Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"[Artículo traducido] ¿Es suficiente un año de evolución tras la reparación del manguito rotador para ver los resultados funcionales?","authors":"I. Pasqualini,&nbsp;N. Lucero Viviani,&nbsp;O. Turan,&nbsp;I. Domenech,&nbsp;E.T. Hurley,&nbsp;C. Larrague,&nbsp;I. Tanoira,&nbsp;M. Ranalletta,&nbsp;L. Rossi","doi":"10.1016/j.recot.2026.06.012","DOIUrl":"10.1016/j.recot.2026.06.012","url":null,"abstract":"<div><h3>Background</h3><div>Arthroscopic rotator cuff repair traditionally requires a 2-year follow-up to report results. However, most of the recovery occurs within the first year. The aim of this study was to determine if there are clinically significant changes in patient-reported outcome measures and clinically significant outcomes between the first and second postoperative years.</div></div><div><h3>Methods</h3><div>Retrospective analysis of 140 patients. Four scales (ASES, VAS, PSQI, and SANE) were evaluated preoperatively and at 1 and 2 years postoperatively. Clinical relevance was measured using the minimal clinically important difference. Linear regression was used to identify factors associated with changes in outcomes.</div></div><div><h3>Results</h3><div>Improvements were observed in all scores; however, although statistically significant, these changes were minimal and lacked clinical relevance as they did not reach the minimal clinically important difference. Clinically significant outcome rates remained stable, except for the SANE score. Factors such as diabetes, subscapularis tears, and tear size were associated with score changes during the second year.</div></div><div><h3>Conclusion</h3><div>Although there are slight statistical improvements in function, pain, and sleep quality between the first and second years, these are not clinically significant. A one-year follow-up is sufficient to evaluate functional outcomes after arthroscopic rotator cuff repair in the majority of patients.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T361-T365"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309917","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":"Optimización diagnóstica y terapéutica en fracturas de ramas pélvicas: ¿Es suficiente la radiografía simple?","authors":"H. Hormigó,&nbsp;M. Barengo,&nbsp;C. Alvarado","doi":"10.1016/j.recot.2026.04.004","DOIUrl":"10.1016/j.recot.2026.04.004","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages 420-421"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784194","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":"[Artículo traducido] Anclajes de sutura frente a túneles transóseos para la rotura aguda del tendón rotuliano: estudio de cohorte comparativo retrospectivo","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.2026.06.010","DOIUrl":"10.1016/j.recot.2026.06.010","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 T373-T380"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309753","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":"[Artículo traducido] Satisfacción del paciente tras la recidiva radiológica del hallux valgus","authors":"Y. Hernanz-González,&nbsp;J.C. Martínez-Ávila,&nbsp;E. Sánchez-Morata,&nbsp;J. Vilá-Rico","doi":"10.1016/j.recot.2026.06.013","DOIUrl":"10.1016/j.recot.2026.06.013","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Recurrence of the deformity is the most common complication following hallux valgus (HV) surgery correction.</div><div>The factors influencing patient satisfaction after HV surgery are currently widely debated.</div><div>The aims of this study was to investigate the association of the radiological recurrence of the HV deformity after distal chevron metatarsal osteotomy (DCMO) and the patient satisfaction.</div></div><div><h3>Materials and methods</h3><div>One hundred twenty patients (134 feet) with symptomatic moderate or severe HV deformity who underwent distal chevron metatarsal osteotomy (DCMO) at our institution between 2014 and 2019 were included in the present study. Each patient was evaluated preoperatively, postoperatively and at final follow-up by means of radiographs lateral and dorsoplantar views. The hallux valgus angle (HVA) was analyzed to define radiologic recurrence. Radiologic HV recurrence was defined by a final HVA equal or greater than 20°. Data were collected retrospectively.</div><div>The patient satisfaction after surgery was evaluated the last consultation by the PASS (patient acceptable symptom state).</div></div><div><h3>Results</h3><div>The mean follow-up time was 23.65 months (range 6–69.4). The recurrence rate was 76.1%.</div><div>All patients completed the PASS question at the last consultation. Of them, 105/134 (78.36%) patients considered their current state satisfactory and only 29/134 (21.64%) unsatisfactory.</div></div><div><h3>Conclusions</h3><div>In our cohort, we found no association between radiological recurrence of the HV deformity and patient satisfaction at final follow-up.</div><div>Patient satisfaction after HV surgery seems to be a complex concept and not explained completely by adequate deformity correction.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T355-T360"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309320","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":"El pillar pain como factor predictor hasta ahora no descrito del resultado clínico tras la cirugía del síndrome del túnel carpiano. Estudio de cohortes prospectivo","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.2026.02.020","DOIUrl":"10.1016/j.recot.2026.02.020","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 (p<!--> <!-->=<!--> <!-->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 398-401"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148916117","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":"Pie plano flexible infantil: actualización del tratamiento quirúrgico y comparativa de materiales de interposición. Cuñas de titanio poroso frente a injerto autólogo de calcáneo e hidroxiapatita","authors":"L. Corominas","doi":"10.1016/j.recot.2026.06.005","DOIUrl":"10.1016/j.recot.2026.06.005","url":null,"abstract":"<div><div>Paediatric flexible flatfoot is the most common orthopaedic deformity encountered in paediatric practice. Although most cases are asymptomatic and resolve spontaneously, a subgroup of patients develops pain, functional impairment, and progressive deformity, requiring surgical treatment after failure of conservative management. Evans and Cotton osteotomies remain the standard procedures for correcting hindfoot valgus and restoring the medial longitudinal arch, both requiring a structural interposition material to maintain correction. Traditionally, autografts, allografts, and xenografts have been used; however, these options are associated with donor-site morbidity, graft resorption, disease transmission, and potential loss of correction over time. Porous titanium wedges have recently emerged as a synthetic alternative, offering immediate structural stability, osseointegration, and resistance to resorption while eliminating donor-site complications. This review evaluates the current evidence regarding surgical management of paediatric flexible flatfoot, comparing radiological outcomes, functional results, and complication profiles among available interposition materials, and discussing their role in contemporary reconstructive foot surgery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages 414-419"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266588","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] Monteggia-like lesions in adults: Our experience over the past years","authors":"A. Muro-Caballer,&nbsp;C. Matellanes-Palacios,&nbsp;B. Novoa-Sierra,&nbsp;I. Cabanes-Ferrer,&nbsp;L. Hernández-Ferrando","doi":"10.1016/j.recot.2026.06.017","DOIUrl":"10.1016/j.recot.2026.06.017","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 analyse the results based on fracture type and surgical experience.</div></div><div><h3>Materials and methods</h3><div>A single-centre 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 favourable clinical outcomes.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T381-T389"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309323","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":"Precisión diagnóstica de la ecografía en la detección de fracturas de radio distal en una población pediátrica","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.2026.03.003","DOIUrl":"10.1016/j.recot.2026.03.003","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 standardized 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 410-413"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784217","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] Flexible flatfoot in children: Update on surgical treatment and comparison of interposition materials. Porous titanium wedges versus calcaneal autograft and hydroxyapatite","authors":"L. Corominas","doi":"10.1016/j.recot.2026.07.014","DOIUrl":"10.1016/j.recot.2026.07.014","url":null,"abstract":"<div><div>Paediatric flexible flatfoot is the most common orthopaedic deformity encountered in paediatric practice. Although most cases are asymptomatic and resolve spontaneously, a subgroup of patients develops pain, functional impairment, and progressive deformity, requiring surgical treatment after failure of conservative management. Evans and Cotton osteotomies remain the standard procedures for correcting hindfoot valgus and restoring the medial longitudinal arch, both requiring a structural interposition material to maintain correction. Traditionally, autografts, allografts, and xenografts have been used; however, these options are associated with donor-site morbidity, graft resorption, disease transmission, and potential loss of correction over time. Porous titanium wedges have recently emerged as a synthetic alternative, offering immediate structural stability, osseointegration, and resistance to resorption while eliminating donor-site complications. This review evaluates the current evidence regarding surgical management of paediatric flexible flatfoot, comparing radiological outcomes, functional results, and complication profiles among available interposition materials, and discussing their role in contemporary reconstructive foot surgery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 5","pages":"Pages T414-T419"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632274","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":"Manejo quirúrgico de las fracturas de la tuberosidad posterior del calcáneo tipo «pico de pato»: revisión sistemática con síntesis narrativa","authors":"J. Olucha Puchol,&nbsp;L. Díaz Aviñó,&nbsp;F. Forriol Brocal","doi":"10.1016/j.recot.2026.03.012","DOIUrl":"10.1016/j.recot.2026.03.012","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<!--> <!-->hours) 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 390-397"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784471","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}