Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第2页

Desafíos al implementar un programa de artroplastia total de cadera en un país en vías de desarrollo: nuestra experiencia en el Hospital Monkole de la República Democrática del Congo 在发展中国家实施全髋关节置换术项目的挑战：刚果民主共和国蒙科莱医院的经验。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.07.017

V. Barro , C. Carbonell-Rosell , J. Ribera , A. Villalonga , L. Martin-Domínguez , D. Soza , M. Plomer , M. Aguilar , R. Sevil , J. José Echarri

{"title":"Desafíos al implementar un programa de artroplastia total de cadera en un país en vías de desarrollo: nuestra experiencia en el Hospital Monkole de la República Democrática del Congo","authors":"V. Barro , C. Carbonell-Rosell , J. Ribera , A. Villalonga , L. Martin-Domínguez , D. Soza , M. Plomer , M. Aguilar , R. Sevil , J. José Echarri","doi":"10.1016/j.recot.2024.07.017","DOIUrl":"10.1016/j.recot.2024.07.017","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Total hip arthroplasty (THA) is an effective surgery for treating hip osteoarthritis, but access is limited in Sub-Saharan Africa due to multiple challenges. This article describes the implementation of a THA program at Monkole Hospital in the Democratic Republic of Congo, focusing on the technical challenges and surgical complications. The objective is to share our experience to assist other professionals and organizations in similar settings.</div></div><div><h3>Materials and methods</h3><div>Eight THA surgery campaigns were conducted between July 2019 and February 2023. Most patients presented with femoral head necrosis secondary to sickle cell anemia. Demographic and surgical data, technical difficulties, and complications were prospectively collected, and follow-up was conducted by a local orthopedic surgeon.</div></div><div><h3>Results</h3><div>Seventy-three surgeries were performed on 63 patients with a mean age of 34 years and an average follow-up of 24 months. Seventeen intraoperative technical incidents (23.2%) were observed. The postoperative complication rate was 9.5%, and three patients required revision surgery due to complications.</div></div><div><h3>Conclusions</h3><div>The THA program at Monkole Hospital demonstrates that it is feasible to perform complex surgeries in developing countries and that it is a cost-effective procedure that improves patients’ quality of life, provided there are adequate hospital infrastructures, team training, availability of implants, and ensured proper care and follow-up. Training local surgeons and investing in resources are key to the sustainability of the program and the improvement of surgical care.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 254-259"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789407","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

Influencia de la temperatura y humedad ambiental en la incidencia de infecciones de prótesis articulares 环境温度和湿度对关节假体感染发生率的影响。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.012

I. Iriberri-Etxabeguren, I. Rey-Urdiain, I. Larrañaga-Imendji, J. Revuelta-González

{"title":"Influencia de la temperatura y humedad ambiental en la incidencia de infecciones de prótesis articulares","authors":"I. Iriberri-Etxabeguren, I. Rey-Urdiain, I. Larrañaga-Imendji, J. Revuelta-González","doi":"10.1016/j.recot.2024.10.012","DOIUrl":"10.1016/j.recot.2024.10.012","url":null,"abstract":"<div><h3>Background</h3><div>Prosthetic Joint Infections (PJI) are associated with significant morbidity and mortality, underscoring the importance of identifying the related risk factors. The objective of the present study was to evaluate whether environmental factors were correlated with an increase in PJI.</div></div><div><h3>Material and method</h3><div>Retrospective cohort study of 1847 consecutive hip and knee prosthesis surgeries performed at a single center over a 10-year period. All patients who underwent surgery during this period were included, with a minimum follow-up of 2 years. The association between infection cases and environmental temperature and humidity was analyzed for both the day of surgical intervention and the week following the procedure.</div></div><div><h3>Results</h3><div>Sixty-three cases of infection (3.4%) were identified. No statistically significant differences were observed in the infection rate according to the month (p=0.13) or season (p=0.42) in which the surgery was performed. Furthermore, no significant association was found between the incidence of PJI and the average temperature or humidity on the day or week following the prosthesis implantation.</div></div><div><h3>Conclusions</h3><div>Environmental temperature and humidity do not influence the incidence of PJI in regions with an oceanic climate. The increase in PJI according to environmental conditions is primarily observed in large-scale studies based on national registries.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 280-286"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548159","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

Fracturas concomitantes de miembro superior y cadera en pacientes mayores de 65 años: experiencia en nuestro centro 老年人并发上肢和髋部骨折：我们中心的经验。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.06.001

L. del Baño-Barragán , Á. Martínez-García , D. Garríguez-Pérez , J. Mora-Fernández , J. García-Coiradas , J.A. Valle-Cruz , F. Marco

{"title":"Fracturas concomitantes de miembro superior y cadera en pacientes mayores de 65 años: experiencia en nuestro centro","authors":"L. del Baño-Barragán , Á. Martínez-García , D. Garríguez-Pérez , J. Mora-Fernández , J. García-Coiradas , J.A. Valle-Cruz , F. Marco","doi":"10.1016/j.recot.2024.06.001","DOIUrl":"10.1016/j.recot.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The incidence of hip fracture in the elderly is on the rise, occasionally accompanied by concurrent upper limb fractures. Our investigation aims to determine whether these patients experience poorer functional outcomes, prolonged hospitalization, or higher mortality rates when compared to those with isolated hip fracture.</div></div><div><h3>Material and methods</h3><div>We retrospectively reviewed 1,088 elderly patients admitted to our centre with hip fracture between January 2017 and March 2020. We recorded the presence of concomitant fractures and their treatment. We analyzed the duration of hospital stay, in-hospital mortality and function.</div></div><div><h3>Results</h3><div>We identified 63 patients with concomitant upper limb fracture (5.6%). Among them, 93.7% were women, and the average age was 86.4 years. 80.9% of the upper limb fractures were distal radius or proximal humerus. Patients with concomitant fracture had increased length of stay (mean, 19.6 vs, 12.8, p=0.002), decreased proportion of patients returning to their own home at discharge (23.6% vs, 26.3%, p=0.042) and increased in-hospital mortality rate (9.5% vs, 5.9%, p=0.003).</div></div><div><h3>Conclusions</h3><div>Patients with concomitant upper limb fracture require a longer length of stay and exhibit an elevated in-hospital mortality rate. Furthermore, this condition is associated with a reduced short-term functional recovery, thereby decreasing the chances of the patient returning home upon hospital discharge.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 233-238"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293812","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] Influence of environmental temperature and humidity on the incidence of prosthetic joint infections 环境温度和湿度对假体关节感染发生率的影响。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.013

I. Iriberri Etxabeguren, I. Rey Urdiain, I. Larrañaga Imendji, J. Revuelta González

{"title":"[Translated article] Influence of environmental temperature and humidity on the incidence of prosthetic joint infections","authors":"I. Iriberri Etxabeguren, I. Rey Urdiain, I. Larrañaga Imendji, J. Revuelta González","doi":"10.1016/j.recot.2025.02.013","DOIUrl":"10.1016/j.recot.2025.02.013","url":null,"abstract":"<div><h3>Background</h3><div>Prosthetic joint infections (PJI) are associated with significant morbidity and mortality, underscoring the importance of identifying the related risk factors. The objective of the present study was to evaluate whether environmental factors were correlated with an increase in PJI.</div></div><div><h3>Material and method</h3><div>Retrospective cohort study of 1847 consecutive hip and knee prosthesis surgeries performed at a single center over a 10-year period. All patients who underwent surgery during this period were included, with a minimum follow-up of 2 years. The association between infection cases and environmental temperature and humidity was analyzed for both the day of surgical intervention and the week following the procedure.</div></div><div><h3>Results</h3><div>Sixty-three cases of infection (3.4%) were identified. No statistically significant differences were observed in the infection rate according to the month (<em>p</em>  =0.42) in which the surgery was performed. Furthermore, no significant association was found between the incidence of PJI and the average temperature or humidity on the day or week following the prosthesis implantation.</div></div><div><h3>Conclusions</h3><div>Environmental temperature and humidity do not influence the incidence of PJI in regions with an oceanic climate. The increase in PJI according to environmental conditions is primarily observed in large-scale studies based on national registries.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T280-T286"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469490","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

Fracturas de cadera osteoporóticas en España. ¿Cómo estamos? Revisión sistemática y metaanálisis de los registros publicados 西班牙的髋部骨折情况。我们的情况如何？对已公布的登记资料进行系统回顾和 Meta 分析。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.09.010

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

{"title":"Fracturas de cadera osteoporóticas en España. ¿Cómo estamos? Revisión sistemática y metaanálisis de los registros publicados","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.2024.09.010","DOIUrl":"10.1016/j.recot.2024.09.010","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 64.7hours, with a mean percentage of patients operated on within 24hours at 18%, and within 48hours 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 48hours, 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 303-317"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477018","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] Challenges in implementing a total hip arthroplasty program in a developing country: Our experience at Monkole Hospital in the Democratic Republic of Congo 在发展中国家实施全髋关节成形术的挑战：我们在刚果民主共和国Monkole医院的经验。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.005

V. Barro , C. Carbonell-Rosell , J. Ribera , A. Villalonga , L. Martin-Domínguez , D. Soza , M. Plomer , M. Aguilar , R. Sevil , J. José Echarri

{"title":"[Translated article] Challenges in implementing a total hip arthroplasty program in a developing country: Our experience at Monkole Hospital in the Democratic Republic of Congo","authors":"V. Barro , C. Carbonell-Rosell , J. Ribera , A. Villalonga , L. Martin-Domínguez , D. Soza , M. Plomer , M. Aguilar , R. Sevil , J. José Echarri","doi":"10.1016/j.recot.2025.02.005","DOIUrl":"10.1016/j.recot.2025.02.005","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Total hip arthroplasty (THA) is an effective surgery for treating hip osteoarthritis, but access is limited in sub-Saharan Africa due to multiple challenges. This article describes the implementation of a THA program at Monkole Hospital in the Democratic Republic of Congo, focusing on the technical challenges and surgical complications. The objective is to share our experience to assist other professionals and organizations in similar settings.</div></div><div><h3>Materials and methods</h3><div>Eight THA surgery campaigns were conducted between July 2019 and February 2023. Most patients presented with femoral head necrosis secondary to sickle cell anemia. Demographic and surgical data, technical difficulties, and complications were prospectively collected, and follow-up was conducted by a local orthopedic surgeon.</div></div><div><h3>Results</h3><div>Seventy-three surgeries were performed on 63 patients with a mean age of 34 years and an average follow-up of 24 months. Seventeen intraoperative technical incidents (23.2%) were observed. The postoperative complication rate was 9.5%, and three patients required revision surgery due to complications.</div></div><div><h3>Conclusions</h3><div>The THA program at Monkole Hospital demonstrates that it is feasible to perform complex surgeries in developing countries and that it is a cost-effective procedure that improves patients’ quality of life, provided there are adequate hospital infrastructures, team training, availability of implants, and ensured proper care and follow-up. Training local surgeons and investing in resources are key to the sustainability of the program and the improvement of surgical care.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T254-T259"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434134","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

Las placas intrapélvicas suprapectíneas interfieren con la evaluación postoperatoria de la calidad de reducción por radiografía simple. Hallazgos sobre una serie retrospectiva de fracturas de acetábulo 骨盆内胸骨上髋臼板会影响术后X光片上的还原评估质量。回顾性病例系列。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.004

J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra

{"title":"Las placas intrapélvicas suprapectíneas interfieren con la evaluación postoperatoria de la calidad de reducción por radiografía simple. Hallazgos sobre una serie retrospectiva de fracturas de acetábulo","authors":"J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra","doi":"10.1016/j.recot.2024.10.004","DOIUrl":"10.1016/j.recot.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artifact and its relationship with CT findings.</div></div><div><h3>Materials and methods</h3><div>In a retrospective, single-center series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability.</div></div><div><h3>Results</h3><div>Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views.</div></div><div><h3>Conclusions</h3><div>Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 267-273"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406923","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] Risk factors for complications in total hip arthroplasty 全髋关节成形术并发症的危险因素。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.006

L.A. Hoyos-Velasco , J.C. Palacio , W.P. Stangl , C.L. Chacón-Castillo , V. Palacio-Aragón , J.P. Pulgarín

{"title":"[Translated article] Risk factors for complications in total hip arthroplasty","authors":"L.A. Hoyos-Velasco , J.C. Palacio , W.P. Stangl , C.L. Chacón-Castillo , V. Palacio-Aragón , J.P. Pulgarín","doi":"10.1016/j.recot.2025.02.006","DOIUrl":"10.1016/j.recot.2025.02.006","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Hip arthroplasty represents a significant advancement in the treatment of refractory chronic joint pain, improving quality of life and functionality. The objective of this study is to identify the risk factors associated with local and systemic complications in patients treated with total hip arthroplasty.</div></div><div><h3>Methods</h3><div>Observational, analytical, retrospective cohort study, which included 304 participants treated with total hip replacement. Comparison of variables between two groups was performed; 38 participants in the group with complications and 266 participants in the group without complications.</div></div><div><h3>Results</h3><div>The mean age in the complication group was 66 years (SD 18.7) and in the uncomplicated group it was 67.1 years (SD 15.1) (<em>p</em> 0.686). Female sex was observed in 73.3% of the group with complications and 65% in the group without complications (<em>p</em> 0.292). Risk factors were: hip fracture as an indication for arthroplasty RR 1.33 [95% CI 1.004; 1.775 <em>p</em> 0.047], coronary heart disease RR 1.31 [95% CI 1.067; 1.616 <em>p</em> 0.010] and surgical bleeding equal to or greater than 400 cc RR 1.11 [95% CI 1.012; 1.218 <em>p</em> 0.028].</div></div><div><h3>Conclusions</h3><div>The risk factors for complications in total hip arthroplasty were: hip fracture as the indication for arthroplasty, coronary artery disease, and surgical bleeding equal to or greater than 400 cc.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T239-T246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434139","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

Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee 关节镜下纤维关节松解术和麻醉下活动术是治疗严重创伤后膝关节纤维化患者的一种简单、可重复和令人满意的方法。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.07.008

N. Franulic , J. Laso , C. Del Pino , C. Brito , R. Olivieri , N. Gaggero

{"title":"Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee","authors":"N. Franulic , J. Laso , C. Del Pino , C. Brito , R. Olivieri , N. Gaggero","doi":"10.1016/j.recot.2024.07.008","DOIUrl":"10.1016/j.recot.2024.07.008","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the range of motion (ROM) of the knee in patients with severe post-traumatic knee arthrofibrosis after being treated with arthroscopic fibroarthrolysis (AFA) and manipulation under anesthesia (MUA).</div></div><div><h3>Methods</h3><div>Case series of patients with severe post-traumatic knee arthrofibrosis who underwent AFL+MUA in a national referral center. The primary outcome to be assessed was ROM before and after surgery and then at 3-month intervals until a minimum follow-up of one year was completed.</div></div><div><h3>Results</h3><div>51 patients were included. The main injuries preceding the stiffness were tibial plateau fracture (37.3%), distal femur fracture (27.5%), and femoral shaft fracture (15.7%). Forty-five patients had severe flexion deficits with a median preoperative flexion of 70°. Intraoperative flexion significantly improved to 110°. Significant loss of flexion was observed at 3 and 6 months, however, patients regained ROM in the 9 and 12-month follow-ups. At discharge, 80% of the patients achieved flexion of 90° or more. There were 4 intraoperative complications and 3 reinterventions were performed.</div></div><div><h3>Conclusion</h3><div>AFA+MUA can help patients with severe post-traumatic knee arthrofibrosis to recover ROM in most cases. However, this procedure is not without risks and complications, therefore, careful consideration should be given to its indication and execution.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 247-253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601953","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] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays: A retrospective case series 盆腔内阴蒂上髋臼钢板影响术后x线复位评估的质量。回顾性病例系列。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.011

J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra

{"title":"[Translated article] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays: A retrospective case series","authors":"J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra","doi":"10.1016/j.recot.2025.02.011","DOIUrl":"10.1016/j.recot.2025.02.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artefact and its relationship with CT findings.</div></div><div><h3>Materials and methods</h3><div>In a retrospective, single-centre series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability.</div></div><div><h3>Results</h3><div>Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views.</div></div><div><h3>Conclusions</h3><div>Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T267-T273"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469497","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}

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