Acta ortopedica mexicana最新文献

[The legacy of the Mexican Orthopaedic Act: negotiation and commitment to orthopaedic excellence]. [墨西哥骨科法案的遗产：对骨科卓越的谈判和承诺]。

Acta ortopedica mexicana Pub Date : 2025-05-01

P Castañeda

引用次数: 0

[Medium and long-term survival of Synergy femoral stem in cementless total hip arthroplasty]. [协同股骨干在无骨水泥全髋关节置换术中的中长期存活]。

Acta ortopedica mexicana Pub Date : 2025-05-01

F E García-Dobarganes-Barlow, A Esquivel-Solorio, A S García-Saud, G Murray-López, F Garcini-Munguía, A Guevara-Álvarez, J Negrete-Corona

{"title":"[Medium and long-term survival of Synergy femoral stem in cementless total hip arthroplasty].","authors":"F E García-Dobarganes-Barlow, A Esquivel-Solorio, A S García-Saud, G Murray-López, F Garcini-Munguía, A Guevara-Álvarez, J Negrete-Corona","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: hip osteoarthritis is one of the most disabling conditions affecting the quality of life in the elderly, with a current prevalence of 10%. Advanced treatment for this condition generally involves total hip arthroplasty. Recently, there has been a shift from using cemented stems to uncemented stems due to the excellent clinical and radiological outcomes achieved with the latter.Material and methods: a retrospective review was conducted of 578 total hip arthroplasties using a tapered uncemented stem performed between 2003 and 2018. The average age of the patients was 62.92 years, with a mean follow-up of 14.03 years. Follow-up ranged from 5 to 20 years.Results: the revision rate for any reason was 2.3%, with a polyethylene wear rate of 1.0%, a deep infection rate of 0.9%, and a dislocation rate of 0.3%. No revisions were reported for aseptic loosening. The survival rate for aseptic loosening was 100%, and the overall survival rate was 97.7%. The rate of complications that did not require revision was 5.0%, while the total complication rate was 7.2%.Conclusion: the third generation tapered uncemented titanium stem shows excellent short- and medium-term results, with adequate osteointegration. It is expected to continue showing favorable long-term results, with aseptic loosening being the primary reason for revision.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"145-151"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621655","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

[Total hip arthroplasty in patients with digestive ostomies: evaluation and long-term outcomes]. [全髋关节置换术在消化造口患者中的应用：评估和长期结果]。

Acta ortopedica mexicana Pub Date : 2025-05-01

B Capurro-Soler, E Muñoz-Mahamud, E Badillo-Pérez, S González-von der Meden, A Alias, L Morata, J Fernández-Valencia

{"title":"[Total hip arthroplasty in patients with digestive ostomies: evaluation and long-term outcomes].","authors":"B Capurro-Soler, E Muñoz-Mahamud, E Badillo-Pérez, S González-von der Meden, A Alias, L Morata, J Fernández-Valencia","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: the relationship between digestive ostomies and the risk of prosthetic joint infection following total hip arthroplasty (THA) is not well-established. This study aimed to assess prosthesis survival, clinical outcomes, and infectious complications in patients with a digestive ostomy undergoing THA.Material and methods: a single-center, retrospective observational study was conducted, including patients with digestive ostomies who underwent THA between 2005 and 2018, with at least one year of follow-up. Data collected included the site and type of ostomy, underlying disease, type of THA, clinical outcomes measured by the Merle d'Aubigné-Postel (MAP) Score, postoperative infections, and the need for revision surgery.Results: seven patients with a mean age of 63 years (range 45-80) and a mean follow-up of 10.1 years were included. The most common cause of the ostomy was colon cancer. The average MAP Score one year postoperatively was 17.1. There were no postoperative complications or infections.Conclusions: the study concludes that THA in patients with digestive ostomies results in favorable clinical outcomes and does not increase the risk of periprosthetic joint infections.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"135-138"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621658","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

Deep learning applications in orthopaedics: a systematic review and future directions. 深度学习在骨科中的应用：系统回顾和未来方向。

Acta ortopedica mexicana Pub Date : 2025-05-01

R González-Pola, A Herrera-Lozano, L F Graham-Nieto, G Zermeño-García

{"title":"Deep learning applications in orthopaedics: a systematic review and future directions.","authors":"R González-Pola, A Herrera-Lozano, L F Graham-Nieto, G Zermeño-García","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: artificial intelligence and deep learning in orthopedics have gained mass interest in recent years. In prior studies, researchers have demonstrated different applications, from radiographic assessment to bone tumor diagnosis. The purpose of this review is to analyze the current literature on AI and deep learning tools to identify the most used tools in the risk assessment, outcome assessment, imaging, and basic science fields.Material and methods: searches were conducted in PubMed, EMBASE and Google Scholar from January 2020 up to October 31st, 2023. We identified 862 studies, 595 of which were included in the systematic review. A total of 281 studies about radiographic assessment, 102 about spine-oriented surgery, 95 about outcome assessment, 84 about fundamental AI orthopedic education, and 33 basic science applications were included. Primary outcomes were diagnostic accuracy, study design and reporting standards reported in the literature. Estimates were pooled using random effects meta-analysis.Results: 53 different imaging methods were used to measure radiographic aspects. A total of 185 different machine learning algorithms were used, with the convolutional neural network architecture being the most common (73%). To improve diagnostic accuracy and speed were the most commonly achieved results (62%).Conclusion: heterogeneity was high among the studies, and extensive variation in methodology, terminology and outcome measures was noted. This can lead to an overestimation of the diagnostic accuracy of DL algorithms for medical imaging. There is an immediate need for the development of artificial intelligence-specific guidelines to provide guidance around key issues in this field.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"152-163"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621659","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

[Early surgical releases of complex Schatzker V and VI tibial plateau fractures: a retrospective cohort of the last five years]. [复杂的Schatzker V型和VI型胫骨平台骨折的早期手术释放：最近五年的回顾性队列]。

Acta ortopedica mexicana Pub Date : 2025-05-01

A J Hernández-Caicedo, J C Santamaria-García, J H Villa-Bandera, C Salgado-Leal, C T Blanco-Granados, M A Rivero-Centeno

{"title":"[Early surgical releases of complex Schatzker V and VI tibial plateau fractures: a retrospective cohort of the last five years].","authors":"A J Hernández-Caicedo, J C Santamaria-García, J H Villa-Bandera, C Salgado-Leal, C T Blanco-Granados, M A Rivero-Centeno","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: high-energy bicondylar tibial plateau fractures involve extensive soft tissue damage and present significant postoperative risks, such as infections, venous thrombosis, and compartment syndrome. There is controversy regarding whether to manage these fractures with definitive surgical intervention or by using an external fixator as part of a staged management approach.Material and methods: this was a retrospective cohort study. Twenty-two patients with complex tibial plateau fractures were analyzed during the study period. Patients were assigned to three groups based on surgical management: group A (external fixator followed by definitive osteosynthesis), group B (definitive external fixator), and group C (definitive osteosynthesis). Sociodemographic variables, fracture type, and postoperative complications were evaluated, with statistical analysis used to compare outcomes.Results: most fractures were closed and resulted from motor vehicle accidents. Surgery was performed at an average of 7.86 days, with definitive osteosynthesis being the most common treatment (54.5%). Complications such as thromboembolism and infections were reported, but there were no immediate postoperative complications. Fracture consolidation was achieved in 95% of patients, with an average range of motion of 102 degrees, with no significant differences between treatments.Discussion: Schatzker V and VI fractures present significant challenges. Although fixation methods have their advantages and disadvantages, functional outcomes are positive with good consolidation and recovery of mobility.Conclusion: the choice of fixation type and timing of intervention should be based on a comprehensive evaluation of the patient and the fracture, considering potential complications to ensure adequate rehabilitation.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"139-144"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621653","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

[Recurrence of chondroblastoma in the distal femur: a clinical case report]. 【股骨远端成软骨细胞瘤复发1例临床报告】。

Acta ortopedica mexicana Pub Date : 2025-05-01

H Vásquez-Díaz, P Valdecantos-Poblete, J T Ugarte-Vásquez, J Monsalve-Fuentes, D Valenzuela-Pozo, P López-Rivera

{"title":"[Recurrence of chondroblastoma in the distal femur: a clinical case report].","authors":"H Vásquez-Díaz, P Valdecantos-Poblete, J T Ugarte-Vásquez, J Monsalve-Fuentes, D Valenzuela-Pozo, P López-Rivera","doi":"","DOIUrl":"","url":null,"abstract":"Chondroblastoma is a benign bone tumor that arises from cartilaginous tissue in the long bones. It has a low incidence, and can be asymptomatic, or even presenting as a pathological bone fracture. The importance of diagnosis lies in extension, recurrence and risk of dissemination. Our objective is to show the evolution of a patient, who followed a favorable course after an episode of recurrence. A 15-year-old patient is presented who, after mild discomfort in her left knee for 6 months, suffered a level fall, with pain and functional impotence. X-rays and CT showed a fracture of the left distal femur, with an infiltrative lytic lesion in the distal epiphysis. Curettage was performed with local bone graft, open biopsy, electrofulguration, adjuvant therapy with alcohol and closure with osteoconductive matrix. The biopsy indicated a chondroblastoma without atypia, and the dissemination study was negative. She remained in periodic controls, and after 7 months an MRI was obtained with an image suggestive of recurrence in the adjacent metaphysis. A new curettage with biopsy was performed, which indicated a recurrence of chondroblastoma. Currently, she is being monitored, 5 years after the first intervention. In the last appointment, she reported anterior knee pain, without radiological signs of recurrence, which responded correctly to physical management, showing her complete current functional capacity, good exercise tolerance, and no limitations in daily life.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"180-186"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621656","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

Open fracture of the distal radius with complete laceration of the median nerve. 桡骨远端开放性骨折伴正中神经完全撕裂伤。

Acta ortopedica mexicana Pub Date : 2025-05-01

I Jiménez, M Aniel-Quiroga-Bilbao, A García-Toledo, A Marcos-García, J Caballero, J Medina

引用次数: 0

[Acute non-traumatic compartment syndrome in paediatrics. Case series and topic review]. 儿科急性非创伤性筋膜室综合征。案例系列和主题回顾]。

Acta ortopedica mexicana Pub Date : 2025-05-01

A D Navarro-Vergara, A Navarro-Fretes

{"title":"[Acute non-traumatic compartment syndrome in paediatrics. Case series and topic review].","authors":"A D Navarro-Vergara, A Navarro-Fretes","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: the most associated cause of compartment syndrome is fracture; however, it is not the only one. Direct trauma without bone involvement, indirect soft tissue injuries, or iatrogenic injuries can also evolve devastatingly. Often, diagnosis is delayed due to low clinical suspicion. In pediatric patients, correlating clinical findings to establish a diagnostic suspicion becomes even more challenging, as the patient does not directly communicate symptoms.Material and methods: descriptive observational study of case series. Patients under 16 years of age who were hospitalized with a diagnosis of compartment syndrome following a snakebite were included. Patients with compartment syndrome related to trauma or fracture were excluded.Results: three cases of compartment syndrome were presented: two males and one female. A multidisciplinary approach was evaluated, and the clinical evolution of the patients was documented.Conclusion: this work aims to draw attention to this injury to encourage future research and the creation of protocols that allow for timely identification and appropriate management in this population, as well as its dissemination among all professionals involved in these procedures.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"173-179"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621652","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

Trapezius and hamate body fractures. Case report of a rare association. 斜方肌和钩骨体骨折。罕见结缔组织1例报告。

Acta ortopedica mexicana Pub Date : 2025-05-01

N N J Graça, M L Duarte

{"title":"Trapezius and hamate body fractures. Case report of a rare association.","authors":"N N J Graça, M L Duarte","doi":"","DOIUrl":"","url":null,"abstract":"The trapezium is the most radial and mobile bone in the distal row of the carpus, establishing a proximal joint with the scaphoid and a distal one with the first metacarpal. Isolated trapezium fractures are uncommon, accounting for only 1 to 5% of all carpal fractures. Fractures are often associated with other injuries, including the rare hamate body fracture. At initial presentation, diagnosing those fractures can be challenging as clinical findings are often minimal, without obvious deformities. Crushing injuries are frequently associated with trapezium tuberosity fractures while hamate body fractures are commonly caused by direct impacts. We report the case of a 19-year-old man presenting significant pain in his left hand following a motorcycle accident 30 minutes ago. Physical examination shows swelling, local hematoma and inability to move the hand. Radiography shows no detectable fracture lines. CT scan reveals a hamate bone fracture without apparent misalignment and a type I trapezium tuberosity base fracture. He made a conservative treatment with analgesic medication and immobilization with a forearm-palmar immobilization for one month followed by two months of physiotherapy. At the end of the two-month treatment, the patient exhibits normal mobility and pain-free, returning to usual activities.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"169-172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621662","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

[Hip prostheses as a treatment for acetabular fractures in the elderly]. [髋关节假体治疗老年髋臼骨折]。

Acta ortopedica mexicana Pub Date : 2025-05-01

B Capurro-Soler, M Gidi, P Serrano, W Pizarro-Geraldo, S González-von der Meden, M Tey, A León, F Marqués

{"title":"[Hip prostheses as a treatment for acetabular fractures in the elderly].","authors":"B Capurro-Soler, M Gidi, P Serrano, W Pizarro-Geraldo, S González-von der Meden, M Tey, A León, F Marqués","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: low-energy acetabular fractures in older adults have significantly increased, with an incidence up to 2.4 times higher over the last three decades. While osteosynthesis is the standard treatment in young patients, its suitability for older adults is debated due to higher risks of complications and reinterventions. These risks are exacerbated by osteoporosis, comminution, and articular surface damage, such as femoral head impaction and preexisting conditions like coxarthrosis. The literature suggests that total hip arthroplasty (THA) may be more appropriate in cases of severe displacement, articular comminution, acetabular impaction in the load zone, and other complex scenarios.Material and methods: this retrospective study analyzed patients over 65 years with acetabular fractures treated with THA between 2008 and 2018, with a minimum follow-up of one year. Parameters evaluated included fracture type, mechanism of injury, associated injuries, use of traction, time to surgery, type of implant, and complications. Clinical evaluations utilized the Merle d'Aubigné-Postel (MAP) scale, and statistical analysis was conducted using SPSS 18.0.Results: seven patients were included, with a mean age of 76.4 years. The most common fracture was anterior column with associated posterior hemi-transverse. The most used implant was the uncemented tantalum revision acetabulum. The mean follow-up period was 7.8 years, with an average MAP score of 16.6 at one year. No intraoperative complications occurred, and radiographic consolidation was observed in all cases at three months.Conclusions: THA showed good clinical outcomes in older adults with acetabular fractures, without increasing the risk of complications, and demonstrated high long-term survival.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 3","pages":"128-134"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621654","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