Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第10页

[Artículo traducido] Correspondencia «Explorando el potencial de la inteligencia artificial en traumatología: respuestas conversacionales a preguntas específicas» [Artículo traducido] Correspondence ``Exploring the potential of artificial intelligence in traumatology：对具体问题的对话式回答''。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-01-01 DOI: 10.1016/j.recot.2024.11.010

H. Daungsupawong , V. Wiwanitkit

引用次数: 0

Superior capsular reconstruction of the shoulder with biceps autograft vs. Achilles allograft: A 2-year comparative study. 肱二头肌长头自体移植物与跟腱异体移植物的肩关节上囊重建术：两年对比研究

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-12-14 DOI: 10.1016/j.recot.2024.11.023

D J Gómez, S Ávila Posada, N Gabotto, G M Viollaz, Á J Muratore, N N Altamirano, D Moya

{"title":"Superior capsular reconstruction of the shoulder with biceps autograft vs. Achilles allograft: A 2-year comparative study.","authors":"D J Gómez, S Ávila Posada, N Gabotto, G M Viollaz, Á J Muratore, N N Altamirano, D Moya","doi":"10.1016/j.recot.2024.11.023","DOIUrl":"10.1016/j.recot.2024.11.023","url":null,"abstract":"Purpose: To retrospectively evaluate the clinical-functional outcomes, healing rates, complications, and surgical time in patients treated with superior capsular reconstruction (SCR) using long head of the biceps autograft (LHB) and Achilles allograft (AA).Materials and methods: This retrospective study included 24 patients with irreparable rotator cuff tears of the supraspinatus and infraspinatus, treated with SCR. Two treatment groups were formed: one with 12 cases using AA and another with 12 cases using LHB. All patients were followed for a minimum of 2 years.Results: The SSV was 73.7±25.3 vs. 86.0±8.7 (p=0.26), the Constant score was 76.8±20.1 vs. 83.7±4.6 (p=0.12), and the VAS was 1.6±2.3 vs. 1.7±0.5 (p=0.9) for the LHB and AA groups, respectively. Tendon healing was 66.7% in AA and 100% in LHB (p=0.001). Complications were 50% in AA and 0% in LHB. The average surgical time was 127.7±37.6minutes for AA and 84.3±14.3min for LHB (p=0.01).Conclusions: SCR with LHB showed better results in terms of tendon healing, fewer complications, and reduced surgical time compared to the use of AA.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839949","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

Transcultural validation of the risk assessment and predictor tool (RAPT) to Spanish. 风险评估和预测工具 (RAPT) 在西班牙文中的跨文化验证。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-12-13 DOI: 10.1016/j.recot.2024.11.024

A Pérez-Perdomo, M Rivero, M Bassas, C Bordanove, E Ripoll-Romero

{"title":"Transcultural validation of the risk assessment and predictor tool (RAPT) to Spanish.","authors":"A Pérez-Perdomo, M Rivero, M Bassas, C Bordanove, E Ripoll-Romero","doi":"10.1016/j.recot.2024.11.024","DOIUrl":"10.1016/j.recot.2024.11.024","url":null,"abstract":"Objective: Translation and validation of the risk assessment and prediction tool (RAPT) into Spanish to assess the discharge needs of patients after total hip arthroplasty.Methodology: The original RAPT instrument was translated into Spanish following the guidelines of Sousa and Rojjanasrirat, 2011. To carry out the cross-cultural adaptation of the instrument to Spanish, the translation method of Guillermin et al., 1993 was used.Results: One hundred and thirty-four patients were included. The mean age was 71.6 years. Of the patients analyzed in the study, the tool detected that 57.8% required home rehabilitation, 28.9% would be discharged home and 13.3% would require an assessment from the social worker to go to a social health center. The content validity index (CVI) for the entire scale was 0.91. Cronbach's alpha was 0.84.Conclusions: The RAPT tool has been shown to be highly effective in assessing patients' needs upon discharge. According to the results of the study, 94.2% of the needs identified by the tool coincided with the real needs of the patients. This suggests that the tool may be an efective tool for planning post-discharge care.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828683","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

Update on the treatment of acute infections in knee prostheses: Is it possible to retain the components? An in-depth look at the DAIR procedure. 膝关节假体急性感染治疗的最新进展：是否有可能保留构件？深入了解DAIR过程。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-12-05 DOI: 10.1016/j.recot.2024.12.001

R Calvo Rodriguez, J Isla Villanueva, D Edwards Silva, H Cifuentes Aedo

{"title":"Update on the treatment of acute infections in knee prostheses: Is it possible to retain the components? An in-depth look at the DAIR procedure.","authors":"R Calvo Rodriguez, J Isla Villanueva, D Edwards Silva, H Cifuentes Aedo","doi":"10.1016/j.recot.2024.12.001","DOIUrl":"10.1016/j.recot.2024.12.001","url":null,"abstract":"Introduction: Periprosthetic knee infections are serious complications after knee arthroplasty, affecting 1 to 2% of patients with primary surgery and up to 20% of revisions. The DAIR strategy (debridement, antibiotics, and implant retention) has emerged as a treatment for acute infections, allowing component retention in certain cases, with a high success rate.Objectives: This review discusses its application, success factors, techniques such as the «double DAIR» and postoperative management, highlighting the importance of correct patient selection and the combination of a thorough and meticulous surgical technique with appropriate antibiotic therapy to optimize results.Methods: An exhaustive updated literature search was conducted regarding the use of DAIR in acute periprosthetic infections, highlighting the step-by-step procedure and some surgical tips that are helpful when performing it. Based on this, recommendations were made for physicians interested in the subject.Results: A series of recommendations are made based on current literature, which are a useful guide when dealing with patients with acute infections in the context of knee prostheses, with a success rate greater than 70% in most cases where the patient is well selected.Conclusions: DAIR is a useful and effective tool in the eradication and treatment of acute periprosthetic infections, with a good success rate. It is a cheap, technically simple and reproducible procedure, so as a group, we suggest it be adopted globally by orthopedic surgeons.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792487","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

Ramón y Cajal and the cartilaginous growth plate. Ramón y Cajal和软骨生长板。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-26 DOI: 10.1016/j.recot.2024.11.017

M J Delgado-Martos, B Quintana-Villamandos, E Delgado-Baeza

引用次数: 0

Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability? 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 : 2024-11-12 DOI: 10.1016/j.recot.2024.11.015

A Portes, F Santana, C Torrens

{"title":"Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability?","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":"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.Material and methods: 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.Results: 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 (P=.140), the Rowe test (P=.380) or in complications (P=.692). A higher percentage of the GP group returned to sports activity (77.1% GP vs. 51.7% GSP, P=.039).Conclusions: 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 (P=.039) in patients with anterior glenohumeral instability.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","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

Clinical and radiological outcomes of the SL-Plus stem with a minimum 10-year follow-up: A retrospective study. 至少随访 10 年的 SL-Plus 支架的临床和放射学效果：一项回顾性研究。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-08 DOI: 10.1016/j.recot.2024.10.014

L Palacios-Díaz, R Fernández-Fernández, A Losa Sánchez, A Cruz-Pardos

{"title":"Clinical and radiological outcomes of the SL-Plus stem with a minimum 10-year follow-up: A retrospective study.","authors":"L Palacios-Díaz, R Fernández-Fernández, A Losa Sánchez, A Cruz-Pardos","doi":"10.1016/j.recot.2024.10.014","DOIUrl":"10.1016/j.recot.2024.10.014","url":null,"abstract":"Purpose: The SL-Plus cementless stem was introduced in 1993 as an evolution of the Alloclassic® stem with some modifications. The aim of this study was to analyse if these modifications have any influence in clinical and radiological outcomes at minimum 10-year follow-up.Methods: Sixty-eight consecutive implants (64 patients) were retrospective evaluated. The mean duration of clinical and radiographic follow-up was 12.2 years. There were 41 female and 23 male patients with a median age of 73.5 years. All complications and reinterventions were collected. Functional outcomes were assessed using the modified Harris Hip Score (mHHS). Radiographs were evaluated immediately after the operation, after a minimum 2-year follow-up and by the end of follow-up (time A, B and C, respectively).Results: Two stems were revised, one due to periprosthetic fracture and one due to aseptic loosening with a cumulative probability of not having a stem revision for any reason of 97.2% at 12.2 years. Mean mHHS was 76.7 points at the latest follow-up. Significant differences were found in distal migration (time A: 5.9mm±6.7; B: 6.9mm±7.1 and C: 8.2mm±6.3; P=.000) and varus angulation (time A: 0.0°±2: B: 0.0°±2 and C: 1.0°±3; P<.001), although these stems showed radiographic signs of osseointegration. Thirty-three hips (48.5%) showed any radiolucent line around the stem, most of them located the proximal femur (Gruen 1 and 7). Multivariate regression analysis showed lower mHHS scores in older patients (P=.004) and female (P=.00).Conclusions: The modifications of the SL-Plus stem influence the long-term outcome of the implant regarding radiological results, particularly in progressive varus angulation and distal migration. However, our study has not been able to demonstrate any clinical repercussions: functional scores and survival free of all cause revision were favorable and comparable to previous reports.","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630280","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] Evaluation, differential diagnosis and treatment of vertebral osteoporosis: How to avoid the occurrence of new fractures [椎体骨质疏松症的评估、鉴别诊断和治疗：如何避免出现新的骨折。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.08.008

M. Nikitsina , P. Quiroga-Colina , S. Castañeda

引用次数: 0

[Translated article] Osteoporotic vertebral fractures: Natural history and impact 骨质疏松性脊椎骨折：自然史和影响。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.08.003

P. Checa-Betegón, R. Luque-Pérez, D. Oñate-Martínez-Olascoaga, J.L. Pérez-González, I. Domínguez-Esteban

{"title":"[Translated article] Osteoporotic vertebral fractures: Natural history and impact","authors":"P. Checa-Betegón, R. Luque-Pérez, D. Oñate-Martínez-Olascoaga, J.L. Pérez-González, I. Domínguez-Esteban","doi":"10.1016/j.recot.2024.08.003","DOIUrl":"10.1016/j.recot.2024.08.003","url":null,"abstract":"<div><div>Osteoporosis, and the consequences derived from it, such as fragility fractures, constitute a growing public health problem. Suffering from a fracture of this nature is the main risk factor for suffering a new fracture.</div><div>It is documented that vertebral compression fractures lead to significant morbidity and mortality, in the short and long term, as well as other complications, such as sagittal imbalance and hyperkyphosis of the segment. However, we have not found documentation that analyzes the medium and long-term consequences of these injuries, assessing the type of treatment used, and the economic impact they represent.</div><div>The purpose of this review is to analyse the main recent literature on the subject and make a breakdown of the consequences of these fractures in various spheres, such as economic, quality of life, sagittal balance and radiographic parameters, pain or mortality; as well as a brief analysis of epidemiology and natural history.</div></div><div><h3>Conclusion</h3><div>Osteoporotic fractures constitute an emerging problem, both in the medical and economic fields. The consequences and sequelae on the patient are multiple and although surgical options offer good long-term results, it is necessary to properly select the patient, through multidisciplinary teams, to try to minimise potential complications.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 6","pages":"Pages T587-T596"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnóstico radiográfico de pacientes con fracturas por compresión vertebral 脊椎压缩性骨折患者的诊断成像。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.06.007

E. Arana

引用次数: 0