Acta ortopedica mexicana最新文献_第4页

[Physical self-concept and health perception in treated for congenital clubfoot]. [先天性马蹄内翻足治疗者的身体自我概念和健康认知]。

Acta ortopedica mexicana Pub Date : 2024-07-01

A L Cadena-Pérez, A Juárez-Oseguera, G Ríos-Ruiz, M Martínez-Villalobos

{"title":"[Physical self-concept and health perception in treated for congenital clubfoot].","authors":"A L Cadena-Pérez, A Juárez-Oseguera, G Ríos-Ruiz, M Martínez-Villalobos","doi":"","DOIUrl":"","url":null,"abstract":"Background: the clubfoot is one of the most common pathologies in pediatric orthopedics. There are few studies of physical self-concept and perception of health in these patients.Material and methods: observational, descriptive, and cross-sectional study. Population aged 16 to 18 years with the diagnosis of clubfoot. Being a sample of 55 patients, who underwent the SF-36, Laaveg-Ponseti Health Questionnaire, and the Physical Self-Concept Questionnaire. Evaluating physical abilities, physical condition, physical attractiveness. Presence of pain, general health, total function, emotional role, mental health, and satisfaction after treatment.There were 3 groups, according to the treatment received. Group 1, made up of 16 patients, treated only with the Ponseti method. Group 2 with 13 patients who received treatment with the Ponseti method, postero-medial release and osteotomies in the midfoot and/or hindfoot. And group 3 with 26 patients, who received postero-medial release and midfoot and/or hindfoot osteotomies.Results: for the Laaveg-Ponseti questionnaire, comparing the score between the three groups, a statistically significant difference was found in group 1, with a higher score. In the Physical Self-Concept questionnaire and the SF-36 health questionnaire, no significant difference was found between the groups.Conclusion: the quality of life of patients with clubfoot are from excellent to good, no matter of the group to which they belonged. The state of physical and mental health by the SF-36 scale were fined. And physical self-concept evaluated was higher than the average. With these studies, we can expose a more comprehensive management. We find that the satisfaction of these patients will be fine in the future.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 4","pages":"214-219"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121491","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 with supracondylar shortening osteotomy in Crowe 4 inveterate hip dislocation: case report and surgical technique]. [克罗 4 型顽固性髋关节脱位的全髋关节置换术与髁上缩短截骨术：病例报告与手术技巧]。

Acta ortopedica mexicana Pub Date : 2024-07-01

E Macías-González, N Restrepo-Giraldo

引用次数: 0

[Efficacy of transdermal lidocaine 5% patches in postoperative analgesia following knee arthroscopy]. [5%透皮利多卡因贴片在膝关节镜术后镇痛中的疗效]。

Acta ortopedica mexicana Pub Date : 2024-07-01

E A Godoy-Salinas, D De la Rosa-Massieu, E F Rodríguez-Piñón, J Figueroa-García

{"title":"[Efficacy of transdermal lidocaine 5% patches in postoperative analgesia following knee arthroscopy].","authors":"E A Godoy-Salinas, D De la Rosa-Massieu, E F Rodríguez-Piñón, J Figueroa-García","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: knee arthroscopy is a common orthopedic procedure associated with postoperative pain, so optimizing pain management is essential for patient recovery and satisfaction. Lidocaine, a local anesthetic with well-established safety profiles, offers a potential alternative to traditional analgesic methods. Research regarding lidocaine patches has been conducted in several types of surgeries (laparoscopy, gynecological surgery, prostatectomy, etc.) showing promising results for some. This study investigates the effectiveness of transdermal lidocaine 5% patches as a novel approach to postoperative analgesia after knee arthroscopy.Material and methods: a randomized, single-blind, placebo-controlled trial was conducted with participants undergoing knee arthroscopy. Patients were divided into two groups: one receiving transdermal lidocaine 5% patches and the other a placebo, both along traditional postoperative pain management, and using opioid only in cases with moderate-severe pain. Pain scores, opioid consumption, and patient-reported outcomes were assessed at various postoperative intervals.Results: there was a significant reduction in pain scores and opioid consumption in the lidocaine patch group compared to the placebo group.Conclusions: transdermal lidocaine 5% patches emerge as a promising adjunct to postoperative pain management in knee arthroscopy patients. Their ease of application, minimal side effects, and opioid-sparing effects contribute to a multifaceted analgesic approach. This study underscores the potential of transdermal lidocaine patches in enhancing the overall postoperative experience for knee arthroscopy patients, advocating for their consideration in clinical practice.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 4","pages":"220-225"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121488","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

[Bilateral total hip arthroplasty in a 15-year-old patient with progressive pseudorheumatoid dysplasia. Case report and literature review]. [一名患有进行性假性风湿性关节发育不良的 15 岁患者的双侧全髋关节置换术。病例报告和文献综述]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115814

G Garabano, A Jaime, M I Alonso, C A Pesciallo

引用次数: 0

[Prognostic factors for substantial clinical benefit from musculoskeletal pathologies of the shoulder]. [从肩部肌肉骨骼病变中获得实质性临床益处的预后因素]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115808

S Soliño, F Mignone, P Policastro, T Vuoto, A Pierobon, J C Porollan

{"title":"[Prognostic factors for substantial clinical benefit from musculoskeletal pathologies of the shoulder].","authors":"S Soliño, F Mignone, P Policastro, T Vuoto, A Pierobon, J C Porollan","doi":"10.35366/115808","DOIUrl":"https://doi.org/10.35366/115808","url":null,"abstract":"Introduction: shoulder plain is a common cause of complain, however a precise diagnosis is hard to achieve. This is why finding factors associated to a good prognosis could help to improve our clinical practice.Objective: to identify demographic and clinical characteristics from the initial assessment associated with substantial clinical benefit (SCB) in patients with shoulder pain one month after treatment or at patient's discharge.Material and methods: this was a secondary analysis of a prospective cohort of patients with shoulder pain. Demographic and clinical (self-reported scales) factors associated with SCB at discharge or four weeks after the initial assessment, were analyzed. SCB was defined as a score +5 on a Global Rating of Change. A logistic regression model was made in order to identify predictors of SCB. The area under the curve ROC was used to assess the performance of the model with its independent variables.Results: 101 patients of 138 were analyzed. The median age was 55 (RIQ 37-61) years old, there were 55 (54.5%) women in the sample. The variables independently associated to SCB were fracture as a reason for admission [adjusted OR 11.8 (95% CI 1.4-101.8); p = 0.024], and durations of shoulder symptoms shorter than seven months [adjusted OR 4.63 (95% CI 1.9-11.1); p = 0.001].Conclusion: the diagnosis of fracture and durations of shoulder symptoms shorter than seven months were independently associated with a SCB after one month of treatment or at the patient's discharge.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"142-148"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307773","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

Arthrofibrosis of the knee in pediatric orthopedic surgery. 小儿骨科手术中的膝关节纤维化。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115813

T F Faust, P G Castañeda

{"title":"Arthrofibrosis of the knee in pediatric orthopedic surgery.","authors":"T F Faust, P G Castañeda","doi":"10.35366/115813","DOIUrl":"https://doi.org/10.35366/115813","url":null,"abstract":"Arthrofibrosis is a challenging complication associated with knee injuries in both children and adults. While much is known about managing arthrofibrosis in adults, it is necessary to understand its unique aspects and management strategies in the pediatric population. This paper provides an overview of arthrofibrosis in pediatric orthopedic surgery, focusing on its causes, implications, classifications, and management. This paper is a comprehensive review of the literature and existing research on arthrofibrosis in pediatric patients. Arthrofibrosis is characterized by excessive collagen production and adhesions, leading to restricted joint motion and pain. It is associated with an immune response and fibrosis within and around the joint. Arthrofibrosis can result from various knee injuries in pediatric patients, including tibial spine fractures, ACL and PCL injuries, and extra-articular procedures. Technical factors at the time of surgery play a role in the development of motion loss and should be addressed to minimize complications. Preventing arthrofibrosis through early physical therapy is recommended. Non-operative management, including dynamic splinting and serial casting, has shown some benefits. New pharmacologic approaches to lysis of adhesions have shown promise. Surgical interventions, consisting of arthroscopic lysis of adhesions (LOA) and manipulation under anesthesia (MUA), can significantly improve motion and functional outcomes. Arthrofibrosis poses unique challenges in pediatric patients, demanding a nuanced approach that includes prevention, early intervention with non-operative means, and improvements in surgical techniques. Modern pharmacological interventions offer promise for the future. Customized interventions and research focused on pediatric patients are critical for optimal outcomes.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"179-187"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307776","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

[Intraosseous vancomycin in total knee arthroplasty]. [全膝关节置换术中的骨内万古霉素]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115812

W F Martínez, F Tillet, E J Bochatey, F A Lopreite

{"title":"[Intraosseous vancomycin in total knee arthroplasty].","authors":"W F Martínez, F Tillet, E J Bochatey, F A Lopreite","doi":"10.35366/115812","DOIUrl":"https://doi.org/10.35366/115812","url":null,"abstract":"Introduction: intravenous antibiotic prophylaxis has significantly reduced the incidence of periprosthetic joint infection (PJI) in knee surgeries. However, for patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) or those at risk of colonization, prophylaxis should include vancomycin. Intraosseous (IO) administration of vancomycin could enhance its effectiveness in total knee arthroplasty (TKA).Material and methods: a retrospective review was conducted, including 143 patients at risk of PJI scheduled for TKA who received IO vancomycin along with intravenous (IV) cefazolin, referred to as group I (GI), between May 2021 and December 2022. The occurrence of complications in the first three postoperative months was evaluated. Results were compared with 140 patients without risk factors who received standard IV prophylaxis, designated as group II (GII).Results: in GI, 500 mg of IO vancomycin was administered, injected into the proximal tibia, in addition to standard IV prophylaxis. In GII, patients received only IV cefazolin. The incidence of complications was 1.64% in GI and 1.4% in GII. The PJI rate at 90 postoperative days was 0.69% in GI and 0.71% in GII.Conclusions: IO vancomycin administration, along with standard IV prophylaxis, provides a safe and effective alternative for patients at risk of MRSA colonization. This approach minimizes complications associated with IV vancomycin use and addresses logistical challenges of timely administration.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"172-178"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307771","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

[Clinical and functional evaluation of pediatric patients with pelvic fracture treated in a third level Hospital]. [在一家三级医院接受治疗的骨盆骨折儿科患者的临床和功能评估]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115807

M E Ceballos-Jaime, O Ruiz-Mejía

{"title":"[Clinical and functional evaluation of pediatric patients with pelvic fracture treated in a third level Hospital].","authors":"M E Ceballos-Jaime, O Ruiz-Mejía","doi":"10.35366/115807","DOIUrl":"https://doi.org/10.35366/115807","url":null,"abstract":"Introduction: pelvic fracture in children is considered one of the most important injuries due to its high mortality. They are rare, but have a major impact on patients' functional outcomes.Objective: to evaluate the clinical evolution and functional grade in pediatric patients with pelvic fractures who have already been treated, either conservatively or surgically.Material and methods: descriptive-cross-sectional-retrospective study. Sample of 24 patients, aged five to 16 years with pelvic fracture, treated from 2016 to 2021. Clinical and functional outcome was assessed using the Barthel index and hip range of motion, as well as surgical or conservative treatment, accompanying lesions and injury mechanism.Results: to find out if there is an association between the Torode and Zieg classifications with the Barthel index and hip range of motion, an association analysis was performed with the 2 statistic, obtaining a 2 value = 19.213. with p = 0.004 for the Barthel index and a 2= 14.253 with p = 0.0026 for hip ranges of motion; these results indicate that there is statistically significant association.Conclusion: the most frequent type of pelvic fracture in pediatric patients treated is type III on the Torode and Zieg scale, which according to the Barthel index is associated with a degree of independence and complete hip mobility arches, so the clinical and functional outcome in these patients is high in severe injuries.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307768","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

Severe rigid hip flexion-abduction contracture in cerebral palsy: a case report and review of the literature. 脑瘫患者严重僵硬的髋关节屈伸挛缩：病例报告和文献综述。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115816

A Ramírez-Barragán, M Galán-Olleros, R M Egea-Gámez, A Palazón-Quevedo, I Martínez-Caballero

{"title":"Severe rigid hip flexion-abduction contracture in cerebral palsy: a case report and review of the literature.","authors":"A Ramírez-Barragán, M Galán-Olleros, R M Egea-Gámez, A Palazón-Quevedo, I Martínez-Caballero","doi":"10.35366/115816","DOIUrl":"https://doi.org/10.35366/115816","url":null,"abstract":"Introduction: severe, rigid hip abduction deformity in individuals with cerebral palsy (CP) is an exceptionally uncommon condition. This posture hinders the positioning in the wheelchair and the completion of basic activities of daily living (ADL). Addressing such severe deformities can be quite challenging.Material and methods: a 14-year-old male, with spastic-dystonic quadriplegic CP, developed rigid and severe flexion-abduction contractures in both hips, characterized by 90 degrees of flexion and 100 degrees of abduction. These contractures severely impeded his ability to comfortably use a wheelchair and even pass through doorways. Performing basic ADLs became a significant challenge for both the patient and his caregivers.Results: the treatment approach involved a two-stage surgical procedure, one for each hip, with a two-month interval between them. An extensive release of the fascia latae, gluteus maximus, external rotators, and hip flexors; in combination with a proximal femur osteotomy were performed. To maintain the corrections achieved, long-leg casts connected with two bars were employed, followed by orthotic support and physiotherapy. Following the procedure, lower limb adduction was achieved, and the patient and caregivers were highly satisfied, as ADLs and basic caregiving had been greatly facilitated.Conclusions: while the available literature on the management of severe rigid abduction hip contractures in non-ambulatory CP patients is limited, and treatment options are often complex, the present case underscores the effectiveness of a comprehensive approach involving soft tissue release and bone surgery. Achieving a more favorable wheelchair positioning and facilitating basic ADLs and care represents a significant success for patients and families.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"197-201"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307777","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

[Delayed diagnosis of osteosarcoma in adults: a prognostic factor to be considered]. [成人骨肉瘤的延迟诊断：一个需要考虑的预后因素]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115811

M A Clara-Altamirano, D Y García-Ortega, A Álvarez-Cano, S Velázquez-Rodríguez, A R Lizcano-Suárez, L C Rosas, C E Uribe-Saloma, H Martínez-Said, V Villavicencio-Valencia, M Cuellar-Hubbe

{"title":"[Delayed diagnosis of osteosarcoma in adults: a prognostic factor to be considered].","authors":"M A Clara-Altamirano, D Y García-Ortega, A Álvarez-Cano, S Velázquez-Rodríguez, A R Lizcano-Suárez, L C Rosas, C E Uribe-Saloma, H Martínez-Said, V Villavicencio-Valencia, M Cuellar-Hubbe","doi":"10.35366/115811","DOIUrl":"https://doi.org/10.35366/115811","url":null,"abstract":"Introduction: different variables have been associated with a worse prognosis of patients with osteosarcoma (OS), highlighting tumor size, location in the axial skeleton and the presence of metastases. The objective of this study is to analyze the prognostic impact of diagnostic delay in osteosarcoma in adults in the Mexican population in a center specialized in sarcomas.Material and methods: retrospective cohort study from January 1, 2005, to December 31, 2016, 96 patients over 21 years of age with a diagnosis of osteosarcoma were analyzed.Results: the median time to diagnosis from the onset of symptoms was six months (range: 2-36). This variable was dichotomized by applying the operator-dependent curve (ROC) analysis and we determined a cut-off value greater than five months, with an area under the curve (AUC) = 0.93 [95% CI 0.86-0.97], sensitivity 93.2% and specificity 94.6%.Conclusion: time until diagnosis is a critical factor in the survival of adult patients with osteosarcoma, highlighting its influence on disease progression and the appearance of metastasis. The correlation between diagnostic delay and an unfavorable prognosis reinforces the need for rapid and efficient evaluation in suspected cases of osteosarcoma.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"164-171"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307769","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