Revista española de cirugía osteoarticular, 1992, vol. 27, no. 158

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    Elección del implante intraarticular en el tratamiento de las lesiones del ligamento cruzado anterior
    (1992) Sanchis, V.; Gomar Sancho, Francisco
    Los autores hacen una revisión de los diferentes implantes usados para la sustitución intraarticular del ligamento cruzado anterior (LCA). Se analizan los injertos autólogos, los materiales sintéticos y los aloinjertos tendinosos. Nos encontramos ante un tema sujeto a controversia, aunque la tendencia actual es el uso de autoinjertos de hueso -tendón rotuliano- hueso. No obstante, ninguno de los tejidos sustitutivos puede remedar por completo la anatomía del LCA original.
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    Estudio experimental comparativo de la osteotomía a cielo abierto y percutánea en la elongación ósea
    (1992) Arrien, A.; Pablos Fernández, Julio de; Cañadell Carafí, José
    An experimental study on femoral lengthening in lambs has been performed with the following objetives in mind: 1) To determine the ideal technique and level of osteotomy in bone lengthening: 2) To assess the integrity of the intramedullary vessels after the so-called corticotomies. Fifty 2-month-old male lambs have been included in this experiment. Animal grouping has been made according to the type and level of the lengthening osteotomy performed: percutaneous metaphyseal, percutaneous diaphyseal, open diaphyseal and open metaphyseal. Another group of ten lambs has been included in orde r to asse s the condition of the intramedullary vessels just after a percutaneous diaphyseal osteotomy. The main conclusions of this study are as follows: 1) The ideal tecnique and level of osteotomy for bone lengthening in lambs seem to be percutaneous and metaphyseal. 2) The satisfactory reconstructions of the lengthened segment observed using percutaneous osteotomie s cannot be explained by the maintenanc e of the integrity of the intramedullary vessels after the osteotomy.
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    Epifisiolisis obstétrica de la extremidad proximal de la tibia: a propósito de un caso
    (1992) Gascó Gómez, J.; Gabarda Llorens, R.; Gomar Sancho, Francisco
    Presentamos un caso de Epifisiolisis Obstétrica de la extremidad superior de la tibia tipo I de Salter y Harris. El diagnóstico es difícil y muchas vece s tardío por ser una lesión obstétrica rara y ser casi ausentes los signos radiológicos en los primeros días. El mecanismo parece estar relacionado a la posición fetal intraútero y manipulación de los miembros durante el parto. Aunque son frecuentes las ligeras deformidade s como secuela, no provocan transtornos funcionale s y mejoran notablement e con el crecimiento.
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    Aplicaciones de la informática a la investigación en Cirugía Ortopédica y Traumatología
    (1992) Laclériga Giménez, A.F.; Cara del Rosal, José Antonio; Solchaga, L.; Forriol Brocal, F.
    Informatics has become a fundamental in basic and applied research. Informatics plays a important role in experimentals models (image analisys and data adquisition), analisys of the results (statistics, spectomatry, morphometry), storage of information (magnetic and optical devices) and finally in the exposition of conclusions (Laser printers, slides and Video assited by computed). We present the theorical basis of informatic in research sciences with a special mention for our own system. The purpose of this review is to offer a reference guide for those who want to be familiar with this exciting field.
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    Artroplastia total de tobillo
    (1992) Villanueva García, E.; Pardo Montaner, J.; Alcantara Juan, P.; Juan, A.
    We have reported a retrospective study of seven patients with total ankle arthroplasty perfomed between 1978-1988. We have reviewed series published in the literature. There were five men and two women, the age range of this group was 41-72 years. Five of them suffered from posttraumatic arthrosis, one ankylosing spondylitis and the last had gouty arthritis. Four patients recieved the Smith total ankle and three the ICLH total ankle. The mean follow-up period was eleven years. Patients were evaluated using a scoring system (Mc Guire et al). Three patients had an excellent result, the result from two of them were good and the other two patients required revision and arthrodesis.
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    Síndrome uña-rótula
    (1992) Pina Medina, A.; Aracil Silvestre, J.; Gisbert Vicens, J.
    The author s showed thre e patients affected by "nail patella" syndrome with positive familiar history in one case. The "nail patella" syndrome is an autosomal dominant condition, characterized by nail and joint dysplasia and extra bone formation at the os ilium. The complet e syndrome is characterized by a serie s of skeletal disorders and specific nephropathy. This article reports the clinical and roentgenographi c findings of three patients and the results of the study of their families. A review of the literature is done.
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    Osteocondroma intra-raquideo con afectación neurológica
    (1992) Larraurp, P. M.; Troncoso Durán, José R.; Barbe, A.; Troncoso, E.; Muñoz, F.
    Se presenta el caso de un varón de 16 años con lumbalgia consecutiva a traumatismo vertebral, sin hallazgo s radiológicos, que no mejoraba con tratamient o conservador, y que a las 5 semanas desarrolló un cuadro de paraparesia e incontinencia de esfínteres indicativo de afectación del cono medular. En el estudio mielográfico se objetivó bloqueo completo a nivel de Ll. La tomografía axial mostró una imagen sugestiva de osteocondroma intraraquídeo, que s e confirmó quirúrgicamente . Dos año s tras la intervención, se logró la total recuperación neurológica. Se destaca la rareza de la lesión, la dificultad diagnóstica, y la probable etiología traumática de la tumoración.