862 results match your criteria Acta ortopedica mexicana[Journal]


[Posterior instability of the shoulder].

Authors:
R López-Muñoz

Acta Ortop Mex 2019 Sep-Oct;33(5):337-345

Clínica de Mérida, Mérida Yucatán. México.

No Abstract available. Read More

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[Unreduced posterior dislocation of the shoulder with an associated reverse Hill-Sachs injury treated with a modified McLaughlin technique].

Acta Ortop Mex 2019 Sep-Oct;33(5):333-336

Centenario Hospital Miguel Hidalgo. Servicio de Traumatología y Ortopedia. Módulo de cirugía articular. Aguascalientes, Ags. México.

Introduction: Posterior shoulder dislocations are rare (2%) and are associated with seizures, electrocutions and high-energy trauma. They may be associated with a reverse Hill-Sachs lesion. One of the treatment principles consists of the subscapular tendon transfer to the injury area or McLaughlin procedure. Read More

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[Complex elbow fracture].

Acta Ortop Mex 2019 Sep-Oct;33(5):329-332

Cirugía de Mano y Microcirugía, Hospital ABC The American British Cowdray Medical Center. Ciudad de México. México.

Elbow fractures are secondary to low or high energy trauma affecting the distal humerus, olecranon, radial head or a combination of the above. Complex fractures of the elbow complicate the reduction and its subsequent fixation representing a real challenge for the orthopedic surgeon. It is essential the use of diagnostic aids such as computerized axial tomography for diagnosis and subsequent treatment. Read More

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[Synchronous primary double: condrosarcoma and sarcoma high grade fusocelular associated with Maffucci syndrome].

Acta Ortop Mex 2019 Sep-Oct;33(5):325-328

Departamento de Piel y Partes Blandas del Instituto Nacional de Cancerología. Secretaría de Salud. Ciudad de México. México.

Maffucci syndrome is characterized by the presence of multiple enchondromes and hemangiomas that can affect soft tissues and other organs. The risk of malignant transformation of lesions is 100% during the life of the individual, with chondrosarcoma being the most frequently associated malignant tumor. We present the case of a 44-year-old man diagnosed with Maffucci syndrome who developed a synchronous double primary: chondrosarcoma and high-grade multicenter fusocellular sarcoma of scapular and tricipital region, was treated with disarticulation interscapule-thoracic, presented accelerated progression and lung disease. Read More

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[Results in the surgical treatment of lumbar disc hernia, report of seven years follow up].

Acta Ortop Mex 2019 Sep-Oct;33(5):319-324

Servicio de Cirugía de Columna. Instituto Nacional de Rehabilitación «Dr. Luis Guillermo Ibarra Ibarra». Av. México-Xochimilco 289, C.P. 14389. Ciudad de México. México.

Introduction: Low back pain by herniated disc is caused by abnormal intersomatic movement, considering this as an etiological factor of disc herniation and the surgical indication.

Material And Methods: A prospective, descriptive, observational, longitudinal study design, in a period from January 2000 to December 2006. Initial sample of 195 patients, with inclusion criteria in 20 patients at seven years follow up. Read More

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[Acromioclavicular dislocation management with use of Tight Rope luxation acromioclavicular con Tight Rope].

Acta Ortop Mex 2019 Sep-Oct;33(5):314-318

Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social (IMSS). Puebla, México.

Introduction: The acromioclavicular joint, important part of the shoulder complex is formed by clavicular lateral end and acromial medial border, with high index of injury in different grades, associated to physical activity and work accidents, most commonly in active young adults.

Objective: To analyze functional outcomes in patients with acromioclavicular dislocation with use of tight rope in one year. Material and methods: Descriptive, prospective, longitudinal, unicentric study, from March 2015 and July 2016 in post-operated patients with diagnosis of acromioclavicular dislocation grade III in Hospital de Traumatología y Ortopedia de Puebla. Read More

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Ligamentum flavum in lumbar spinal stenosis, disc herniation and degenerative spondylolisthesis. An histopathological description.

Acta Ortop Mex 2019 Sep-Oct;33(5):308-313

National Institute of Rehabilitation «Luis Guillermo Ibarra Ibarra», Mexico.

IntroducciÓn: Los cambios en el ligamento flavum (LF) relacionados con la degeneración son secundarios al proceso de envejecimiento o a la inestabilidad mecánica. Estudios anteriores han indicado que LF con envejecimiento muestra pérdida de fibras elásticas y aumento del contenido de colágeno, la pérdida de elasticidad puede hacer que el LF se pliegue en el canal espinal, disminuyendo su espacio.

Material Y MÉtodos: Se incluyeron 67 pacientes operados de estenosis lumbar espinal (LSS), hernia de disco lumbar (LDH) y espondilolistesis degenerativa (LDS). Read More

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[Endoscopic release of the ulnar tunnel. Technique and clinical-functional outcomes].

Acta Ortop Mex 2019 Sep-Oct;33(5):303-307

Ortopedia y Traumatología. Hospital Regional de Alta Especialidad del Bajío. México.

Introduction: The ulnar tunnel syndrome is the second compressive neuropathy, followed by the carpal tunnel, making it a frequent reference in hand surgery. There are few published studies about endoscopic technique.

Material And Methods: We studied 26 patients with ulnar tunnel syndrome diagnosis, were operated by endoscopic release of the ulnar tunnel. Read More

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[Total knee arthroplasty infection, what is the best strategy for better functional outcomes?]

Acta Ortop Mex 2019 Sep-Oct;33(5):297-302

Hospital Universitario del Henares, Servicio de Cirugía Ortopédica. Madrid, España.

Introduction: Surgical strategy in dealing with periprosthetic knee infections remains controversial. The goals of treatment are to eradicate infection, improve pain and joint function. Surgical management includes implant debridement and retention, prosthetic replacement in one-time, or two-stage replacement. Read More

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[Residual ankle instability in patients with syndesmosis lesions without fracture treated with situational screws].

Acta Ortop Mex 2019 Sep-Oct;33(5):292-296

Servicio de Miembro Pélvico. Hospital General Regional Núm. 2, Instituto Mexicano del Seguro Social (IMSS). Ciudad de México. México.

Introduction: The lesion of the distal tibiofibular syndesmosis is commonly accompanied by the fracture of the maleollus either medial or lateral, rarely, the syndesmosis can be injured without there being a fracture of any of the bone structures that make up the ankle, accounting for about 1% of all injuries. Being very rare, they are not diagnosed at the acute event, and are usually treated as a simple sprained ankle.

Material And Methods: Series of cases with ankle fractureless syndesmosis lesion, treated with situational double screw placement, deferred support and implant removal at two months. Read More

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[Frequency of footprints alterations in school children from a Mexican community].

Acta Ortop Mex 2019 Sep-Oct;33(5):289-291

Facultad de Medicina. Benemérita Universidad Autónoma de Puebla, Puebla, México.

Introduction: Alterations in the plantar footprint in the child are a cause for concern in parents.

Objective: Determine the frequency of plantar footprint alterations in school children. Determine if there is a relationship between overweight and obesity with the presence of alterations of the plantar footprint. Read More

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[Evaluation of educational computer program for applying ISS and AIS scales in the emergency room for Orthopedic Residents of the Secretary of Health from Mexico City].

Acta Ortop Mex 2019 Sep-Oct;33(5):285-288

Ingeniero en Sistemas de Computación.

Introduction: The HAISS (Herramienta de Aprendizaje ISS) program was created to enhance the feasibility and learning of trauma severity scores AIS (Abbreviated Injury Score) and ISS (Injury Severity Score).

Objective: Get a computer tool that promotes learning and facilitate proper use of AIS and ISS.

Material And Methods: A sample of 40 orthopedic residents from 1st to 4th grade from 4 hospitals of the Ministry of Health was taken. Read More

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[Diagnostic concordance of Magnetic Resonance Imaging of Adhesive Capsulitis, between Imaging Centers and a Shoulder Clinic, with surgical correlation].

Acta Ortop Mex 2019 Sep-Oct;33(5):277-284

Clínica de Reconstrucción Articular, Hospital Ángeles Pedregal. Ciudad de México. México.

Introduction: Despite the MRI findings present an adequate sensitivity and specificity for the diagnosis of adhesive capsulitis, there is a poor correlation between the imaging results in imaging centers and the diagnosis of a shoulder surgeon and the surgical findings.

Objective: To evaluate the correlation of the diagnosis of adhesive capsulitis by MRI between imaging centers and the shoulder and elbow surgery service, with subsequent surgical verification.

Material And Methods: Retrospective, observational and comparative study in 41 patients with adhesive capsulitis diagnosis, the concordance among the MRI reports of different radiology cabinets and the Joint reconstruction clinic was calculated, in 10 cases the diagnosis was corroborated by surgery. Read More

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[Proximal row carpectomy in patient with wrist osteoarthritis].

Acta Ortop Mex 2019 Sep-Oct;33(5):273-276

Servicio de Urgencias. Hospital de Traumatología y Ortopedia «Lomas Verdes». Unidad Médica de Alta Especialidad (UMAE), Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.

The arthrosis of the wrist is a degenerative, traumatic or idiopathic process, which cause problem for patient characterized by pain, loss of mobility, swelling and deformity of the affected wrist. A surgical alternative is proximal row carpectomy, which consists of resection of the lunate, scaphoid and triquetrum, forming a new joint between the radius and the distal row carpus. Material and methods: Observational, descriptive, case series. Read More

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[The travelling fellowship experience].

Acta Ortop Mex 2019 Sep-Oct;33(5):271-272

Facultad Mexicana de Medicina de la Universidad La Salle. Ciudad de México. México.

No Abstract available. Read More

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[Relevant aspects of the orthopedic residency program endorsed by the National Autonomous University of Mexico].

Acta Ortop Mex 2019 May-Jun;33(3):192-196

Facultad de Medicina, División de Postgrado. Universidad Nacional Autonóma de México UNAM. Ciudad de México. México.

The process of training human resources for health in Orthopedics of the School of Medicine is presented. As well as the evolution that has occurred in the teaching of Orthopedics, that led to the formation of the Single Program of Medical Specialties (PUEM in spanish), we show relevant aspects of its development and current periodic supervision of the hospitals promoting the fulfillment of this plan allowing its evolution and continuous improvement of the teaching of Orthopedics. Read More

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[Biomechanics of the lumbar spine: a clinical approach].

Acta Ortop Mex 2019 May-Jun;33(3):185-191

Médica Sur. Ciudad de México. México.

The study of Biomechanics of the lumbar spine with clinical approach allows the physician related to locomotive sciences, to have a better interpretation of the clinical and radiological findings in order to carry out a treatment or a prediction of a medical problem with greater scientific foundation. The lumbar vertebral segment is studied from a biomechanical point of view in an integrated way, correlating with other body regions. The structures analyzed are the vertebrae, the intervertebral disks, the ligament and muscular system. Read More

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[Axillary nerve injury associated with shoulder dislocation: case report].

Acta Ortop Mex 2019 May-Jun;33(3):182-184

Universidad de Rosario. Colombia.

Isolated lesion of the axillary (or circumflex) nerve is infrequent, this is usually associated with a brachial plexus injury. In our institution, in a period comprised between the years 2015-2017, a frequency of only 0.4% of this injury has been observed. Read More

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[Installed Capacity Perception Survey for the Training of Residents Program in Orthopedics and Care Needs in Acute and Chronic Musculoskeletal Pathology in Mexico].

Acta Ortop Mex 2019 May-Jun;33(3):173-181

Introduction: It is essential that orthopaedic resident physicians be highly proficient in all aspects, considering the balance between supply, demand, need and context. Fundamental to identify the capacity and quality installed for their training in Mexico.

Material And Methods: Observational Study, transverse, non-probabilistic sampling-conglomerates, in two phases. Read More

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[Orthopedic injuries associated with hip fracture].

Acta Ortop Mex 2019 May-Jun;33(3):169-172

Hospital de Traumatología y Ortopedia «Lomas Verdes». Unidad Médica de Alta Especialidad (UMAE), Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.

Introduction: There Is little information showing orthopedic injuries at the same time as a hip fracture. Our objective is to determine if there is association between the type of orthopedic injuries associated in patients with hip fractures and their demographic variables, fracture pattern and mechanism of injury.

Material And Methods: Transversal design, descriptive and retrospective. Read More

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[Efficacy of viscosupplementation with high and medium molecular weight hyaluronic acid in patients with symptomatic gonarthrosis grades II-III].

Acta Ortop Mex 2019 May-Jun;33(3):166-168

Hospital General Regional Núm. 2 Villa Coapa, Instituto Mexicano del Seguro Social (IMSS). Ciudad de México. México.

Introduction: OA is currently the fifth leading cause of adult disability, its prevalence increases from age 40. Viscosupplementation is a treatment for the early stages of knee OA.

Objective: To compare efficacy and quality of life in patients with symptomatic gonartrosis, treated with high and low molecular weight hyaluronic acid. Read More

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[Treatment of anterior shoulder instability with remplissage for Hill-Sachs injuries and Bankart injury compared to pure Bankart injuries].

Acta Ortop Mex 2019 May-Jun;33(3):162-165

Centro Médico del Instituto de Seguridad Social del Estado de México y Municipios (ISSEMyM) Ecatepec, Estado de México. México.

Background: Anterior shoulder dislocation occurs in more than 90% of the time, the main cause is traumatic, describing two main lesions in this pathology: Bankarts and Hill-Sachss injury, the recurrence rate is not similar in open repair and with a possible advantage of arthroscopic surgery with less loss of movement range, lower risk of subscapular muscle damage, faster return to daily activities and increased patient satisfaction.

Objective: Assessing functionality, mobility and stability of the shoulder in patients treated: arthroscopic Bankart repair versus arthroscopic Bankart repair + remplissage.

Methods: Clinical records of patients with shoulder instability were reviewed Hill-Sachs and Bankart lesions were doumented; 21 post-surgical patients and were physically examined to evaluate the range of motion, Rowe functional scales and Western Ontario Shoulder Instability Index were used. Read More

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[Functional results in isolated patellofemoral arthrosis treated by arthroscopy plus Fulkerson osteotomy vs patellofemoral arthroplasty].

Acta Ortop Mex 2019 May-Jun;33(3):157-161

Servicio de Traumatología y Ortopedia. Centro Médico del Instituto de Seguridad Social del Estado de México y Municipios (ISSEMyM) Toluca «Lic. Arturo Montiel Rojas», Estado de México. México.

Objective: To Compare the clinical outcomes of patellofemoral arthroplasty and Fulkerson osteotomy.

Material And Methods: 32 patients with the diagnosis of isolated patellofemoral arthrosis were treated, 16 patients with patellofemoral Arthroplasty and 16 patients with Fulkerson type osteotomy. Being a non-probabilistic sample of convenience and quota with random allocation. Read More

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[Blood-saving strategies in total primary knee replacement].

Acta Ortop Mex 2019 May-Jun;33(3):150-156

Grupo de Artroplastía de Rodilla de la Comunidad Valenciana. Valencia, España.

Introduction: The objective of this study was to make an update on the different strategies in the blood saving in prosthetic primary knee surgery, through a bibliographical review; As well as to know what strategies are followed in different hospitals in our field, through a survey.

Material And Methods: We carried out a descriptive transversal observational study based on a survey of 64 surgeons and a bibliographical research on the different aspects included in the survey.

Results: Surgeons refer that they have presurgical blood-saving protocols implanted in their Hospital at 48. Read More

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[Proximal carpectomy versus four-cornered arthrodesis in patients with lesions SLAC and SNAC].

Acta Ortop Mex 2019 May-Jun;33(3):146-149

Hospital de Traumatología y Ortopedia «Lomas Verdes». Unidad Médica de Alta Especialidad (UMAE), Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.

Advanced scafosemilunar collapse (SLAC) and advanced scaphoid pseudoarthrosis (SNAC) collapse are the result of trauma causing scaphoid fracture and the consequent pseudoarthrosis resulting in abnormal kinematics of the wrist and a scapholunate ligament injury, respectively. Current surgical options for SLAC/SNAC treatment include partial arthrodesis, carpal proximal row resection.

Material And Methods: Retrospective, cross-cutting and descriptive study was carried out in the period from January 2010 to December 2015. Read More

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[Bacteriological-clinical association and characterization in Pyogenic Spondylodiscitis].

Acta Ortop Mex 2019 May-Jun;33(3):141-145

Departamento Clínico de Cirugía de Columna Ortopédica. Hospital de Traumatología y Ortopedia «Dr. Victorio de la Fuente Narváez». Unidad Médica de Alta Especialidad (UMAE), Instituto Mexicano del Seguro Social (IMSS). Colector 15 s/n (Av. Fortuna), Esq. Av. Politécnico Nacional, Col. Magdalena de las Salinas, Alcaldía. Gustavo A. Madero, CP 07760, Ciudad de México. México.

Objective: Determine the association between clinical characteristics and laboratory studies with the type of isolated microorganism in blood cultures of patients with Pyogenic Spondylodiscitis.

Material And Methods: It is a cross-analytical study, clinical records of patients with Pyogenic Spondylodiscitis were reviewed from January 2013 to January 2017. Univariate descriptive analysis was performed using frequencies and percentages for qualitative variables, central trend measures and dispersion for quantitative ones. Read More

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[Chronic lateral ankle instability. Modified technique].

Acta Ortop Mex 2019 May-Jun;33(3):135-140

División de Cirugía de Pie y Tobillo y Deformidades Neuromusculares. Instituto Nacional de Rehabilitación «Dr. Luis Guillermo Ibarra Ibarra». Av. México-Xochimilco 289, C.P. 14389. Ciudad de México. México.

Introduction: Chronic ankle instability is defined as a clinical condition characterized by the presence of repetitive sprains. It can be functional or mechanical.

Objective: The general objective of this study is to determine the results of the technique using the AOFAS scale and radiographs. Read More

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[Six factors that influence the productivity and satisfaction of academic writing].

Acta Ortop Mex 2019 May-Jun;33(3):133-134

Editor en jefe. Acta Ortopédica Mexicana. Ciudad de México. México.

No Abstract available. Read More

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[Surgical treatment of an extraarticular scapula fracture. Case report and literature review].

Acta Ortop Mex 2019 Jul-Aug;33(4):265-270

Servicio de Ortopedia. Hospital General «Dr. Darío Fernández Fierro» Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE). Ciudad de México. México.

Introduction: Scapular fractures comprise 1% of all fractures and 3 to 5% of the shoulder, they occur in young patients by high energy trauma. Only 10% have surgical indication based on the alteration of the shoulders suspensory complex. The objective is to assess the outcome of patients with surgical indication as well as a review of the literature. Read More

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[Orthopedic management of localized linear scleroderma in children: a case report].

Acta Ortop Mex 2019 Jul-Aug;33(4):261-264

Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia Lomas Verdes. Instituto Mexicano del Seguro Social (IMSS). Estado de México. México.

Introduction: Localized scleroderma is the most common form of sclerosis in children; it has an incidence of 2.7 per 100,000 inhabitants, with a predilection for the Caucasian and female races of 2.4 to 4. Read More

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[Exposed dislocation of the first and second cuneiform bones and fracture in situ of the third cuneiform bone of the foot: Clinical case and literature review].

Acta Ortop Mex 2019 Jul-Aug;33(4):256-260

Hospital General de León. León, Guanajuato, México.

Backgrounds: The isolated fracture/dislocation of the cuneiform bones is a not very frequent event and only a few cases have been reported in the literature. This type of event is presented as a variation of the Lisfranc injuries. The present report shows a rare clinical case of a patient with dislocation of the first and second cuneiform bones and fracture in situ of the third cuneiform bone of the left foot. Read More

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[Total elbow arthroplasty in an older adult patient, as a therapeutic option for the management of pseudoarthrosis in distal humerus fracture].

Acta Ortop Mex 2019 Jul-Aug;33(4):252-255

Departamento de Cirugía, Universidad Industrial de Santander, Bucaramanga, Colombia.

Introduction: Distal humeral fractures in the elderly patient are a therapeutic challenge for orthopaedists, because of ages characteristic physiological conditions and bone changes.

Case Report: We present the case of an 80-year-old woman with osteopenia, who had distal humeral fracture due to a fall from her own height; she was initially treated conservatively, but by the reason of a non-union, we decided to perform a total elbow arthroplasty, achieving a positive functional result in the four years of postoperative follow-up.

Discussion: Nonsurgical management is an option for treat humeral fractures in patients with low functional demands or in poor general condition. Read More

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[Anatomical reconstruction of the acromioclavicular joint using autologous semitendinosus graft: modified surgical technique].

Acta Ortop Mex 2019 Jul-Aug;33(4):247-251

Hospital de Ortopedia. Unidad Médica de Alta Especialidad (UMAE) «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Colector 15 s/n (Av. Fortuna), Esq. Av. Politécnico Nacional, Col. Magdalena de las Salinas, Alcaldía. Gustavo A. Madero, CP 07760, Ciudad de México. México.

Introduction: Dislocation of the acromioclavicular joint is a common injury, which is observed mainly in young adults; indications for surgical management and the most appropriate technique remain controversial.

Material And Methods: We present a surgical technique, whose objective is the anatomical reconstruction of the coracoclavicular ligaments with autologous semitendinous graft, without tunnels in the collarbone and without fixing devices.

Results: This technique is reliable for stabilizing the joint in the short term and we consider that it could neutralize the anteroposterior translation of the distal collarbone. Read More

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[Functional results of bipolar hemiarthroplasty in patients over 65 years of age with intracapsular hip fractures].

Acta Ortop Mex 2019 Jul-Aug;33(4):241-246

Grupo de Reemplazos articulares. Centro Médico Imbanaco. Cali, Colombia.

Introduction: Bipolar hemiarthroplasty is an alternative for the treatment of displaced femoral neck fractures in elderly patients with low functional demand and associated comorbidities. The goal was to describe functionality in patients over 65 years of age with intracapsular fractures of the hip.

Material And Methods: Retrospective review of patients over 65 years of age between January 2012 and May 2017. Read More

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[Ultrasound-guided infiltration results in chronic brachial biceps tendinitis].

Acta Ortop Mex 2019 Jul-Aug;33(4):237-240

Unidad de Investigaciones. Fundación Universitaria Sanitas. Colombia.

Introduction: Anterior shoulder pain is one of the most common symptoms in the orthopedic consultation, much of it is associated with the pathology of the long head biceps tendon; in general, its management is conservative, including injections which are performed blindly as a common clinical practice. With the advent of imaging support in the performance of these procedures such as ultrasound can improve the accuracy of biceps tendon sheath injections to obtain a better clinical result.

Objective: To describe the clinical results of patients with chronic biceps tendinitis who were injected by ultrasound guidance. Read More

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[Prevalence of osteoarticular infections by Enterobacteria producing extended-spectrum -lactamases].

Acta Ortop Mex 2019 Jul-Aug;33(4):232-236

Hospital Luis Vernaza, Guayaquil, Ecuador.

Introduction: Infections of enterobacteria producing extended-spectrum -lactamases place a heavy burden on health systems. Little is known in osteoarticular infections, so this work studied the prevalence of these infections in a third-level hospital.

Material And Methods: Prevalence study in patients of a Traumatology Service during 2016, with infection criteria provided by the CDC in Atlanta, Georgia. Read More

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[IGF-1 levels in anterior cruciate ligament reconstruction using allograft vs autograft in patients at Central Military Hospital].

Acta Ortop Mex 2019 Jul-Aug;33(4):225-231

Hospital Central Militar. Ciudad de México. México.

Background: Treatment of ACL injury is surgical reconstruction. It is not known whether the result is better depending on the type of graft used. Insulin-like growth factor type 1(IGF-1) is a powerful stimulant of extracellular matrix and chondrocyte growth. Read More

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[Percutaneous versus open technique transpedicular fixation in patients with thoracolumbares type A fractures].

Acta Ortop Mex 2019 Jul-Aug;33(4):217-224

Servicio de Ortopedia, Centro Médico (ISSEMyM) Instituto de Seguridad Social del Estado de México y Municipios, Toluca. Estado de México. México.

Introduction: Percutaneous transpedicular fixation techniques are an emerging tool in the treatment of spinal trauma, however, their use is not fully accepted.

Objective: Compare results in patients with traumatic vertebral fracture, treated with percutaneous transpedicular fixation surgery versus open transpedicular fixation.

Material And Methods: From January to December 2016, 15 patients with traumatic vertebral fracture were randomly divided into 2 groups, group A were six treated with percutaneous transpedicular fixation, group B were treated with open technique transpedicular fixation, three patients were eliminated. Read More

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[Pronostic factors associated with the results of subtalar arthrodesis].

Acta Ortop Mex 2019 Jul-Aug;33(4):211-216

Servicio de la División de Ortopedia Pediátrica, Deformidades Neuromusculares y Cirugía de pie. Instituto Nacional de Rehabilitación «Dr. Luis Guillermo Ibarra Ibarra». Av. México-Xochimilco 289, C.P. 14389. Alcaldía Tlalpan, Ciudad de México. México.

Introduction: Subtalar arthrodesis is a surgical stabilization procedure in the isolated pathology of the subastragaline joint that does not respond to conservative treatment, its goal is to obtain a solid fusion of the joint to eliminate or improve pain and function, normalizing the distribution of foot loads and alignment of the foot. There are studied variables that interfere with the surgical outcome of patients treated with subtalar arthrodesis such as: smoking, age, sex, osteoarthritis, BMI, rehabilitation, osteosynthesis material and surgical technique.

Objective: To know the prognostic factors associated with the results of subastragaline arthrodesis. Read More

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[Pro-inflammatory cytokines in the knee fat pad and subcutaneous fat of the thigh in osteoarthritic patients].

Acta Ortop Mex 2019 Jul-Aug;33(4):204-210

Hospital Universitario Gregorio Marañón, Madrid. España.

Objective: To analyze the level of pro-inflammatory cytokines in osteoarthritis knee joint fat pad in relation to the subcutaneous fat of the thigh.

Material And Methods: We performed a study of fat of the knee joint adipose affected of osteoarthritis and subcutaneous fat of the thigh of the same side to the greater distance of the joint in six patients with severe gonarthrosis, with a mean age of 68 years (range: 55-81 years). From the fat samples the progenitor mesenchymal cells were obtained. Read More

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[Analysis of the frequency of polytraumatized patients in motorcycle accidents in the pediatric publication attended in the Pediatric Hospital of Sinaloa between the years 2015 and 2017].

Acta Ortop Mex 2019 Jul-Aug;33(4):197-203

Departamento de Cirugía Pediátrica. Hospital Pediátrico de Sinaloa «Dr. Rigoberto Aguilar Pico», Sinaloa, México.

Objectives: Determine the frequency of polytraumatized pediatric patients involved in motorcycle accidents treated at the Pediatric Hospital of Sinaloa between 2015 and 2017, as well as to determine the frequency of traumatic brain injuries, thoracic, abdominal, limb injuries, days of hospital stay and mortality.

Material And Methods: The selected population were patients under 18 years of age who were involved in motorcycle accidents treated at the Pediatric Hospital of Sinaloa in a period between January 1st, 2015 and December 31, 2017.

Results: The most affected gender was the male with the most frequent age of 14 years, accidents occurred more frequently on Fridays and Saturdays at night. Read More

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[Diaphyseal pseudarthrosis treatment algorithm].

Acta Ortop Mex 2019 Jan-Feb;33(1):50-57

Servicio de Seudoartrosis e Infecciones, Deformidades Óseas (SSEIDO) del Hospital de Ortopedia «Dr. Victorio de la Fuente Narváez» del Instituto Mexicano del Seguro Social (IMSS). Ciudad de México. México.

We present a therapeutic guide of diaphyseal pseudoarthrosis with the different degrees of difficulty faced by the orthopedic surgeon, mentioning the principles that must be followed to obtain optimal results. Read More

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November 2019
4 Reads

[Pathological hip fracture of pediatric age. Revision of the cystic angiomatosis of the bone].

Acta Ortop Mex 2019 Jan-Feb;33(1):46-49

Hospital Príncipe de Asturias de Alcalá de Henares, Madrid, España.

Introduction: Bone cystic angiomatosis is a disease with only 200 cases described, based on angiomatous nonmalignant proliferation, in bone tissue and viscera. It focuses on pelvis, long bones and scapular waist. Clinical evolution ranges from self-limiting forms to massive aggressive osteolysis (Gorham-Stout). Read More

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November 2019
6 Reads

[Bruns Garland syndrome. Report of a case and differential diagnosis with cauda equina syndrome].

Acta Ortop Mex 2019 Jan-Feb;33(1):42-45

Escuela de Medicina del Instituto Tecnológico de Monterrey. Guadalajara, Jalisco, México.

Background: The Bruns Garland syndrome (diabetic amyotrophy) it is a very rare condition, with few cases reported in the literature. Clinical differentiation of diabetic amyotrophy or cauda equine syndrome may be difficult. The issue of misdiagnosis has been discussed as a reason for poor outcome after lumbar spine surgery. Read More

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November 2019
4 Reads

Atypical femoral fracture, case report and literature review.

Acta Ortop Mex 2019 Jan-Feb;33(1):39-41

Orthopedics Department of the Pediatric Hospital, UMAE Centro Medico Nacional Siglo XXI, IMSS. Mexico City.

Introduction: Bisphosphonates have been the gold standard in the management of osteoporosis. Its antiresorptive effect has reduced the incidence of fractures due to bone fragility, as well as its impact on public health. We present the clinical case of a patient in prolonged treatment with bisphosphonates and atypical bilateral femur fracture. Read More

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November 2019
2 Reads

[Humeral anterograde nailing. Functional results. A 5 years experience].

Acta Ortop Mex 2019 Jan-Feb;33(1):36-38

Servicio de Traumatología y Ortopedia. Centenario Hospital «Miguel Hidalgo». Aguascalientes, Aguascalientes, México.

Purpose: The purpose of this study was to investigate the clinical impact on the global function of the shoulder of the use of the anterolateral approach for nailing.

Material And Methods: A retrospective cohort at the public sector of Centenario Hospital Miguel Hidalgo in Aguascalientes, Mexico between 2011 and 2016 was analysed. Inclusion criteria were: patients with anterolateral humeral nailing approach. Read More

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November 2019
3 Reads

[Arthroscopic treatment of chronic lateral epicondylitis. Short-term results of 3 cases].

Acta Ortop Mex 2019 Jan-Feb;33(1):24-27

Centro Médico Valle de San Diego. San Diego, Venezuela.

Objective: To assess the outcome of arthroscopic release in three patients with chronical lateral epicondylitis.

Material And Methods: Arthroscopic release in three patients with lateral epicondylitis is performed. Mayo Clinic scale for evaluation of results is used. Read More

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November 2019
5 Reads

[Reliability and concurrent validity of the app Goniometer Pro vs Universal Goniometer in the determination of passive knee flexion].

Acta Ortop Mex 2019 Jan-Feb;33(1):18-23

Hospital FREMAP (Majadahonda). Madrid, España.

Background: Smartphones have become a fundamental part of our society, not only everyday, but also professional, since many applications have emerged for the health field. The objective of the study was to analyze the reliability and concurrent validity of an app for iPhone in relation to traditional measurement.

Material And Methods: A non-experimental, double-blind validation and descriptive study. Read More

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November 2019
1 Read

[Dynamic transpedicular instrumentation with S14 system (B-FUS) in lumbar spine. Experience in 32 cases].

Acta Ortop Mex 2019 Jan-Feb;33(1):13-17

Centro Médico (ISSEMyM) Instituto de Seguridad Social del Estado de México y Municipios, Toluca, México.

Objective: To evaluate functional and radiographic results in patients with diagnosis of degenerative disease of the lumbar column subject to treatment with transpedicular fixing plus the application of system S14 (B-FUS), and to evaluate the disease development of adjacent disk associated with the method of selected treatment.

Material And Methods: A transversal descriptive retrospective study in which a total of 32 patients with diagnosis of the degenerative pathology of the column lumbar was included, including 12 patients with lumbar degenerative discopathy (37.50%), 11 patients intervertebral lumbar instability (34. Read More

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November 2019
4 Reads