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Language Revista española de cirugía osteoarticular, 2017, vol. 52, no. 270
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- Comunicaciones presentadas al XLV Congreso SOTOCAV. Comunicaciones orales : Alicante, 11 y 12 de mayo de 2017(2018) Sociedad de Traumatología y Cirugía Ortopédica de la Comunidad Autónoma Valenciana. SOTOCAV
- Lesión iatrogénica de las arterias glúteas superior e inferior tras la fijación de fractura pertrocantérea con clavo céfalo-medular (clavo gamma 3®)(2018) Gómez Barbero, Patricia; Rey Vidal, P.; Blas Dobón, J.A.Iatrogenic vascular injury during hip fracture surgery is a rare complication, with infrequent reports of injury during the procedure of cephalo-medullary nailing. We describe a case report of a 94 years old female with a pertrochanteric fracture complicated by an injury to the superior and inferior gluteal artery which occurred during insertion of the nail. There is a risk of lesion of the arteries gluteal during the location in the greater trochanter starting point for the nail insertion. For this reason, its important during this step of the operation look out a possible lesion and postoperative control for a correct diagnostic and early treatment
- Comunicaciones presentadas al XLV Congreso SOTOCAV. Pósters electrónicos : Alicante, 11 y 12 de mayo de 2017(2018) Sociedad de Traumatología y Cirugía Ortopédica de la Comunidad Autónoma Valenciana. SOTOCAV
- Lipoma intraóseo, un tumor óseo benigno infrecuente : presentación de dos casos intervenidos quirúrgicamente y revisión de la literatura(2018) Pérez Ortiz, S.; Peralta Nieto, J.; Pelayo de Tomás, José Manuel; Blas Dobón, J.A.; Hurtado Cerezo, J.; Rodrigo Pérez, José LuisIntraosseous lipomas are rare and benign tumors of unclear etiology. Most of them are asymptomatic, being accidentally diagnosed during imaging tests performed for other reasons and they usually have unspecific clinical presentations. Radiographically, they can be confused with other entities as non-ossifying fibromas or simple cysts. Methods. We report two cases, a 39-year-old and a 25-year-old Caucasian female patients, referred to our hospital with a mass in the proximal third of the right tibia and distal femur respectively with slowly progressive growth. In conventional X-ray images and computed tomography, a well-defined, expansive intraosseous lytic lesion without cortical disruption was observed in both cases. Magnetic resonance imaging demonstrated predominance of lipomatous tissue signal, being compatible with intraosseous lipoma. The patients underwent excision of the tumor, confirming the diagnosis of intraosseous lipoma after pathological study. Results. In the immediate postoperative period, swelling and pain decreased and at the 6th-month postoperative follow-up the patients are asymptomatic and without radiographic signs of recurrence. Discussion. Intraosseous lipomas are tumors that can go easily unnoticed, being difficult to diagnose on conventional X-ray images. Because of that, other imaging tests, such as CT and MRI, are necessary for diagnosis and histopathology for confirmation. Conservative treatment in asymptomatic patients and surgery in symptomatic cases is recommended. Recurrence and malignant transformation of these tumors is rare.
