Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第6页

Functional evaluation after cortical button fixation for distal biceps ruptures – Is there any difference between manual or non-manual workers? 皮质纽扣固定治疗肱二头肌远端断裂后的功能评估--体力劳动者和非体力劳动者有区别吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.007

A. Batista , N. Moura , M. Sarmento , T. Coelho , D. Gomes , R. Ramos , A. Cartucho

{"title":"Functional evaluation after cortical button fixation for distal biceps ruptures – Is there any difference between manual or non-manual workers?","authors":"A. Batista , N. Moura , M. Sarmento , T. Coelho , D. Gomes , R. Ramos , A. Cartucho","doi":"10.1016/j.recot.2024.10.007","DOIUrl":"10.1016/j.recot.2024.10.007","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to compare clinical and functional results after distal biceps tendon repair in manual workers vs. non-manual workers.</div></div><div><h3>Methods</h3><div>This is a retrospective comparative study which refers to 57 cases with distal biceps tendon rupture, divided in manual workers (24 elbows) and non-manual workers (33), that were treated by a single incision with cortical button and interference screw fixation. Included cases have a minimum of 3 months follow-up, post-operative X-ray and signed informed consent for the investigation.</div></div><div><h3>Results</h3><div>Supination and flexion strength was higher in manual workers vs. non-manual workers (<em>p</em>-value=0.192 and 0.878, respectively). Nine patients showed loss of range of motion, concerning supination and pronation, and this was correlated to worse functional scores. Functional scores tend to be superior in non-manual workers. Ten patients had heterotopic ossification and 20 patients reported lateral antebrachial cutaneous nerve neuropraxia; one had both. Most of them had a full recovery.</div></div><div><h3>Conclusion</h3><div>According to clinical evaluation and post-operative scores, the performed surgical procedure provides good to excellent mid-term functional results. Nevertheless, there were not any differences between manual or non-manual workers.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 274-279"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477017","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

Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound 通过X光平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2023.12.002

A. Fernández-Bravo Rueda , B. Gutiérrez-San José , J. Fernández-Jara , A. Fernández-López , P. Núñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín-Ríos

{"title":"Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound","authors":"A. Fernández-Bravo Rueda , B. Gutiérrez-San José , J. Fernández-Jara , A. Fernández-López , P. Núñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín-Ríos","doi":"10.1016/j.recot.2023.12.002","DOIUrl":"10.1016/j.recot.2023.12.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or X-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.</div></div><div><h3>Material and methods</h3><div>From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.</div></div><div><h3>Results</h3><div>Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.</div></div><div><h3>Conclusion</h3><div>This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 228-232"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138807898","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

[Artículo traducido] Concordancia interobservador de la clasificación de la tendinopatía calcificante de hombro "利用平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性"。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.008

A. Fernandez-Bravo Rueda , B. Gutiérrez San José , J. Fernández Jara , A. Fernández López , P. Nuñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín Ríos

{"title":"[Artículo traducido] Concordancia interobservador de la clasificación de la tendinopatía calcificante de hombro","authors":"A. Fernandez-Bravo Rueda , B. Gutiérrez San José , J. Fernández Jara , A. Fernández López , P. Nuñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín Ríos","doi":"10.1016/j.recot.2025.02.008","DOIUrl":"10.1016/j.recot.2025.02.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or x-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.</div></div><div><h3>Material and methods</h3><div>From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.</div></div><div><h3>Results</h3><div>Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.</div></div><div><h3>Conclusion</h3><div>This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T228-T232"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469533","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

Cifoplastia con silicona (elastoplastia) versus cifoplastia tradicional con cemento para fracturas vertebrales osteoporóticas. ¿Esta nueva técnica reduce las complicaciones? VK100 硅胶弹性成形术与 PMMA 骨水泥椎体成形术治疗骨质疏松性椎体骨折。这种新技术的并发症更少吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.013

R. Luque, D. Garríguez, P. Checa Betegon, M. Sanchez, M. Olvera, J.L. Perez Gonzalez, I. Dominguez Esteban

{"title":"Cifoplastia con silicona (elastoplastia) versus cifoplastia tradicional con cemento para fracturas vertebrales osteoporóticas. ¿Esta nueva técnica reduce las complicaciones?","authors":"R. Luque, D. Garríguez, P. Checa Betegon, M. Sanchez, M. Olvera, J.L. Perez Gonzalez, I. Dominguez Esteban","doi":"10.1016/j.recot.2024.10.013","DOIUrl":"10.1016/j.recot.2024.10.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based polymers. This study's objective is to compare the results between kyphoplasty with bone cement and with the VK100 silicone.</div></div><div><h3>Materials and methods</h3><div>This is a comparative, prospective study involving 64 patients, 23 treated using VK100 and 41 with PMMA. Clinical, radiological and functional results (Oswestry) and quality of life and (EQ-5D) were analyzed and compared between both groups, focusing on differences in subsequent fractures in adjacent levels.</div></div><div><h3>Results</h3><div>There are no differences between the two treatments in terms of epidemiological factors (age and sex) or hospital management. A significant difference is observed in the gain of vertebral body height, with greater improvement in those treated with PMMA. There is also a higher fracture rate in the PMMA group, the difference is not significant. Finally, both treatments show similar outcomes in pain relief and quality of life.</div></div><div><h3>Conclusion</h3><div>Both VK100 Elastoplasty and PMMA Kyphoplasty are effective treatments for vertebral fractures. VK100 has a lower rate of complications and adjacent fractures. However, long-term results in terms of pain relief and quality of life are similar, making both treatments equally valid.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 287-296"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548160","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

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}

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