Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第7页

Las placas intrapélvicas suprapectíneas interfieren con la evaluación postoperatoria de la calidad de reducción por radiografía simple. Hallazgos sobre una serie retrospectiva de fracturas de acetábulo 骨盆内胸骨上髋臼板会影响术后X光片上的还原评估质量。回顾性病例系列。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.004

J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra

{"title":"Las placas intrapélvicas suprapectíneas interfieren con la evaluación postoperatoria de la calidad de reducción por radiografía simple. Hallazgos sobre una serie retrospectiva de fracturas de acetábulo","authors":"J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra","doi":"10.1016/j.recot.2024.10.004","DOIUrl":"10.1016/j.recot.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artifact and its relationship with CT findings.</div></div><div><h3>Materials and methods</h3><div>In a retrospective, single-center series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability.</div></div><div><h3>Results</h3><div>Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views.</div></div><div><h3>Conclusions</h3><div>Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 267-273"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406923","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] Risk factors for complications in total hip arthroplasty 全髋关节成形术并发症的危险因素。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.006

L.A. Hoyos-Velasco , J.C. Palacio , W.P. Stangl , C.L. Chacón-Castillo , V. Palacio-Aragón , J.P. Pulgarín

{"title":"[Translated article] Risk factors for complications in total hip arthroplasty","authors":"L.A. Hoyos-Velasco , J.C. Palacio , W.P. Stangl , C.L. Chacón-Castillo , V. Palacio-Aragón , J.P. Pulgarín","doi":"10.1016/j.recot.2025.02.006","DOIUrl":"10.1016/j.recot.2025.02.006","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Hip arthroplasty represents a significant advancement in the treatment of refractory chronic joint pain, improving quality of life and functionality. The objective of this study is to identify the risk factors associated with local and systemic complications in patients treated with total hip arthroplasty.</div></div><div><h3>Methods</h3><div>Observational, analytical, retrospective cohort study, which included 304 participants treated with total hip replacement. Comparison of variables between two groups was performed; 38 participants in the group with complications and 266 participants in the group without complications.</div></div><div><h3>Results</h3><div>The mean age in the complication group was 66 years (SD 18.7) and in the uncomplicated group it was 67.1 years (SD 15.1) (<em>p</em> 0.686). Female sex was observed in 73.3% of the group with complications and 65% in the group without complications (<em>p</em> 0.292). Risk factors were: hip fracture as an indication for arthroplasty RR 1.33 [95% CI 1.004; 1.775 <em>p</em> 0.047], coronary heart disease RR 1.31 [95% CI 1.067; 1.616 <em>p</em> 0.010] and surgical bleeding equal to or greater than 400 cc RR 1.11 [95% CI 1.012; 1.218 <em>p</em> 0.028].</div></div><div><h3>Conclusions</h3><div>The risk factors for complications in total hip arthroplasty were: hip fracture as the indication for arthroplasty, coronary artery disease, and surgical bleeding equal to or greater than 400 cc.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T239-T246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434139","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

Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee 关节镜下纤维关节松解术和麻醉下活动术是治疗严重创伤后膝关节纤维化患者的一种简单、可重复和令人满意的方法。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.07.008

N. Franulic , J. Laso , C. Del Pino , C. Brito , R. Olivieri , N. Gaggero

{"title":"Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee","authors":"N. Franulic , J. Laso , C. Del Pino , C. Brito , R. Olivieri , N. Gaggero","doi":"10.1016/j.recot.2024.07.008","DOIUrl":"10.1016/j.recot.2024.07.008","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the range of motion (ROM) of the knee in patients with severe post-traumatic knee arthrofibrosis after being treated with arthroscopic fibroarthrolysis (AFA) and manipulation under anesthesia (MUA).</div></div><div><h3>Methods</h3><div>Case series of patients with severe post-traumatic knee arthrofibrosis who underwent AFL+MUA in a national referral center. The primary outcome to be assessed was ROM before and after surgery and then at 3-month intervals until a minimum follow-up of one year was completed.</div></div><div><h3>Results</h3><div>51 patients were included. The main injuries preceding the stiffness were tibial plateau fracture (37.3%), distal femur fracture (27.5%), and femoral shaft fracture (15.7%). Forty-five patients had severe flexion deficits with a median preoperative flexion of 70°. Intraoperative flexion significantly improved to 110°. Significant loss of flexion was observed at 3 and 6 months, however, patients regained ROM in the 9 and 12-month follow-ups. At discharge, 80% of the patients achieved flexion of 90° or more. There were 4 intraoperative complications and 3 reinterventions were performed.</div></div><div><h3>Conclusion</h3><div>AFA+MUA can help patients with severe post-traumatic knee arthrofibrosis to recover ROM in most cases. However, this procedure is not without risks and complications, therefore, careful consideration should be given to its indication and execution.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 247-253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601953","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] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays: A retrospective case series 盆腔内阴蒂上髋臼钢板影响术后x线复位评估的质量。回顾性病例系列。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.011

J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra

{"title":"[Translated article] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays: A retrospective case series","authors":"J.V. Andrés-Peiró , C. Lloret-Peiró , A. Bustos-Mardones , P. Martínez-Collado , J. Tomás-Hernández , J. Selga-Marsá , C.A. Piedra-Calle , Y. García-Sánchez , J. Teixidor-Serra","doi":"10.1016/j.recot.2025.02.011","DOIUrl":"10.1016/j.recot.2025.02.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artefact and its relationship with CT findings.</div></div><div><h3>Materials and methods</h3><div>In a retrospective, single-centre series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability.</div></div><div><h3>Results</h3><div>Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views.</div></div><div><h3>Conclusions</h3><div>Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T267-T273"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469497","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

Factores de riesgo para complicaciones en artroplastia total de cadera 全髋关节置换术并发症的风险因素。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.06.006

L.A. Hoyos-Velasco , J.C. Palacio , W.P. Stangl , C.L. Chacón-Castillo , V. Palacio-Aragón , J.P. Pulgarín

{"title":"Factores de riesgo para complicaciones en artroplastia total de cadera","authors":"L.A. Hoyos-Velasco , J.C. Palacio , W.P. Stangl , C.L. Chacón-Castillo , V. Palacio-Aragón , J.P. Pulgarín","doi":"10.1016/j.recot.2024.06.006","DOIUrl":"10.1016/j.recot.2024.06.006","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Hip arthroplasty represents a significant advancement in the treatment of refractory chronic joint pain, improving quality of life and functionality. The objective of this study is to identify the risk factors associated with local and systemic complications in patients treated with total hip arthroplasty.</div></div><div><h3>Methods</h3><div>Observational, analytical, retrospective cohort study, which included 304 participants treated with total hip replacement. Comparison of variables between two groups was performed; 38 participants in the group with complications and 266 participants in the group without complications.</div></div><div><h3>Results</h3><div>The mean age in the complication group was 66 years (SD 18.7) and in the uncomplicated group it was 67,1 years (SD 15.1) (p 0,686). Female sex was observed in 73.3% of the group with complications and 65% in the group without complications. (p 0.292). Risk factors were: hip fracture as an indication for arthroplasty RR 1.33 [95% CI 1.004;1.775 p 0.047], coronary heart disease RR 1.31 [95% CI 1.067;1.616 p 0.010] and surgical bleeding equal to or greater than 400 cc RR 1.11 [95% CI 1.012;1.218 p 0.028].</div></div><div><h3>Conclusions</h3><div>The risk factors for complications in total hip arthroplasty were: hip fracture as the indication for arthroplasty, coronary artery disease, and surgical bleeding equal to or greater than 400 cc.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages 239-246"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332126","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] La fibroartrólisis artroscópica y movilización bajo anestesia es un método simple, reproducible y satisfactorio para el tratamiento de pacientes con artrofibrosis postraumática severa de la rodilla 【翻译文章】关节镜下麻醉下纤维关节松解和活动是治疗严重创伤后膝关节关节纤维化患者的一种简单、可重复性好且令人满意的方法。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.009

N. Franulic , J. Laso , C. del Pino , C. Brito , R. Olivieri , N. Gaggero

{"title":"[Artículo traducido] La fibroartrólisis artroscópica y movilización bajo anestesia es un método simple, reproducible y satisfactorio para el tratamiento de pacientes con artrofibrosis postraumática severa de la rodilla","authors":"N. Franulic , J. Laso , C. del Pino , C. Brito , R. Olivieri , N. Gaggero","doi":"10.1016/j.recot.2025.02.009","DOIUrl":"10.1016/j.recot.2025.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the range of motion (ROM) of the knee in patients with severe post-traumatic knee arthrofibrosis after being treated with arthroscopic fibroarthrolysis (AFA) and manipulation under anesthesia (MUA).</div></div><div><h3>Methods</h3><div>Case series of patients with severe post-traumatic knee arthrofibrosis who underwent AFL+MUA in a national referral center. The primary outcome to be assessed was ROM before and after surgery and then at 3-month intervals until a minimum follow-up of one year was completed.</div></div><div><h3>Results</h3><div>51 patients were included. The main injuries preceding the stiffness were tibial plateau fracture (37.3%), distal femur fracture (27.5%), and femoral shaft fracture (15.7%). Forty-five patients had severe flexion deficits with a median preoperative flexion of 70°. Intraoperative flexion significantly improved to 110°. Significant loss of flexion was observed at 3 and 6 months, however, patients regained ROM in the 9 and 12-month follow-ups. At discharge, 80% of the patients achieved flexion of 90° or more. There were 4 intraoperative complications and 3 reinterventions were performed.</div></div><div><h3>Conclusion</h3><div>AFA+MUA can help patients with severe post-traumatic knee arthrofibrosis to recover ROM in most cases. However, this procedure is not without risks and complications, therefore, careful consideration should be given to its indication and execution.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 3","pages":"Pages T247-T253"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469536","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] Evaluación funcional después de la fijación con botón cortical para roturas del bíceps distal: ¿existe alguna diferencia entre trabajadores manuales y no manuales? [翻译文章] 皮质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.2025.02.012

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

{"title":"[Artículo traducido] Evaluación funcional después de la fijación con botón cortical para roturas del bíceps distal: ¿existe alguna diferencia entre trabajadores manuales y no manuales?","authors":"A. Batista , N. Moura , M. Sarmento , T. Coelho , D. Gomes , R. Ramos , A. Cartucho","doi":"10.1016/j.recot.2025.02.012","DOIUrl":"10.1016/j.recot.2025.02.012","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 T274-T279"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469541","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

Ciencia abierta. ¿Negocio u oportunidad? 开放科学。业务还是机会？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.03.010

E. Guerado Parra

引用次数: 0

[Translated article] Concurrent upper limb and hip fracture in the elderly: Experience at our centre 老年人并发上肢和髋部骨折：我中心的经验。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.014

L. del Baño-Barragán , Á. Martínez-García , D. Garríguez-Pérez , J. Mora-Fernández , J. García-Coiradas , J.A. Valle-Cruz , F. Marco

{"title":"[Translated article] Concurrent upper limb and hip fracture in the elderly: Experience at our centre","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.2025.02.014","DOIUrl":"10.1016/j.recot.2025.02.014","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 hospitalisation, or higher mortality rates when compared to those with isolated hip fracture.</div></div><div><h3>Material and methods</h3><div>We retrospectively reviewed 1088 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 analysed 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, <em>p</em>  =0.042) and increased in-hospital mortality rate (9.5% vs. 5.9%, <em>p</em>  <!-->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 T233-T238"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473304","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

Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? 硅胶后凸成形术（弹性成形术）与传统骨水泥后凸成形术治疗骨质疏松性椎体骨折。这项新技术能减少并发症吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.016

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

{"title":"Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications?","authors":"R. Luque, D. Garríguez, P. Checa Betegon, M. Sanchez, J.L. Perez Gonzalez, I. Dominguez Esteban","doi":"10.1016/j.recot.2025.02.016","DOIUrl":"10.1016/j.recot.2025.02.016","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 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 T287-T296"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473310","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