Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"[Artículo traducido] Parámetros radiológicos preoperatorios correlacionados con la recidiva del hallux valgus después de una osteotomía en chevron distal","authors":"Y. Hernanz-González ,&nbsp;J.C. Martínez-Ávila ,&nbsp;E. Sánchez-Morata ,&nbsp;A. Gómez-Sánchez ,&nbsp;J.D. Serrano-Alonso ,&nbsp;J. Vilá-Rico","doi":"10.1016/j.recot.2025.06.004","DOIUrl":"10.1016/j.recot.2025.06.004","url":null,"abstract":"<div><h3>Background and study aims</h3><div>Most foot surgeons recognize the difficulties to define each patient's hallux valgus (HV) deformity and to select the most appropriate surgical treatment to achieve the best long term outcome. The goal of this study was to analyze radiologic outcomes after distal chevron metatarsal osteotomy and to identify specific preoperative radiological parameters correlating with radiological recurrence.</div></div><div><h3>Materials and methods</h3><div>One hundred twenty patients (134 feet) in patients with symptomatic moderate or severe HV deformity who underwent distal chevron metatarsal osteotomy at our hospital 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. We examined fourteen radiographic measurements. Data were collected retrospectively.</div></div><div><h3>Results</h3><div>The mean follow-up time was 23.65<!--> <!-->months (range 6-69.4<!--> <!-->months). The recurrence rate was 76.1%. Radiologic HV recurrence was defined by a final hallux valgus angle (HVA) equal or greater than 20 degrees.</div></div><div><h3>Conclusions</h3><div>Greater age at time of surgical treatment and preoperative noncongruent<!--> <!-->I metatarsophalangeal joint were identified as predictors for HV recurrence.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T461-T468"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889539","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] Modelo de simulación de retirada de yesos para el entrenamiento de residentes","authors":"F. Moller-Macherone ,&nbsp;M. Lobos-Urbina ,&nbsp;I. Cañete-Campos ,&nbsp;C. Vidal-Olate ,&nbsp;F. Hodgson-Ovalle ,&nbsp;P. Murati-Carrasco ,&nbsp;M.A. Ibañez-León ,&nbsp;M.J. Figueroa-Gatica","doi":"10.1016/j.recot.2025.06.005","DOIUrl":"10.1016/j.recot.2025.06.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Complications from cast removal are infrequent but can cause permanent skin sequelae. Formal training in cast removal is limited during residency. This study aimed to develop a plaster cast removal simulation model for resident training.</div></div><div><h3>Methods</h3><div>Quasiexperimental study. A pediatric forearm phantom with temperature sensors was designed to simulate forearm cast removal. Six first-year orthopedic residents with no prior cast removal experience and two experts were evaluated. The residents underwent an initial evaluation, followed by an instruction session, and a final evaluation. Performance was assessed using a specific ratings scale (SRS), the Objective Structured Assessment of Technical Skills (OSATS) guideline, procedure time, and temperature measurement. Median scores with ranges were reported, and pre- and posttraining performances were compared using the Wilcoxon test. Experts scores were compared with resident scores using the Mann-Whitney test. The statistical significance was set at <em>P</em> <!-->&lt;<!--> <!-->.05.</div></div><div><h3>Results</h3><div>Significant improvements in OSATS [(pre 22 points (range: 20-24); posttraining 25 (range: 25-28) (<em>P</em> <!-->=<!--> <!-->.03)] and SRS [pre 8.5 points (range: 7-9); post 10 points (range: 8-10) (<em>P</em> <!-->=<!--> <!-->.02)] were observed. No differences were found in temperature (<em>P</em> <!-->=<!--> <!-->.50) and procedure time (<em>P</em> <!-->=<!--> <!-->.09). When comparing residents’ post-training scores with those of experts, no significant differences were found in OSATS (<em>P</em> <!-->=<!--> <!-->.16), SRS (<em>P</em> <!-->=<!--> <!-->.11), temperature measurement (<em>P</em> <!-->=<!--> <!-->.50), or procedure time (<em>P</em> <!-->=<!--> <!-->.09).</div></div><div><h3>Conclusions</h3><div>The plaster cast removal simulation model proved to be an effective training tool for residents, enabling them to achieve expert-level competency. Significant improvements were observed in OSATS and SRS scores post-training, highlighting the positive impact of the intervention on this skill.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T439-T445"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891029","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":"Minimizing bleeding and transfusion in single-stage bilateral hip and knee arthroplasty: A systematic review of current interventions","authors":"R. Gonzalez-Pola ,&nbsp;R.O. Tafoya-Olivos ,&nbsp;L.A. Culebras-Almeida ,&nbsp;G. Zermeño-Garcia ,&nbsp;A. Herrera-Lozano","doi":"10.1016/j.recot.2025.04.017","DOIUrl":"10.1016/j.recot.2025.04.017","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate perioperative strategies for minimizing bleeding and transfusion needs in single-stage bilateral hip and knee arthroplasty. This systematic review identifies effective interventions and provides evidence-based recommendations and highlight areas for future research in optimizing bleeding management.</div></div><div><h3>Methods</h3><div>A systematic review of literature from January 2010 to October 2024 was conducted, focusing on randomized controlled trials (RCTs), meta-analyses, and guidelines. Databases searched included PubMed/MEDLINE, Embase, Cochrane Library, and Web of Science. Interventions assessed included tranexamic acid (TXA), surgical techniques, regional anesthesia, controlled hypotension, preoperative anemia correction, tourniquet use, bone wax, and restrictive transfusion strategies. Study selection, data extraction, and quality assessment followed PRISMA and Newcastle-Ottawa Scale guidelines.</div></div><div><h3>Results</h3><div>From 325 included studies, TXA consistently demonstrated the most significant impact, reducing transfusion rates by 40–60%. Anterior THA was associated with reduced blood loss. Regional anesthesia and controlled hypotension further minimized intraoperative bleeding. Preoperative anemia correction and restrictive transfusion thresholds also showed benefits. Tourniquet evidence was inconclusive. Limited evidence supported bone wax. GRADE assessment suggested high evidence quality for TXA and regional anesthesia, moderate for minimally invasive surgery, anemia correction, and restrictive transfusion, and low for bone wax.</div></div><div><h3>Conclusions</h3><div>Multimodal approach integrating TXA, regional anesthesia, minimally invasive surgery, anemia correction, and restrictive transfusion protocols effectively reduces bleeding and transfusion needs in bilateral arthroplasty. Incorporation into Enhance recovery after surgery (ERAS) protocols is recommended. Future research should refine TXA dosing, clarify tourniquet use, and assess cost-effectiveness.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages 532-543"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890966","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":"Lesiones musculoesqueléticas atendidas tras la inundación ocurrida en octubre del 2024 en Valencia, España","authors":"J.F. Garrido Ferrer,&nbsp;J. Diranzo García,&nbsp;X. Bertó Martí,&nbsp;L. Marco Díaz,&nbsp;L. Hernández Ferrando","doi":"10.1016/j.recot.2025.04.014","DOIUrl":"10.1016/j.recot.2025.04.014","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to describe and analyze the musculoskeletal injuries treated at a tertiary hospital, resulting from the sudden flooding and landslides that occurred on October 29, 2024, in the province of Valencia, Spain.</div></div><div><h3>Materials and methods</h3><div>A retrospective, single-center study design was employed, documenting all patients who required hospital treatment from October 29, 2024, to November 30, 2024, inclusive. Data collected included the date of treatment, delay time until rescue and evacuation, demographic information, injury location and severity, records of surgeries performed and required hospitalization time.</div></div><div><h3>Results</h3><div>A total of 410 hospital admissions were recorded, all of which were through the emergency department. A slight male predominance was observed (55.5%), with an average age of 48 years (range 1-97). The mean time to treatment was 1.4 days from the trauma (range 1-12), although 47% of cases exceeded 48<!--> <!-->hours. 60.1% of contusions presented with at least one associated fracture. A total of 84 wounds (20.5% of the sample) and musculoskeletal and ligament injuries (14.4%) were treated, along with joint dislocations (2.4%). The most common injury sites were the lower limbs (48.6%), followed by the upper limbs (36.7%). The majority of cases (90.5%) were managed with conservative treatment, with 9.5% requiring surgical revision. During this period, 53 hospital admissions (1.76 admissions/day) and 38 urgent surgeries were performed.</div></div><div><h3>Conclusion</h3><div>The flooding caused by the Valencia flood in October 2024 is considered one of the most severe environmental disasters in the history of Spain. Natural disasters affecting multiple victims demand effective and coordinated medical attention across all healthcare levels. Continuous learning for trauma specialists will provide the necessary tools for appropriate knowledge and management of such potentially severe injuries.</div><div>Level of Evidence: IV. Retrospective descriptive and analytical study. Case Series.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages 421-428"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889540","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] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries","authors":"J.H. Núñez ,&nbsp;F. Moreira ,&nbsp;M. Surroca ,&nbsp;J. Martínez-Peña ,&nbsp;M.J. Jiménez-Jiménez ,&nbsp;B. Ocrospoma-Flores ,&nbsp;P. Castillón ,&nbsp;E. Guerra-Farfán","doi":"10.1016/j.recot.2025.02.010","DOIUrl":"10.1016/j.recot.2025.02.010","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 64.7<!--> <!-->h, with a mean percentage of patients operated on within 24<!--> <!-->h at 18%, and within 48<!--> <!-->h 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 48<!--> <!-->h, 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 T303-T317"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469547","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] Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability?","authors":"A. Portes,&nbsp;F. Santana,&nbsp;C. Torrens","doi":"10.1016/j.recot.2025.02.017","DOIUrl":"10.1016/j.recot.2025.02.017","url":null,"abstract":"<div><div>The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) and those with screws only (GSP) for coracoid fixation.</div></div><div><h3>Material and methods</h3><div>A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same center between October 2009 and February 2021. A total of 85 shoulders were analyzed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss &lt;10%, ligamentous hyperlaxity (Beighton score &gt;6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity.</div></div><div><h3>Results</h3><div>Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30<!--> <!-->±<!--> <!-->8.78 years. Both groups were statistically comparable. No significant differences were found in the WOSI test (<em>p</em> <!-->=<!--> <!-->.140), the Rowe test (<em>p</em> <!-->=<!--> <!-->.380) or in complications (<em>p</em> <!-->=<!--> <!-->.692). A higher percentage of the GP group returned to sports activity (77.1% GP vs. 51.7% GSP, <em>p</em> <!-->=<!--> <!-->.039).</div></div><div><h3>Conclusions</h3><div>No statistically differences were observed in quality of life, complications, or redislocations. However, the use of a plate showed a greater predisposition to return to sports activity (<em>p</em> <!-->=<!--> <!-->.039) in patients with anterior glenohumeral instability.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T297-T302"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473307","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] Open Science. Business or Opportunity?","authors":"Enrique Guerado Parra","doi":"10.1016/j.recot.2025.03.011","DOIUrl":"10.1016/j.recot.2025.03.011","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T225-T227"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923733","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":"¿Mejora la fijación con placa la cirugía de Latarjet para la inestabilidad anterior glenohumeral?","authors":"A. Portes,&nbsp;F. Santana,&nbsp;C. Torrens","doi":"10.1016/j.recot.2024.11.015","DOIUrl":"10.1016/j.recot.2024.11.015","url":null,"abstract":"<div><div>The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) and those with screws only (GSP) for coracoid fixation.</div></div><div><h3>Material and methods</h3><div>A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same center between October 2009 and February 2021. A total of 85 shoulders were analyzed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss &lt;<!--> <!-->10%, ligamentous hyperlaxity (Beighton score &gt;<!--> <!-->6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity.</div></div><div><h3>Results</h3><div>Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30<!--> <!-->±<!--> <!-->8.78<!--> <!-->years. Both groups were statistically comparable. No significant differences were found in the WOSI test (<em>P</em> <!-->=<!--> <!-->.140), the Rowe test (<em>P</em> <!-->=<!--> <!-->.380) or in complications (<em>P</em> <!-->=<!--> <!-->.692). A higher percentage of the GP group returned to sports activity (77.1% GP vs. 51.7% GSP, <em>P</em> <!-->=<!--> <!-->.039).</div></div><div><h3>Conclusions</h3><div>No statistically differences were observed in quality of life, complications, or re-dislocations. However, the use of a plate showed a greater predisposition to return to sports activity (<em>P</em> <!-->=<!--> <!-->.039) in patients with anterior glenohumeral instability.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 297-302"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caracterización clínica de pacientes con coaliciones tarsianas. Experiencia de 12 años en hospital de alta complejidad","authors":"E. Fernández-Rojas ,&nbsp;M. Monteagudo de la Rosa ,&nbsp;P. Martínez de Albornoz Torrente ,&nbsp;E. Maceira Suárez","doi":"10.1016/j.recot.2024.09.007","DOIUrl":"10.1016/j.recot.2024.09.007","url":null,"abstract":"<div><h3>Background</h3><div>Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.</div></div><div><h3>Results</h3><div>Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56,5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).</div></div><div><h3>Discussion</h3><div>In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, <em>P</em>=.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 260-266"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356014","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] Clinical characterization of patients with tarsal coalitions. Twelve-year experience in a high-complexity hospital","authors":"E. Fernández-Rojas ,&nbsp;M. Monteagudo de la Rosa ,&nbsp;P. Martínez de Albornoz Torrente ,&nbsp;E. Maceira Suárez","doi":"10.1016/j.recot.2025.02.015","DOIUrl":"10.1016/j.recot.2025.02.015","url":null,"abstract":"<div><h3>Background</h3><div>Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.</div></div><div><h3>Results</h3><div>Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56.5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).</div></div><div><h3>Discussion</h3><div>In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, <em>p</em> <!-->=<!--> <!-->.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T260-T266"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473302","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}