Revista española de cirugía osteoarticular, 1991, vol. 26, no. 152

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    Fractura-Luxación de Monteggia en el Adulto: tratamiento con clavo cerrojado
    (1991) Pedro Moro, José Antonio de; de Lucas, E. G.; Marco Martínez, Fernando; López-Oliva Muñoz, Felipe; Zarzoso Sánchez, R.; García López, A.; López-Duran Stern, Luis
    Traumatic lesions of the forearm are increasingly common. One variant of these, traditionally known as Monteggia fracture, has the particularity in adults of displaying controversy with respect to whethe r it should be treated with plaster, a compression plate or endomedullary nailing. In an attempt to improve the results, the authors tested clinically a new locking nail for the ulna. Seven patients with Monteggia fractures wer e followed over a minimum their fractures in less than 4 months, with a mean of 2.5 months. Following the authors' rating, 3 patients had good and 4 patients very good results. The simplicity and suitability of the method counsel its extensive us e in diaphyseal fractures of the ulna.
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    Cicatrización del fibrocartílago meniscal de la Rodilla : estudio Experimental
    (1991) Pino Ortiz, J. M. del; Gomar Sancho, Francisco; Martín Benlloch, Juan Antonio; Ribes Iborra, J.
    To study the healing of meniscal tears, the authors hav e carried out an experimental work in rabbits. They performed three types of tears in the internal menisci, radial, peripheral longitudinal (in the parameniscal zone) and longitudinal within of the parameniscus. The menisci were reparated by suture with absorbible material. The healing phenomenon has been histologically studied from the first wee k to three months after. The results showed that the cicatrization is mainly extrinsic by the plastic capacity of sinovial membrane. The longitudinal tears in the parameniscus heal without difficulty, the transversal tears almost in their whol e width and the longitudinal tears at the avascular zone healed principally in the anterior portion by the invasion of hyperplasic sinovial from the tibial insertion of the anterior cruciate ligament.
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    Diagnóstico de la Necrosis Isquémica de la Cabeza Femoral: conceptos actuales
    (1991) Aguilella Fernández, Luis; Cañadell Carafí, José
    The ischaemi c necrosis of the femoral head (INFH) offers difficulties in the diagnosis whe n radiological signs have not appeared yet. Actually, the Magnetic Resonanc e Imaging, the Scintigraphy and the Functional Exploration of the Bone are being accepted as the most adecuate methods in the early diagnosis. The authors present an analysis about the utility of those and other methods of diagnosis used in the INFH, no forgetting some basic aspects like the symptomatology or the radiology.
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    La Valoración del Análisis de la Marcha en la Planificación de la Osteotomía Alta de Tibia
    (1991) Marchetti, P.G.; Albert Pamplo, R.; Catani, F.; Delia, L; Allende, J.; Ahdieh, A.; Marcacci, Maurilio
    El objetivo de este trabajo ha sido el de valorar una nueva metódica clínica y biomecánica de los pacientes que presentan un genu varo y tratados quirúrgicamente mediante osteotomía tibial alta. De acuerdo a la metódica de Andriacchi e Insall y de nuestra pequeña experiencia hemos aplicado el estudio mediante "gait analysis" a estos pacientes preoperatoriamente. El cálculo preoperatorio del "momento adductor" parece ser discriminativo con respecto a los pacientes que tendrán un buen o mal resultado debido a la recidiva de la deformidad, dolor, etc. Tomando como referencia los resultados de estos estudios sugerimos algunas indicaciones pre y postoperatorias con referencia a la rehabilitación y la orientación quirúrgica más adecuada según el valor del momento adductor (alto o bajo) que presenten este tipo de pacientes.
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    Luxación congénita de cadera: nuestra experiencia
    (1991) Saenz López de Rueda, F.; Lopez Vizcaya, F.
    Congenital hip dislocation represents, even today, an authenti c problem within the pediatric orthopaedic field due to its frequency, and above all, becaus e of the negative results of a late diagnosis. Based on our experience and review of a total of 334 cases, they must recommend based on those cases an increased colaboration between Tocologists, Pediatricians and Ortopedics to avoid that displasia dislocation in newborns become s a true dislocation in a child that has begun to walk. Unde r established cases of dislocation, they are against the forced reduction unde r general anesthesia and succesive-continued inmovilization with Lorenz Casts. They recommend treatment based on slow reduction by continous captive traction, arthrography, if necessary limbectonomy with posterior. De-Rotational subtrochanteric osteotomy, sometimes Varus-Producing. For children 4 year s or older acetabuloplasty may be necessary.
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    Hemangioendotelioma de Humero
    (1991) Álvarez Garcia, J.C.; Fuente Martín, Eduardo; Murcia Mazón, Antonio
    Se describe un caso de hemangioendotelioma grado I, que afectaba a la epífisis humeral superior en una paciente de cincuenta y siete años, presentándose clínicamente como una periartritis escapulo humeral. Se comenta el diagnóstico diferencial y el tratamiento que fué de resección local y sustitución del tercio superior del húmero por una prótesis isoelástica, más radioterapia complementaria. Después de ocho meses no hay evidencia de recidiva local o sistémica, ha desaparecido el dolor y la funcionalidad de la extremidad es aceptable. Se destaca la importancia del estudio anatomopatológico como guía casi única para el diagnóstico y la necesidad de realizar la gradación histológica de la malignidad como base para emitir un pronóstico e indicar la terapéutica, así como el rastreo del resto del esqueleto, tanto ante la lesión primaria como en las sucesivas revisiones.
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    Comportamiento Biológico de Aloinjertos Tendinosos Intraarticulares.
    (1991) López Alonso, A.; Díaz Flores, L.; Mandia Mancebo, Fermín; Gutiérrez, R.; Aznar Aznar, A.
    In this paper, the authors have studied the biological respons e of tendinous allografts, implanted inside the kne e articulation, in a experimental study. The revascularization of the grafts, and the intrinsic tendinous change s in both series, frozen and no frozen allografts, is studied with optical and electron microscopy. In the no frozen allografts, is more important the intensive inflamatory inmunitary response, with few signs of orientation of the definitive fibrous tissue. In the serie of frozen allografts, the inflamatory response is limited with predominanc e of the angiogénesis process.