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

[Translated article] Socioeconomic status, osteoporosis and fragility fractures 社会经济地位、骨质疏松症和脆性骨折。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.08.007

G. Martínez-Díaz-Guerra, F. Hawkins Carranza, S. Librizzi

引用次数: 0

[Translated article] Management of spinal deformities caused by osteoporotic vertebral fractures [译文]《骨质疏松性椎体骨折所致脊柱畸形的治疗》。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.10.001

C. Mengis , N. Plais , F. Moreno , G. Cózar , F. Tomé-Bermejo , L. Álvarez-Galovich

引用次数: 0

Abordaje del adulto mayor con fractura vertebral por fragilidad ósea 骨质脆弱导致脊椎骨折的老年患者的治疗方法。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.03.011

A.I. Hormigo-Sánchez , M. Neira-Álvarez , T. Pareja-Sierra

{"title":"Abordaje del adulto mayor con fractura vertebral por fragilidad ósea","authors":"A.I. Hormigo-Sánchez , M. Neira-Álvarez , T. Pareja-Sierra","doi":"10.1016/j.recot.2024.03.011","DOIUrl":"10.1016/j.recot.2024.03.011","url":null,"abstract":"<div><div>Osteoporosis is a metabolic and systemic disease characterized by alterations at the level of bone tissue with loss of bone mineral density, changes in microarchitecture, mineralization and remodeling that determine greater bone fragility and risk of fracture.</div><div>Falls in the elderly are a risk factor closely related to fragility fractures and numerous studies demonstrate this relationship.</div><div>Vertebral fractures are a major cause of morbidity and mortality. The epidemiology differs from osteoporotic fractures at other skeletal sites, as only one-third are clinically recognized. In the elderly, the approach to osteoporotic vertebral fracture involves comprehensive evaluation of the patient, since it is both a cause and a consequence of multiple geriatric syndromes. This fracture, in its acute phase and subsequently, can lead to destabilization of other organs and systems of the elderly, medical complications at different levels, functional deterioration, dependence, and even the need for institutionalization.</div><div>Therefore, it is important to carry out a multiple assessment of patients with vertebral fractures, addressing not only the history and risk factors of osteoporosis, but also those factors that lead to falls, as well as a comprehensive geriatric assessment and the complications closely associated with it.</div><div>In this chapter we address each of these aspects that are necessary in the individual and multidimensional approach to the elderly patient with vertebral fracture due to bone fragility.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 6","pages":"Pages 572-581"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795861","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}

引用次数: 0

Fracturas vertebrales osteoporóticas: historia natural e impacto 骨质疏松性脊椎骨折：自然史和影响。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.03.004

P. Checa-Betegón, R. Luque-Pérez, D. Oñate-Martínez-Olascoaga, J.L. Pérez-González, I. Domínguez-Esteban

{"title":"Fracturas vertebrales osteoporóticas: historia natural e impacto","authors":"P. Checa-Betegón, R. Luque-Pérez, D. Oñate-Martínez-Olascoaga, J.L. Pérez-González, I. Domínguez-Esteban","doi":"10.1016/j.recot.2024.03.004","DOIUrl":"10.1016/j.recot.2024.03.004","url":null,"abstract":"<div><div>Osteoporosis, and the consequences derived from it, such as fragility fractures, constitute a growing public health problem. Suffering from a fracture of this nature is the main risk factor for suffering a new fracture.</div><div>It is documented that vertebral compression fractures lead to significant morbidity and mortality, in the short and long term, as well as other complications, such as sagittal imbalance and hyperkyphosis of the segment. However, we have not found documentation that analyzes the medium and long-term consequences of these injuries, assessing the type of treatment used, and the economic impact they represent.</div><div>The purpose of this review is to analyze the main recent literature on the subject and make a breakdown of the consequences of these fractures in various spheres, such as economic, quality of life, sagittal balance and radiographic parameters, pain or mortality; as well as a brief analysis of epidemiology and natural history.</div></div><div><h3>Conclusion</h3><div>Osteoporotic fractures constitute an emerging problem, both in the medical and economic fields. The consequences and sequelae on the patient are multiple and although surgical options offer good long-term results, it is necessary to properly select the patient, through multidisciplinary teams, to try to minimize potential complications.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 6","pages":"Pages 587-596"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140783215","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}

引用次数: 0

Factores anatómicos y biomecánicos de la fractura vertebral osteoporótica y la aparición de las fracturas en cascada 骨质疏松性脊椎骨折的解剖和生物力学因素以及级联骨折的发生。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.06.012

F. Tomé-Bermejo , J.F Bartolomé Gómez

{"title":"Factores anatómicos y biomecánicos de la fractura vertebral osteoporótica y la aparición de las fracturas en cascada","authors":"F. Tomé-Bermejo , J.F Bartolomé Gómez","doi":"10.1016/j.recot.2024.06.012","DOIUrl":"10.1016/j.recot.2024.06.012","url":null,"abstract":"<div><div>Osteoporosis weakens the structural strength of bone to such an extent that normal daily activity may exceed the capacity of the vertebra to bear this load. Vertebral fracture and deformity is a hallmark of osteoporosis. The detriment of trabecular bone properties alone cannot explain the occurrence of osteoporotic vertebral fracture. The ability of the spine to bear and resist loads depends on the structural capacity of the vertebrae, but also on loading conditions arising from activities of daily living or low-energy trauma. This review describes the mechanical properties of the vertebral bone, the structural load-bearing capacity of the various elements forming the spine, the neuromuscular control of the trunk, as well as the biomechanics of the loads to which the spine is subjected in relation to the presence of osteoporosis and the risk of vertebral fracture. A better understanding of biomechanical factors may help to explain both the high incidence of osteoporotic vertebral fractures and their mechanism of production. Consideration of these issues may be important in the development of prevention and management strategies.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 6","pages":"Pages 562-571"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459745","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}

引用次数: 0

[Translated article] Approach to the elderly patient with vertebral fracture due to bone fragility [文章翻译]对因骨质脆弱而椎体骨折的老年人的治疗方法。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.08.004

A.I. Hormigo-Sánchez , M. Neira-Álvarez , T. Pareja-Sierra

{"title":"[Translated article] Approach to the elderly patient with vertebral fracture due to bone fragility","authors":"A.I. Hormigo-Sánchez , M. Neira-Álvarez , T. Pareja-Sierra","doi":"10.1016/j.recot.2024.08.004","DOIUrl":"10.1016/j.recot.2024.08.004","url":null,"abstract":"<div><div>Osteoporosis is a metabolic and systemic disease characterised by alterations at the level of bone tissue with loss of bone mineral density, changes in microarchitecture, mineralisation and remodelling that determine greater bone fragility and risk of fracture.</div><div>Falls in the elderly are a risk factor closely related to fragility fractures and numerous studies demonstrate this relationship.</div><div>Vertebral fractures are a major cause of morbidity and mortality. The epidemiology differs from osteoporotic fractures at other skeletal sites, as only one-third are clinically recognised. In the elderly, the approach to osteoporotic vertebral fracture involves comprehensive evaluation of the patient, since it is both a cause and a consequence of multiple geriatric syndromes. This fracture, in its acute phase and subsequently, can lead to destabilisation of other organs and systems of the elderly, medical complications at different levels, functional deterioration, dependence, and even the need for institutionalisation.</div><div>Therefore, it is important to carry out a multiple assessment of patients with vertebral fractures, addressing not only the history and risk factors of osteoporosis, but also those factors that lead to falls, as well as a comprehensive geriatric assessment and the complications closely associated with it.</div><div>In this chapter we address each of these aspects that are necessary in the individual and multidimensional approach to the elderly patient with vertebral fracture due to bone fragility.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 6","pages":"Pages T572-T581"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917689","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}

引用次数: 0

Evaluación, diagnóstico diferencial y tratamiento de la osteoporosis vertebral: cómo evitar la aparición de nuevas fracturas 脊椎骨质疏松症的评估、鉴别诊断和治疗：如何避免发生新的骨折。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-11-01 DOI: 10.1016/j.recot.2024.06.011

M. Nikitsina , P. Quiroga-Colina , S. Castañeda

引用次数: 0

Silicone kyphoplasty (elastoplasty) versus traditional cement kyphoplasty for osteoporotic vertebral fractures. Does this new technique reduce the complications? 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 : 2024-10-29 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":"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, 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":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","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

Predictive factors of hospital and nursing facility admission in the fixation of low-energy ankle fractures. 低能量踝关节骨折固定术中入院和入住护理机构的预测因素。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-10-28 DOI: 10.1016/j.recot.2024.10.011

J V Andrés-Peiró, M M Reverté-Vinaixa, O Pujol-Alarcón, M Altayó-Carulla, S Castellanos-Alonso, J Teixidor-Serra, J Tomàs-Hernández, J Selga-Marsà, C A Piedra-Calle, F Blasco-Casado, Y García-Sánchez, N Joshi-Jubert, J Minguell-Monyart

{"title":"Predictive factors of hospital and nursing facility admission in the fixation of low-energy ankle fractures.","authors":"J V Andrés-Peiró, M M Reverté-Vinaixa, O Pujol-Alarcón, M Altayó-Carulla, S Castellanos-Alonso, J Teixidor-Serra, J Tomàs-Hernández, J Selga-Marsà, C A Piedra-Calle, F Blasco-Casado, Y García-Sánchez, N Joshi-Jubert, J Minguell-Monyart","doi":"10.1016/j.recot.2024.10.011","DOIUrl":"10.1016/j.recot.2024.10.011","url":null,"abstract":"<p><strong>Introduction: </strong>Ankle fractures are increasingly common in frail patients, with hospitalization being the principal cost driver, particularly for the elderly who often need referral to nursing facilities. This study aims to identify factors affecting resource utilization per admission (hospital and nursing) in the fixation of low-energy ankle fractures.</p><p><strong>Materials and methods: </strong>This retrospective cohort study examined patients undergoing fixation for low-energy ankle fractures. The primary outcome was the length of hospitalization. Secondary outcomes included delays in fixation and the need for referral to a nursing institution. Multiple linear and logistic regression models were used to determine predictors related to patient demographics, injury characteristics, and treatment.</p><p><strong>Results: </strong>We analyzed 651 patients with a median age of 58years. The median hospitalization duration was 9days, primarily before surgery. Extended hospitalization was associated with antithrombotic treatment (b=4.08), fracture-dislocation (2.26), skin compromise (7.56), complications (9.90), and discharge to a nursing center (5.56). Referral to a nursing facility occurred in 17.2%, associated with older age (OR=1.10) and an ASA score ≥III (6.96).</p><p><strong>Conclusions: </strong>Prolonged hospitalization was mainly due to surgical delays and was related to fracture-dislocations, skin compromise, and complications. Older and comorbid patients were more likely to need nursing facilities, and delays in these facilities' availability contributed to extended hospital stays.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548161","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

Influence of environmental temperature and humidity on the incidence of prosthetic joint infections. 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 : 2024-10-28 DOI: 10.1016/j.recot.2024.10.012

I Iriberri-Etxabeguren, I Rey-Urdiain, I Larrañaga-Imendji, J Revuelta-González

{"title":"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.2024.10.012","DOIUrl":"10.1016/j.recot.2024.10.012","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Material and method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","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