Ortho-tips最新文献

{"title":"Liderazgo femenino: evidencia","authors":"Claudia Marcela Medina Monje","doi":"10.35366/103734","DOIUrl":"https://doi.org/10.35366/103734","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121883464","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}

{"title":"¿Qué hacer cuando la reversa falló? Protocolos de manejo. Revisión de alcance","authors":"Roberto Enrique López Cervantes, Josué Giovanni Escutia García, José Máximo Gómez Acevedo","doi":"10.35366/94048","DOIUrl":"https://doi.org/10.35366/94048","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116973716","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}

{"title":"La investigación médica, parte esencial de la salud en nuestro país","authors":"Leonardo López Almejo","doi":"10.35366/105497","DOIUrl":"https://doi.org/10.35366/105497","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123469861","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}

{"title":"Fractura periprotésica de rodilla, importancia del protocolo prequirúrgico","authors":"Eduardo de Jesús Macías González, Israel Andrey Hernández Camacho, José Abraham de León Briviescas","doi":"10.35366/110717","DOIUrl":"https://doi.org/10.35366/110717","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115690224","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}

{"title":"Disfagia por osteofitos en la columna cervical. Reporte de un caso y revisión bibliográfica","authors":"Pedro Luis Bazán, Álvaro Enrique Borri, Martín Medina, Nicolás Maximiliano Ciccioli","doi":"10.35366/105508","DOIUrl":"https://doi.org/10.35366/105508","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128908199","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}

{"title":"Rotura total del tendón del cuádriceps y dislocación rotuliana en paciente pediátrico, fijación con anclaje para sutura no reabsorbible (2 twinfix®3.5 mm) con cinco años de seguimiento: reporte de caso","authors":"Jorge Gutiérrez-de la O, Alejandra Ruiz-Díaz, Luis Andrés Valverde-Galindo, Javier Meza-Flores, Víctor Manuel Lopez-Valerio, Fernando Abraham Leyva-Lopez, Mario Abraham Almaraz-Ledesma, Abraham Guadalupe Espinosa-Uribe","doi":"10.35366/108285","DOIUrl":"https://doi.org/10.35366/108285","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115965929","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}

{"title":"Uso de ortobiológicos y aloinjerto en el tratamiento de pseudoartrosis con pérdida ósea diafisaria femoral","authors":"Martha Brenda Lobato Saucedo, Rodolfo Sánchez Ayala, Miriam Astrit Barriga Magaña, Juan Antonio Silva Méndez, I. Gutiérrez-Mendoza, Álvaro Rodríguez Barrón, Juan Matus Jiménez, Montserrat García Balletbó, Ramón Cugat Bertomeu","doi":"10.35366/103737","DOIUrl":"https://doi.org/10.35366/103737","url":null,"abstract":"Pseudoarthrosis is a complication that poses a challenge for the orthopedist. If is associated with bone loss, a salvage surgery is indicated. There is no protocol for treatment for pseudoarthrosis with a «critical defect». The induced membrane technique, distraction osteogenesis, among others, has been described; however, the long time and elevated costs involved have opened a new landscape on the research of new protocols. The «diamond concept» which is not only based of improving biomechanics, but also introduces biological stimulation as a pillar of treatment, was recently introduced. We present the case of a 16-year-old female patient with a femoral shaft fracture after a traffic accident, treated initially with a centromedullar blocked nailing that progresses to pseudoarthrosis, presenting a 5 cm bone loss. Treatment consisted of removing the centromedullar blocked nail, resection of the nonviable bone segment, osteosynthesis with another centromedullar blocked nailing, placement a 7 cm diaphyseal allograft, platelet-rich plasma (PRP), matrix allograft, and bone chips, thus achieving radiographic and clinical consolidation; restoring limb function in a shorter time, considering the PRP as the main orthobiological element in this case.","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126580413","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}

{"title":"Aflojamiento aséptico en la prótesis total de cadera","authors":"Vicente Reyes de la Parra","doi":"10.35366/94046","DOIUrl":"https://doi.org/10.35366/94046","url":null,"abstract":"Aseptic loosening and osteolysis is the third leading indication for revision total hip arthroplasty. Better understanding of the pathophysiology of osteolysis, causes and preventive measures have significantly decreased ALA prevalence during the past 20 years. Currently 10-15% of revision THR are performed due to AL. From those revisions, 59% require revision of all components, while 41% remaining only require revision of one of them: 13% femoral component, 16% acetabular component and 12% femoral head and linner. The majority of AL are asymptomatic until implant subsidence. In all AL cases, septic loosening must be ruled out. Usually normal ESR and C react protein is enough to rule out infection, although elevated levels obligate further infection work up. Computed tomography is the ideal method to assess and classify osteolysis, and for revision surgical planning. Medical treatment for osteolysis in THR is intended to stop AL progression, reduce pain and increased activity and function. However, once symptoms develop and diagnosis of AL is confirmed, revision surgery is the treatment of choice. Revision can be performed in one or all components, depending of loosening. Bone allograft 207 Reyes de la Parra V. Aflojamiento aséptico en prótesis de cadera www.medigraphic.org.mx www.medigraphic.org.mx INTRODUCCIÓN La artroplastia total de cadera es el procedimiento quirúrgico ortopédico de mayor éxito en los últimos 50 años.1,2 La curva de edad población de nuestro país y el aumento en la expectativa de vida hacen que la necesidad de practicar una ATC de revisión sea cada vez más frecuente. Considerando las estadísticas actuales respecto a la curva edad población, expectativa de vida así como índices de obesidad3-5 obligan a mejorar más aún en todos los aspectos los resultados en la artroplastia total de cadera, aumentando la supervivencia de los implantes por un lado, y también a partir de la ATC primaria a considerar una posible revisión en el futuro. Entre las causas de revisión para una ATC, el aflojamiento aséptico (AA) y la osteólisis se ubican en tercer lugar como indicación para una cirugía de revisión, sólo después de inestabilidad-luxación e infección.6 Hoy en día se sabe que la llamada inicialmente «enfermedad del cemento» es una cadena de eventos biológicos que ocasionan como resultado la osteólisis y en consecuencia el aflojamiento aséptico.3,7,8 FISIOPATOLOGÍA DE LA OSTEÓLISIS EN ATC La que originalmente fue llamada «enfermedad del cemento», ahora se sabe que es un proceso dinámico en el que osteoclastos activados van fagocitando micropartículas debris, el cual puede ser del polimetilmetacrilato, polietileno o partículas metálicas.7-10 El estímulo fundamental para la osteólisis es la formación de micropartículas por desgaste en la ATC. El micromovimiento generado en la superficie de carga-soporte de la ATC permite la producción de líquido con alto contenido de partículas.7,8,10 La generación de partículas en la ATC puede obedecer a do","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125166435","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}

{"title":"Eficacia de la vancomicina en polvo en la profilaxis de infección postquirúrgica en cirugía de columna","authors":"Normando Emmanuel Cob Garma, Roberto Ildefonso Recillas Huante, Gustavo Caldera Hernández","doi":"10.35366/99164","DOIUrl":"https://doi.org/10.35366/99164","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122346640","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}

{"title":"Fractura de cadera y demora quirúrgica en México: ¿podemos hacerlo mejor?","authors":"Juan Carlos Viveros García","doi":"10.35366/108277","DOIUrl":"https://doi.org/10.35366/108277","url":null,"abstract":"","PeriodicalId":272585,"journal":{"name":"Ortho-tips","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122371948","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}