Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"[Translated article] Key predictive factors in functional decline, and five-year mortality in older adults with hip fracture: A prospective cohort study from an interdisciplinary fracture unit.","authors":"D Rodríguez-Díaz, A C Tejera-Concepción, A Cabrera-Febles, N V Sánchez-Dorta, M E Fuentes-Ferrer, F J Martín-Hernández, M González-Colaço Harmand","doi":"10.1016/j.recot.2026.07.007","DOIUrl":"10.1016/j.recot.2026.07.007","url":null,"abstract":"<p><strong>Background and objectives: </strong>Hip fractures in older adults constitute a clinical event with significant functional and life-threatening impact. This study aims to analyse the long-term functional evolution and mortality in patients with hip fractures treated by an interdisciplinary unit.</p><p><strong>Materials and methods: </strong>Prospective study including 300 patients admitted for hip fracture, with follow-up of mortality and functional status (Barthel Index, ambulation, Profunction) at short (1month) and long term (1, 2, 3, and 5years). Sociodemographic, clinical and nutritional variables were analysed, along with complications and mortality during admission and up to 5years after discharge.</p><p><strong>Results: </strong>The median baseline Barthel Index score was 90points (mild dependency), declining to 70points at 2years and stabilising at 3 and 5years, representing a 20-point loss compared with baseline. Independent ambulation increased from 4.3% at 2months to 27.5% at 5years, whereas severe dependency (bed- or chair-bound status) rose from 8.7% to 20.2%. Cognitive and nutritional impairment, the presence of delirium, and prior institutionalisation were associated with poorer functional outcomes. The baseline Barthel Index score was a significant predictor of mortality.</p><p><strong>Conclusions: </strong>A comprehensive and multidimensional assessment could improve the management of patients with hip fracture, allowing the identification of risk factors for poor functional outcomes, such as cognitive impairment, social risk, malnutrition, and delirium.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382983","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] Functionality in patients over 60years of age with distal radius fracture treated with and without surgery: Scoping review.","authors":"K Quelal A, E Jiménez, E Vergara-Amador","doi":"10.1016/j.recot.2026.07.002","DOIUrl":"10.1016/j.recot.2026.07.002","url":null,"abstract":"<p><strong>Background: </strong>Distal radius fracture is the most common in women over 50years, accounting for up to 18% of all fractures in the elderly. The objective of this study is to compare the functional results of patients over 60years with distal radius fracture after conservative treatment versus surgical treatment.</p><p><strong>Methods: </strong>A review of the literature of articles published between 2015 and 2022 related to the PICO question posed \"Functionality in patients over 60years of age with distal radius fracture with conservative treatment compared with surgical treatment\". The eligibility criteria were: population over 60years old, post-management functionality such as pain, grip strength, alignment, need for a new procedure, among others.</p><p><strong>Results: </strong>The search generated 119 articles, and after filtering for duplication, title and abstract or that did not comply with inclusion criteria. The remaining 10 articles met the eligibility criteria, applied conservative or surgical management for distal radius fractures in a population over 60years of age and answered the research question posed.</p><p><strong>Conclusion: </strong>The results reported are similar in terms of recovery of functionality of the wrist and hand in these patients after follow-up, however, most of the authors found that patients had lower scores on the DASH scale (less disability) and better grip strength in patients subjected to open reduction and internal fixation with palmar plate.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382996","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] Exploratory study of the efficacy and safety of treatment with high-low molecular weight hybrid hyaluronic acid in patients with plantar fasciitis: One-year follow-up.","authors":"Á Fernández Reinales, D Poggio Cano, R García Elvira","doi":"10.1016/j.recot.2026.07.009","DOIUrl":"10.1016/j.recot.2026.07.009","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Plantar fasciitis (PF) is a common musculoskeletal injury that can occur in adults of all ages and activity levels. This condition accounts for more than 1million medical visits annually in the United States alone. Despite its name, PF is considered a degenerative condition rather than a primary inflammatory disorder. It is characterised by pain in the medial part of the heel that worsens with weight-bearing activity and prolonged standing. Treatment for PF can be conservative, including stretching complemented by formal physical therapy, NSAIDs, and orthotics. If symptoms have not improved after these options, the use of injectable treatments should be considered. If symptoms persist for more than 6 months, surgical release could be considered as a last resort. Different studies have demonstrated the efficacy and safety of high molecular weight hyaluronic acid (HA) injections in the treatment of patients with PF.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;The objective of the study was to evaluate the efficacy and safety of treatment with hybrid high-low molecular weight hyaluronic acid (HA) in patients diagnosed with plantar fasciitis through retrospective analysis of medical records.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;Patient functionality was assessed using the Spanish-validated Manchester-Oxford Foot and Ankle Questionnaire (MOXFQ), and pain level was measured with the Verbal Numeric Rating Scale (VNRS), both before the procedure and after 12 months of post-treatment follow-up, in 10 patients diagnosed with PF who were administered hybrid high-low molecular weight HA (Sinovial HL® 1ml) through ultrasound-guided injection into the plantar fascia. In all cases, the thickness of the plantar fascia was evaluated by ultrasound before the procedure and at 12 months.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A significant reduction in pain assessed by the VNRS was observed when comparing baseline data to values at 12 months post-procedure (p&lt;.001). In all cases, patients reported total absence of pain 12 months after the HA injection. Likewise, a statistically significant reduction in MOXFQ scores was observed between baseline values and those obtained at the 12-month follow-up. The mean scores decreased from 57.2±4.3 points at baseline to 2.5±2.8 points at 12 months, with a median difference of -55 points (IQR: -58.2 to -50.8; p=.002). Regarding the evaluation of ultrasound changes in plantar fascia thickness, the analysis revealed a statistically significant reduction at 12 months after the procedure compared to baseline measurements (median difference: -2.25mm, IQR: -2.85 to -1.95; p=.002). The body mass index (BMI) was 27.8%, and the predominant gender was male (70%) compared to female (30%). The baseline characteristics of the patients and the results of the tests performed are shown in Table 1.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Ultrasound-guided infiltration with hyaluronic acid hybrid high-low molecular weight in","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383018","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] Outcomes of median nerve transfers in high ulnar nerve injuries in adults-Scoping review.","authors":"D F Rincón Cardozo, J F Castañeda López, Á A Kafury Goeta","doi":"10.1016/j.recot.2026.07.004","DOIUrl":"10.1016/j.recot.2026.07.004","url":null,"abstract":"<p><strong>Introduction: </strong>High ulnar nerve (UN) injuries have unfavourable functional prognoses due to the limited distance for axonal regeneration. Median nerve (MN) transfer to the UN has emerged as an alternative treatment for this injury.</p><p><strong>Methods: </strong>Analysis of studies following the PRISMA-Sc guidelines was conducted. Studies evaluating MN transfer in the forearm or hand for high UN injuries between 2005 and 2025 were identified and then included. These studies included descriptions of intrinsic muscle function, grip strength (pincer or fist), and reported outcome measures. A descriptive literature review was performed.</p><p><strong>Results: </strong>Ten studies were included; given the scope of the evidence and its heterogeneity, they are presented in summary terms, without a specific comparison. Patients were primarily young adults, and the most frequent injury was laceration. The time for surgery ranged from 20 days to 18 months. Anterior interosseous nerve transfer showed functional improvements in M3 and M4 in 80% of cases, with a grip strength between 30 and 40kg in 40% of patients. Additionally, thumb opponent muscle branch transfer resulted in a grip strength of 57±16% and a terminal pinch strength of 71±24% compared to the contralateral limb.</p><p><strong>Conclusions: </strong>Nerve transfer significantly improves pinch strength at M3 or higher in 80% of cases. There is insufficient evidence to recommend one procedure as superior to the other based on the results reported in the literature.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383015","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] Development and validation of a specific learning system for minimally invasive ultrasound-guided techniques in Orthopedic Surgery and Traumatology.","authors":"J R Calvo-Tapies, J Albareda-Albareda, J Gómez-Vallejo, B Redondo-Trasobares, N Blanco-Rubio, J R Ballesteros-Betancourt, E Bueno-Gracia, P Fanlo-Mazas, I Ríos-Asín, J Pérez-Rey, J Rodríguez-Sanz, M Malo-Urriés","doi":"10.1016/j.recot.2026.07.006","DOIUrl":"10.1016/j.recot.2026.07.006","url":null,"abstract":"<p><strong>Introduction: </strong>Ultrasound-guided minimally invasive techniques have experienced remarkable growth in Orthopedic Surgery and Traumatology. However, their learning process is complex, leading to the development of specific simulation models as educational tools.</p><p><strong>Objective: </strong>To evaluate the effectiveness of a personalised phantom-based training programme for acquiring skills in ultrasound-guided minimally invasive techniques.</p><p><strong>Methods: </strong>A prospective comparative study was conducted with 20 orthopaedic surgery residents, assigned to an intervention group (n=10; trained with phantoms) or a control group (n=10; usual training without phantom-based training). Learning transfer was assessed in a cadaver model, technical performance was evaluated using specific rubrics, and self-perceived competence was measured via questionnaires.</p><p><strong>Results: </strong>The intervention group showed a significantly shorter execution time (p<.001) and fewer attempts (p<.001). Technical performance and self-perceived competence were superior in the intervention group, with significant differences in satisfaction (p=.002), perceived effort (p=.035), and frustration (p<.001).</p><p><strong>Conclusion: </strong>Training with personalised phantoms improves technical performance and self-perceived competence in ultrasound-guided minimally invasive procedures, representing an effective and transferable tool for training in Orthopedic Surgery and Traumatology.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383021","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":"Comparison of applied tension to the postero-medial structures in the traditional and modified postero-medial ankle approaches at different lengths of the posterior tibial plafond: Are there differences?","authors":"J Elgueta Grillo, D Poggio Cano, L Torres Íñiguez, C Manríquez Vidal, Á Fernández Reinales, D Belling, X Martin Oliva, T Diaz Sanchez","doi":"10.1016/j.recot.2026.07.010","DOIUrl":"10.1016/j.recot.2026.07.010","url":null,"abstract":"<p><strong>Introduction: </strong>Posterior malleolar fractures (PMF) occur in up to 46% of ankle fractures, with a higher incidence in women over 65 years old. The presence of a PMF worsens the prognosis of ankle fractures, making conservative treatment a poor option. PMFs represent a heterogeneous group of injury patterns, often associated with fibula fractures, medial malleolus extensions, and syndesmotic injuries, requiring surgeons to be well-versed in anatomy to select the appropriate surgical approach. An underexplored aspect of posterior ankle approaches is the applied tension required to displace the postero-medial structures - Posterior Tibialis tendon (PTT), Flexor Digitorum Longus tendon (FDL), Flexor Hallucis Longus tendon (FHL) and the neurovascular (N-V) bundle - for adequate visualization of the bone plane. This cadaveric anatomical study aimed to evaluate the displacement of these structures using the traditional postero-medial approach (TPM), as defined by our group, and the modified postero-medial approach (MPM), analyzing two tension measurements (in Newtons) at three distances from the distal border of the posterior tibial plafond.</p><p><strong>Methods: </strong>A randomized, analytical, and experimental cadaveric study was conducted. Eight lower limbs from freshly frozen cadavers were thawed at room temperature and subjected to below-knee amputation. The samples were randomly assigned to two groups (TPM or MPM). Tension measurements - \"sufficient tension\" (ST) and 5N - were recorded at 5, 7, and 10cm from the distal posterior tibial pilon to assess displacement of posteromedial structures. Each measurement was taken at 15s. Data were analyzed using univariate and bivariate methods; comparisons between groups were performed using the Wilcoxon-Mann-Whitney test.</p><p><strong>Results: </strong>Seventy-five percent of the TPM group were female donors, while 75% of the MPM group were male. The mean age was 65.5±14.01 years in the TPM group and 82.25±9.6 years in the MPM group. Statistically significant differences were found at \"sufficient tension\" in the 10cm measurement: the MPM approach required greater \"sufficient tension\" (ST) (13.1N vs. 8.5N; p=0.0433) to achieve medial displacement of the N-V bundle, while the TPM approach allowed for greater N-V bundle displacement with \"sufficient tension\" (23mm vs. 14mm; p=0.0433). However, no statistically significant differences were observed between the two approaches in medial displacement of the N-V bundle with 5N of tension at a distance of 10cm.</p><p><strong>Conclusion: </strong>The TPM approach allows for greater medial displacement of the neurovascular bundle in ST with less tension at 10cm compared to the MPM approach, suggesting an advantage for fractures requiring wider surgical exposure.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383004","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] Epidemiological trends in paediatric knee arthroscopy: A single-centre study in Spain (1998-2023).","authors":"M Garralda Del Villar, A Edo Olucha, L Muñoa Oteiza, D Sánchez Guardamino Sáenz, S García Mata, J Duart Clemente","doi":"10.1016/j.recot.2026.07.001","DOIUrl":"10.1016/j.recot.2026.07.001","url":null,"abstract":"<p><strong>Background and objective: </strong>Knee arthroscopy has become an essential diagnostic and therapeutic tool in children and adolescents. However, data on temporal trends, indications, and surgical techniques in Spain remain limited. This study aimed to analyse the epidemiological and surgical evolution of knee arthroscopy in patients under 18 years of age between 1998 and 2023.</p><p><strong>Patients and methods: </strong>This single-centre retrospective observational study including 416 patients under 18 years who underwent knee arthroscopy. Demographic, diagnostic, and surgical variables were collected. Descriptive statistics, the Kruskal-Wallis test, the Cochran-Armitage trend test, and Spearman's correlation were used for analysis.</p><p><strong>Results: </strong>The median age was 14 years, with a predominance of females (59%). The most frequent indications were meniscal tears (33%), anterior cruciate ligament (ACL) injury (22%), and osteochondral lesions (14%). Diagnostic arthroscopy (38%) and meniscectomy (27%) were the most common procedures, both showing a progressive decline since 2015, whereas meniscal repair and surgery for patellofemoral instability showed a slight increase. A sustained rise in arthroscopies was observed among adolescents over 11 years of age, with a gradual equalisation between sexes in recent years.</p><p><strong>Conclusion: </strong>Paediatric knee arthroscopy has progressively increased over the last two decades, with meniscal, ACL, and osteochondral lesions being the most frequent indications. A trend towards meniscal preservation and reconstructive procedures is also evident, reflecting evolving clinical practice and patterns of sports participation.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377498","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":"Influencia del grado de lateralización en la consolidación de tuberosidades en artroplastia reversa de hombro por fracturas de húmero proximal","authors":"D.J. Gómez,&nbsp;C. Bermeo,&nbsp;G. Viollaz,&nbsp;A. Muratore,&nbsp;R. Durán,&nbsp;G. Teruya,&nbsp;A. Tedeschi,&nbsp;D. Moya","doi":"10.1016/j.recot.2025.12.004","DOIUrl":"10.1016/j.recot.2025.12.004","url":null,"abstract":"<div><h3>Introduction</h3><div>To evaluate the effect of prosthetic lateralization on tuberosity healing following reverse shoulder arthroplasty (RSA) for proximal humerus fractures (PHFs) in older adults.</div></div><div><h3>Material and methods</h3><div>This single-center retrospective study included patients aged &gt;<!--> <!-->65<!--> <!-->years with displaced Neer 3- or 4-part PHFs treated with RSA within four weeks of injury. Patients were allocated according to the global lateralization of the prosthesis: Very Highly Lateralized (VHL; 21.4<!--> <!-->mm, Arrow®, n<!--> <!-->=<!--> <!-->53) and Lateralized (L; 14.7<!--> <!-->mm, Unique®, n<!--> <!-->=<!--> <!-->20). Tuberosity healing was assessed radiographically and classified as anatomic, non-anatomic, or failed consolidation. Statistical analysis was performed using Student's t-test or Mann-Whitney U test for continuous variables, and Chi-square or Fisher's exact test for categorical variables.</div></div><div><h3>Results</h3><div>The final cohort consisted of 73 patients (62 women, 11 men) with a mean age of 76.2<!--> <!-->±<!--> <!-->6.9<!--> <!-->years. Overall tuberosity healing occurred in 60 patients (82.2%), while 13 (17.8%) demonstrated failed consolidation. The L group showed a significantly higher overall healing rate (100%) compared with the VHL group (75.5%; <em>P</em> <!-->=<!--> <!-->.020). Anatomic healing was achieved in 55% of the L group and 28% of the VHL group (<em>P</em> <!-->=<!--> <!-->.020). All failures occurred exclusively in the VHL cohort (24.5%). The overall complication rate was 6.8%, with no significant differences between groups.</div></div><div><h3>Conclusion</h3><div>Very high prosthetic lateralization (&gt;<!--> <!-->20<!--> <!-->mm) is associated with reduced rates of anatomic tuberosity healing and a higher incidence of failed consolidation, likely due to increased mechanical tension that compromises osteointegration in osteoporotic bone.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 4","pages":"Pages 332-338"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784475","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":"La diabetes mellitus, factor de riesgo de infección tras una artrodesis lumbar posterior: análisis multivariante en 356 casos","authors":"J.H. Núñez,&nbsp;J. Diego Montenegro,&nbsp;B. Escudero-Cisneros,&nbsp;I. Omiste,&nbsp;D. Bosch García,&nbsp;C. García Cardona","doi":"10.1016/j.recot.2025.11.029","DOIUrl":"10.1016/j.recot.2025.11.029","url":null,"abstract":"<div><h3>Introduction</h3><div>Lumbar spinal fusion is a widely used technique in the treatment of conditions such as lumbar stenosis and degenerative spondylolisthesis. However, acute postoperative infection remains a significant complication. The aim of this study was to identify risk factors associated with a higher incidence of acute infection following posterior lumbar fusion for degenerative pathology.</div></div><div><h3>Material and methods</h3><div>We conducted an observational, retrospective, and analytical study at a single hospital center. Patients over 18<!--> <!-->years of age who underwent instrumented lumbar fusion for lumbar stenosis or degenerative spondylolisthesis between 2017 and 2022 were included. Demographic, clinical, and surgical variables were analyzed. A bivariate analysis was followed by a multivariate logistic regression model to identify independent risk factors for acute postoperative infection.</div></div><div><h3>Results</h3><div>A total of 356 patients were analyzed, with a mean age of 60.4<!--> <!-->years; 55.6% were male. The overall incidence of acute postoperative infection was 5.9% (21<!--> <!-->cases). Bivariate analysis revealed significant associations with infection for diabetes mellitus (<em>P</em> <!-->=<!--> <!-->.010), hypertension (<em>P</em> <!-->=<!--> <!-->.042), chronic corticosteroid use (<em>P</em> <!-->=<!--> <!-->.001), and surgical duration &gt;<!--> <!-->3<!--> <!-->hours (<em>P</em> <!-->=<!--> <!-->.028). In the multivariate model, only diabetes mellitus remained a significant independent risk factor (OR: 3.36; 95%<!--> <!-->CI: 1.22-9.31; <em>P</em> <!-->=<!--> <!-->.019).</div></div><div><h3>Conclusions</h3><div>Diabetes mellitus was identified as the main independent risk factor for acute postoperative infection. This finding highlights the importance of a thorough preoperative assessment of surgical risk in diabetic patients and the need to provide them with adequate information during the informed consent process.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 4","pages":"Pages 296-302"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784522","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":"Pendiente tibial en reconstrucción de ligamento cruzado anterior: ¿cuándo debe corregirse?","authors":"T. Pineda,&nbsp;D.H. Dejour","doi":"10.1016/j.recot.2025.11.032","DOIUrl":"10.1016/j.recot.2025.11.032","url":null,"abstract":"<div><div>The tibial slope has been identified as a key anatomical factor influencing anteroposterior knee stability. Increased slope values have been linked to greater anterior tibial translation, higher stress on the anterior cruciate ligament and an elevated risk of graft failure following reconstruction. This review aims to examine the current evidence and ongoing controversies regarding the clinical relevance of tibial slope, measurement methods, and surgical correction indications.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 4","pages":"Pages 348-351"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784523","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}