Revista Latinoamericana de Cirugía Ortopédica最新文献_第3页

Osteotomía varizante distal de fémur: resultados a medio plazo, complicaciones y tasa de conversión a prótesis total de rodilla 股骨远端变异截骨术:中期结果、并发症及全膝关节假体转换率

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.05.001

Juan Ignacio Erquicia , Pablo Eduardo Gelber , Juan Carlos Monllau

{"title":"Osteotomía varizante distal de fémur: resultados a medio plazo, complicaciones y tasa de conversión a prótesis total de rodilla","authors":"Juan Ignacio Erquicia , Pablo Eduardo Gelber , Juan Carlos Monllau","doi":"10.1016/j.rslaot.2016.05.001","DOIUrl":"https://doi.org/10.1016/j.rslaot.2016.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the clinical results, complications, and conversions to total knee replacement after distal femoral varus osteotomy.</p></div><div><h3>Material and methods</h3><p>A total of 36 patients with a mean age of 49 years were evaluated according to the Hospital Special Surgery (HSS) scale. Osteotomy failure was considered if conversion to total knee replacement was required, or when a clinical assessment below 70 was obtained. In all cases, a steel Puddu plate was used with iliac crest allograft support.</p></div><div><h3>Results</h3><p>The mean follow-up was 55 months, with an initial valgus alignment of 10.3<sup>o</sup>. The final mean angulation was –0.3<sup>o</sup> (varus), and the mean correction was 9.97<sup>o</sup>. One patient required a total knee replacement. The survival of the osteotomies was 100% at 5 years, and 83.3% at 10 years. A score of 83.2 was obtained on the HSS scale. The osteosynthesis material had to be removed in three patients. One case failed and required a conversion to total arthroplasty.</p></div><div><h3>Conclusions</h3><p>The use of this technique for the correction of misalignments, its low rate of complications, and its good clinical outcomes makes distal femoral varus osteotomy an effective treatment for patients with symptomatic genu valgum.</p></div>","PeriodicalId":101114,"journal":{"name":"Revista Latinoamericana de Cirugía Ortopédica","volume":"1 1","pages":"Pages 21-25"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rslaot.2016.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91637868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Terapias biológicas para el tratamiento de las lesiones del cartílago de la cadera 治疗髋关节软骨损伤的生物疗法

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.05.002

Jorge Chahla , Javier Olivetto , Omer Mei-Dan , Cecilia Pascual-Garrido

引用次数: 0

Fractura-luxación del complejo distal del codo, ¿es la tétrada terrible una nueva entidad? 肘部远端复合体骨折脱位，可怕的四足是一个新的实体吗?

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.05.004

Horacio Alberto Caviglia, Adriana Beatriz Pemoff, Hernán Esteban Blanchetiere, Nicolás Gabriel Cuestas, Ramiro Alvarez, Matías Sebastián Vergara

{"title":"Fractura-luxación del complejo distal del codo, ¿es la tétrada terrible una nueva entidad?","authors":"Horacio Alberto Caviglia, Adriana Beatriz Pemoff, Hernán Esteban Blanchetiere, Nicolás Gabriel Cuestas, Ramiro Alvarez, Matías Sebastián Vergara","doi":"10.1016/j.rslaot.2016.05.004","DOIUrl":"https://doi.org/10.1016/j.rslaot.2016.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the terrible tetrad and treatment algorithm in patients and cadaver models to differentiate it from other entities that affect the distal elbow complex and the differences in their treatment.</p></div><div><h3>Material and methodology</h3><p>We studied 7 patients (5 women and 2 men) with a mean age of 51 years, who had had posterior or posterolateral elbow dislocation associated with fracture of coronoid process, radial head and olecranon. We reproduced the lesional association tetrad in 3 cadaveric specimens. Treatment included the reduction and stabilization of the coronoid process. We appreciate the clinical results with Broberg and Morrey scales and DASH.</p></div><div><h3>Results</h3><p>Of the 7 patients who underwent surgery, 4 had to be re-operated. The average functional outcome with Broberg and Morrey scale was fair, 77 (96-38) points, and the DASH was 30 (78-10). The range of flexion and extension was 96° (range 120-45°) and pronosupination of 126° (range 150-40°), mean supination of 57° (range 70-40°) and pronation 48.5° (range 60-30°).</p></div><div><h3>Conclusion</h3><p>In the terrible elbow tetrad the main challenge is the correct preoperative diagnosis and good results are obtained with a stable elbow through proper surgical planning, individualizing rebuilding and repairing articular surfaces and ligamentous structures in a single approach.</p></div>","PeriodicalId":101114,"journal":{"name":"Revista Latinoamericana de Cirugía Ortopédica","volume":"1 1","pages":"Pages 14-20"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rslaot.2016.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91637871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Técnica de aumentación con injerto óseo molido de banco para el uso del tornillo condíleo dinámico en la metáfisis distal de fémur 在股骨远端转移中使用动态髁突螺钉的磨床骨移植增强技术

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.05.005

Horacio Alberto Caviglia, Martín Melo, Gustavo Galatro

{"title":"Técnica de aumentación con injerto óseo molido de banco para el uso del tornillo condíleo dinámico en la metáfisis distal de fémur","authors":"Horacio Alberto Caviglia, Martín Melo, Gustavo Galatro","doi":"10.1016/j.rslaot.2016.05.005","DOIUrl":"https://doi.org/10.1016/j.rslaot.2016.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>To prove the cancellous bone allograft augmentation efficacy, when the lag screw of the dynamic condylar screw is used at the distal femoral end.</p></div><div><h3>Materials and methods</h3><p>Ten knees of 5 cadaveric models were used to implant the dynamic condylar lag screw; the torque of the screw was quantified during the implantation. Then we proceed to generate a lack of fixation based on an axial compression implantation of the lag screw. The screw was removed and the augmentation technique with cancellous bone allograft performed, then we measure again the torque needed on the lag screw implantation. We proceed on the same way after generate a total loose of fixation based on an excessive reaim with a 13mm reamer.</p></div><div><h3>Results</h3><p>The final maximum torque average at the primary screw implantation was 60kg/cm<sup>2</sup>. This augmentation technique improved the fixation in 10% roughly when it was used on the second implantation, and when we generate a worst situation based on an excessive reaim, the fixation obtained was 70% of the primary screw fixation force.</p></div><div><h3>Conclusion</h3><p>The cancellous bone allograft augmentation is a biological technique that demonstrated an improvement on the lag screw fixation, even in the worst bone structural deficit situations.</p></div>","PeriodicalId":101114,"journal":{"name":"Revista Latinoamericana de Cirugía Ortopédica","volume":"1 1","pages":"Pages 9-13"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rslaot.2016.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Técnicas de la biopsia correcta en el aparato locomotor 运动器官正确活检的技术

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.05.003

Eduardo J. Ortiz Cruz , Manuel Peleteiro Pensado , Irene Barrientos Ruiz , José Juan Pozo Kreilinger , Daniel Bernabéu Taboada , Francisco Forriol

引用次数: 2

Resultados clínicos y funcionales de la artroplastia total de rodilla Low Contact Stress (LCS®) con un mínimo de 5 años de seguimiento 低接触应力全膝关节置换术(LCS®)至少5年随访的临床和功能结果

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.06.001

Esther Carbó-Laso , Pablo Sanz-Ruiz , Tania Quevedo-Narciso , Luis Quiroga-Montes , Marina Benito-Gallo , Javier Vaquero-Martín

{"title":"Resultados clínicos y funcionales de la artroplastia total de rodilla Low Contact Stress (LCS®) con un mínimo de 5 años de seguimiento","authors":"Esther Carbó-Laso , Pablo Sanz-Ruiz , Tania Quevedo-Narciso , Luis Quiroga-Montes , Marina Benito-Gallo , Javier Vaquero-Martín","doi":"10.1016/j.rslaot.2016.06.001","DOIUrl":"10.1016/j.rslaot.2016.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Rotating-platform knee prosthesis were design to reduce contact stress of the implants and to increase the durability of implants.</p></div><div><h3>Objective</h3><p>To report the clinical outcomes of a consecutive series of patients who underwent primary rotating-platform knee arthroplasty, with a mean follow-up of 94 months.</p></div><div><h3>Material and method</h3><p>From 2003 to 2010, 75 total knee replacements were performed with Low Contact Stress (LCS<sup>®</sup>) rotating-platform prosthesis. Painful knee osteoarthritis was the main diagnosis. Mean follow-up was 94 (60-118) months. Preoperatively, 64 knees had varus angulation (mean: 169°) and eleven knees had valgus angulation (mean: 187.8°). Patients were evaluated with the Hospital for Special Surgery (HSS) score at 1, 12, 36 and 60 months postoperatively.</p></div><div><h3>Results</h3><p>Two intraoperative partial patella tendon avulsions (2.6%) were diagnosed. Six knees showed loosening of the tibial component (8%) and four (5.3%) required revision. Two chronic infections (2.6%) were successfully managed. No polyethylene dislocation (spin-out) was observed. The mean preoperative HSS score was 44.6 points, which improved to 86.9 points at the end of the follow-up (<em>P</em>  <!-->0.001).</p></div><div><h3>Conclusion</h3><p>Our study showed good survivorship and functional results of rotating-platform knee replacement at a mean follow-up of 94 months, similar to results of conventional fixed-bearing TKA.</p></div><div><h3>Level of evidence</h3><p>IV.</p></div>","PeriodicalId":101114,"journal":{"name":"Revista Latinoamericana de Cirugía Ortopédica","volume":"1 1","pages":"Pages 3-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rslaot.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76454607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Otro reto 另一个挑战

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/j.rslaot.2016.06.003

Francisco Forriol

引用次数: 0

Técnica de aumentación con injerto óseo molido de banco para el uso del tornillo condíleo dinámico en la metáfisis distal de fémur 在股骨远端转移中使用动态髁突螺钉的磨床骨移植增强技术

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/J.RSLAOT.2016.05.005

H. Caviglia, M. Melo, G. Galatro

引用次数: 0

Osteotomía varizante distal de fémur: resultados a medio plazo, complicaciones y tasa de conversión a prótesis total de rodilla 股骨远端变异截骨术:中期结果、并发症及全膝关节假体转换率

Revista Latinoamericana de Cirugía Ortopédica Pub Date : 2016-01-01 DOI: 10.1016/J.RSLAOT.2016.05.001

J. Erquicia, P. Gelber, J. C. Monllau

引用次数: 0