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Language Revista española de cirugía osteoarticular, 2003, vol. 38, no. 214
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- Incidencia de tuberculosis osteoarticular en el área sanitaria del Hospital de León. 1997-2001(2003) Sánchez Herráez, S.; Mencía Barrio, Ricardo; Betegón Nicolás, J.; González Fernández, J.J.; Alonso Barrio, José AntonioIntroduction: Current issue is to study the incidence of osteoarticular tuberculosis, within the sanitary area of the Hospital of Leon. Material and Method: Sixteen cases of osteoarticular tuberculosis confirmed by culture and pathological analysis were included. Five of them involved the raquis and knee. Another cases in unusual local sites. Results: Three of five raquis were managed by decompression and stabilization. One knee was treated by open synovectomy and another one by arthroscopy synovectomy. Cold abscesses were drained in different sites. All cases were treated with drugs. Different results are showed since restitutio ad integrum to anquilosis. Discussion: Osteoarticular tuberculosis incidence in our sanitary area between 1997 to 2001 was 2% to 4%. There was a high incidence for unusual localizations (wrist, elbow and sacroiliaca joints).
- Correlación entre los hallazgos quirúrgicos y los datos aportados por la ecografía en las lesiones del manguito de los rotadores(2003) Arenas Planelles, Antonio; Ayala Palacios, Higinio; Arenas Miquélez, A.; Garbayo Marturet, Antonio JesúsA series of 26 patients affected of shoulder impingement syndrome is presented. All cases was diagnosed by means of sonographic study and treated surgically. The ultrasound scan showed the existence of 17 tears of rotator cuff and 9 cases did not have rupture. During the operation it was confirmed that there were 22 ruptures and in 4 cases rupture of the rotator cuff was not appraised. We have correlated surgical and sonographic findings, and we have observed that there were 15 false-positives, and 7 false-negative sonographic findings. The sensivity was 50 per cent and the accuracy was 65 per cent. The positive and negative predictive values were 88 and 22 per cent.
- Estudio comparativo del tratamiento quirúrgico de la escoliosis idiopática medicante técnica de barra única y barra doble(2003) Pérez Millán, L. A.; López Sánchez, Antonia; Martínez-Garrido, I.; Escribá Roca, IsmaelSe presenta un estudio comparativo retrospectivo del tratamiento quirúrgico de la escoliosis idiopática mediante la técnica de artrodesis y fijación con barra única o barra doble. Se han incluido 54 pacientes (36 con barra única y 18 con barra doble) con un seguimiento entre 24 y 64 meses. Las correcciones obtenidas en plano coronal como sagital y en la oblicuidad de la vértebra límite son superpoinbles. Las correcciones con los desequilibros y traslación de la vértebra apical son mejores con la barra única. El tiempo quirúrgico fue muy superior con la barra doble, donde también se presentaron los únicos casos de infección profunda tardía. La configuración de barra única se compota como la técnica menos estable (6 luxaciones de uña y 2 roturas de barra) siendo, por esta causa, mayor las pérdidas de corrección en este grupo.
- Plastia artificial "lars" en patología del manguito de los rotadores. Nuesta experiencia(2003) Barco Berzosa, A. C.; Casquete Román, C.; Valverde García, José Antonio; Zazo Espinosa, M.; García Alonso, Manuel FranciscoEstudio de 26 casos en 19 pacientes con rotura total de manguito rotador del hombro mediante plastia artificial de poliéster trenzado. Métodos: Se han estudiado la movilidad, pruebas radiológicas, dolor, historia y antecedentes de cada paciente, y los resultados postoperatorios. Resultados: En el estudio se observó disminución en el dolor en todos los casos. La movilidad mejoró su rango en casi todos los casos (abducción de 56,92º a 126,34º de media). Nuestro objetivo es demostrar la eficacia del método para roturas degenerativas del manguito
- Fracturas supracondíleas femorales tratadas mediante enclavado retrógado(2003) Pérez-Hernández, D.; García-Sandoval, M. A.; García García, J.; Hernández Vaquero, DanielIntroduction: Distal fémur fratures represent a therapeutic challenge with frequent drawbacks such as knee rigidity and arthrosis. Retrograde nails have been recently introduced, with the theoretical advantages of less bleeding, less surgical exposure time, early weight-bearing and less joing rigidity. Methods and materials: We have retrospectively analised the clinical history of the 19 patients who suffered distal femur fractures between 1998 and 2000 and received a SCN type retrograde nailing treatment, studying parameters like consolidation, joint balance and complications. Hip and knee intra-articular and periprosthetic fractures were included. Results: Our series was made up of six men and thirteen women with an average age of 61. Bone-healing was achieved in all patients in an average time of 17 weeks. Average joint mobility resulted in 100º flexion and complete extension. The most frequent complication as prominence due to backslip of distal block nails in those cases where supracondylar bolt was not used, wich made it necessary to remove the nails in two patients. An average shortening of 6mm was observed. No infections were recorded in our series. Discussion: SCN nail appears as a useful technique for the management of distal femur fractures. It is specially indicated in hip and knee supercondylar and periprosthetic fractures. Functional results are more satisfactory in extra-articular fractures in patients under 60 year of age.
- Diferencias epidemiológicas de las fracturas de cadera en el medio urbano y rural(2003) Cuenca Espiérrez, Jorge; Martínez Martín, Angel Antonio; Herrera Rodríguez, AntonioObjetive: to investigate the possible differences of hip fractures between urban and rural populations. Design and patients: all hip fractures in the Miguel Server University Hospital of Zaragoza during the 1998-99 period (171 patients) have been retrospectively studied. Results: the incident of hip fractures in Zaragoza was 106 and in Barbastro 81 fractures per 100.000 persons. It was a higher percentage of patients living accompanied in their own homes in the rural medium, being the highest figures of dependence and capacity of going out of house in the urban medium. 51% of patients in the rural population had a normal mental state with regard to 39% in the urban population. It has appeared an increase of trochanteric fractures and a decrease of cervical fractures in the rural area in relation to the urban area (p<0.05). Conclusions: the incident of hip fractures in the urban population is higher that suffer a hip fracture are more dependents with regard to their own house and have worse mental state than those of rural population.
