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Language Revista española de cirugía osteoarticular, 2007, vol. 42, no. 230
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- La técnica de Spaso para reducción de la luxación anterior de hombro.(2007) Canillas del Rey, F.M.; Carballo Vázquez, F.; Nieto López, Daniel; González-Criado Mateo, F.We have reviewed retrospectively a group of patients with previous traumatic dislocation of shoulder trea- ted with of Spaso maneuver. We have evaluated 23 patients with antero-inferior glenohumeral dislocation. In nineteen cases it was the first episode of dislocation, whereas four cases refered recurrent instability. In all patients, except in two cases, the reduction was simple and painless with no need of medication. The Spaso technique consists of arran- ging the patient in supine position, with the affected superior member, in complete extension of elbow, to the cenit, while traction is exerced, with mild external rotation of the arm. We presented this technique that we consider simple, safe and reproductible with a low rate of complications.
- Lipoma intraóseo en fémur proximal.(2007) Canillas del Rey, F.M.; Nieto López, Daniel; Carballo Vázquez, F.We presented a case of a patient seventy and four years old with a painful left hip during the last 12 months. On the x-ray exploration, appear a quistic lesion, localizated on the proximal femur and with arthrosis signs of the coxofemo- ral joint. We indicated a total hip arthroplasty, cemented, du- ring the surgery the lesion is legrated, and the histologic study reveal a intraosseus lipoma, without maling signs. At two ye- ars, the patient is asintomatic, and no indicius of the femoral tumor. We presented this case, the intraosseus lipoma, ma- king the diferential diagnosis and revised the bibliografy of this rare osseous tumor.
- Osteoblastoma del sacro. A propósito de dos casos clínicos.(2007) Fernández Hernández, O.; Sánchez Herráez, S.; Álvarez Posadas, José Ignacio; Fernández González, Miquel; González Muñoz, M.Osteoblastoma is a primary neoplasm of bone fre- quently located in the posterior elements of the spine, alt- hough rarely affecting the sacrum. Two cases in this location are reported, with a mean follow-up of eight years, treated with an intralesional resection that, without any morbidity, has provided an excellent result. Curettage should be a valid re- section procedure for nonagressive osteoblastomas of the sacrum, although it makes necessary a long follow-up in or- der to watch over the possibility of a local recurrence.
- Fracturas del radio distal tipo B3. Tratamiento quirúrgico.(2007) Arenas Planelles, Antonio; Ortega Arruti, J.A.; Corchuelo Maíllo, C.; Arenas Miquélez, A.; Ortega Sáez, M.A total of 67 cases of B3 type fracture of the distal radius treated in our Department are presented. A volar plate was used as fixation method in 30 cases, Kirschner wire in 19 cases, external fixator in 17 cases, and external fixator plus Kirschner wire in 1 case. The best results were obtained in the group of cases treated with a volar plate (90 percent of sa- tisfactory results).
- Fracturas complejas intrarticulares del radio distal. Su tratamiento mediante fijación externa.(2007) Arenas Planelles, Antonio; Ortega Arruti, J.A.; Corchuelo Maíllo, C.; Ortega Sáez, M.Se presentan 135 casos de fractura compleja de radio distal tratadas con fijador externo. Los resultados funcionales fueron buenos o excelentes en 95 de los 135 casos (70,3%). Los resultados radiológicos fueron buenos en 78 de los 135 pacientes (57,8%). Dado el alto porcentaje de fracasos tanto clínicos como radiológicos registrados en nuestra casuística, consideramos que el método debe ser utilizado con precaución, siguiendo una técnica meticulosa que evite las complicaciones relacionadas con su uso.
- Osteosarcoma extraesquelético. Caso clínico.(2007) Sangüesa Nebot, C.; Cabanes, F.; Valverde, C.Extraskeletal osteosarcoma is a rare malignant soft-tissue neoplasm. The clinical feature, imaging studies findings and histologic patterns allow the diferential diagno- sis with other entities. We report a case of a 64 years old man who had this tumour in his thigh. We make a review of litera- ture.
