Acta ortopedica mexicana最新文献_第8页

[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

[GMK rotating hinge prosthesis. A valid option for complex revision knee prosthetic surgery]. [GMK旋转铰链假体。复杂翻修膝关节假体手术的有效选择]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115809

J F Garrido-Ferrera, V Marquina-Moraleda, L Marco-Díaz, R Colomina-Rodríguez, L Hernández-Ferrando

{"title":"[GMK rotating hinge prosthesis. A valid option for complex revision knee prosthetic surgery].","authors":"J F Garrido-Ferrera, V Marquina-Moraleda, L Marco-Díaz, R Colomina-Rodríguez, L Hernández-Ferrando","doi":"10.35366/115809","DOIUrl":"https://doi.org/10.35366/115809","url":null,"abstract":"Introduction: revision joint replacement surgery presents a surgical challenge. The use of rotating hinge prostheses is an option in patients with femorotibial bone defects, ligament insufficiency, or significant deformities. The aim of this study was to evaluate the clinical, functional, and radiological outcomes of a series of patients who underwent surgery using the GMK Hinge (Medacta®) rotational hinge model.Material and methods: a descriptive, retrospective, and analytical study was conducted on a series of 36 patients, with a mean age of 72.5 years (47-85), operated on by the same surgical team between January 2015 and January 2022. The etiology of revision was chronic infection in 38.9% of cases, instability in 33.3%, aseptic loosening in 19.4%, and stiffness in 8.4%. The Knee Society Score (KSS) and the Forgotten Joint Score (FJS) were used to assess functional outcomes. The degree of femorotibial bone defect was evaluated using the Anderson Orthopaedic Research Institute (AORI) classification. Postoperative complications are also recorded.Results: a total of 36 patients, 17 males and 19 females, were included, with a mean follow-up of 30 months (12-66). Twelve patients had type 1 defects, ten had 2A defects, ten had 2B defects, and two had type 3 defects on the femoral side, with the use of wedges required for asymmetrical defects (21 patients). The predominant tibial defect was type 1 without the need for wedges. The majority achieved a satisfactory outcome on the KSS scale (72.2 ± 9.4), with significant differences compared to the previous KSS (54.3 ± 8.9). A score of 31 (12-67) was also obtained on the FJS scale. Postoperative complications were present in 16.7% of patients.Conclusions: complex prosthetic revision surgery using a rotating hinge prosthesis represents a suitable therapeutic option, yielding appropriate clinical and functional outcomes, albeit not without complications.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"149-154"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307770","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

[Long-term clinical and radiological results of metatarsophalangeal resection arthroplasty in patients with large forefoot deformities]. [大面积前足畸形患者跖趾骨切除关节成形术的长期临床和放射学效果]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115810

J Sánchez-Del-Saz, M G Puerto-Vázquez, L Serrano-Mateo, J L Tome-Delgado, J E Galeote-Rodríguez

{"title":"[Long-term clinical and radiological results of metatarsophalangeal resection arthroplasty in patients with large forefoot deformities].","authors":"J Sánchez-Del-Saz, M G Puerto-Vázquez, L Serrano-Mateo, J L Tome-Delgado, J E Galeote-Rodríguez","doi":"10.35366/115810","DOIUrl":"10.35366/115810","url":null,"abstract":"Introduction: metatarsophalangeal resection arthroplasty is considered a salvage surgical procedure able to improve the quality of life of patients with major forefoot deformities.Material and methods: a retrospective observational study of 31 patients (36 feet) with major forefoot deformities operated at our institution was performed. Thirty two feet required additional surgery involving the first ray, most of them (72.2%) through MTP joint fusion. The mean follow-up period was 10.3 ± 4.6 years. Most patients were women (87.1%), the mean age was 74.2 ± 11.5 years.Results: at the final follow-up, mean AOFAS score was 77.9 ± 10.2 points and mean MOxFQ score was 18.3 ± 8.3 points. Visual analog scale (VAS) for pain improved significantly from 7.5 ± 1.2 points to 3.4 ± 2.1 points on average. Good clinical results were also reported on ability to put on shoes comfortably. The mean resection arthroplasty spaces at the end of the study were 1.3, 1.8, 2.5 and 4.4 mm, for second to fifth rays, respectively. The mean sizes of remodeling osteophytes at the end of the study were 1.6, 1.4, 1.1 and 0.7 mm, respectively. Significant improvement was also achieved in the hallux valgus angle (HVA) and intermetatarsal angle (IMA) at the end of the study.Conclusion: in our experience, metatarsophalangeal resection arthroplasty continues to be a valid choice in patients with major forefoot deformities, with satisfactory long-term clinical and radiographic results.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 3","pages":"155-163"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307772","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

[Publication in indexed journals is imperative for communication in contemporary medicine]. [在索引期刊上发表文章是当代医学交流的当务之急]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115806

G J García-Félix-Díaz

引用次数: 0

[Trans-scapho-perilunar fracture-dislocation: a case report]. [经肩胛骨周围骨折-脱位：病例报告]。

Acta ortopedica mexicana Pub Date : 2024-05-01 DOI: 10.35366/115815

G A Pons-Carrera, G Fraind-Maya, S Núñez-Gurría

引用次数: 0

[Pressure digit sign in patients with knee osteoarthritis]. [膝关节骨性关节炎患者的压力数字征]。

Acta ortopedica mexicana Pub Date : 2024-03-01

M Vea-Huerta, J N Salazar-López, P Flores-Bautista

{"title":"[Pressure digit sign in patients with knee osteoarthritis].","authors":"M Vea-Huerta, J N Salazar-López, P Flores-Bautista","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: it is estimated that 302 million people worldwide are affected by osteoarthritis, corresponding to 60% osteoarthritis (OA) of the knee, which responsible 80% of disability in older adults, hence the importance of the association of the sign with the early inflammatory process in OA.Objective: to determine the association of digital pressure sign in patients with and without osteoarthritis of the knee.Material and methods: this was an observational, comparative cross-sectional study, carried out in patients with and without a diagnosis of knee OA, to whom the digital pressure sign was determined. The sample was calculated with the formula for two proportions, obtaining a total of 40 participants per group, obtained by non-probabilistic sampling for convenience. The statistical analysis included frequencies, percentages, 2 and OR. The bioethics regulations in force were respected.Results: the study included 80 participants, with a median age of 48.9 years (RQI 46-53.7), 73.1% were predominantly female sex (38), and a statistically significant association was found between patients with OA and the presence of digital pressure sign, 2 4.62 and p value = 0.41, OR of 2.65.Conclusions: the presence of digital pressure sign increases the probability of having OA 2.65 times more.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 2","pages":"101-104"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089578","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

[Between confidence and doubt: exploring impostor syndrome and the Dunning-Kruger effect in the medical profession]. [在自信与怀疑之间：探索医学界的冒名顶替综合症和邓宁-克鲁格效应]。

Acta ortopedica mexicana Pub Date : 2024-03-01

J Masquijo, M C Bettendorff

引用次数: 0

[Design and application of a device for radiographic projection of the tibio-astragalangeal mortise]. [胫骨-astragalangeal榫的射线投影设备的设计与应用]。

Acta ortopedica mexicana Pub Date : 2024-03-01

F A Garcini-Munguia, R García-García, E Navarro-Martínez, S Zapien-Aguila, J L Rojas-Avilés

{"title":"[Design and application of a device for radiographic projection of the tibio-astragalangeal mortise].","authors":"F A Garcini-Munguia, R García-García, E Navarro-Martínez, S Zapien-Aguila, J L Rojas-Avilés","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: ligamentous injuries of the distal tibiofibular syndesmosis resulting in its opening are common occurrences in traumatology; however, their diagnosis poses a challenge for orthopedic surgeons. The tibioastragaloid mortise radiograph view is the most commonly used method for diagnosing this type of injury, but its reliability is compromised due to variations in ankle positioning during the study, which often depend on the operator.Objective: to demonstrate that the designed device achieves a correct and consistent radiographic image of the distal tibiofibular syndesmosis in the mortise view.Material and methods: we present a prospective, longitudinal, observational study. We designed a polypropylene device that maintains the ankle at 90 degrees of dorsiflexion and 15 degrees of internal rotation. The device was used to take mortise view radiographs of healthy ankles, and corresponding measurements were taken to assess the syndesmosis.Results: we evaluated a total of 46 radiographs of healthy ankles, with a predominance of left ankles. The obtained measurements were as follows: anterior tibiofibular distance (ATFD) ranged from 3 to 6 mm, posterior tibiofibular distance (PTFD) ranged from 1 to 3 mm, tibiofibular clear space (TFCS) ranged from 2 to 3 mm, and a Merle D'Aubigne ratio of 2:1 was observed in all ankles. When comparing the measurements obtained with those established by Harper and Keller, no statistically significant difference was found (2 < 5).Conclusion: with the use of the designed device, we achieved a correct and consistent radiographic image of the mortise and the distal tibiofibular syndesmosis.","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"38 2","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089574","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