Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"Technique “without bone tunnels” (Micheli–Kocher) in anterior cruciate ligament reconstruction in growing patients. Surgical details and our experience with 19 cases","authors":"J.J. Lopez Martínez ,&nbsp;J.M. Rodríguez-Roiz ,&nbsp;C. Salcedo Cánovas ,&nbsp;J.P. García Paños ,&nbsp;S. Toledo García","doi":"10.1016/j.recot.2024.09.003","DOIUrl":"10.1016/j.recot.2024.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Given the boom in sports in school age, its intensity and the increase in sports in females, we are experiencing a boom in sports injuries characteristic of “adults” in growing patients, the anterior cruciate ligament being an injury with possible serious consequences.</div></div><div><h3>Methods</h3><div>To show the surgical technique “without bone tunnels” by Micheli–Kocher in anterior cruciate ligament reconstruction in growing patients based on our results in 20 patients.</div></div><div><h3>Results</h3><div>Since 2017 we have performed the technique “without bone tunnels” by Micheli–Kocher in 30 patients, 20 of whom have been followed up for more than 2 years. In our study, we have observed a return to previous sports activity in more than 90% of the patients, with only one patient undergoing reoperation due to a new rupture of the plasty. The results on the IKDC scales show an improvement in mean score from 42 points preoperatively to 84 postoperatively and on the Lysholm scale from 48 preoperatively to 94 postoperatively.</div></div><div><h3>Conclusions</h3><div>The technique “without bone tunnels” by Micheli–Kocher is a technique indicated in patients under 12 years of age and Tanner stage 2 or less. It is a technique of moderate complexity with excellent results in recovery from previous sports activity and knee stability.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 347-354"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297710","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] Lateral extra-articular tenodesis in association to all-inside anterior cruciate ligament reconstruction does not modify return to play in basketball players: A comparative cohort study","authors":"E. García-Albó ,&nbsp;J. Nomdedéu Sancho ,&nbsp;M. Gispert Estadella ,&nbsp;R. Sevil Mayayo ,&nbsp;J.V. Andrés-Peiró ,&nbsp;J. Pijoan Bueno ,&nbsp;M.M. Reverté-Vinaixa ,&nbsp;J. Minguell-Monyart","doi":"10.1016/j.recot.2025.04.015","DOIUrl":"10.1016/j.recot.2025.04.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Return to play rates after anterior cruciate ligament (ACL) reconstruction range between 50-98% depending on sport professionality, without being modified by the addition of an extra-articular augmentation (EA). The objective of the study is to describe the rate of return to play in our cohort. The hypothesis is that the addition of EA increases that rate.</div></div><div><h3>Material and methods</h3><div>A retrospective, descriptive and analytical study of a 130 basketball players cohort between 18 and 45 years old, whom underwent ACL reconstruction between the years 2018 and 2022, with a minimum follow-up of 18 months. Data was collected by reviewing medical records. IKDC score was registered after one year from surgery. All patients operated from 2020 received an extra-articular tenodesis.</div></div><div><h3>Results</h3><div>Of all patients, 72.31% returned to training, 70.77% returned to competition and 46.15%returned to the same level of performance prior to injury. The EA group (46.15%) did not increase the rate of return to competition (<em>P</em> <!-->=<!--> <!-->.552) nor to the same level of performance (<em>P</em> <!-->=<!--> <!-->.664). The mean IKDC. score was 86.83 (SD 14.85), and was not higher in the EA group (<em>P</em> <!-->=<!--> <!-->.418). However, its value was higher in the players who returned to training, competition and level of performance(<em>P</em> <!-->&lt;<!--> <!-->.05). EA did not delay the return to play in any group (<em>P</em> <!-->=<!--> <!-->.282).</div></div><div><h3>Conclusion</h3><div>To sum up, the EA does not modify the return to sport rate. Higher IKDC values predict a greater return to sport rate in all groups. Prospective studies with larger sample size and longer follow-up time are required.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages T330-T339"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549789","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":"Madrid acoge el 45.° Congreso Mundial de Ortopedia y Traumatología SICOT","authors":"A. Combalia ,&nbsp;P. Hernigou ,&nbsp;L. López-Duran Stern ,&nbsp;M. Scarlat","doi":"10.1016/j.recot.2025.04.002","DOIUrl":"10.1016/j.recot.2025.04.002","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 319-322"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549999","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":"Tratamiento quirúrgico de fractura subcapital de cadera no desplazada: Femoral Neck System vs. tornillos canulados. Estudio comparativo","authors":"P. Lalueza-Andreu ,&nbsp;Á. Martínez-García ,&nbsp;P. Checa-Betegón ,&nbsp;J. García-Coiradas ,&nbsp;J.A. Valle-Cruz ,&nbsp;F. Marco-Martínez","doi":"10.1016/j.recot.2024.09.008","DOIUrl":"10.1016/j.recot.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study is to compare the outcomes of using the Femoral Neck System (FNS) (DePuy Synthes®) versus the use of cannulated screws (CS) in the surgical treatment of non-displaced subcapital hip fractures.</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort study was conducted on non-displaced subcapital hip fractures treated with CS or FNS between 2020 and 2023, with a minimum follow-up of one year. A total of 28 patients were included, 14 treated with CS and 14 with FNS. Demographic, radiological, clinical, and functional variables were analyzed.</div></div><div><h3>Results</h3><div>In the CS group, 64% were male, with a mean age of 66.5 years (SD 14.9) and an average follow-up of 22 months (range, 12-36 months). In the FNS group, 57% were male, with a median age of 60.8 years (SD 13.78) and an average follow-up of 16 months (range, 12-24 months).</div><div>Regarding functional outcomes, no significant differences were found between FNS and CS in the Harris scale: 94.21<!--> <!-->±<!--> <!-->11.55 for FNS and 96.50<!--> <!-->±<!--> <!-->6.9 for CS (p<!--> <!-->=<!--> <!-->0.618).</div><div>The total postoperative complications (FNS/CS) were 7.1% versus 43%, and implant failure with conversion to total hip replacement was 0% versus 43%, both significantly higher in the CS group (p<!--> <!-->=<!--> <!-->0.047; p<!--> <!-->=<!--> <!-->0.016, respectively). The FNS also presented a lower rate of avascular necrosis (0% versus 11.1%, p<!--> <!-->=<!--> <!-->0.391) and nonunion (0% versus 20%, p<!--> <!-->=<!--> <!-->0.163), although these differences did not reach statistical significance.</div></div><div><h3>Conclusions</h3><div>Although both treatment methods, cannulated screws and the FNS, showed similar short-term functional outcomes in the management of undisplaced subcapital femoral fractures, the FNS demonstrated a significantly lower rate of complications and reoperations. These results suggest that the FNS could be considered a safer and more effective option compared to cannulated screws.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 365-371"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373083","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":"Artrosis de rodilla asociada a deformidad extraarticular tratada mediante prótesis total de rodilla y osteotomía correctora de forma simultánea","authors":"L. Arbeloa-Gutierrez ,&nbsp;A. Arenas-Miquelez ,&nbsp;J. de Pablos","doi":"10.1016/j.recot.2024.09.006","DOIUrl":"10.1016/j.recot.2024.09.006","url":null,"abstract":"<div><h3>Background and objective</h3><div>Correct mechanical limb alignment is crucial in Total Knee Arthroplasty (TKA) and is particularly difficult to achieve when the knee osteoarthritis (KOA) is associated with an Extra-Articular Deformity (EAD). Our objective is to present a surgical option in cases of severe knee arthritis associated with an EAD (indications, mechanical planning and surgical technique), pros and cons and discuss the results with this one-stage technique.</div></div><div><h3>Material and methods</h3><div>We retrospectively reviewed all cases of severe KOA associated with EAD treated surgically in our institution from 2010-2016. In our study, we only included cases treated via simultaneous TKA and corrective osteotomy (CO) and with a minimum follow-up period of three years. In terms of imaging, we determined the apex and angulation of the EAD as well as the modification of the mechanical parameters post-treatment. The pre- and postoperative clinical assessment was performed using the Knee Society Score (KSS).</div></div><div><h3>Results</h3><div>Ten patients (10 knees) underwent combined surgery (simultaneous TKA and CO). The mean age was 67.7 years and the mean follow-up period was 49.2 months. The mechanical parameters were consistently corrected in the post-operative period. The mechanical axis deviation (MAD) shifted from a mean value of 6.9<!--> <!-->cm to 0.45<!--> <!-->cm and the joint line was rendered horizontal in all cases. In none of the cases did the bone resection affect the insertion of the colateral ligaments. The mean KSS value improved from 32.3 points preoperatively to 79.4 postoperatively. There were no major complications, but there were two planning errors that did not impact upon the end result.</div></div><div><h3>Conclusions</h3><div>In severe associated KOA and EAD, the combined surgical treatment proposed achieves in one stage an effective anatomical and mechanical correction which is crucial to optimise clinical results and implant durability. The surgery is complex and requires careful planning.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 355-364"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356015","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":"The age-adjusted Charlson comorbidity index in acetabular fracture in geriatric acetabular fractures","authors":"J.M. Bogallo ,&nbsp;C. Castillejo ,&nbsp;A. Ramirez ,&nbsp;J.R. Cano ,&nbsp;F. Rivas-Ruiz ,&nbsp;E. Guerado","doi":"10.1016/j.recot.2024.10.009","DOIUrl":"10.1016/j.recot.2024.10.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to analyze factors of comorbidity in older patients with acetabular fracture to know the role of disease in the treatment of this population.</div></div><div><h3>Methods</h3><div><em>Design</em>: retrospective cohort study.</div></div><div><h3>Setting</h3><div>Single Level 2 Trauma Center.</div></div><div><h3>Patient selection criteria</h3><div>A prospective database of acetabular fractures in patients over 55 years between January 2011 and January 2021 was studied. The exclusion criteria were age, pathological fracture, associated pelvic or hip fracture, follow-up of less than one year, and not having a computed tomography.</div></div><div><h3>Outcome measures and comparisons</h3><div>Patients were categorised as low (0–2), intermediate (3–4) or high (≥5) risk according to the age-adjusted Charlson comorbidity index (ACCI). The primary outcomes were risk of complications, number of complications and mortality at one year according to the ACCI scale. The difference between the pre-fracture Clinical Frailty Scale (CFS) and the one-year follow-up was also analysed. Descriptive and multivariable regression analyses were performed and ROC curves were constructed.</div></div><div><h3>Results</h3><div>A total of 119 patients with acetabular fracture were collected. Ninety-eight out of those met inclusion criteria for our study. In regard to ACCI groups, 22% were low-risk, 26% were intermediate-risk, and 52% were high-risk. Statistically significant differences were found according to age, sex, mechanism of injury, treatment type, surgical treatment type, Clinical Frailty Scale (CFS) score, readmissions, complications, and mortality. ROC curves showed an association between ACCI and CFS in terms of complications and mortality, with the exception of unadjusted Charlson comorbidity index. On the multivariable regression analysis, associations were found between ACCI and presence of complications (OR 1.37, 95% CI 1.06–1.77, <em>p</em> <!-->=<!--> <!-->0.015) and mortality (OR 1.32, 95% CI 1.04–1.67, <em>p</em> <!-->=<!--> <!-->0.025) and between CFS and complications (OR 2.01, 95% CI 1.30–3.11, <em>p</em> <!-->=<!--> <!-->0.001) and mortality (OR 1.59, 95% CI 1.08–2.35, <em>p</em> <!-->=<!--> <!-->0.019). No statistical correlation was established between ASA and complications or mortality.</div></div><div><h3>Conclusion</h3><div>Presurgical ACCI and CFS scales may serve as a risk assessment method in treatment decision-making for patients with acetabular fracture. An association is observed between patients with a pre-fracture ACCI score ≥5 (high-risk) and a pre-fracture CFS score &gt;4 (mild frailty) and mortality and complications at one year.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 392-401"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509918","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":"¿Los pacientes octogenarios sometidos a reemplazo total de rodilla regresan a la actividad física?","authors":"J. Teves,&nbsp;F. Holc,&nbsp;A. García-Mansilla,&nbsp;S. Vildoza,&nbsp;R. Brandariz,&nbsp;L. Carbó,&nbsp;J. Costantini","doi":"10.1016/j.recot.2024.07.018","DOIUrl":"10.1016/j.recot.2024.07.018","url":null,"abstract":"<div><h3>Background and objectives</h3><div>It has been shown that total knee replacement improves functional capacity and physical activity; however, the influence of age remains unclear. The objective is evaluate the pre and postoperative physical activity measured with the Knee Society Score (KSS) score and the Tegner score.</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort analysis was conducted on patients who underwent total knee replacement (TKR) between January 2016 and December 2019 at our institution. Demographic variables (age, sex, and body mass index), activities of daily living, age-adjusted Charlson Comorbidity Index, American Society of Anesthesiologists score, the Knee Society Score (KSS) in its clinical (KSSc) and functional (KSSf) subscales, the Tegner functional scale, activity variables from the 2011 KSS version, and pain assessment using the visual analog scale were collected. Differences in these variables were analyzed between two age groups: group A (between 65 and 79 years old) and group B (80 years or older).</div></div><div><h3>Results</h3><div>A total of 450 patients were evaluated (group A<!--> <!-->=<!--> <!-->245, group B<!--> <!-->=<!--> <!-->167). Group A showed a Tegner improvement of 1.19 (95% CI: 1.06-1.31), whereas group B averaged 0.61 (95% CI: 0.43-0.80) (<em>P</em>&lt;.001). Age &gt;80 was an independent risk factor for less Tegner improvement. In KSSc, group A improved by 43 points (95% CI: 40.82-46.14), while group B showed a greater increase of 53 points (95% CI: 49.74-57.80). Adjusted for confounders, those<!--> <!-->&gt;80 showed significantly higher KSSc improvement (12.8 points). For KSSf, group A improved by 33.91 points (95% CI: 31.07-36.75), and group B by 15.57 points (95% CI: 11.78-19.35). Adjusted for confounders, patients &gt;80 had less improvement than those &lt;<!--> <!-->80 (19 points).</div></div><div><h3>Conclusions</h3><div>Patients who underwent TKR experienced improvements in physical and functional activity parameters. While these improvements were seen in the entire population, they were most notable in patients younger than 80 years.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 323-329"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879626","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":"[Artículo traducido] Técnica «sin túneles óseos» (Micheli-Kocher) en la reconstrucción del ligamento cruzado anterior en pacientes en edad de crecimiento. Técnica quirúrgica y nuestra experiencia con 19 casos","authors":"J.J. Lopez Martínez ,&nbsp;J.M. Rodríguez-Roiz ,&nbsp;C. Salcedo Cánovas ,&nbsp;J.P. García Paños ,&nbsp;S. Toledo García","doi":"10.1016/j.recot.2025.04.005","DOIUrl":"10.1016/j.recot.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>Given the rise in sports in school age, its intensity and the increase in sports in females, we are experiencing a boom in sports injuries characteristic of “adults” in growing patients, the anterior cruciate ligament being an injury with possible serious consequences.</div></div><div><h3>Methods</h3><div>To show the surgical technique “without bone tunnels” by Micheli-Kocher in anterior cruciate ligament reconstruction in growing patients based on our results.</div></div><div><h3>Results</h3><div>Since 2017 we have performed the technique “without bone tunnels” by Micheli-Kocher in 30 patients, 19 of whom have been followed up for more than 2 years. In ourstudy, we have observed a return to previous sports activity in more than 90% of the patients, with only one patient undergoing reoperation due to a new rupture of the plasty. The results on the IKDC scales show an improvement in mean score from 42 points preoperatively to 84 postoperatively and on the Lysholm scale from 48 preoperatively to 94 postoperatively.</div></div><div><h3>Conclusions</h3><div>The technique “without bone tunnels” by Micheli-Kocher is a technique indicated in patients under 12 years of age and Tanner stage 2 or less. It is a technique of moderate complexity with excellent results in recovery from previous sports activity and knee stability.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages T347-T354"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549834","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] Fixation of adult femoral neck fractures: Retrospective comparison between cannulated screws and femoral neck system (FNS)","authors":"E. Guillén Botaya,&nbsp;Á. Soler García,&nbsp;J.L. Aparicio Martínez,&nbsp;A. Tejeda Gómez,&nbsp;F. Segura Llopis,&nbsp;A. Silvestre Muñoz","doi":"10.1016/j.recot.2025.04.010","DOIUrl":"10.1016/j.recot.2025.04.010","url":null,"abstract":"<div><h3>Objective</h3><div>The FNS System DePuy Synthes® (EEUU, 2018) represents a recent alternative treatment for the fixation of femoral neck fractures, providing biomechanical advantages with respect to cannulated screws (3 CS). The objective of this study is to compare the clinical results of both fixation methods.</div></div><div><h3>Method</h3><div>A retrospective collection of the 36 subcapital fractures treated with the FNS system was carried out compared with a retrospective search of the last 35 patients treated with 3 CS. Age, sex, fracture pattern, delay until the intervention, length of intervention, hospital length stay, and haemoglobin loss were analysed. In addition, the rate of avascular necrosis, nonunion, symptomatic femoral neck shortening, and material protrusion with or without its removal were recorded during a minimum follow-up of 6 months.</div></div><div><h3>Results</h3><div>No significant differences were found in age (<em>p</em>-value 0.32), fracture patterns (<em>p</em>-value 0.77), surgical delay (<em>p</em>-value 0.28), surgical time (<em>p</em>-value 0.226), length of hospital stay (<em>p</em>-value 0.921) and blood loss (<em>p</em>-value 0.086) between the two groups.</div><div>A significantly higher overall complication rate was observed in the group treated with cannulated screws (<em>p</em>-value 0.004). Analysed separately, a higher rate of avascular necrosis, symptomatic shortening of the femoral neck, protrusion of the osteosynthesis material with or without removal was observed in the group treated with cannulated screws.</div></div><div><h3>Conclusions</h3><div>The FNS system represents a safe and reproductible alternative for the fixation of femoral neck fractures, showing non-inferior outcomes to treatment with cannulated screws.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages T385-T391"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549787","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] Do octogenarian patients undergoing total knee replacement return to physical activity?","authors":"J. Teves,&nbsp;F. Holc,&nbsp;A. García-Mansilla,&nbsp;S. Vildoza,&nbsp;R. Brandariz,&nbsp;L. Carbó,&nbsp;J. Costantini","doi":"10.1016/j.recot.2025.04.003","DOIUrl":"10.1016/j.recot.2025.04.003","url":null,"abstract":"<div><h3>Background and objectives</h3><div>It has been shown that total knee replacement improves functional capacity and physical activity; however, the influence of age remains unclear. The objective is evaluate the pre and postoperative physical activity measured with the Knee Society Score (KSS) score and the Tegner score.</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort analysis was conducted on patients who underwent total knee replacement (TKR) between January 2016 and December 2019 at our institution. Demographic variables (age, sex, and body mass index), activities of daily living, age-adjusted Charlson Comorbidity Index, American Society of Anesthesiologists score, the Knee Society Score (KSS) in its clinical (KSSc) and functional (KSSf) subscales, the Tegner functional scale, activity variables from the 2011 KSS version, and pain assessment using the visual analogue scale were collected. Differences in these variables were analysed between two age groups: group A (between 65 and 79 years old) and group B (80 years or older).</div></div><div><h3>Results</h3><div>A total of 450 patients were evaluated (group A<!--> <!-->=<!--> <!-->245, group B<!--> <!-->=<!--> <!-->167). Group A showed a Tegner improvement of 1.19 (95% CI: 1.06–1.31), whereas group B averaged 0.61 (95% CI: 0.43–0.80) (<em>p</em> <!-->&lt;<!--> <!-->.001). Age<!--> <!-->&gt;<!--> <!-->80 was an independent risk factor for less Tegner improvement. In KSSc, group A improved by 43 points (95% CI: 40.82–46.14), while group B showed a greater increase of 53 points (95% CI: 49.74–57.80). Adjusted for confounders, those &gt;80 showed significantly higher KSSc improvement (12.8 points). For KSSf, group A improved by 33.91 points (95% CI: 31.07–36.75), and group B by 15.57 points (95% CI: 11.78–19.35). Adjusted for confounders, patients &gt;80 had less improvement than those &lt;80 (19 points).</div></div><div><h3>Conclusions</h3><div>Patients who underwent TKR experienced improvements in physical and functional activity parameters. While these improvements were seen in the entire population, they were most notable in patients younger than 80 years.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages T323-T329"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549788","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}