Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"[Translated article] Is informed consent just a signature on a piece of paper?","authors":"","doi":"10.1016/j.recot.2024.07.002","DOIUrl":"10.1016/j.recot.2024.07.002","url":null,"abstract":"","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T537-T538"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524001140/pdfft?md5=f9ef5a5f79adde0d25bfbccba95176a3&pid=1-s2.0-S1888441524001140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538690","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":"[Artículo traducido] La edad influye en la eficacia de la transferencia autóloga osteocondral: resultados prometedores para pacientes menores de 40 años","authors":"","doi":"10.1016/j.recot.2024.01.031","DOIUrl":"10.1016/j.recot.2024.01.031","url":null,"abstract":"<div><h3>Background</h3><p>Previous research using osteochondral autograft transfer (OAT) has shown poorer outcomes with increasing patient age. The aim of this article is to evaluate a cohort of patients that received an OAT and to correlate their clinical results with their age at procedure.</p></div><div><h3>Methods</h3><p>Patients that underwent an OAT to treat an osteochondral (OC) lesion with a minimum 24-month follow-up were included. Patients were categorized into two groups based on their age at procedure (&lt;40 years and ≥40 years). Postoperatively, each patient completed the Knee injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), and Lysholm scales.</p></div><div><h3>Results</h3><p>51 patients were included (35<!--> <!-->&lt;<!--> <!-->40 years, 16<!--> <!-->≥<!--> <!-->40 years). Mean follow-up was 4.2 years (2–7). For patients<!--> <!-->&lt;<!--> <!-->40 years, IKDC averaged 80.8 (SD 15.9) versus 71.2 (SD 19.4) in ≥40 years (<em>p</em> <!-->=<!--> <!-->0.03). For patients &lt;40 years, Lysholm averaged 85.9 (SD 10.8) versus 77.0 (SD 21.6) in ≥40 years (<em>p</em> <!-->=<!--> <!-->0.02). For patients<!--> <!-->&lt;<!--> <!-->40 years, KOOS averaged 78.3 (SD 11.8) versus 68.9 (SD 18.5) in ≥40 years (<em>p</em> <!-->=<!--> <!-->0.01). There was a 100% sensibility in identifying all the patients with a poor IKDC and Lysholm from 34 years old (AUC 0.76 and 0.8).</p></div><div><h3>Conclusions</h3><p>OAT has better outcomes in patients younger than 40 years compared to patients older than 40 years. Based on the prognostic capacity of age, the ideal candidate for an OAT is a patient younger than 34 years old.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T490-T496"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524001206/pdfft?md5=aad86ea94990ec8b8f2e1f5853bd1ace&pid=1-s2.0-S1888441524001206-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545334","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":"Fasciotomía proximal de gemelo interno en pacientes con fascitis plantar crónica: una revisión sistemática","authors":"","doi":"10.1016/j.recot.2023.08.017","DOIUrl":"10.1016/j.recot.2023.08.017","url":null,"abstract":"<div><h3>Introduction</h3><p>Plantar fasciitis is the main cause of heel pain in middle-aged patients. In chronic cases, limited ankle dorsiflexion caused by isolated gastrocnemius contracture is considered the main risk factor for suffering it. Therefore, in recent years the number of patients operated on by proximal fasciotomy of the medial gastrocnemius (FPGM) has increased to treat chronic plantar fasciitis.</p></div><div><h3>Material and methods</h3><p>Systematic review following the PRISMA guidelines. We have carried out a bibliographic search in Pubmed, Science Direct, Cochrane Library and Web of Science databases. One hundred and eighty-four articles were found. Data extraction was performed using the Covidence software, and a quality and risk of bias analysis of the included articles was performed based on the Cochrane risk of bias Tool 2.0.</p></div><div><h3>Results</h3><p>Three articles were included in the review: two randomized clinical trials and one cohort study with a total of 138 patients. In the analyzed studies, patients after proximal fasciotomy of the medial gastrocnemius showed significant improvements in pain and in the AOFAS score with high levels of patient satisfaction. Increases in ankle dorsiflexion angle were found after 12 months of follow-up, with no loss of gastrocnemius strength. The complication rate was low and fewer occurred in the proximal fasciotomy compared to plantar fasciotomy.</p></div><div><h3>Conclusion</h3><p>Proximal fasciotomy of the medial gastrocnemius provides clinical benefit in patients with chronic plantar fasciitis, with a low probability of complications and high patient satisfaction.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 454-461"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441523001911/pdfft?md5=0bc85a801fd95cbbeb2afdf92694ca3b&pid=1-s2.0-S1888441523001911-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152488","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":"Artroplastia total de cadera con sistema de doble movilidad de segunda generación como tratamiento de coxartrosis primaria, resultados a mediano plazo","authors":"","doi":"10.1016/j.recot.2024.04.004","DOIUrl":"10.1016/j.recot.2024.04.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Osteoarthritis is a disabling pathology characterized by joint pain and stiffness. A prevalence of coxarthrosis of 7.4% is reported in our country. Total hip joint replacement is indicated in advanced stages, a procedure that is not free of complications, the most frequent being prosthetic dislocation, which can be prevented with dual mobility systems. The following study aims to determine the rate of complications and clinical outcomes in dual mobility systems in primary coxarthrosis.</p></div><div><h3>Materials and methods</h3><p>A retrospective study included 120 cases in 114 patients diagnosed with grade III coxarthrosis, mean age was 62.43 years, with a mean follow-up of 4.5 years. Joint replacement was performed by Hardinge approach. All cases were assessed clinically using the Harris Hip Score (HHS) and radiologically to demonstrate mid-term results.</p></div><div><h3>Results</h3><p>The preoperative value on the HHS scale had a mean of 56.45, postoperative at one month 74.23; 6 months 85.40; 1 year 94.01 and at 5 years 94.84 points, representing a functional improvement of 17.78 postoperative month; 28.95 at 6 months postoperative; 37.56 at one year postoperative and 38.39 points at 5 years postoperative. A complication rate of 3.44%; 0.86% of complications were associated with the prosthetic components.</p></div><div><h3>Conclusion</h3><p>The dual mobility system should be considered as a therapeutic option in primary hip joint replacement due to excellent functional results and low complication rates.</p></div><div><h3>Evidence level</h3><p>IV. Retrospective observational case series study.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 438-445"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188844152400078X/pdfft?md5=59fc4f2165c19d758e2278e5dfa91c1f&pid=1-s2.0-S188844152400078X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795037","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":"[Translated article] Use of ultrasound for hardware removal","authors":"","doi":"10.1016/j.recot.2024.07.007","DOIUrl":"10.1016/j.recot.2024.07.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Osteosynthesis hardware removal is one of the most frequent practices in Orthopaedic electives surgeries and is usually carried out guided under fluoroscopy. There are other tools such as ultrasound that allow us to visualise the hardware with the advantage of being free of ionising radiation and with better availability. The objective of our study is to analyse the results obtained in patients undergoing hardware removal in the operating room under ultrasound assistance and local anaesthesia.</p></div><div><h3>Material and methods</h3><p>A descriptive study was carried out collecting variables such as demographic data, reason for the removal, pain during the procedure and in subsequent days, as well as the duration and rate of success of the procedure and the degree of satisfaction.</p></div><div><h3>Results</h3><p>We obtained a 100% success in ultrasound-guided extraction without the need for conventional radiology, with a mean VAS of 1.91 and need for subsequent analgesia in 36.4% of the cases, with syndesmotic dynamisation being the most frequent reason for intervention.</p></div><div><h3>Conclusion</h3><p>Ultrasound is a useful tool in osteosynthesis hardware removal, and that may be sufficient by itself; also saving health personnel and patients from ionising radiation resulting from the use of conventional fluoroscopy.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T482-T489"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188844152400122X/pdfft?md5=a5553bd5758097e955ae9d6d01523336&pid=1-s2.0-S188844152400122X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545378","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":"Eficacia de la descompresión medular precoz versus tardía en la recuperación neurológica tras lesión medular traumática. Revisión sistemática y metaanálisis","authors":"","doi":"10.1016/j.recot.2023.09.009","DOIUrl":"10.1016/j.recot.2023.09.009","url":null,"abstract":"<div><h3>Study design</h3><p>Systematic review and meta-analysis.</p></div><div><h3>Objective</h3><p>To compare early (&lt;24<!--> <!-->h) versus late (&gt;24<!--> <!-->h) spinal cord decompression on neurological recovery in patients with acute spinal cord injury.</p></div><div><h3>Methods</h3><p>A systematic review was performed according to the PRISMA protocol to identify studies published up to December 2022.</p><p>Prospective cohort studies and controlled trials comparing early versus delayed decompression on neurological recovery were included. Variables included number of patients, level of injury, treatment time, ASIA grade, neurological recovery, use of corticosteroids, and complications. For the meta-analysis, the «forest plot» graph was developed. The risk of bias of the included studies was assessed using the ROBINS-I22 and Rob223 tools.</p></div><div><h3>Results</h3><p>Six of the seven studies selected for our review were included in the meta-analysis, with a total of 1188 patients (592 patients in the early decompression group and 596 in the delayed decompression group), the mean follow-up was 8 months, in 5 studies used methylprednisolone, the most reported complications were thromboembolic cardiopulmonary events.</p><p>Five studies showed significant differences in favor of early decompression (risk difference 0.10, 95% confidence interval 0.07–0.14, heterogeneity 46%). The benefit was greatest in cervical and incomplete injuries.</p></div><div><h3>Conclusion</h3><p>There is scientific evidence to recommend early decompression in the first 24<!--> <!-->h after traumatic spinal cord injury, as it improves final neurological recovery, and it should be recommended whenever the patient and hospital conditions allow it to be safely done.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 524-536"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188844152300200X/pdfft?md5=0ab72d66520b098d92df2f8d7bd16c99&pid=1-s2.0-S188844152300200X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151829","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":"[Translated article] Medial gastrocnemius proximal fasciotomy in patients with chronic plantar fasciitis: A systematic review","authors":"","doi":"10.1016/j.recot.2024.07.010","DOIUrl":"10.1016/j.recot.2024.07.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Plantar fasciitis is the main cause of heel pain in middle-aged patients. In chronic cases, limited ankle dorsiflexion caused by isolated gastrocnemius contracture is considered the main risk factor for suffering it. Therefore, in recent years the number of patients operated on by proximal fasciotomy of the medial gastrocnemius (FPGM) has increased to treat chronic plantar fasciitis.</p></div><div><h3>Material and methods</h3><p>Systematic review following the PRISMA guidelines. We have carried out a bibliographic search in Pubmed, Science Direct, Cochrane Library and Web of Science databases. One hundred and eighty-four articles were found. Data extraction was performed using the Covidence software, and a quality and risk of bias analysis of the included articles was performed based on the Cochrane risk of bias Tool 2.0.</p></div><div><h3>Results</h3><p>Three articles were included in the review: two randomised clinical trials and one cohort study with a total of 138 patients. In the analysed studies, patients after proximal fasciotomy of the medial gastrocnemius showed significant improvements in pain and in the AOFAS score with high levels of patient satisfaction. Increases in ankle dorsiflexion angle were found after 12 months of follow-up, with no loss of gastrocnemius strength. The complication rate was low and fewer occurred in the proximal fasciotomy compared to plantar fasciotomy.</p></div><div><h3>Conclusion</h3><p>Proximal fasciotomy of the medial gastrocnemius provides clinical benefit in patients with chronic plantar fasciitis, with a low probability of complications and high patient satisfaction.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T454-T461"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524001255/pdfft?md5=6a286b603d393403b93024a429ebc623&pid=1-s2.0-S1888441524001255-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601952","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":"Tratamiento de fracturas supracondíleas de fémur mediante técnicas mínimamente invasivas vs. exposición del foco de fractura: un estudio de cohortes retrospectivas","authors":"","doi":"10.1016/j.recot.2024.04.008","DOIUrl":"10.1016/j.recot.2024.04.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Fractures of the distal femoral third are an important cause of morbidity and mortality, and their treatment is currently controversial.</p></div><div><h3>Objectives</h3><p>To compare the results between minimally invasive techniques versus exposure of the fracture site. Secondly, to evaluate the relationship between demographic factors, mechanism of injury and surgical delay with patient prognosis.</p></div><div><h3>Method</h3><p>Retrospective cohort study carried out between 2015 and 2021 in a tertiary hospital. Data collection was performed by reviewing medical histories, measuring demographic and hospital parameters and definitive treatment strategy. One year of follow-up was completed in all patients, assessing the occurrence of surgical complications and mortality. A stratified analysis of the variables of interest was performed among patients over 65 years of age.</p></div><div><h3>Results</h3><p>128 fractures were recorded, with definitive osteosynthesis being performed in 117. Patients who underwent minimally invasive techniques required a shorter hospital stay (9 [7-12] vs. 12 [8.75-16] days) (p<!--> <!-->=<!--> <!-->0.007), with no differences in mortality or complications during follow-up. In those over 65 years of age, opening the fracture site was associated with an increased risk of infection compared to minimally invasive techniques (33.3% vs. 2%) (p<!--> <!-->=<!--> <!-->0.507). All the deceased were patients over 65 years of age (33.7% at one year). Surgical delay longer than 48<!--> <!-->hours increased mortality by 10% among those older than 65 years (p<!--> <!-->=<!--> <!-->0.3). High-energy trauma had a higher proportion of pseudarthrosis (27.6% vs. 6.1%) (p<!--> <!-->=<!--> <!-->0.011).</p></div><div><h3>Conclusions</h3><p>Minimally invasive techniques decreased hospital stay but not complications or long-term mortality.</p><p>Level of evidence: IIb.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 470-481"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524000821/pdfft?md5=4261e9ae9cb7ebbd6333087f15586520&pid=1-s2.0-S1888441524000821-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779858","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":"4 Domain Sports PROM en español: adaptación transcultural en la población chilena y análisis de confiabilidad","authors":"","doi":"10.1016/j.recot.2024.02.001","DOIUrl":"10.1016/j.recot.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Patient-Reported Outcome Measures (PROMs) are tools of increasing interest in the sports population. The purpose of this study was to perform the cross-cultural adaptation and reliability analysis of the 4 Domain Sports Patient-Reported Outcome Measure (4<!--> <!-->DSP) into Spanish.</p></div><div><h3>Methods</h3><p>A six-stage cross-cultural adaptation protocol was executed to obtain the Spanish version of the 4<!--> <!-->DSP (S-4DSP). Subsequently, the questionnaire was administered to a population of 108 postoperative athletes with ACL (Anterior Cruciate Ligament) injuries. The questionnaire was administered again after 30 days. Acceptability, floor and ceiling effects, internal consistency (Cronbach's alpha), and reproducibility (Intraclass Correlation) were evaluated.</p></div><div><h3>Results</h3><p>The S-4DSP was fully completed by 108 participants (mean age 34<!--> <!-->±<!--> <!-->10.75, 26% women), achieving 100% acceptability. No floor effect was detected. The statistical analysis yielded a global Cronbach's alpha for the questionnaire of 0.65, and domain-specific alphas of 0.88, 0.72, 0.27, and 0.68 for the first, second, third, and fourth domains, respectively. The Intraclass Correlation test reached a maximum of 0.94 and a minimum of 0.48 for the first and fifth questions, respectively.</p></div><div><h3>Conclusions</h3><p>The S-4DSP is a reliable and useful tool for evaluating Spanish-speaking athletes after ACL reconstruction.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages 497-501"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524000584/pdfft?md5=2250d18da2563f65891c93578a0d6e21&pid=1-s2.0-S1888441524000584-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716488","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":"[Translated article] 4 Domain Sports PROM in Spanish: Cross-cultural adaptation in the Chilean population and reliability analysis","authors":"","doi":"10.1016/j.recot.2024.07.001","DOIUrl":"10.1016/j.recot.2024.07.001","url":null,"abstract":"<div><h3>Background</h3><p>Patient-Reported Outcome Measures (PROMs) are tools of increasing interest in the sports population. The purpose of this study was to perform the cross-cultural adaptation and reliability analysis of the 4 Domain Sports Patient-Reported Outcome Measure (4 DSP) into Spanish.</p></div><div><h3>Methods</h3><p>A six-stage cross-cultural adaptation protocol was executed to obtain the Spanish version of the 4 DSP (S-4DSP). Subsequently, the questionnaire was administered to a population of 108 postoperative athletes with ACL (Anterior Cruciate Ligament) injuries. The questionnaire was administered again after 30 days. Acceptability, floor and ceiling effects, internal consistency (Cronbach's alpha), and reproducibility (Intraclass Correlation) were evaluated.</p></div><div><h3>Results</h3><p>The S-4DSP was fully completed by 108 participants (mean age 34<!--> <!-->±<!--> <!-->10.75, 26% women), achieving 100% acceptability. No floor effect was detected. The statistical analysis yielded a global Cronbach's alpha for the questionnaire of 0.65, and domain-specific alphas of 0.88, 0.72, 0.27, and 0.68 for the first, second, third, and fourth domains, respectively. The Intraclass Correlation test reached a maximum of 0.94 and a minimum of 0.48 for the first and fifth questions, respectively.</p></div><div><h3>Conclusions</h3><p>The S-4DSP is a reliable and useful tool for evaluating Spanish-speaking athletes after ACL reconstruction.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 5","pages":"Pages T497-T501"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888441524001139/pdfft?md5=e90141d95697b25a874f98bab23838c2&pid=1-s2.0-S1888441524001139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538689","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}