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Septic arthritis of the first metatarsophalangeal joint: a case report. 第一跖趾关节脓毒性关节炎1例。

Acta ortopedica mexicana Pub Date : 2025-03-01

S Donadeu-Sánchez, L Serrano-Mateo, M Gaudiosa-Puerto, J L Tomé, J E Galeote

{"title":"Septic arthritis of the first metatarsophalangeal joint: a case report.","authors":"S Donadeu-Sánchez, L Serrano-Mateo, M Gaudiosa-Puerto, J L Tomé, J E Galeote","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>we describe the case of a 24-year-old male with an initial diagnosis of arthritis of the first metatarsophalangeal joint (MTP). In the magnetic resonance imaging (MRI) the abnormal findings were a bipartite medial sesamoid versus fracture of the medial sesamoid. During follow-up, the patient developed a fistula in the first MTP with a positive culture for methicillin-sensitive Staphylococcus aureus (MSSA), leading to the diagnosis of septic arthritis (SA) of the first MTP. Treatment involved surgical debridement and targeted antibiotic therapy, resulting in good outcomes and satisfactory progress.</p><p><strong>Conclusion: </strong>sesamoid bone pathology is rare, with fractures and sesamoiditis being the most common conditions. Acute or chronic infection osteomyelitis of sesamoids is extremely unusual, and aggressive treatment is required. Sample collection should be performed to initiate targeted antibiotic therapy for the causative pathogens, with Staphylococcus aureus and Pseudomonas aeruginosa being the most frequent. Subsequently, extensive surgical debridement should be performed, aiming to avoid complete sesamoidectomy due to its significant comorbidity.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 2","pages":"104-107"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001493","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

Osteomyelitis of the talus in infants following Bacillus Calmette-Guérin (BCG) vaccination. 卡介苗接种后婴儿距骨骨髓炎。

Acta ortopedica mexicana Pub Date : 2025-03-01

P Eamara, S Kohan-Fortuna-Figueira, C Halliburton, J J Masquijo, V Allende

引用次数: 0

[Is the use of total vertebrectomy justified for single vertebral metastases? Presentation of one clinical case and review of the literature]. 对于单个椎体转移灶采用全椎体切除术是否合理？一例临床病例报告及文献回顾]。

Acta ortopedica mexicana Pub Date : 2025-01-01

A Portes-Chiva, A Isart-Torruela, G Vila-Canet, A Del Arco-Churruca, D Rodríguez-Rubio, D Manzano-López, J Lafuente-Baraza, G Saló-Bru

引用次数: 0

[Is early discharge following primary total knee arthroplasty a risk factor for the development of complications, readmissions and unscheduled consultations?] 原发性全膝关节置换术后过早出院是并发症、再入院和计划外会诊的危险因素吗？］

Acta ortopedica mexicana Pub Date : 2025-01-01

H Sánchez-Mele, A Martínez-Lotti, L Carbó, J Costantini, T Nicolino

{"title":"[Is early discharge following primary total knee arthroplasty a risk factor for the development of complications, readmissions and unscheduled consultations?]","authors":"H Sánchez-Mele, A Martínez-Lotti, L Carbó, J Costantini, T Nicolino","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>total knee arthroplasty (TKA) is a surgical procedure with a growing number of indications worldwide. The trend in recent years has been to reduce hospital stay without compromising safety and quality of care. The aim of this study was to determine whether early discharge (less than 24 hours) is associated with a higher rate of complications, readmissions and unscheduled visits in patients undergoing primary knee arthroplasty.</p><p><strong>Material and methods: </strong>we performed a sample calculation and proposed a statistical test of non-inferiority. We retrospectively studied 229 patients undergoing TKA between 2020 and 2022. Patients with primary osteoarthritis undergoing primary total knee arthroplasty with 90 days of postoperative follow-up were included. Those with revision surgeries, simultaneous bilateral surgeries, complications intraoperatively or during hospitalisation, and those unable to follow the usual postoperative protocol for medical reasons were excluded. These were divided into two groups: early discharge (less than 24 hours) and standard discharge (more than 24 hours). The occurrence of the target variables was recorded for 90 days.</p><p><strong>Results: </strong>the analysis showed no statistically significant differences when comparing readmissions 4.1 vs 2.2% (p = 0.407), complications 11.4 vs 12% (p = 0.895) and unscheduled consultations 15.6 vs 16.5% (p = 0.853) between both groups of patients.</p><p><strong>Conclusions: </strong>the findings suggest that the early discharge protocol in primary total knee arthroplasty is not significantly inferior to the standard and could be considered as a viable alternative in clinical practice.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044021","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

[Autologous hamstring versus quadriceps graft in anterior cruciate ligament plasty. Comparative study with focus on Return-To-Sport]. 自体腘绳肌与股四头肌移植在前交叉韧带成形术中的应用。[以回归运动为重点的比较研究]。

Acta ortopedica mexicana Pub Date : 2025-01-01

R García-Linage, J Lassard-Rosenthal, R Noval-García, A Muñiz-Madrazo, G Fraind-Maya, J Palmero-Picazo, I German-Córdoba, D Zimbrón-López

{"title":"[Autologous hamstring versus quadriceps graft in anterior cruciate ligament plasty. Comparative study with focus on Return-To-Sport].","authors":"R García-Linage, J Lassard-Rosenthal, R Noval-García, A Muñiz-Madrazo, G Fraind-Maya, J Palmero-Picazo, I German-Córdoba, D Zimbrón-López","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>anterior cruciate ligament rupture has evolved to be one of the most common sports injuries with a remarkable increase in its incidence in the last two decades, with Return-To-Sport being a crucial approach in the choice of autologous graft for its surgical repair, the most commonly used being hamstring and quadriceps tendon graft.</p><p><strong>Material and methods: </strong>a prospective randomized study was performed with 32 patients divided into two groups, one for each type of graft, with 13 patients in each. They were evaluated before surgery, at 30, 180 and 360 days after the procedure using scales such as Lysholm, mCKRS and ACL-RSI, and their previous activity level was considered using the Tegner score.</p><p><strong>Results: </strong>it was observed that, at 30 and 180 days after surgery, there were significant differences in pain assessment using the VAS scale between the groups, while at 360 days no significant differences were observed. No significant differences were found in Lysholm and mCKRS scale scores in either group at days 30, 180, and 360, but significant differences were found in ACL-RSI scale scores at 30 and 180 days between the two groups, which did not hold at 360 days.</p><p><strong>Conclusion: </strong>despite the difference in postoperative pain, Return-To-Sport times and overall recovery showed no significant differences between the two types of grafts in this study.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 1","pages":"19-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044018","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

[At 75 years of the birth of the Mexican Orthopedic Act]. [在《墨西哥骨科法案》颁布75周年之际]。

Acta ortopedica mexicana Pub Date : 2025-01-01

A Torres-Gómez

引用次数: 0

Distal realignment and medial patellofemoral complex reconstruction for the correction of patellofemoral instability in a patient with transtibial amputation. 胫骨截肢患者髌股不稳的远端复位和内侧髌股复合体重建。

Acta ortopedica mexicana Pub Date : 2025-01-01

J J Masquijo, J Yunes, L R A de Angeli

引用次数: 0

[Proximal iliotibial band tear: a case report in an amateur football player]. [髂胫束近端撕裂：1例业余足球运动员]。

Acta ortopedica mexicana Pub Date : 2025-01-01

V S Takahashi, P H Segatt, D A Pires, M L Duarte

引用次数: 0

[Results in the lumbopelvic isokinetic and functional training in patients operated with dynamic stabilization system]. [动态稳定系统手术患者腰盆腔等速运动和功能训练的结果]。

Acta ortopedica mexicana Pub Date : 2025-01-01

N Esquitin-Garduño, R Coronado-Zarco, A Miranda-Duarte, A Zárate-Basurto, J L Acosta-Cortez, A A Reyes-Sánchez

{"title":"[Results in the lumbopelvic isokinetic and functional training in patients operated with dynamic stabilization system].","authors":"N Esquitin-Garduño, R Coronado-Zarco, A Miranda-Duarte, A Zárate-Basurto, J L Acosta-Cortez, A A Reyes-Sánchez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>the tendency in the rehabilitation is to train specifically to the lumbopelvic girdle muscles, to give stability and segmentary control of the same.</p><p><strong>Objective: </strong>to evaluate the isokinetic lumbopelvic in the patient's functional qualities with a dynamic instrumentation system (Accuflex).</p><p><strong>Material and methods: </strong>post-operated patients of spinal stenosis by means of dynamic liberation and fixation (Accuflex). Pain analogous visual scale was applied and the Oswestry functional qualities index and isokinetic evaluation of the knee flexo-extensors muscles (Biodex 3 Pro). A lineal isokinetic strengthening program (Cybex Kinetron II), during 6 weeks period, three times in a week in sessions of 40 minutes.</p><p><strong>Results: </strong>ten female patients (71.4%) and four male patients (28.65%) with an average age of 43.4 years. 13 of them (92.8%) with affectation in left pelvic member and 4 patients (7.2%) of the right pelvic member. L4-L5 (72%, 10 patients) and L5-S1 (28%, 4 patients). Low back pain the previous valuation was 4.4 versus 1.5 mm final with a p = 0.004. Affected pelvic member, initial was 4.6 versus 2.1 mm of the final valuation with a p = 0.004. The initial Oswestry disability index showed a 30 vs. a 19.64% subsequent to the training with a p = 0.0001.</p><p><strong>Conclusions: </strong>the lumbopelvic lineal isokinetic training showed to increase the force and muscular resistance in the inferior members with the functional conditions of the patients of the studio.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044024","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

[Efficacy of single-dose preoperative tranexamic acid to prevent blood loss in total hip and knee joint replacement]. [术前单剂量氨甲环酸预防全髋关节膝关节置换术失血量的疗效]。

Acta ortopedica mexicana Pub Date : 2025-01-01

D Campos-Flores, F P Lameiro-Sánchez, A L Galicia-Zamalloa

{"title":"[Efficacy of single-dose preoperative tranexamic acid to prevent blood loss in total hip and knee joint replacement].","authors":"D Campos-Flores, F P Lameiro-Sánchez, A L Galicia-Zamalloa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>transfusion-related complications are a major concern for surgeons performing total hip and knee arthroplasty (THA and TKA). Several strategies have been implemented to reduce transfusion rates, including the use of tranexamic acid (TXA), whose optimal dosage remains a matter of debate.</p><p><strong>Objective: </strong>to evaluate the efficacy and safety of a single pre-surgical dose of TXA in reducing blood loss in THA and TKA.</p><p><strong>Material and methods: </strong>sixty patients were enrolled. Patients were randomly assigned to either a control group (no TXA) or an experimental group (1 g TXA 30 minutes before surgery). Blood loss, blood transfusion rate and volume, and hemoglobin levels were analyzed.</p><p><strong>Results: </strong>hemoglobin loss in the control group was 3.5 ± 1.4 g/dl compared to 2.5 ± 1.5 g/dl in the experimental group (p = 0.006). Hematocrit loss was 10.6% ± 3.5 in the control group and 8% ± 4.9 in the experimental group (p = 0.02). Blood transfusion was only required in 3 patients (5%): 2 in the control group and 1 in the experimental group (p = 0.4).</p><p><strong>Conclusions: </strong>a single pre-surgical intravenous dose of 1 g TXA reduces hemoglobin loss in patients undergoing THA and TKA.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 1","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044020","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

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