Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2210016
Carmen Ortega Tapia, Lucía Moreno Fernández, Judit Martínez Zaragoza, Ainhoa Arias Baile, A. Dalmau Coll
Chopart fractures and dislocations: our treatment algorithm Introduction: injuries affecting the Chopart complex have a low incidence and are misdiagnosed in many cases, which carries important sequelae in patients who suffer from them. In spite of it, it is not possible to find a validated treatment algorithm in literature. We present a case report and the diagnostic and treatment algorithm followed in our hospital. Material and methods: observational study of 53 cases of Chopart fractures surgically intervened in our hospital be-tween 2010 and 2020. Results: in 80% of cases, the fracture was due to high energy mechanisms, associating in 75% of cases concomitant fractures in the same foot. 45% of fractures were stabilized through an external fixation device, which was kept as definitive treatment in 75% of patients. It was used in 40% of them as only treatment,
{"title":"Fracturas y luxaciones de Chopart: nuestro algoritmo de tratamiento","authors":"Carmen Ortega Tapia, Lucía Moreno Fernández, Judit Martínez Zaragoza, Ainhoa Arias Baile, A. Dalmau Coll","doi":"10.24129/j.rpt.3602.fs2210016","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2210016","url":null,"abstract":"Chopart fractures and dislocations: our treatment algorithm Introduction: injuries affecting the Chopart complex have a low incidence and are misdiagnosed in many cases, which carries important sequelae in patients who suffer from them. In spite of it, it is not possible to find a validated treatment algorithm in literature. We present a case report and the diagnostic and treatment algorithm followed in our hospital. Material and methods: observational study of 53 cases of Chopart fractures surgically intervened in our hospital be-tween 2010 and 2020. Results: in 80% of cases, the fracture was due to high energy mechanisms, associating in 75% of cases concomitant fractures in the same foot. 45% of fractures were stabilized through an external fixation device, which was kept as definitive treatment in 75% of patients. It was used in 40% of them as only treatment,","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88051991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2211018
María Pilar Sánchez González, Enrique Navarrete Faubel, V. Vicent Carsí
Tarsal coalitions, therapeutic options and arthroscopic approach The tarsal coalition or abnormal fusion of 2 or more foot bones is a relative cause, in adolescents, of pain associated with valgus flat foot with some rigidity. The most frequent are calcaneonavicular and talonavicular. The diagnosis is suspect with typical radiological findings and confirmed with computed tomography or magnetic resonance. The treatment is controversial. In adolescents (less than 14-16 years old) with calcaneonavicular or talonavicular coalition with less than 50% of articular surface fusion, the surgical treatment is the resection of the spur, with open or arthroscopic surgery. In older patients, with more extensive articular affection, recurrences or degenerative signs, the double or triple arthrodesis still remains the unique solution.
{"title":"Coaliciones tarsales, opciones terapéuticas y abordaje artroscópico","authors":"María Pilar Sánchez González, Enrique Navarrete Faubel, V. Vicent Carsí","doi":"10.24129/j.rpt.3602.fs2211018","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2211018","url":null,"abstract":"Tarsal coalitions, therapeutic options and arthroscopic approach The tarsal coalition or abnormal fusion of 2 or more foot bones is a relative cause, in adolescents, of pain associated with valgus flat foot with some rigidity. The most frequent are calcaneonavicular and talonavicular. The diagnosis is suspect with typical radiological findings and confirmed with computed tomography or magnetic resonance. The treatment is controversial. In adolescents (less than 14-16 years old) with calcaneonavicular or talonavicular coalition with less than 50% of articular surface fusion, the surgical treatment is the resection of the spur, with open or arthroscopic surgery. In older patients, with more extensive articular affection, recurrences or degenerative signs, the double or triple arthrodesis still remains the unique solution.","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78856011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2211019
Rosa Busquets Net
{"title":"Editorial de la presidenta","authors":"Rosa Busquets Net","doi":"10.24129/j.rpt.3602.fs2211019","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2211019","url":null,"abstract":"","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80053760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2211020
Mario Herrera Pérez
{"title":"Revista de revistas","authors":"Mario Herrera Pérez","doi":"10.24129/j.rpt.3602.fs2211020","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2211020","url":null,"abstract":"","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90695727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2201001
Ivet Parés-Alfonso, D. Pérez-Prieto, G. González-Lucena, Daniel Nicolás Bianco-Adamés, A. Ginés-Cespedosa
. ABSTRACT Infection after Achilles reconstruction rupture. Challenging salvage surgery with Achilles allograft Background: surgical options are limited in cases of major Achilles defects or postoperative complications like infection. In those, tendon transfer or reconstruction with an allograft should be considered. The aim of this report is to illustrate a case series of a salvage surgery using an Achilles tendon allograft in a massive tendon loss and post-surgical infection. Cases: we report 3 cases. The first and second cases are a 57 year-old man and 55 year-old woman with a post-surgical infection after a reconstruction of Achilles tendon for a chronic rupture. The third is a 39 year-old man with traumatic re-rupture post reconstruction, who presented an infection afterwards. The isolated germs were: S. aureus , S. marcescens and P. aeruginosa, and in the last patient E. cloacae and C. amycolatum . A reconstruction with Achilles allograft was per-formed, followed by 8 weeks of antibiotic treatment. Results: the patients completed a standard rehabilitation program for Achilles tendon ruptures. First patient: 2,5-years follow-up, good functional result, started practicing sports at 1-year follow-up. Second patient: 1-year follow-up, follows rehabilitation protocol
{"title":"Infección en reconstrucción del tendón de Aquiles. Cirugía de rescate mediante aloinjerto aquíleo","authors":"Ivet Parés-Alfonso, D. Pérez-Prieto, G. González-Lucena, Daniel Nicolás Bianco-Adamés, A. Ginés-Cespedosa","doi":"10.24129/j.rpt.3602.fs2201001","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2201001","url":null,"abstract":". ABSTRACT Infection after Achilles reconstruction rupture. Challenging salvage surgery with Achilles allograft Background: surgical options are limited in cases of major Achilles defects or postoperative complications like infection. In those, tendon transfer or reconstruction with an allograft should be considered. The aim of this report is to illustrate a case series of a salvage surgery using an Achilles tendon allograft in a massive tendon loss and post-surgical infection. Cases: we report 3 cases. The first and second cases are a 57 year-old man and 55 year-old woman with a post-surgical infection after a reconstruction of Achilles tendon for a chronic rupture. The third is a 39 year-old man with traumatic re-rupture post reconstruction, who presented an infection afterwards. The isolated germs were: S. aureus , S. marcescens and P. aeruginosa, and in the last patient E. cloacae and C. amycolatum . A reconstruction with Achilles allograft was per-formed, followed by 8 weeks of antibiotic treatment. Results: the patients completed a standard rehabilitation program for Achilles tendon ruptures. First patient: 2,5-years follow-up, good functional result, started practicing sports at 1-year follow-up. Second patient: 1-year follow-up, follows rehabilitation protocol","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78796523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2110029
Franklin Rodrigo Peña Orozco, Christian Fuentes Gutiérrez
,
，
{"title":"Angioma cavernoso del astrágalo y reconstrucción con técnica de membrana inducida. Reporte de un caso y revisión de la literatura","authors":"Franklin Rodrigo Peña Orozco, Christian Fuentes Gutiérrez","doi":"10.24129/j.rpt.3602.fs2110029","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2110029","url":null,"abstract":",","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89558879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2201002
R. Maroto-Rodríguez, Pablo Fernández-Villacañas Mínguez, J. Payo-Rodríguez
reha-ABSTRACT Open medial peritalar dislocation: a case report Introduction: peritalar dislocation is a rare lesion that generally occurs in active young men as a result of high-energy trauma. They are classified into several types according to the direction of the calcaneus in relation to the talus. The objective of this work is to present a clinical case of an open medial peritalar dislocation without associated fractures. Clinical case: 19-year-old man who went to the Emer-gency Department after suffering a traffic accident with an electric scooter on public roads. Upon his arrival, he presented a 1-2 cm incised-contused wound on the exter-nal malleolus, tenderness and swelling, and an “acquired clubfoot” deformity. Results: closed reduction under spinal anesthesia, wash-ing, wound suture, checking joint stability by radiological control and immobilization with padded closed plaster were performed. Radiological controls were carried out that showed joint congruence, the cast was removed after 6 weeks. After this, the patient underwent rehabilitation, partial load and physiotherapy with very good final func-tional results. Conclusion: early diagnosis and reduction under anesthesia are a priority to avoid later complications. Dis-miss associated injuries such as fractures or instabil-ities is a priority for the prognosis. Rehabilitation and
{"title":"Luxación peritalar medial abierta: a propósito de un caso","authors":"R. Maroto-Rodríguez, Pablo Fernández-Villacañas Mínguez, J. Payo-Rodríguez","doi":"10.24129/j.rpt.3602.fs2201002","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2201002","url":null,"abstract":"reha-ABSTRACT Open medial peritalar dislocation: a case report Introduction: peritalar dislocation is a rare lesion that generally occurs in active young men as a result of high-energy trauma. They are classified into several types according to the direction of the calcaneus in relation to the talus. The objective of this work is to present a clinical case of an open medial peritalar dislocation without associated fractures. Clinical case: 19-year-old man who went to the Emer-gency Department after suffering a traffic accident with an electric scooter on public roads. Upon his arrival, he presented a 1-2 cm incised-contused wound on the exter-nal malleolus, tenderness and swelling, and an “acquired clubfoot” deformity. Results: closed reduction under spinal anesthesia, wash-ing, wound suture, checking joint stability by radiological control and immobilization with padded closed plaster were performed. Radiological controls were carried out that showed joint congruence, the cast was removed after 6 weeks. After this, the patient underwent rehabilitation, partial load and physiotherapy with very good final func-tional results. Conclusion: early diagnosis and reduction under anesthesia are a priority to avoid later complications. Dis-miss associated injuries such as fractures or instabil-ities is a priority for the prognosis. Rehabilitation and","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81009333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2204006
Alberto de Castro Carrasco, Patricia Domínguez Dorado, Carmen Álvarez-Val, Catuxa Pena Sánchez, Laura Anta Martínez
Tibiotalocalcaneal nail in the treatment of unstable osteoporotic fractures: review of cases
胫距跟骨钉治疗不稳定骨质疏松性骨折病例回顾
{"title":"Clavo tibiotalocalcáneo en el tratamiento de fracturas osteoporóticas inestables: revisión de casos","authors":"Alberto de Castro Carrasco, Patricia Domínguez Dorado, Carmen Álvarez-Val, Catuxa Pena Sánchez, Laura Anta Martínez","doi":"10.24129/j.rpt.3602.fs2204006","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2204006","url":null,"abstract":"Tibiotalocalcaneal nail in the treatment of unstable osteoporotic fractures: review of cases","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82996989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2111030
Ioar Urra Guergue, I. Jiménez-Tellería, I. Uriarte, U. Aguirre, Lide Gorostiola, J. Moreta
Closed reduction and percutaneous wire fixation of Lisfranc fracture-dislocation Background: the purpose of this study was to analyse the clinical and radiological results of closed reduction and percutaneous wire fixation of Lisfranc fracture-dislocation after a minimum follow-up of 10 years. The results for this same cohort were previously published in 2009. Methods: 12 cases were retrospectively reviewed. The functional outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the level of patient subjective satisfaction. For the radiological assessment, the anatomical reduction and the tarsometatarsal alignment were analysed. Results: the mean follow-up was 15.75 years. According to the AOFAS scale, cases with anatomical reduction had higher score (81) compared to cases without anatomical reduction (71.6). The patient subjective satisfaction was also higher when anatomical reduction was present. Long-term results showed a more pronounced worsening at AOFAS scale and patient subjective satisfaction when anatomical reduction or tarsometatarsal alignment were not present.
{"title":"Reducción cerrada y fijación percutánea con agujas de la fractura-luxación de Lisfranc","authors":"Ioar Urra Guergue, I. Jiménez-Tellería, I. Uriarte, U. Aguirre, Lide Gorostiola, J. Moreta","doi":"10.24129/j.rpt.3602.fs2111030","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2111030","url":null,"abstract":"Closed reduction and percutaneous wire fixation of Lisfranc fracture-dislocation Background: the purpose of this study was to analyse the clinical and radiological results of closed reduction and percutaneous wire fixation of Lisfranc fracture-dislocation after a minimum follow-up of 10 years. The results for this same cohort were previously published in 2009. Methods: 12 cases were retrospectively reviewed. The functional outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the level of patient subjective satisfaction. For the radiological assessment, the anatomical reduction and the tarsometatarsal alignment were analysed. Results: the mean follow-up was 15.75 years. According to the AOFAS scale, cases with anatomical reduction had higher score (81) compared to cases without anatomical reduction (71.6). The patient subjective satisfaction was also higher when anatomical reduction was present. Long-term results showed a more pronounced worsening at AOFAS scale and patient subjective satisfaction when anatomical reduction or tarsometatarsal alignment were not present.","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80808502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.24129/j.rpt.3602.fs2206012
José Luis Jiménez Blázquez, Manuel García Carmona
.
．
{"title":"Schwannoma, una extraña causa de síndrome del túnel del tarso","authors":"José Luis Jiménez Blázquez, Manuel García Carmona","doi":"10.24129/j.rpt.3602.fs2206012","DOIUrl":"https://doi.org/10.24129/j.rpt.3602.fs2206012","url":null,"abstract":".","PeriodicalId":101106,"journal":{"name":"Revista del Pie y Tobillo","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86496806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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