Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

[Translated article] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries 【翻译文章】西班牙髋部骨折。我们怎么样？对已发表的注册表进行系统回顾和荟萃分析。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.010

J.H. Núñez , F. Moreira , M. Surroca , J. Martínez-Peña , M.J. Jiménez-Jiménez , B. Ocrospoma-Flores , P. Castillón , E. Guerra-Farfán

{"title":"[Translated article] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries","authors":"J.H. Núñez , F. Moreira , M. Surroca , J. Martínez-Peña , M.J. Jiménez-Jiménez , B. Ocrospoma-Flores , P. Castillón , E. Guerra-Farfán","doi":"10.1016/j.recot.2025.02.010","DOIUrl":"10.1016/j.recot.2025.02.010","url":null,"abstract":"<div><h3>Objective</h3><div>Spain is expected to be the country with the highest life expectancy in the coming years. In this context, it is important to improve the care of hip fractures. The objective of this work was to describe the results of the registries published on hip fractures in Spain.</div></div><div><h3>Material and methods</h3><div>Systematic review and meta-analysis of the records published on hip fractures in Spain, the last 10 years. The characteristics of the study, characteristics of the patients, of the fractures, the type of surgery, as well as morbidity and mortality were analyzed.</div></div><div><h3>Results</h3><div>A total of 55,680 patients with a mean age of 84.6 years were analyzed, of whom 75% were women. Extracapsular fractures were the most frequent (58%). It was found that conservative treatment was applied in an average of 3% of cases. The average surgical delay was 64.7h, with a mean percentage of patients operated on within 24h at 18%, and within 48h at 40%. A mean hospitalization time of 10.7 days was found. Delirium was found to be the most frequent postoperative complication (42%). The mean transfusion rate was 36%. Mean in-hospital mortality at one month and one year was 4%, 5% and 18%, respectively.</div></div><div><h3>Conclusions</h3><div>Less than half of patients with a hip fracture undergo surgery within 48h, despite being recommended by the majority of clinical practice guidelines. Delirium is the most frequently reported postoperative complication, and one in every 5 patients will die within a year after a hip fracture. Standardizing the management of hip fractures at the state level could improve healthcare quality and facilitate the establishment of common criteria for good clinical practice.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T303-T317"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469547","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

[Translated article] Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability? 钢板内固定能改善治疗肱骨前关节不稳的Latarjet手术吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.017

A. Portes, F. Santana, C. Torrens

{"title":"[Translated article] Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability?","authors":"A. Portes, F. Santana, C. Torrens","doi":"10.1016/j.recot.2025.02.017","DOIUrl":"10.1016/j.recot.2025.02.017","url":null,"abstract":"<div><div>The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) and those with screws only (GSP) for coracoid fixation.</div></div><div><h3>Material and methods</h3><div>A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same center between October 2009 and February 2021. A total of 85 shoulders were analyzed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss <10%, ligamentous hyperlaxity (Beighton score >6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity.</div></div><div><h3>Results</h3><div>Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30±8.78 years. Both groups were statistically comparable. No significant differences were found in the WOSI test (<em>p</em>  =.380) or in complications (<em>p</em>  =.039).</div></div><div><h3>Conclusions</h3><div>No statistically differences were observed in quality of life, complications, or redislocations. However, the use of a plate showed a greater predisposition to return to sports activity (<em>p</em>  <!-->.039) in patients with anterior glenohumeral instability.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T297-T302"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473307","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

[Translated article] Open Science. Business or Opportunity? [翻译文章]开放科学。生意还是机会？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.03.011

Enrique Guerado Parra

引用次数: 0

¿Mejora la fijación con placa la cirugía de Latarjet para la inestabilidad anterior glenohumeral? 钢板固定能否改善盂兰盆前关节失稳的 Latarjet 手术？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.11.015

A. Portes, F. Santana, C. Torrens

{"title":"¿Mejora la fijación con placa la cirugía de Latarjet para la inestabilidad anterior glenohumeral?","authors":"A. Portes, F. Santana, C. Torrens","doi":"10.1016/j.recot.2024.11.015","DOIUrl":"10.1016/j.recot.2024.11.015","url":null,"abstract":"<div><div>The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) and those with screws only (GSP) for coracoid fixation.</div></div><div><h3>Material and methods</h3><div>A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same center between October 2009 and February 2021. A total of 85 shoulders were analyzed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss <10%, ligamentous hyperlaxity (Beighton score >6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity.</div></div><div><h3>Results</h3><div>Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30±8.78years. Both groups were statistically comparable. No significant differences were found in the WOSI test (<em>P</em>  =.380) or in complications (<em>P</em>  =.039).</div></div><div><h3>Conclusions</h3><div>No statistically differences were observed in quality of life, complications, or re-dislocations. However, the use of a plate showed a greater predisposition to return to sports activity (<em>P</em>  <!-->.039) in patients with anterior glenohumeral instability.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 297-302"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630282","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

Caracterización clínica de pacientes con coaliciones tarsianas. Experiencia de 12 años en hospital de alta complejidad 跗骨联合患者的临床特征。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.09.007

E. Fernández-Rojas , M. Monteagudo de la Rosa , P. Martínez de Albornoz Torrente , E. Maceira Suárez

{"title":"Caracterización clínica de pacientes con coaliciones tarsianas. Experiencia de 12 años en hospital de alta complejidad","authors":"E. Fernández-Rojas , M. Monteagudo de la Rosa , P. Martínez de Albornoz Torrente , E. Maceira Suárez","doi":"10.1016/j.recot.2024.09.007","DOIUrl":"10.1016/j.recot.2024.09.007","url":null,"abstract":"<div><h3>Background</h3><div>Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.</div></div><div><h3>Results</h3><div>Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56,5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).</div></div><div><h3>Discussion</h3><div>In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, <em>P</em>=.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 260-266"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356014","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

[Translated article] Clinical characterization of patients with tarsal coalitions. Twelve-year experience in a high-complexity hospital 【翻译文章】跗骨联合患者的临床特征。在高度复杂的医院工作了12年。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.015

E. Fernández-Rojas , M. Monteagudo de la Rosa , P. Martínez de Albornoz Torrente , E. Maceira Suárez

{"title":"[Translated article] Clinical characterization of patients with tarsal coalitions. Twelve-year experience in a high-complexity hospital","authors":"E. Fernández-Rojas , M. Monteagudo de la Rosa , P. Martínez de Albornoz Torrente , E. Maceira Suárez","doi":"10.1016/j.recot.2025.02.015","DOIUrl":"10.1016/j.recot.2025.02.015","url":null,"abstract":"<div><h3>Background</h3><div>Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.</div></div><div><h3>Results</h3><div>Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56.5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).</div></div><div><h3>Discussion</h3><div>In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, <em>p</em>  <!-->.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T260-T266"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473302","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

Functional evaluation after cortical button fixation for distal biceps ruptures – Is there any difference between manual or non-manual workers? 皮质纽扣固定治疗肱二头肌远端断裂后的功能评估--体力劳动者和非体力劳动者有区别吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.007

A. Batista , N. Moura , M. Sarmento , T. Coelho , D. Gomes , R. Ramos , A. Cartucho

{"title":"Functional evaluation after cortical button fixation for distal biceps ruptures – Is there any difference between manual or non-manual workers?","authors":"A. Batista , N. Moura , M. Sarmento , T. Coelho , D. Gomes , R. Ramos , A. Cartucho","doi":"10.1016/j.recot.2024.10.007","DOIUrl":"10.1016/j.recot.2024.10.007","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to compare clinical and functional results after distal biceps tendon repair in manual workers vs. non-manual workers.</div></div><div><h3>Methods</h3><div>This is a retrospective comparative study which refers to 57 cases with distal biceps tendon rupture, divided in manual workers (24 elbows) and non-manual workers (33), that were treated by a single incision with cortical button and interference screw fixation. Included cases have a minimum of 3 months follow-up, post-operative X-ray and signed informed consent for the investigation.</div></div><div><h3>Results</h3><div>Supination and flexion strength was higher in manual workers vs. non-manual workers (<em>p</em>-value=0.192 and 0.878, respectively). Nine patients showed loss of range of motion, concerning supination and pronation, and this was correlated to worse functional scores. Functional scores tend to be superior in non-manual workers. Ten patients had heterotopic ossification and 20 patients reported lateral antebrachial cutaneous nerve neuropraxia; one had both. Most of them had a full recovery.</div></div><div><h3>Conclusion</h3><div>According to clinical evaluation and post-operative scores, the performed surgical procedure provides good to excellent mid-term functional results. Nevertheless, there were not any differences between manual or non-manual workers.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 274-279"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477017","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

Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound 通过X光平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2023.12.002

A. Fernández-Bravo Rueda , B. Gutiérrez-San José , J. Fernández-Jara , A. Fernández-López , P. Núñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín-Ríos

{"title":"Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound","authors":"A. Fernández-Bravo Rueda , B. Gutiérrez-San José , J. Fernández-Jara , A. Fernández-López , P. Núñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín-Ríos","doi":"10.1016/j.recot.2023.12.002","DOIUrl":"10.1016/j.recot.2023.12.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or X-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.</div></div><div><h3>Material and methods</h3><div>From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.</div></div><div><h3>Results</h3><div>Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.</div></div><div><h3>Conclusion</h3><div>This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 228-232"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807898","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

[Artículo traducido] Concordancia interobservador de la clasificación de la tendinopatía calcificante de hombro "利用平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性"。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.008

A. Fernandez-Bravo Rueda , B. Gutiérrez San José , J. Fernández Jara , A. Fernández López , P. Nuñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín Ríos

{"title":"[Artículo traducido] Concordancia interobservador de la clasificación de la tendinopatía calcificante de hombro","authors":"A. Fernandez-Bravo Rueda , B. Gutiérrez San José , J. Fernández Jara , A. Fernández López , P. Nuñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín Ríos","doi":"10.1016/j.recot.2025.02.008","DOIUrl":"10.1016/j.recot.2025.02.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or x-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.</div></div><div><h3>Material and methods</h3><div>From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.</div></div><div><h3>Results</h3><div>Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.</div></div><div><h3>Conclusion</h3><div>This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T228-T232"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469533","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

Cifoplastia con silicona (elastoplastia) versus cifoplastia tradicional con cemento para fracturas vertebrales osteoporóticas. ¿Esta nueva técnica reduce las complicaciones? VK100 硅胶弹性成形术与 PMMA 骨水泥椎体成形术治疗骨质疏松性椎体骨折。这种新技术的并发症更少吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.013

R. Luque, D. Garríguez, P. Checa Betegon, M. Sanchez, M. Olvera, J.L. Perez Gonzalez, I. Dominguez Esteban

{"title":"Cifoplastia con silicona (elastoplastia) versus cifoplastia tradicional con cemento para fracturas vertebrales osteoporóticas. ¿Esta nueva técnica reduce las complicaciones?","authors":"R. Luque, D. Garríguez, P. Checa Betegon, M. Sanchez, M. Olvera, J.L. Perez Gonzalez, I. Dominguez Esteban","doi":"10.1016/j.recot.2024.10.013","DOIUrl":"10.1016/j.recot.2024.10.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based polymers. This study's objective is to compare the results between kyphoplasty with bone cement and with the VK100 silicone.</div></div><div><h3>Materials and methods</h3><div>This is a comparative, prospective study involving 64 patients, 23 treated using VK100 and 41 with PMMA. Clinical, radiological and functional results (Oswestry) and quality of life and (EQ-5D) were analyzed and compared between both groups, focusing on differences in subsequent fractures in adjacent levels.</div></div><div><h3>Results</h3><div>There are no differences between the two treatments in terms of epidemiological factors (age and sex) or hospital management. A significant difference is observed in the gain of vertebral body height, with greater improvement in those treated with PMMA. There is also a higher fracture rate in the PMMA group, the difference is not significant. Finally, both treatments show similar outcomes in pain relief and quality of life.</div></div><div><h3>Conclusion</h3><div>Both VK100 Elastoplasty and PMMA Kyphoplasty are effective treatments for vertebral fractures. VK100 has a lower rate of complications and adjacent fractures. However, long-term results in terms of pain relief and quality of life are similar, making both treatments equally valid.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 287-296"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548160","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