Acta ortopedica mexicana最新文献

[Functional results after shoulder hemiarthroplasty for proximal humerus fracture: experience in our center]. [肱骨近端骨折半肩关节置换术后的功能结果：我中心的经验]。

Acta ortopedica mexicana Pub Date : 2022-11-01

A Suárez-Quintero, J M Fernández-Domínguez, E López-Sorroche

{"title":"[Functional results after shoulder hemiarthroplasty for proximal humerus fracture: experience in our center].","authors":"A Suárez-Quintero, J M Fernández-Domínguez, E López-Sorroche","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: shoulder hemiarthroplasty is being relegated as a treatment for non-osteosynthetic proximal humerus fractures. Our objective is to analyze the functional results of patients treated with hemiarthroplasty for this reason in our hospital.Material and methods: cross-sectional descriptive study that includes patients operated between February 2016 and November 2021; 24 patients, with an average follow-up of 44.6 months. Active joint balance, the Constant-Murley test, the DASH questionnaire and current pain (VAS) were collected. The radiographic parameters analyzed were the number of fracture fragments and the consolidation of the tuberosities.Results: a mean of 71.65 ± 13.75 was obtained in the Constant-Murley and 18.14% ± 13.92 in the DASH. For shoulder flexion, the mean was 108.75° ± 41.26; 104.5° ± 43.68 for abduction and 33° ± 14.73 for external rotation. About internal rotation, 60% of the patients reached the scapular plane. Average VAS was 1.25 ± 1.74. Consolidated tuberosities in 90.5%. There were no significant differences comparing the Constant-Murley test, DASH or rotations between both, over and under 65 years old group of patients. Those over 65 years of age obtained a mean flexion of 125.91° ± 26.82 whereas those under 87.78° ± 26.82 (p = 0.038). The mean abduction in those over 65 was 125.45 ± 28.94 vs 78.89 ± 46.29 in the young group (p = 0.012).Conclusion: hemiarthroplasty provides quality of life with acceptable functionality and good pain control, therefore it should continue to be an alternative to consider in selected patients.","PeriodicalId":7081,"journal":{"name":"Acta ortopedica mexicana","volume":"36 6","pages":"359-366"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159182","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

[Chronic digital wound: epidermoid cyst, osteomyelitis or both? Presentation of two clinical cases and review of the literature]. [慢性指外伤：表皮样囊肿、骨髓炎或两者兼有？两例临床病例的介绍和文献综述]。

Acta ortopedica mexicana Pub Date : 2022-11-01

A Portes-Chiva, L Martorell-de Fortuny, A Pardo, E Domínguez, N Ciriaco, A Agustí-Claramunt, D Pérez-Prieto

引用次数: 0

[Surgical wound dehiscence and exposed hardware. Infection foretold?] [手术伤口裂开和暴露的硬件。是否预示着感染？]

Acta ortopedica mexicana Pub Date : 2022-11-01

L Moril-Peñalver, A Sevilla-Monllor, E Saura-Sánchez, C Verdú-Aznar, A Lizaur-Utrilla, F López-Prats

{"title":"[Surgical wound dehiscence and exposed hardware. Infection foretold?]","authors":"L Moril-Peñalver, A Sevilla-Monllor, E Saura-Sánchez, C Verdú-Aznar, A Lizaur-Utrilla, F López-Prats","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: surgical wound dehiscence with exposure of internal fixation material is a serious problem in orthopedic surgery and an important factor for infection.Objective: presentation of an unusual case of an adult patient with surgical wound dehiscence and complete exposure of 20 cm of the ulnar plate after six years of surgery, without infection signs, with bone healing and skin behind the plate.Case presentation: 39-year-old man with an open Gustilo II Monteggia fracture-dislocation multifracture. The patient had a history of drug dependence. He had an open reduction and internal fixation with an ulnar reconstruction plate. The patient did not have any follow-up. After six years of the surgery, there was a complete exposure of the plate (20 cm) without infection and healing of the fracture with misalignment. After removing the plate, we observed spontaneous epithelialization attached to the bone bed. Skin coverage was complete at two months.Conclusion: although unusual, bone consolidation without infection is possible in an open fracture with long-standing exposure to a forearm plate in the adult.","PeriodicalId":7081,"journal":{"name":"Acta ortopedica mexicana","volume":"36 6","pages":"385-388"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164375","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

[Reproducibility and validity of radiographic measurements for the calculation of proximal femur morphometric indices predictive of hip fractures]. [用于计算预测髋部骨折的股骨近端形态计量指标的放射学测量的再现性和有效性]。

Acta ortopedica mexicana Pub Date : 2022-11-01

A Alarcón-Mendoza, E Berúmen-Nafarrete, J Monárrez-Espino

引用次数: 0

[Alkaptonuria: evolution and course of the disease towards ochronotic arthropathy. Series of cases managed with joint replacement]. [嗜铬性关节病的演变和病程。关节置换术治疗的一系列病例]。

Acta ortopedica mexicana Pub Date : 2022-11-01

C Marín-Giraldo, M J Vélez-Vélez, A Pulgarín-Henao, C Sarmiento

{"title":"[Alkaptonuria: evolution and course of the disease towards ochronotic arthropathy. Series of cases managed with joint replacement].","authors":"C Marín-Giraldo, M J Vélez-Vélez, A Pulgarín-Henao, C Sarmiento","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: alkaptonuria is a very rare metabolic disease with autosomal recessive inheritance due to HGA oxidase deficiency. Classically described and diagnosed in the third to fourth decade of life, affecting both men and women; Its diagnostic impression is clinical based on the blue/black coloration of the conjunctivae, however it is confirmed by the specific analysis of the enzyme in the urine, to date there is no cure and its treatment is palliative and symptomatic.Material and methods: descriptive, observational, case series study, the primary objective of which is to describe the progression of the disease and its involvement in the musculoskeletal system.Results: two clinical cases are presented in women and men in which the broad clinic is illustrated, its progressive advance and the different alterations that it can generate in the musculoskeletal system.Conclusions: alkaptonuria is a rare disease which leads to a severe secondary arthropathy, currently without a specific management which is based on treating the symptoms, in its final stages joint replacements are a management option with satisfactory results for the relief of pain.","PeriodicalId":7081,"journal":{"name":"Acta ortopedica mexicana","volume":"36 6","pages":"379-384"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164381","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

[Impact of the nail diameter on consolidation of tibial diaphyseal fractures. Retrospective analysis of 96 patients]. [钉直径对胫骨干骨折合并症的影响。96例患者的回顾性分析]。

Acta ortopedica mexicana Pub Date : 2022-11-01

G Garabano, J I Crossa, M Cullari, L Pérez-Alamino, C A Pesciallo

{"title":"[Impact of the nail diameter on consolidation of tibial diaphyseal fractures. Retrospective analysis of 96 patients].","authors":"G Garabano, J I Crossa, M Cullari, L Pérez-Alamino, C A Pesciallo","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: the gold standard for tibial diaphyseal fracture treatment is represented by the intramedullary nail (IMN). This study aimed to assess the relevance of nail diameter in bone healing of tibial diaphyseal fractures.Material and methods: a retrospective study was conducted analyzing patients with closed 42 OTA/AO tibial fractures, treated with a reamed and locked IMN between January 2014 and December 2020. The variables assessed were gender, age, comorbidities, number of bolts used, canal/nail index (difference between the diameter of the medullary canal and nail), nail/canal ratio (ratio between nail diameter and medullary canal), related to consolidation and failure rates (delay and non-union).Results: 96 patients were included. The consolidation rate was 91.7% (n = 88). Patients with consolidation had a significantly larger nail diameter than those who failed (p = 0.0014), increasing the chance of consolidation 5.30 (p = 0.04) times for each millimeter that the nail increased its diameter. Using a nail > 10 mm increased the chance of consolidation 13.56 times (p = 0.018). A nail/canal ratio 0.80 increased the chance of consolidation 23.33 times (p = 0.005).Conclusion: our findings suggested that reamed and locked IMN in tibial diaphyseal fractures should be implanted with the largest possible diameter (> 10 mm and with a nail-to-canal ratio 0.80) to promote bone healing.","PeriodicalId":7081,"journal":{"name":"Acta ortopedica mexicana","volume":"36 6","pages":"346-351"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162035","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

Evaluation and management of osteochondral lesions of the talus in skeletally immature patients. 骨骼发育不全患者距骨骨软骨损伤的评估和治疗。

Acta ortopedica mexicana Pub Date : 2022-11-01

J Porta-Alesandria, C J A Van Bergen, J J Masquijo

引用次数: 0

What is the degree of variability in formal training for pediatric orthopedic surgeons performing scoliosis surgery? 进行脊柱侧弯手术的儿童整形外科医生在正式培训中的可变性程度是多少？

Acta ortopedica mexicana Pub Date : 2022-11-01

J S Kang, C Herrero, P Castañeda

引用次数: 0

[Surgical treatment of acetabular fractures. Long term outcomes]. [髋臼骨折的外科治疗。长期结果]。

Acta ortopedica mexicana Pub Date : 2022-11-01

C Matellanes-Palacios, J Diranzo-García, V Estrems-Díaz, V Marquina-Moraleda, L Marco-Díaz, L Hernández-Ferrando

{"title":"[Surgical treatment of acetabular fractures. Long term outcomes].","authors":"C Matellanes-Palacios, J Diranzo-García, V Estrems-Díaz, V Marquina-Moraleda, L Marco-Díaz, L Hernández-Ferrando","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: acetabular fractures constitute between 0.3 and 0.6% of all observed fractures, being these injuries relatively infrequent.Objective: to evaluate clinical and radiological outcomes of surgical treatment of patients with acetabular fracture treated in our hospital with a minimal follow-up of 11.5 years. The secondary objective is to determine the rate of failure in the hip joint of these patients and establish risk factors that are involved.Material and methods: 23 patients with acetabular fractures that were treated by open reduction and internal fixation (ORIF) were retrospectively analysed. They were follow-up during an average of 14 years (range 11.5-17.5). Fractures were classified by Judet y Letournel as simple or complex. Clinical and radiological outcomes were analysed by Harris scale.Results: We obtained an average of 81.90/100 on the Harris scale, aiming at better outcomes on simple fractures compare to those that were complex (p = 0.027). Higher scores were also achieved on those patients with an anatomical reduction (p = 0.033). Three patients required revision and placement of a total arthoplasty (13%). However, patients with body mass index (BMI) > 30 tend to achieve poor clinical results (p = 0.151).Conclusions: ORIF may be suggested for acetabular fractures since good clinical and radiological outcomes were recorded on a long-term follow-up. Complex fractures, non-anatomical reduction and BMI > 30 were identified as risk factors to coxarthrosis progression.","PeriodicalId":7081,"journal":{"name":"Acta ortopedica mexicana","volume":"36 6","pages":"340-345"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164379","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

[What is self-plagiarism and how to avoid it?] [什么是自我剽窃？如何避免？]

Acta ortopedica mexicana Pub Date : 2022-11-01

M F González-Velasco

引用次数: 0