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Language Revista española de cirugía osteoarticular, 2021, vol. 56, no. 286
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- Perlas de sulfato cálcico como tratamiento exitoso tras retirada de osteosíntesis infectada(Engloba Grupo de Comunicación, 2021) Villar Blanco, Alfredo; Pérez Blasco, A. V.; Carratalá Pérez, C; Borrell Chover, A; Rodrigo Pérez, José LuisOne of the complications most feared by orthopedic teams is post-surgical infections. In our paper we present the case of a patient who, after a hip osteosynthesis due to a pertrochanteric fracture, suffers an infection that is finally solved thanks to treatment with calcium sulfate beads coated with an antibiotic. This treatment is presented as an option to consider in those cases that are not resolved with conventional therapies since it presents a controlled release of antibiotic directly on the site of infection.
- Tumoración quística en el muslo: schwannoma del nervio ciático con diagnóstico inicial de quiste hidatídico, un caso clínico(Engloba Grupo de Comunicación, 2021) Monís García, A; Miranda, I.; Olmo Valeriano, I; Moreno Vadillo, M; Colado Domínguez, J.; Sangüesa Nebot, María José; Doménech, J."Introduction: hydatid cysts are produced by the Echinococcus granulosus parasite. The single location in the muscles is rare. The cystic mass can be confirmed by ultrasound or magnetic resonance imaging (MRI) and its differential diagnosis may be difficult. Material and method: We present a case with a tumorous mass in thigh with MRI report: ""encapsulated cystic lesion dependent on the biceps femoris, which contacts the sciatic neurovascular bundle, being the 1st diagnostic possibility hydatid cyst"". Mebendazole was prescribed and after a month the tumor was excised, which was not located within the muscle but rather pushing it, attached to the sciatic nerve. Diagnosis after anatomopathological study was sciatic schwannoma. Discussion and conclusion: on MRI, schwannomas are usually seen as a mass adhered and eccentric to a nerve, but they can present cystic degeneration mimicking hydatidic cyst; Faced with a single muscular or perimuscular cystic tumor, close to the neurovascular bundle, with negative systemic tests for parasite disease, the schwannoma should be taken into account in the differential diagnosis"
- Ruptura de tendones extensores tras placa volar en fractura de radio. A propósito de un caso(Engloba Grupo de Comunicación, 2021) Sebastián Giraldo, P.; García López, A.; Lozano Casarrubios, A.Wrist fractures are one of the most common fractures in the emergency areas of our hospitals, accounting for 14% of all limb injuries and 17% of fractures treated in the emergency room. The surgery of the same using volar plates has increased in recent years due to the possibility of blocking the screws, this being the surgical treatment of choice in our country. Among the complications of this type of treatment is tendon injury, due to the synthetic material, both flexors and extensors, being extremely rare the rupture of the Extensor Indicis Propius (EIP) and Extensor Digitorum Comunis of the index finger (EDCi). We present a case of rupture of both tendons after treatment with volar plate, its causes, its resolution and its possible prevention
- Medicamentos disponibles en España para la pérdida de peso previo a la artroplastia total de articulaciones(Engloba Grupo de Comunicación, 2021) Novoa, C.; Modrego Pardo, I.; Morillas Ariño, Carlos
- Impacto de la pandemia por COVID-19 en la epidemiología, manejo y supervivencia de los pacientes con fractura de cadera(Engloba Grupo de Comunicación, 2021) Climent Peris, Vicente; Paulos Dos Santos, F; Pérez Giner, R; Ojeda Peña, M.The COVID-19 pandemic has forced a reorganization of health resources towards the care of patients with severe respiratory syndrome. While the incidence of traumatic pathology was reduced, this was not the case with hip fractures, and their management could be compromised. The objective of this study is to evaluate the consequences of the pandemic on the epidemiology, management and outcomes of hip fracture. Material and methods: A retrospective observational cohort study was done including patients with hip fracture treated between March 2019 and February 2021, establishing two groups for comparison, before and after the onset of the pandemic. Demographic variables, comorbidities, history of fragility fracture and hip fracture, type of fracture and type of treatment performed, surgical delay, length of hospital stay, and PCR result for SARS-CoV2 upon admission were recorded. In-hospital mortality rate and survival at 1 and 6 months were analyzed. Results: 251 patients were included, 137 (54.58%) PRE-COVID group and 114 (45.42%) POST-C group. There were no differences in demographic variables, comorbidities, type of fracture, or treatment performed. The absolute incidence was reduced by 16.8% and the relative incidence was reduced by 17.6%, this difference was significant during lockdown period and in the months of January and February, the period of maximum incidence of COVID-19. The incidence of PCR + on admission was 1.75%. No significant differences were found in surgical delay, hospital stay and mortality, survival at one month or at 6 months. Conclusion: With the COVID-19 pandemic, specific reductions in the incidence of hip fractures have been observed, without changes in its epidemiology, indicators of hospital management and in patient survival at one and 6 months.
- Evaluación del protocolo fast-track para artroplastia total de rodilla: impacto sobre estancia hospitalaria, visitas al servicio de urgencias e infección(Engloba Grupo de Comunicación, 2021) Molina Pérez, M; Segarra Muñoz, B.; Cortés Tronch, V.; Sánchez Cortés, A; Fernández García, E.Objectives: To analyze the differences in length of stay, readmission and infection in patients undergoing total knee arthroplasty before and after the implementation of a fast-track protocol. Material and methods. Retrospective observational follow-up study in 777 patients. The variables under study were: length of stay, readmission and total number of Emergency Department (ED) visits and rate of infection. Results. A homogeneous sample of 777 patients was obtained with women predominance and mean age of 70 years. The values before and after fast-track implantation were: length of stay 5,1 vs 3,2 days (p<0,001), patients underwent readmission 12,2% vs 21,9% (p<0,001), ED visits 74 vs 118 (p<0,001). Rate of infection was similar in both groups for all levels. Conclusions. Fast-track protocols improve length of stay without affecting the rate of infection. Special care should be given to the increased readmission.
