Introduction: The treatment of nondisplaced carpal scaphoid fractures is controversial. The objective is to present a series of patients treated surgically. Material and Methods: Data of 42 consecutive patients with Herbert type B1 and B2 fractures treated with percutaneous volar screw fixation were reviewed. Function was assessed using the quick-DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Radiologically, the fracture union and the scapholunate (AEL) and capitolunar (ACL) angles were evaluated. Results: The mean follow-up time was 7.1 months (range, 5-12). The mean quick-DASH score at the final evaluation was 2.3 points (range, 0-27.3), which is consistent with an excellent outcome. Union was achieved in all cases, except one that presented nonunion, in a mean time of 5.7 weeks. The final mean AEL and ACL angles were satisfactory. There were no cases of scapholunate instability. All the patients, except one, returned to their previous activities in a mean time of 6.4 weeks. There was one case of pseudarthrosis, which required reintervention. Two patients reported discomfort from the screw after consolidation, with excellent outcomes after removed. Conclusion: Percutaneous screw fixation is an effective and safe method for nondisplaced or minimally displaced carpal scaphoid fractures, favoring rapid recovery and return to previous activities.
{"title":"Fijación percutánea en fracturas de escafoides carpiano agudas no desplazadas.","authors":"RUIZ MARTÍNEZ, GONZÁLEZ NAVARRO, RUIZ LOZANO, LIZAUR UTRILLA","doi":"10.37315/10.37315/sotocav20222915790","DOIUrl":"https://doi.org/10.37315/10.37315/sotocav20222915790","url":null,"abstract":"Introduction: The treatment of nondisplaced carpal scaphoid fractures is controversial. The objective is to present a series of patients treated surgically. Material and Methods: Data of 42 consecutive patients with Herbert type B1 and B2 fractures treated with percutaneous volar screw fixation were reviewed. Function was assessed using the quick-DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Radiologically, the fracture union and the scapholunate (AEL) and capitolunar (ACL) angles were evaluated. Results: The mean follow-up time was 7.1 months (range, 5-12). The mean quick-DASH score at the final evaluation was 2.3 points (range, 0-27.3), which is consistent with an excellent outcome. Union was achieved in all cases, except one that presented nonunion, in a mean time of 5.7 weeks. The final mean AEL and ACL angles were satisfactory. There were no cases of scapholunate instability. All the patients, except one, returned to their previous activities in a mean time of 6.4 weeks. There was one case of pseudarthrosis, which required reintervention. Two patients reported discomfort from the screw after consolidation, with excellent outcomes after removed. Conclusion: Percutaneous screw fixation is an effective and safe method for nondisplaced or minimally displaced carpal scaphoid fractures, favoring rapid recovery and return to previous activities.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131073956","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 : 2022-07-01DOI: 10.37315/sotocav20222905740
ORTEGA YAGO, ARGÜELLES LINARES, BAEZA OLIETE
Bioactive glass emerges as an alternative to the classic two-stage treatment of chronic focal osteomyelitis. It allows the eradication of the infection in a single surgical act without the need to add a local antibiotic thanks to its mechanism of action, facilitating the filling of the residual bone defect after debridement. A retrospective review of 29 patients treated with bioactive glass was carried out in order to analyze the results and secondary complications. We observed a significant improvement in the analytical parameters, with complete remission of the infection in 80% of the patients. 31% showed wound serum leakage with spontaneous resolution in 55% of patients in the first 7 days after surgery. Therefore, bioactive glass is effective against multiple microorganisms, with good results in recurrence rate and few complications, even though long-term studies are required to confirm these results.
{"title":"Papel del biovidrio en el tratamiento de la osteomielitis focal crónica.","authors":"ORTEGA YAGO, ARGÜELLES LINARES, BAEZA OLIETE","doi":"10.37315/sotocav20222905740","DOIUrl":"https://doi.org/10.37315/sotocav20222905740","url":null,"abstract":"Bioactive glass emerges as an alternative to the classic two-stage treatment of chronic focal osteomyelitis. It allows the eradication of the infection in a single surgical act without the need to add a local antibiotic thanks to its mechanism of action, facilitating the filling of the residual bone defect after debridement. A retrospective review of 29 patients treated with bioactive glass was carried out in order to analyze the results and secondary complications. We observed a significant improvement in the analytical parameters, with complete remission of the infection in 80% of the patients. 31% showed wound serum leakage with spontaneous resolution in 55% of patients in the first 7 days after surgery. Therefore, bioactive glass is effective against multiple microorganisms, with good results in recurrence rate and few complications, even though long-term studies are required to confirm these results.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115168109","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}
Introduction: The objective was to compare the tissue damage caused by the anterior and lateral approaches for a total hip replacement. Methods: Prospective cohort study comparing patients undergoing total hip replacement using an anterior or lateral approach. Tissue damage was assessed by serum levels of interleukin, tumor necrosis factor, and acute-phase reactants, and magnetic resonance imaging. Function was assessed with the Harris hip scale. Results: The parameters of tissue damage were significantly higher early with the lateral approach, although equalizing towards 30 postoperative days. There were no significant differences in functional outcome at 3 and 12 months. Conclusion: Although the lateral approach presents greater tissue damage in the early postoperative period, the functional outcome and speed of recovery in the short-term are similar between both approaches.
{"title":"Comparación del daño tisular entre los abordajes lateral y anterior para la prótesis total de cadera.","authors":"DE ANTA DIAZ, MARTINEZ MENDEZ, SEBASTIA FORCADA, PEREZ AZNAR, GONZÁLEZ NAVARRO","doi":"10.37315/sotocav20222905734","DOIUrl":"https://doi.org/10.37315/sotocav20222905734","url":null,"abstract":"Introduction: The objective was to compare the tissue damage caused by the anterior and lateral approaches for a total hip replacement. Methods: Prospective cohort study comparing patients undergoing total hip replacement using an anterior or lateral approach. Tissue damage was assessed by serum levels of interleukin, tumor necrosis factor, and acute-phase reactants, and magnetic resonance imaging. Function was assessed with the Harris hip scale. Results: The parameters of tissue damage were significantly higher early with the lateral approach, although equalizing towards 30\u0000postoperative days. There were no significant differences in functional outcome at 3 and 12 months. Conclusion: Although the lateral approach presents greater tissue damage in the early postoperative period, the functional outcome and speed of recovery in the short-term are similar between both approaches.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121308671","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}
Proximal tibio-fibular joint dislocation is an unusual injury which is frequently overlooked on first assessment. When diagnosed in the acute phase, immediate reduction is necessary and percutaneous stabilization is possible, with satisfactory prognosis. In chronic instability or dislocation, the optimal treatment is unknown. Anatomic reconstruction with the aim of restoring joint cinematics seems to be nevertheless necessary. We present a case of percutaneous treatment for stabilization of acute proximal tibio-fibular joint dislocation with excellent clinical and functional outcome.
{"title":"Luxación tibio-peronéa proximal. A propósito de un caso y revisión de la literatura.","authors":"ARBELOA GUTIERREZ, ARENAS MIQUELEZ, PENA O¹, MUÑOA","doi":"10.37315/sotocav20222915776","DOIUrl":"https://doi.org/10.37315/sotocav20222915776","url":null,"abstract":"Proximal tibio-fibular joint dislocation is an unusual injury which is frequently overlooked on first assessment. When diagnosed in the acute phase, immediate reduction is necessary and percutaneous stabilization is possible, with satisfactory prognosis. In chronic instability or dislocation, the optimal treatment is unknown. Anatomic reconstruction with the aim of restoring joint cinematics seems to be nevertheless necessary. We present a case of percutaneous treatment for stabilization of acute proximal tibio-fibular joint dislocation with excellent clinical and functional outcome.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122275491","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 : 2022-07-01DOI: 10.37315/sotocav20222905753
ORTEGA YAGO, BALFAGÓN-FERRER, BARRÉS-CARSÍ
Diaphyseal fractures of the radius with posterolateral dislocation of the ipsilateral elbow are a rare entity with lowfrequency. The objective of this study was to analyze the diagnosis, treatment and follow-up of these patients and toreview the cases described in the literature. We present 3 patients with this association operated on in our centre. The treatment of the dislocation in all three patients was closed. One patient required an external fixator due to a diaphysealfracture of the humerus. An open reduction with internal fixation of the radius was performed in all three patients using anLCP-type locked plate. Two patients had complete recovery of mobility, and the last patient required arthrolysis of theelbow due to significant limitation in mobility. It is important to determine the stability of the elbow after reducing thedislocation, and perform an early treatment of the radius to try to reduce the time of immobilisation.
{"title":"Asociación de luxación posterolateral de codo con fractura diafisaria ipsilateral de radio en adultos.","authors":"ORTEGA YAGO, BALFAGÓN-FERRER, BARRÉS-CARSÍ","doi":"10.37315/sotocav20222905753","DOIUrl":"https://doi.org/10.37315/sotocav20222905753","url":null,"abstract":"Diaphyseal fractures of the radius with posterolateral dislocation of the ipsilateral elbow are a rare entity with lowfrequency. The objective of this study was to analyze the diagnosis, treatment and follow-up of these patients and toreview the cases described in the literature. We present 3 patients with this association operated on in our centre. The\u0000treatment of the dislocation in all three patients was closed. One patient required an external fixator due to a diaphysealfracture of the humerus. An open reduction with internal fixation of the radius was performed in all three patients using anLCP-type locked plate. Two patients had complete recovery of mobility, and the last patient required arthrolysis of theelbow due to significant limitation in mobility. It is important to determine the stability of the elbow after reducing thedislocation, and perform an early treatment of the radius to try to reduce the time of immobilisation.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128384039","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}
Introduction: The objective was to analyze whether patient-dependent characteristics were consistent or not in periprosthetic fractures of total knee arthroplasty (TKA) and hip arthroplasty (THA). Methods: A retrospective study of periprosthetic fracture was performed in 20 patients after TKA and 40 after THA. Results: The overall mean age was 75.9 years, with 65% females, without significant differences between groups, except for a higher rate of obesity in ATR. The mean presentation of the fractures was 119.7 months after THA, and 40.8 after TKA. A substantial rate of patients in both groups had a defect in the final limb alignment. Conclusion: Most patient-dependent variables were common in both arthroplasties. The main differences were the higher rate of obesity and the earlier appearance of the fracture after TKA. Osteopenia may be an influential factor but it could not be objectively verified in this study. The correct alignment of the components seems important.
{"title":"Características de los pacientes con fracturas\u0000periprotésicas de artroplastia total de rodilla y\u0000cadera.","authors":"LAPEÑA MARTÍNEZ, PÉREZ-AZNAR, SEBASTIÁ-FORCADA, González-Navarro, MARTÍN-GRANDES, MAHIQUES-SEGURA","doi":"10.37315/sotocav20222905764","DOIUrl":"https://doi.org/10.37315/sotocav20222905764","url":null,"abstract":"Introduction: The objective was to analyze whether patient-dependent characteristics were consistent or not in periprosthetic fractures of total knee arthroplasty (TKA) and hip arthroplasty (THA). Methods: A retrospective study of periprosthetic fracture was performed in 20 patients after TKA and 40 after THA. Results: The overall mean age was 75.9 years, with 65% females, without significant differences between groups, except for a higher rate of obesity in ATR. The mean presentation of the fractures was 119.7 months after THA, and 40.8 after TKA. A substantial rate of patients in both groups had a defect in the final limb alignment. Conclusion: Most patient-dependent variables were common in both arthroplasties. The main differences were the higher rate of obesity and the earlier appearance of the fracture after TKA. Osteopenia may be an influential factor but it could not be objectively verified in this study. The correct alignment of the components seems important.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129860644","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}
Introduction: The objective of this study was to analyze the epidemiology of the low back pain and risk factors for lumbar disc herniation in the patient working age. Methods: Cross-sectional retrospective observational study identifying 75 patients with low back pain among active workers assisted by an occupational accident insurance company (73% men, mean age 46 years), of whom 48 (64%) had lumbar disc herniation. Results: Compared with workers without low back pain, only low economic status was a risk factor for low back pain (OR, 2.7; 95% CI, 1.1-7.1). Among patients with low back pain, comparing lumbar disc herniation and not, low economic status was also a risk factor for disc herniation (OR, 4.5; 95% CI, 1.6-12.8). There were no patients who required surgery after one year of follow-up. The average time of temporary incapacity for work was 83 days. Conclusion: Heavy work influences the appearance of disc herniation, but the only significant predisposing factor was low salary. Surgical treatment is Infrequent.
{"title":"Epidemiología y riesgo de hernia discal lumbar en trabajadores activos.","authors":"CHIRCA-LEAC, MARTÍNEZ-MÉNDEZ, GONZÁLEZ-PARREÑO, González-Navarro, MAHIQUES-SEGURA, MARTÍN-GRANDES","doi":"10.37315/sotocav20222905748","DOIUrl":"https://doi.org/10.37315/sotocav20222905748","url":null,"abstract":"Introduction: The objective of this study was to analyze the epidemiology of the low back pain and risk factors for lumbar disc herniation in the patient working age. Methods: Cross-sectional retrospective observational study identifying 75\u0000patients with low back pain among active workers assisted by an occupational accident insurance company (73% men, mean age 46 years), of whom 48 (64%) had lumbar disc herniation. Results: Compared with workers without low back pain, only low economic status was a risk factor for low back pain (OR, 2.7; 95% CI, 1.1-7.1). Among patients with low back pain, comparing lumbar disc herniation and not, low economic status was also a risk factor for disc herniation (OR, 4.5; 95% CI, 1.6-12.8). There were no patients who required surgery after one year of follow-up. The average time of temporary incapacity for work was 83 days. Conclusion: Heavy work influences the appearance of disc herniation, but the only significant predisposing factor was low salary. Surgical treatment is Infrequent.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114706320","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}
Diabetes mellitus (DM) is a health problem worldwide. The appearance of ulcers in diabetic patients annually affects around 26 million people worldwide. Without proper care, these foot ulcers can lead to hospitalization, amputation and death. Objetive: Try to find out that mechanical and structural factors are related to high plantar pressure in the forefoot (HPPF) and increase the risk of plantar ulcers in patients with diabetic neuropathy (DNP). Find out which peak of plantar pressure is considered high and therefore risk factor for the development of plantar ulcer, using an in-shoe pressure system (BIOFOOT/IBV). Material and methods: Observational, cross-sectional and analytical study. The sample consists of 70 patients (140 feet or units of analysis), with risk of plantar ulcer 1 and 2, without ischemia, of the risk classification of plantar ulcer development of the International Working Group on Diabetic Foot (IWGDF). Results: The results obtained specify that structural alteration of the foot is considered as a risk factor for the development of plantar ulcer. A plantar pressure is determined above which it is considered that patients with DNP could be at risk of ulceration. Conclusion: The observation of the feet of diabetic patients, especially those affected by DNP, and the use of insoles may be useful to prevent the appearance of plantar ulcers.
{"title":"Relación entre deformidad y presión máxima plantar en antepié en pacientes con polineuropatía diabética.","authors":"NAVARRO MONSOLIU, MARTÍNEZ ASSUCENA, HERNÁNDEZ MIJARES, MERINO RAMIREZ, ZARAGOZA CARDELLS, BAUTISTA RENTERO","doi":"10.37315/sotocav20222915769","DOIUrl":"https://doi.org/10.37315/sotocav20222915769","url":null,"abstract":"Diabetes mellitus (DM) is a health problem worldwide. The appearance of ulcers in diabetic patients annually affects around 26 million people worldwide. Without proper care, these foot ulcers can lead to hospitalization, amputation and death. Objetive: Try to find out that mechanical and structural factors are related to high plantar pressure in the forefoot (HPPF) and increase the risk of plantar ulcers in patients with diabetic neuropathy (DNP). Find out which peak of plantar pressure is considered high and therefore risk factor for the development of plantar ulcer, using an in-shoe pressure system (BIOFOOT/IBV). Material and methods: Observational, cross-sectional and analytical study. The sample consists of 70 patients (140 feet or units of analysis), with risk of plantar ulcer 1 and 2, without ischemia, of the risk classification of plantar ulcer development of the International Working Group on Diabetic Foot (IWGDF). Results: The results obtained specify that structural alteration of the foot is considered as a risk factor for the development of plantar ulcer. A plantar pressure is determined above which it is considered that patients with DNP could be at risk of ulceration. Conclusion: The observation of the feet of diabetic patients, especially those affected by DNP, and the use of insoles may be useful to prevent the appearance of plantar ulcers.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125623547","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}
Introduction: The objective of this study was to show the initial results of an oral vitamin-D and calcium supplementation program in patients who had suffered a hip fracture for the prevention of subsequent fractures considered osteoporotic. Method: Prospective comparative cohorts study in patients older than 65 operated for hip fracture. The patients were divided into two groups according to the serum level of vitamin-D at admission: 1) hypovit-D group, 58 patients who were prescribed oral vitamin-D and calcium at discharge; 2) control group, 13 patients with a normal level of vitamin-D who did not have that supplementation. Results: The sample size could not be completed due to the scarcity of patients with normal vitamin-D levels. The subsequent fracture rate in the following two years was 20.7% in the hypovit-D group and 15.4% in control group, with no significant difference (p = 0.664). Conclusion: provisionally, with the available data, oral vitamin-D and calcium supplementation have not shown effectiveness in preventing a subsequent hip fracture.
{"title":"La vitamina-D para la prevención de fracturas osteoporóticas.","authors":"JIMÉNEZ-OLIVARES, LAJARA MARCO, González-Navarro, MAHIQUES-SEGURA, MARTÍN-GRANDES, MARTÍNEZ-MÉNDEZ","doi":"10.37315/sotocav20222905759","DOIUrl":"https://doi.org/10.37315/sotocav20222905759","url":null,"abstract":"Introduction: The objective of this study was to show the initial results of an oral vitamin-D and calcium supplementation program in patients who had suffered a hip fracture for the prevention of subsequent fractures considered osteoporotic.\u0000Method: Prospective comparative cohorts study in patients older than 65 operated for hip fracture. The patients were divided into two groups according to the serum level of vitamin-D at admission: 1) hypovit-D group, 58 patients who were prescribed oral vitamin-D and calcium at discharge; 2) control group, 13 patients with a normal level of vitamin-D who did not have that supplementation. Results: The sample size could not be completed due to the scarcity of patients with normal vitamin-D levels. The subsequent fracture rate in the following two years was 20.7% in the hypovit-D group and 15.4% in control group, with no significant difference (p = 0.664). Conclusion: provisionally, with the available data, oral vitamin-D and calcium supplementation have not shown effectiveness in preventing a subsequent hip fracture.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134439384","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 : 2022-03-31DOI: 10.37315/sotocav2022289571
MIRALLES MUÑOZ, VALERO BRAVO
Lateral ankle sprain is a frequent injury that heals quickly with correct treatment. We present a case with rare complications, unrelated to inadequate orthopedic treatment. In addition, the study is completed by conducting a review of the literature with the different systems used to classify this type of injury. A 49-year-old male athlete with a lateral ankle sprain while practicing basketball who presented significant edema, which progressed to anterolateral skin necrosis in 2 weeks. After scarectomy, he presented a deep wound with exposure of the capsulo-ligamentous structures, turning the injury into an open one. He associated a complete injury of the superficial peroneal nerve. Outpatient cures were startedwith associated negative pressure therapy, healing the wound after 4 months of evolution, returning to sports practice at 8 months.
{"title":"Esguince lateral de tobillo con necrosis cutánea no yatrogénica. Presentación de un caso y\u0000revisión de los sistemas de clasificación.","authors":"MIRALLES MUÑOZ, VALERO BRAVO","doi":"10.37315/sotocav2022289571","DOIUrl":"https://doi.org/10.37315/sotocav2022289571","url":null,"abstract":"Lateral ankle sprain is a frequent injury that heals quickly with correct treatment. We present a case with rare complications, unrelated to inadequate orthopedic treatment. In addition, the study is completed by conducting a review of the literature with the different systems used to classify this type of injury. A 49-year-old male athlete with a lateral ankle\u0000sprain while practicing basketball who presented significant edema, which progressed to anterolateral skin necrosis in 2 weeks. After scarectomy, he presented a deep wound with exposure of the capsulo-ligamentous structures, turning the injury into an open one. He associated a complete injury of the superficial peroneal nerve. Outpatient cures were startedwith associated negative pressure therapy, healing the wound after 4 months of evolution, returning to sports practice at 8 months.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128561169","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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