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Language Revista española de cirugía osteoarticular, 2015, vol. 50, no. 263
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- Schwannoma de nervio peroneo profundo: una localización infrecuente. A propósito de un caso y revisión de la literatura: una localización infrecuente. A propósito de un caso y revisión de la literatura(2015) Cobo Cervantes, C.E.; Navarro Ortiz, R.; Velasco Medina, J.A.El schwannoma es el tumor benigno de nervio periférico más frecuente, siendo excepcional su presencia en los nervios de miembros inferiores. Presentamos un caso en una mujer de 44 años que consultó por dolor y paresias en la pierna derecha. En la exploración física se evidenció una masa profunda dolorosa a nivel de tercio proximal lateral de pierna derecha, con signo de Tinel positivo. En la resonancia magnética se apreció un schwannoma de nervio peroneo profundo. Se intervino resecando la lesión, siendo el diagnóstico anatomopatológico positivo para schwannoma. Tras 18 meses de seguimiento, la paciente se encuentra asintomática y sin signos de recidiva de la enfermedad.
- Manejo de la infección protésica de hombro con gran defecto óseo: descripción de un caso complejo(2015) Novoa, C.; López Vega, Marcos; Rodrigo Pérez, José Luis; Montaner Alonso, Daniel; Salanova Paris, Renato HumbertoLa infección periprotésica de hombro tiene una incidencia de entre el 0.4% al 2.9%; su tratamiento es controvertido y se basa en la experiencia sobre infecciones protésicas de rodilla y cadera. Presentamos el caso de una paciente quien fue tratada mediante recambio en dos tiempos, la cual presentó como complicación añadida un gran defecto óseo metafisodiafisario tratado siguiendo pautas establecidas en la literatura actual, con buen resultado final, valorando aspectos analíticos, radiológicos y clínicos
- Estudio de las deformidades de la columna vertebral mediante la topografía de superficie de la espalda basada en luz estructurada(2015) Pino Almero, L.; Mínguez Rey, María Fe; Cibrián Ortiz de Anda, Rosa María; Salvador Palmer, M. del Rosario; López de la O, F.J.; Gomar Sancho, FranciscoCurrently the gold standard test for the diagnosis of scoliosis and other spinal deformities is the full-spine radiograph (Cobb angle). However this method has a number of limitations since it does not fully characterize the three-dimensional deformation of the spine resulting in some cases, in unnecessary repeated doses, which could cause serious health risks. Therefore, a new non-invasive optical method to assess the topography of the back has been developed. This method is based on structured light and it has been used in this study to evaluate spinal deformities. The method quantifies the asymmetry of the back in three planes of space using three topographic variables: DHOPI, POTSI and PC. This technique might be of the greatest clinical utility as a complementary method to the radiographic study.
- Dermatofibrosarcoma protuberans en el dorso del pie: a propósito de un caso(2015) Pérez Barquero, J. Alonso; Amaya Valero, J. V.; Angulo Sánchez, Manuel Ángel; Baixauli García, FranciscoDermatofibrosarcoma protuberans is a rare tumor of soft tissue of unknown etiology and slow growth. With a lower incidence of metastasis than 5%, it has a recurrence rate more than 30% of cases. We present the case of dermatofibrosarcoma protuberans on the dorsum foot which required a wide resection of the tumor and subsequent coverage by free pedicled anterolateral thigh flap. The patient is free of illness after four years and is fully incorporated into their previous activities
- Disociación escafo-semilunar asociada a fractura de escafoides carpiano: a propósito de un caso(2015) Pérez Alba, J.M.; Sánchez Navas, L.D.; Agudo Quiles, M.According to the generally accepted pathomechanisms of carpal instability, a scaphoid fracture and a scapholunate dissociation should not occur together. Several cases are published in the literature even there is no much written about this topic, its treatment and outcome. These concurrent injuries are herefore likely underdiagnosed. We present a case with scaphoid fracture and a scapholunate dissociation in association, successfully. We describe the clinical, radiological outcome as well as the important literature about this topic
- Abordaje transvasto mínimamente invasivo versus abordaje parapatelar medial convencional en la artroplastia total de rodilla en pacientes con gonartrosis: estudio prospectivo comparativo no randomizado(2015) Cobo Cervantes, C.E.; González Pérez, A.D.; Morán Asensi, F.M.; Cardona Londoño, C.A.; Velasco Medina, J.A.Aim: Assess and compare short-term outcomes of total knee arthroplasty performed using two surgical approaches. Material and methods: a prospective study with 49 patients comparing medial parapatellar approach (24 patients) and minimally invasive trans-vastus access (25 patients) in total knee replacement. The patients included suffered knee osteoarthritis grade IV the Kellgren-Lawrence’s classification. Exclusion criteria were age under 50 years, large axial deformity (varus deformity > 15° or valgus > 10°), posttraumatic osteoarthritis, rheumatoid arthritis, revision surgeries, previous osteotomies, BMI> 40 kg/m2 and of course local or systemic active infection and mental impairment. Results: statistically significant differences were found for pain in first and second postoperative days for the minimally invasive approach (1st day: 3.8 ± 2.5 vs. 6.7 ± 2.1; p <0.001. 2nd day: 3 ± 2.1 vs. 6 ± 2; p <0.001). Conclusions: there are not significant differences between mini and standard approaches in knee replacement, so decision about which access to use in knee reconstruction surgery depends on surgeon’s preferences.
