title":"Comentario","authors":"S. Antuña","doi":"10.1016/S0482-5985(07)74568-6","DOIUrl":"https://doi.org/10.1016/S0482-5985(07)74568-6","url":null,"abstract":"","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74568-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137400864","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}

{"title":"Polectomía abierta frente a percutánea en el tratamiento de la tenosinovitis estenosante del pulgar en el niño","authors":"A. Ramírez-Barragán,&nbsp;I. Martínez-Caballero,&nbsp;T. Epeldegui-Torre","doi":"10.1016/S0482-5985(07)74561-3","DOIUrl":"10.1016/S0482-5985(07)74561-3","url":null,"abstract":"<div><h3>Objetivo</h3><p>Comparar la técnica quirúrgica abierta con la percutánea para el tratamiento de la tenosinovitis estenosante del pulgar en la infancia.</p></div><div><h3>Material y método</h3><p>Se realizó un estudio retrospectivo donde se revisaron 108 pacientes (135 pulgares) con un período de seguimiento medio de 24 meses, comparando ambas técnicas quirúrgicas.</p></div><div><h3>Resultados</h3><p>Seis pacientes de 92 (6,52%) presentaban incapacidad para la extensión completa de la articulación interfalángica del primer dedo tras cirugía abierta. Mediante cirugía percutánea la recidiva ocurrió en 15 pulgares de 43 intervenidos (34,8%). No aparecieron complicaciones relacionadas con déficit de sensibilidad, dolor residual, ni alteraciones de la movilidad del primer dedo en ninguna de las dos series comparadas.</p></div><div><h3>Conclusiones</h3><p>El porcentaje de recidiva acontecido tras el tratamiento percutáneo del pulgar en resorte justifica no recomendar su utilización en la población infantil.</p></div><div><h3>Purpose</h3><p>To compare open versus percutaneous surgery in the treatment of stenosing tenosynovitis in a pediatric population.</p></div><div><h3>Materials and methods</h3><p>A retrospective study was performed comparing both surgical techniques by reviewing 108 patients (135 thumbs) with a follow-up period of 24 months.</p></div><div><h3>Results</h3><p>Six patients out of 92 (6.52%) were incapable of complete extension of the interphalangeal joint of the thumb after open surgery. When percutaneous surgery was performed there was recurrence in 15 thumbs of the 43 that underwent surgery (34.8%). No complications were seen related to lack of sensitivity, residual pain, nor alterations of thumb mobility in any of the patients in the two compared series.</p></div><div><h3>Conclusions</h3><p>Due to the percentage of recurrences seen, percutaneous surgery for trigger thumb is not recommended in a pediatric population.</p></div>","PeriodicalId":101102,"journal":{"name":"Revista de Ortopedia y Traumatología","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0482-5985(07)74561-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82610479","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}