Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"[Translated article] Influence of prosthetic lateralization on tuberosity healing in reverse shoulder arthroplasty for proximal humerus fractures.","authors":"D J Gómez, C Bermeo, G Viollaz, A Muratore, R Durán, G Teruya, A Tedeschi, D Moya","doi":"10.1016/j.recot.2026.04.006","DOIUrl":"https://doi.org/10.1016/j.recot.2026.04.006","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate the effect of prosthetic lateralization on tuberosity healing following reverse shoulder arthroplasty (RSA) for proximal humerus fractures (PHFs) in older adults.</p><p><strong>Material and methods: </strong>This single-center retrospective study included patients aged > 65 years with displaced Neer 3- or 4-part PHFs treated with RSA within four weeks of injury. Patients were allocated according to the global lateralization of the prosthesis: Very Highly Lateralized (VHL; 21.4 mm, Arrow®, n = 53) and Lateralized (L; 14.7 mm, Unique®, n = 20). Tuberosity healing was assessed radiographically and classified as anatomic, non-anatomic, or failed consolidation. Statistical analysis was performed using Student's t-test or Mann-Whitney U test for continuous variables, and Chi-square or Fisher's exact test for categorical variables.</p><p><strong>Results: </strong>The final cohort consisted of 73 patients (62 women, 11 men) with a mean age of 76.2 ± 6.9 years. Overall tuberosity healing occurred in 60 patients (82.2%), while 13 (17.8%) demonstrated failed consolidation. The L group showed a significantly higher overall healing rate (100%) compared with the VHL group (75.5%; P = .020). Anatomic healing was achieved in 55% of the L group and 28% of the VHL group (P = .020). All failures occurred exclusively in the VHL cohort (24.5%). The overall complication rate was 6.8%, with no significant differences between groups.</p><p><strong>Conclusion: </strong>Very high prosthetic lateralization (> 20 mm) is associated with reduced rates of anatomic tuberosity healing and a higher incidence of failed consolidation, likely due to increased mechanical tension that compromises osteointegration in osteoporotic bone.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844122","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":"Diagnostic and Therapeutic Optimization in Pubic Ramus Fractures: Is Plain Radiography Sufficient?","authors":"Héctor Hormigó, Marcos Barengo, Christian Alvarado","doi":"10.1016/j.recot.2026.04.004","DOIUrl":"https://doi.org/10.1016/j.recot.2026.04.004","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784194","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":"Comparative analysis between intramedullary screw fixation and plate osteosynthesis in midshaft clavicle fractures: Surgical efficiency and functional outcomes in contact athletes.","authors":"G A Tafoya-Arreguin, R D Esqueda-Godoy, S Magallon-Jaimes, J J Martinez-Ruiz, C O Sepulveda-Cadena","doi":"10.1016/j.recot.2026.04.005","DOIUrl":"https://doi.org/10.1016/j.recot.2026.04.005","url":null,"abstract":"<p><strong>Background: </strong> Plate fixation is the current gold standard for displaced midshaft clavicle fractures, despite concerns regarding surgical morbidity and implant prominence. The purpose of this study was to compare the clinical, radiographic, and surgical outcomes of an intramedullary screw system versus conventional plate fixation.</p><p><strong>Methods: </strong> A comparative cohort study was performed on 72 patients (36 treated with the Screw system and 36 with plate fixation). Surgical variables (time and blood loss), radiographic consolidation (at 4, 8, and 12 weeks), and functional outcomes (DASH and Constant-Murley scores) were analyzed. Statistical significance was set at p < .05.</p><p><strong>Results: </strong> The Screw group demonstrated a significantly shorter operative time (27.69+/- 9.39 vs. 105.47 +/- 55.18 minutes; p<.001) and minimal blood loss (10 vs. 228.33 ml; p<.001). Functional recovery was significantly faster in the DualTrack group, with an earlier return to physical activity (6.64 vs. 21.69 weeks; p<.001) and superior Constant scores (98.64 vs. 94.81; p = .0006). Radiographically, the screw group showed significantly lower fracture line visibility at 8 and 12 weeks compared to the plate group (p<.05). Complication rates were lower for the screw group (8.3%) than for the plate group (25.0%), although this did not reach statistical significance (p=.11).</p><p><strong>Conclusion: </strong> The intramedullary system is a highly effective alternative for clavicle fractures, providing superior surgical efficiency, faster functional recovery, and improved biological healing compared to conventional plate fixation. It should be considered a primary treatment option, particularly for patients seeking a rapid return to activity and minimally invasive surgery.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784631","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":"Outcomes of Metastasectomy in Patients with Solitary Bone Metastases: Experience from a Cancer Center in Bogotá, Colombia.","authors":"Gabriel Andrés Narváez Rodríguez, Andrea Juliana Hernández Caicedo, Juan Fernando Chaustre Flórez, Camilo Soto-Montoya, Andrea Franco-Betancur, Luis Carlos Gómez Mier","doi":"10.1016/j.recot.2026.04.003","DOIUrl":"https://doi.org/10.1016/j.recot.2026.04.003","url":null,"abstract":"<p><strong>Introduction: </strong>Solitary bone metastases represent a major clinical challenge. Surgical metastasectomy remains a valid option in selected patients. This study evaluated the oncologic and functional outcomes following metastasectomy in a cancer referral center in Bogotá, Colombia.</p><p><strong>Methods: </strong>A retrospective observational study including patients with solitary bone metastases who underwent metastasectomy between January 2004 and March 2024. Demographic, clinical, and surgical data were collected. Postoperative functionality was assessed using the MSTS score. Local recurrence, disease progression, and survival were analyzed with a minimum follow-up of 12 months. Kaplan-Meier and log-rank tests were used when appropriate.</p><p><strong>Results: </strong>Thirty patients (73.3% female) were included, with a mean age of 60.4 ± 10.9 years. The most common primary tumors were renal (26.7%) and breast (16.7%). The predominant surgical technique was endoprosthetic reconstruction (50%). Postoperative complications occurred in 40% (12/30), mainly infections (41%). Among 13 patients with recorded functionality, the moderate MSTS category was most common (53.8%), with no significant associations found with the evaluated clinical or surgical variables (all p > 0.05). During follow-up, 19 patients (63%) developed metastatic progression, 2 (6.7%) developed local recurrence, and 11 (36.6%) remained progression-free. The overall survival rate at 12 months was 65%, with a median follow-up of 12 months (IQR: 12-36).</p><p><strong>Conclusion: </strong>Metastasectomy in patients with solitary bone metastases appears to be a feasible and safe approach, associated with favorable functional outcomes and low rates of local recurrence in this cohort. Its role should be considered within a multidisciplinary context in carefully selected patients.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784604","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":"UN PIE EN EL MITO, EL OTRO EN LA CIENCIA: CREENCIAS Y REALIDADES SOBRE EL IMPACTO DEL CLIMA EN LA CIRUGÍA DEL PIE Y TOBILLO.","authors":"Cristóbal Suárez Rueda, María Herrera Abián, Ana González Jiménez, Irene Portellano Pascual, José Luis Sopesén Veramendi","doi":"10.1016/j.recot.2026.04.001","DOIUrl":"https://doi.org/10.1016/j.recot.2026.04.001","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784646","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":"Epidemiological trends in pediatric knee arthroscopy: a single-centre study in Spain (1998-2023).","authors":"Maria Garralda Del Villar, Alba Edo Olucha, Leyre Muñoa Oteiza, Daniel Sánchez Guardamino Sáenz, Serafín García Mata, Julio Duart Clemente","doi":"10.1016/j.recot.2026.04.002","DOIUrl":"https://doi.org/10.1016/j.recot.2026.04.002","url":null,"abstract":"<p><strong>Background and objective: </strong>Knee arthroscopy has become an essential diagnostic and therapeutic tool in children and adolescents. However, data on temporal trends, indications, and surgical techniques in Spain remain limited. This study aimed to analyse the epidemiological and surgical evolution of knee arthroscopy in patients under 18 years of age between 1998 and 2023.</p><p><strong>Patients and methods: </strong>This single-centre retrospective observational study including 416 patients under 18 years who underwent knee arthroscopy. Demographic, diagnostic, and surgical variables were collected. Descriptive statistics, the Kruskal-Wallis test, the Cochran-Armitage trend test, and Spearman's correlation were used for analysis.</p><p><strong>Results: </strong>The median age was 14 years, with a predominance of females (59%). The most frequent indications were meniscal tears (33%), anterior cruciate ligament (ACL) injury (22%), and osteochondral lesions (14%). Diagnostic arthroscopy (38%) and meniscectomy (27%) were the most common procedures, both showing a progressive decline since 2015, whereas meniscal repair and surgery for patellofemoral instability showed a slight increase. A sustained rise in arthroscopies was observed among adolescents over 11 years of age, with a gradual equalisation between sexes in recent years.</p><p><strong>Conclusion: </strong>Paediatric knee arthroscopy has progressively increased over the last two decades, with meniscal, ACL, and osteochondral lesions being the most frequent indications. A trend towards meniscal preservation and reconstructive procedures is also evident, reflecting evolving clinical practice and patterns of sports participation.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784310","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":"Exploratory study of the efficacy and safety of treatment with high-low molecular weight hybrid hyaluronic acid in patients with plantar fasciitis: One-year follow-up.","authors":"Á Fernández Reinales, D Poggio Cano, R García Elvira","doi":"10.1016/j.recot.2026.03.022","DOIUrl":"10.1016/j.recot.2026.03.022","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Plantar fasciitis (PF) is a common musculoskeletal injury that can occur in adults of all ages and activity levels. This condition accounts for more than 1 million medical visits annually in the United States alone. Despite its name, PF is considered a degenerative condition rather than a primary inflammatory disorder. It is characterized by pain in the medial part of the heel that worsens with weight-bearing activity and prolonged standing. Treatment for PF can be conservative, including stretching complemented by formal physical therapy, NSAIDs, and orthotics. If symptoms have not improved after these options, the use of injectable treatments should be considered. If symptoms persist for more than 6 months, surgical release could be considered as a last resort. Different studies have demonstrated the efficacy and safety of high molecular weight hyaluronic acid (HA) injections in the treatment of patients with PF.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objetives: &lt;/strong&gt;The objective of the study was to evaluate the efficacy and safety of treatment with hybrid high-low molecular weight hyaluronic acid (HA) in patients diagnosed with plantar fasciitis through retrospective analysis of medical records.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;Patient functionality was assessed using the Spanish-validated Manchester-Oxford Foot and Ankle Questionnaire (MOXFQ), and pain level was measured with the Verbal Numeric Rating Scale (VNRS), both before the procedure and after 12 months of post-treatment follow-up, in 10 patients diagnosed with PF who were administered hybrid high-low molecular weight HA (Sinovial HL® 1ml) through ultrasound-guided injection into the plantar fascia. In all cases, the thickness of the plantar fascia was evaluated by ultrasound before the procedure and at 12 months.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A significant reduction in pain assessed by the VNRS was observed when comparing baseline data to values at 12 months post-procedure (P&lt;.001). In all cases, patients reported total absence of pain 12 months after the HA injection. Likewise, a statistically significant reduction in MOXFQ scores was observed between baseline values and those obtained at the 12-month follow-up. The mean scores decreased from 57.2±4.3 points at baseline to 2.5±2.8 points at 12 months, with a median difference of -55 points (IQR: -58.2 to -50.8; P=.002). Regarding the evaluation of ultrasound changes in plantar fascia thickness, the analysis revealed a statistically significant reduction at 12 months after the procedure compared to baseline measurements (median difference: -2.25mm, IQR: -2.85 to -1.95; P=.002). The body mass index (BMI) was 27.8%, and the predominant gender was male (70%) compared to female (30%). The baseline characteristics of the patients and the results of the tests performed are shown in table 1.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Ultrasound-guided infiltration with hyaluronic acid hybrid high-low molecular weight in","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784308","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":"Effect Of Central Sensitization On Outcomes After Hallux Valgus Surgery.","authors":"Juan Manuel Rodríguez Sánchez, Marta Calderón García, Nicolás Prados Olleta","doi":"10.1016/j.recot.2026.03.021","DOIUrl":"https://doi.org/10.1016/j.recot.2026.03.021","url":null,"abstract":"<p><strong>Introduction: </strong>Central sensitization (CS) is a pain amplification mechanism associated with poorer surgical outcomes. Its influence on Hallux Valgus (HV) surgery remains unclear. This study evaluates whether CS is associated with worse outcomes following Chevron and Akin osteotomies.</p><p><strong>Methods: </strong>Retrospective cohort study including 76 operated patients, divided according to their Central Sensitization Inventory (CSI) score (≥40 vs <40). Functionality (AOFAS), pre-/postoperative pain (VAS), satisfaction (VAS), quality of life (EQ-5D-5L), and treatment response were analyzed.</p><p><strong>Results: </strong>Patients with CS showed worse functionality and quality of life, greater pain, and lower satisfaction (p<0.001). The most affected dimensions were pain, mobility, and daily activities (p<0.001). Both groups improved, particularly the non-CS group (p=0.001).</p><p><strong>Conclusion: </strong>CS is associated with poorer functional outcomes and may serve as a negative prognostic factor. Surgical intervention improves pain even in patients with CS.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784268","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":"Management of surgical management of beak-type avulsion fractures of the posterior calcaneal tuberosity: a systematic narrative review.","authors":"J Olucha Puchol, L Díaz Aviñó, F Forriol Brocal","doi":"10.1016/j.recot.2026.03.012","DOIUrl":"https://doi.org/10.1016/j.recot.2026.03.012","url":null,"abstract":"<p><strong>Introduction: </strong>Beak-type avulsion fractures of the posterior calcaneal tuberosity have a high risk of skin complications due to Achilles tendon traction and limited soft tissue coverage. The objective was to synthesize evidence on their surgical management, comparing open and percutaneous approaches, focusing on skin complications and prognostic factors.</p><p><strong>Material and methods: </strong>Systematic review following PRISMA 2020. Search in PubMed/MEDLINE and ScienceDirect (2000-2024). Clinical studies describing open reduction with internal fixation (ORIF) or closed reduction with percutaneous fixation (CRIF) were included. Narrative synthesis was performed due to methodological heterogeneity.</p><p><strong>Results: </strong>Fourteen observational studies (268 patients) were included. Comparative series consistently showed a trend toward lower skin complication rates with CRIF compared to ORIF. Time to surgery (<48hours) and fragment displacement (>2cm) were identified as relevant prognostic factors.</p><p><strong>Conclusion: </strong>In selected fractures with moderate displacement, percutaneous fixation represents a reasonable option to minimize skin complications. Open fixation remains necessary for significantly displaced or comminuted injuries.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784471","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":"[Translated article] Soft tissue infections during a climate emergency: Impact of the October 2024 cut-off low (DANA) event in Valencia.","authors":"A Amaya Franco, L Pelegrín Dura, D Torres-Perez, J Tecles Peydró, D Martínez López, J Antonio Blas Dobón, J Luis Rodrigo Pérez","doi":"10.1016/j.recot.2026.03.019","DOIUrl":"https://doi.org/10.1016/j.recot.2026.03.019","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;The objective of this study is to provide an epidemiological description of soft tissue infections caused by traumatic injuries treated at a tertiary hospital in Valencia during the floods resulting from the cut-off low (depresión aislada en niveles altos [DANA]) that occurred in October 2024. The study also addresses the therapeutic approach and associated complications.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;We conducted a retrospective, single-centre, descriptive study evaluating musculoskeletal soft tissue infections in patients with an emergency department diagnosis of \"DANA-related injury\" who required hospitalisation in the Department of Orthopedic Surgery and Traumatology of a tertiary care hospital. The study period extended from October 30th to November 14th, 2024. A total of 41 admissions (14%) were recorded out of the 289 patients treated in the trauma emergency department for wounds and closed fractures. Patients who were admitted with fractures only, without associated wounds, were excluded, resulting in a final sample of 31 patients. All patients underwent emergency surgical intervention, including wound debridement in the operating room, with intraoperative collection of multiple samples sent to the Microbiology Department for etiological identification of micro organisms, as well as analysis of their antibiotic susceptibility and resistance patterns. Until antibiogram results were available, all patients received empirical broad-spectrum intravenous antibiotic therapy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the 41 admitted patients, 10 were excluded due to the absence of open wounds (closed fractures), resulting in a final cohort of 31 patients with soft tissue injuries, 10 of whom (32%) also presented with long bone fractures. Among the 31 patients, 21 were male (67%) and 10 female, with a mean age of 54.7 years. The most frequent anatomical location of the wounds was the lower extremities. The most commonly isolated microorganisms in culture were Aeromonas hydrophila (7 cases), Escherichia coli (7 cases), and Klebsiella pneumoniae (5 cases), with 56.5% of cases presenting polymicrobial infections.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Soft tissue infections secondary to traumatic injuries sustained during the flooding caused by the October 2024 DANA event posed a significant clinical challenge to Orthopedic and Trauma Surgery Services. Flood-related soft tissue infections are characterised by a high prevalence of polymicrobial infections, frequently involving Gram-negative and multidrug-resistant pathogens. These findings underscore the need for early diagnosis and the initiation of broad-spectrum antimicrobial therapy to reduce the risk of complications and the need for multiple surgical interventions. This study highlights the importance of prompt, multidisciplinary, and protocol-driven responses to extreme weather events that carry a high risk of serious infections in contaminated environmen","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784555","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}