Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"Collaborative research in Orthopaedics and Traumatology: experience, opportunities and issues.","authors":"E Gómez-Barrena","doi":"10.1016/j.recot.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.recot.2026.09.001","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138303","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":"Prevention of Hip Fractures in the Elderly. A Public Health Problem. II Interventions.","authors":"E Guerado, J M Gómez-Palomo, D González-Quevedo, J R Cano Porras, J M Sánchez-Siles, I Tamimi","doi":"10.1016/j.recot.2026.08.001","DOIUrl":"10.1016/j.recot.2026.08.001","url":null,"abstract":"<p><p>The prevention of hip fractures relies on avoiding falls and preserving, as much as possible, the muscle and bone mass acquired during youth, in addition to addressing other risk factors. Regular physical exercise and proper nutrition are fundamental for osteosarcopenia prevention. However, these topics are heavily influenced by the social and economic circumstances of a population subjected to persistent inflation that is not offset by a proportional increase in income to afford adequate food, especially in elderly people. Meanwhile, for hip fracture prevention the state provides free access to medications of questionable effectiveness that can cause serious side effects. Policies aimed at reducing poverty and social exclusion would constitute a fundamental component of population prevention strategies.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978246","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":"Lesión Monteggia-like en adultos: nuestra experiencia en los últimos años","authors":"Andrea Muro-Caballer,&nbsp;Clara Matellanes-Palacios,&nbsp;Beatriz Novoa-Sierra,&nbsp;Isabel Cabanes-Ferrer,&nbsp;Lorenzo Hernández-Ferrando","doi":"10.1016/j.recot.2026.02.003","DOIUrl":"10.1016/j.recot.2026.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Monteggia-like lesions represent a rare and complex injury with diverse fracture configurations.</div></div><div><h3>Objective</h3><div>To assess short- to mid-term outcomes of patients with Monteggia-like lesions treated surgically at our institution. To analyze the results based on fracture type and surgical experience.</div></div><div><h3>Materials and methods</h3><div>A single-center retrospective study including 33 patients surgically treated between 2017 and 2024 was conducted. Fractures were classified using Bado, Jupiter, Mason and Regan-Morrey systems. Clinical, surgical, and functional parameters were evaluated, including complication and reoperation rates.</div></div><div><h3>Results</h3><div>Mean age was 58.7<!--> <!-->years; 63.3% were female. Average joint range of motion: flexion 130.76°, extension −14.55°, pronation 80.48°, supination 82.82°. Average functional scores: MEPS 81.97, Oxford 42.73, VAS 2.4. Arthrolysis combined with prosthetic explantation was performed in 23.1% of radial head arthroplasties. Complication rate was 21.2%. No significant differences were observed based on fracture type/pattern. Outcomes were significantly better in cases managed by experienced elbow surgeons.</div></div><div><h3>Conclusions</h3><div>Further studies are required to define this entity independently from the classical lesion. The results of the present study suggest that a comprehensive management of all associated injuries, performed by experienced teams, could be associated with favorable clinical outcomes.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages 381-389"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784651","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}

{"title":"[Translated article] Diagnostic and therapeutic optimization in pubic ramus fractures: Is plain radiography sufficient?","authors":"H. Hormigó,&nbsp;M. Barengo,&nbsp;C. Alvarado","doi":"10.1016/j.recot.2026.06.015","DOIUrl":"10.1016/j.recot.2026.06.015","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T420-T421"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309888","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}

{"title":"[Translated article] Diagnostic accuracy of ultrasound in the detection of distal radius fractures in a pediatric population","authors":"M. Vázquez Gómez,&nbsp;M. Galipienso Eri,&nbsp;D. Noriego Muñoz,&nbsp;J.B. Santa María,&nbsp;V.M. Apraez Portilla,&nbsp;J. Dellonder Frigolé","doi":"10.1016/j.recot.2026.06.009","DOIUrl":"10.1016/j.recot.2026.06.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Forearm fractures are extremely frequent in the pediatric population, representing up to 50% of all fractures observed in children. Until now, radiography has been considered the gold standard.</div></div><div><h3>Material and methods</h3><div>Prospective observational study in pediatric patients with suspected distal radius fracture. An ultrasound study of the distal third of the forearm was performed in every patient recruited according to a standardised method. Subsequently, this result was comparatively evaluated with a radiological study in two planes.</div></div><div><h3>Results</h3><div>A total of 115 patients were recruited with a mean age of 9.59 years. A sensitivity of ultrasound for fracture detection of 95% and a diagnostic specificity of 98.18% were obtained. The positive predictive value was 98.28% and a positive likelihood ratio of 52.25 [7.49; 364.66] was obtained.</div></div><div><h3>Conclusion</h3><div>Ultrasound has proven to be an alternative to radiography in the diagnosis of non-angulated fractures, thanks to its diagnostic immediacy, absence of irradiation and high accuracy. A procedure that achieves high specificity and sensitivity even in inexperienced hands.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T410-T413"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309872","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}

{"title":"[Translated article] Management of surgical management of beak-type avulsion fractures of the posterior calcaneal tuberosity: A systematic narrative review","authors":"J. Olucha Puchol,&nbsp;L. Díaz Aviñó,&nbsp;F. Forriol Brocal","doi":"10.1016/j.recot.2026.06.014","DOIUrl":"10.1016/j.recot.2026.06.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Beak-type avulsion fractures of the posterior calcaneal tuberosity have a high risk of skin complications due to Achilles tendon traction and limited soft tissue coverage. The objective was to synthesize evidence on their surgical management, comparing open and percutaneous approaches, focusing on skin complications and prognostic factors.</div></div><div><h3>Material and methods</h3><div>Systematic review following PRISMA 2020. Search in PubMed/MEDLINE and ScienceDirect (2000–2024). Clinical studies describing open reduction with internal fixation (ORIF) or closed reduction with percutaneous fixation (CRIF) were included. Narrative synthesis was performed due to methodological heterogeneity.</div></div><div><h3>Results</h3><div>Fourteen observational studies (268 patients) were included. Comparative series consistently showed a trend toward lower skin complication rates with CRIF compared to ORIF. Time to surgery (&lt;48<!--> <!-->h) and fragment displacement (&gt;2<!--> <!-->cm) were identified as relevant prognostic factors.</div></div><div><h3>Conclusion</h3><div>In selected fractures with moderate displacement, percutaneous fixation represents a reasonable option to minimize skin complications. Open fixation remains necessary for significantly displaced or comminuted injuries.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T390-T397"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309315","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}

{"title":"[Translated article] Transient haemodynamic changes following tourniquet release in total knee arthroplasty: A multicenter retrospective study","authors":"W.F. Martínez,&nbsp;A. Jaime,&nbsp;G. Grecco,&nbsp;E.J. Bochatey,&nbsp;F.A. Lopreite","doi":"10.1016/j.recot.2026.06.016","DOIUrl":"10.1016/j.recot.2026.06.016","url":null,"abstract":"<div><h3>Background</h3><div>The release of a pneumatic tourniquet during total knee arthroplasty (TKA) causes an abrupt increase in blood flow to the lower limb, which may result in transient haemodynamic instability. The aim of this study was to quantify the magnitude and duration of these changes in a real-world clinical setting.</div></div><div><h3>Methods</h3><div>A multicenter retrospective observational study was conducted including 149 patients undergoing primary TKA under pneumatic tourniquet ischaemia. Systolic (SBP), diastolic (DBP), and mean arterial pressure (MAP), heart rate (HR), respiratory rate (RR), and oxygen saturation (SpO₂) were recorded at three time points: baseline (pre-release), 3<!--> <!-->min (T3), and 6<!--> <!-->min (T6) after tourniquet release. Statistical analysis was performed using repeated-measures ANOVA or the Friedman test, according to data distribution, with <em>p</em> <!-->&lt;<!--> <!-->0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>Following tourniquet release, a significant immediate decrease in SBP and DBP was observed (<em>p</em> <!-->&lt;<!--> <!-->0.001), with mean reductions of 19.8% and 21.2%, respectively, at T3. HR showed a mild but significant increase (<em>p</em> <!-->=<!--> <!-->0.012). SpO₂ decreased slightly (<em>p</em> <!-->=<!--> <!-->0.034) without clinical relevance. Transient arrhythmias were recorded in 8.7% of patients. At 6<!--> <!-->min post-release, all parameters returned to baseline values.</div></div><div><h3>Conclusion</h3><div>Tourniquet release during TKA is associated with transient haemodynamic changes and early recovery. These findings support the need for reinforced monitoring in patients classified as ASA III and/or with ischaemia times longer than 85<!--> <!-->min, and provide a rationale for future prospective studies incorporating advanced haemodynamic monitoring.</div></div><div><h3>Level of evidence</h3><div>Level III, retrospective study.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T402-T409"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309728","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}

{"title":"Suture anchors versus transosseous tunnels for acute patellar tendon rupture: A retrospective comparative cohort study","authors":"J.M. Gómez-Palomo,&nbsp;P. Gómez-Macías,&nbsp;N. Ignatyev-Simonov,&nbsp;C. Tara-Abad,&nbsp;A. Martínez-Crespo","doi":"10.1016/j.recot.2026.02.001","DOIUrl":"10.1016/j.recot.2026.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Whether suture anchors (SA) offer meaningful advantages over transosseous tunnels (TT) for primary repair of acute patellar tendon rupture remains uncertain.</div></div><div><h3>Methods</h3><div>Single-center retrospective cohort (January 2014–December 2022) of adults with acute patellar tendon rupture treated with SA or TT in two consecutive cohorts, non-overlapping temporal cohorts. Primary outcome was overall recorded operative time (no phase-specific timings); secondary outcomes were pain (VAS), range of motion (ROM), return to sport/work, Lysholm, EQ-5D VAS, EQ-5D index, and complications/reoperation. Multivariable models adjusted for age, sex, BMI, corticosteroid therapy, smoking, diabetes, chronic kidney disease, and technique (two-sided <em>p</em> <!-->&lt;<!--> <!-->0.05). No peri-tendinous augmentation was performed.</div></div><div><h3>Results</h3><div>Of 55 screened cases, 46 met criteria (SA <em>n</em> <!-->=<!--> <!-->25; TT <em>n</em> <!-->=<!--> <!-->21). Mean follow-up was 5.1<!--> <!-->±<!--> <!-->3.7 years (SA 5.16<!--> <!-->±<!--> <!-->3.48 vs TT 5.00<!--> <!-->±<!--> <!-->3.22; <em>p</em> <!-->=<!--> <!-->0.760). Unadjusted operative time was lower with SA (78.7<!--> <!-->±<!--> <!-->21.2 vs 99.6<!--> <!-->±<!--> <!-->30.1<!--> <!-->min; <em>p</em> <!-->=<!--> <!-->0.085). In multivariable linear regression, SA was associated with an adjusted −20.0-min difference (95% CI −35.2 to −4.8; <em>p</em> <!-->=<!--> <!-->0.012). This association reached statistical significance after covariate adjustment. No adjusted between-group differences were detected for pain, ROM, return to sport/work, Lysholm, EQ-5D VAS, or EQ-5D index. Complications were similar (adjusted OR 1.15; 95% CI 0.68–1.95; <em>p</em> <!-->=<!--> <!-->0.45).</div></div><div><h3>Conclusions</h3><div>Suture anchors were associated with shorter overall recorded operative time than transosseous tunnels, with no detectable differences in clinical outcomes or complications. Both constructs appear reliable with standardized rehabilitation; findings are hypothesis-generating given nonrandomized temporal allocation and unmeasured intra-operative determinants.</div></div><div><h3>Level of evidence</h3><div>IV (retrospective cohort).</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages 373-380"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784634","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}

{"title":"[Translated article] Infection related to closed diaphyseal femoral fractures treated with external fixation and subsequent internal fixation at a reference hospital: A cross-sectional study","authors":"M.F. Ochoa Ariza,&nbsp;J. Calderón Gamba,&nbsp;D.F. Rincón Cardozo","doi":"10.1016/j.recot.2026.06.019","DOIUrl":"10.1016/j.recot.2026.06.019","url":null,"abstract":"<div><h3>Introduction</h3><div>The definitive management of fractures is not completely unhazardous, with fracture-related infection (FRI) being one of the complications. The main objective of this study was to determine the prevalence of FRI in patients with closed femur fractures treated with initial external fixation followed by definitive fixation at a reference hospital.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional observational study was conducted over a seven-year period. Patients aged 18 to 65 years with closed diaphyseal femoral fractures were included. FRI was defined according to the international consensus of Metsemakers et al. Demographic, clinical, and microbiological variables were analysed using descriptive statistics with STATA v16.0.</div></div><div><h3>Results</h3><div>A total of 32 patients were evaluated, with a mean age of 33.9 years; 81.3% were male. Traffic accidents accounted for 87.5% of the cases, most frequently involving motorcycles (84.3%). The most common AO classification was 32B (53.1%). Conversion to internal fixation was performed between 4 and 21 days after the trauma. The prevalence of FRI was 12.5%, appearance of infection signs in the femur was between 3 and 16 days, and the predominant bacterial isolate was gram-negative bacteria.</div></div><div><h3>Conclusions</h3><div>The prevalence of early infection was higher than that reported in other settings, with a predominance of Gram-negative bacteria. Studies with larger sample sizes are needed to identify risk factors and to guide region-specific prevention strategies.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T366-T372"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309886","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}

{"title":"[Translated article] Pillar pain as a previously undescribed predictor of clinical outcome after carpal tunnel syndrome surgery: A prospective cohort study","authors":"I. Calzado-Alvarez,&nbsp;R. Carpintero-Lluch,&nbsp;C. Lopez-Medina,&nbsp;J.C. Minarro,&nbsp;A. Izquierdo-Fernandez","doi":"10.1016/j.recot.2026.06.011","DOIUrl":"10.1016/j.recot.2026.06.011","url":null,"abstract":"<div><h3>Background and aim</h3><div>Pillar pain (PP) is a sensation of deep pain and allodynia in the thenar and/or hypothenar eminence zone, a complication associated with carpal tunnel syndrome (CTS) surgery. This study aimed to evaluate PP as a risk factor for a poorer clinical outcome of CTS surgery.</div></div><div><h3>Methods</h3><div>This prospective cohort study comprised 100 patients who underwent CTS surgery. Based on the onset of PP at 3 weeks, the sample was divided into two groups, and CTS symptoms were assessed using the clinical section of the Boston Carpal Tunnel Questionnaire (BCTQc). Clinical improvement was defined as a change of ≥2 points at 6 months compared to the preoperative score. BCTQc change values were correlated with the occurrence of PP at 3 weeks using the Chi-square test, and a risk study was assessed using the odds ratio (OR).</div></div><div><h3>Results</h3><div>The incidence of PP at 3 weeks was 36% among the 100 patients. At 6 months, in the “PP yes” group, 11 patients showed an improvement of ≥2 points, compared to 37 in the “PP no” group. Statistical significance was obtained (<em>p</em> <!-->=<!--> <!-->0.009), with an odds ratio (OR) of 3.11 (95% CI<!--> <!-->=<!--> <!-->7.4–1.3).</div></div><div><h3>Conclusions</h3><div>The appearance of PP at 3 weeks after surgery is associated with a 3.11-fold increased risk of showing a clinical improvement of &lt;2 points in the BCTQc. Hence, PP is a prognostic factor for poorer clinical improvement after carpal tunnel surgery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T398-T401"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309756","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}