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Valoración de traumatismo en columna cervical subaxial por el médico de primer contacto 第一次接触医生对颈椎下轴创伤的评估
Pub Date : 1900-01-01 DOI: 10.35366/107272
Fernando Alvarado-Gómez, Andrés Rodríguez-Múnera, S. Rosales-Camargo, O. Marroquín-Herrera
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引用次数: 3
La investigación como la llave para la internacionalización de los ortopedistas mexicanos 研究是墨西哥骨科医生国际化的关键
Pub Date : 1900-01-01 DOI: 10.35366/110711
Víctor Toledo-Infanson
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引用次数: 0
Artritis séptica facetaria en columna
Pub Date : 1900-01-01 DOI: 10.35366/99161
Álvaro Enrique Borri, Pedro Luis Bazán, Martín Medina, Nicolás Maximiliano Ciccioli
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引用次数: 2
Editorial de bienvenida del nuevo presidente de la revista Orthotips 欢迎《Orthotips》杂志新主席的社论
Pub Date : 1900-01-01 DOI: 10.35366/109759
D. E. Garín Zertuche, Félix Vilchez Cavazos
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引用次数: 0
Acceso ilioinguinal único como una alternativa al abordaje utilitario de Enneking y Dunham para hemipelvectomía interna 独特的髂腹股沟入路作为实用的Enneking和Dunham入路的替代内半骨盆切除术
Pub Date : 1900-01-01 DOI: 10.35366/107270
Luis Jair Sánchez-Torres, Absalón Espinoza Velazco
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引用次数: 0
Reporte de caso de manejo del pie traumático amputación transmetatarsiana bilateral en hospital de segundo nivel 二级医院双侧经跖骨截肢创伤性足处理病例报告
Pub Date : 1900-01-01 DOI: 10.35366/108283
Alma Elisama Borjón Cisneros, Rodolfo Ramírez Carrillo, Ana Lucía Escobedo Sánchez
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引用次数: 0
Diafisectomía de peroné en el tratamiento de pacientes con gonartrosis grado II-III Kellgren-Lawrence y genu varo en un hospital de Michoacán, México 墨西哥米却肯州一家医院Kellgren-Lawrence和genu varo II-III级gonartrosis患者的腓骨透析治疗
Pub Date : 1900-01-01 DOI: 10.35366/107271
Irving Raúl Téllez Aceves, Rafael Reyes Pantoja, Rodolfo Sánchez Ayala, Juan Antonio Silva Méndez, Jesús Arellano Martínez, I. Gutiérrez-Mendoza, Leonardo López Almejo
p ≤ 0.001). A los 24 meses tuvieron incremento de la altura del compartimento medial en comparación con el prequirúrgico (2.5 ± 0.5 vs 2.2 ± 0.6 mm, p = 0.004). El ángulo fémoro-tibial (174 ± 1 vs 178 ± 1 grados, prequirúrgico y postquirú rgico inmediato p ≤ 0.001). Conclusiones: La DP puede mejorar significativamente el dolor y la funcionalidad en pacientes con gonartrosis grado II-III de Kellgren-Lawrence y genu varo . Palabras clave: Diafisectomía de peroné, gonartrosis, genu varo , dolor, funcionalidad. Abstract Introduction : Knee osteoarthritis is one of the main causes of musculoskeletal pain that leads to disability. A large percentage is accompanied by genu varus. Total knee arthroplasty (TKA) is not an option in young patients and high tibial osteotomy (HTO); although it is accepted in young people, is not free of complications. Fibular diaphysectomy (FD) is a simple and safe option that can relieve pain and improve function. Objectives: To describe clinical and radiographic results in patients with Kellgren-Lawrence grade II-III knee osteoarthritis www.medigraphic.org.mx and genu varus treated with FD. Material and methods: Patients undergoing PD for medial compartment gonarthrosis were included. Pain and functionality were evaluated preoperatively, immediate postoperatively and at 3, 6, 12, 18 and 24 months. Radiographically, medial and lateral joint height, joint space proportion, as well as the femoro-tibial angle and condyle plateau were evaluated preoperatively, at 24 hours and at 24 months. A value of p < 0.05 was considered significant. Results: 20 patients were analyzed. Pain (VAS 7 [6-8] vs 3 [3-3] preoperative and immediate postoperative p ≤ 0.001), functionality (KSS 45 [40-49] vs 74 [66-78] preoperative and immediate postoperative, p = 0.001 and WOMAC 59 ± 3 vs 12 ± 1 preoperatively and immediately postoperatively, p ≤ 0.001). At 24 months they had an increase in the height of the medial compartment compared to the preoperative one (2.5 ± 0.5 vs 2.2 ± 0.6 mm, p = 0.004). The femoro-tibial angle (174 ± 1 vs 178 ± 1 degrees, preoperative and immediate postoperative p ≤ 0.001). FD can significantly improve pain and function in patients with Kellgren-Lawrence grade II-III knee osteoarthritis and genu varus.
p≤0.001)。24个月时,与术前相比,内侧腔室高度增加(2.5±0.5 vs 2.2±0.6 mm, p = 0.004)。股骨-胫骨角(174±1 vs 178±1度,术前和术后立即p≤0.001)。结论:pd可显著改善Kellgren-Lawrence和genu varo II-III级gonartrosis患者的疼痛和功能。关键词:腓骨透析,gonartrosis,膝关节内翻,疼痛,功能。摘要简介:膝关节骨关节炎是导致残疾的肌肉骨骼疼痛的主要原因之一。= =地理= =根据美国人口普查,该镇的总面积为,其中土地和(0.964平方公里)水。全膝关节成形术(TKA)不是年轻患者和高胫骨骨切开术(HTO)的选择;虽然它在年轻人中被接受,但它并非没有复杂性。腓骨膈切开术(FD)是一种简单而安全的选择,可以缓解疼痛和改善功能。目的:描述Kellgren-Lawrence II-III级膝关节骨关节炎www.medigraphic.org.mx和FD治疗膝关节varus患者的临床和影像学结果。材料和方法:包括接受PD治疗内侧关节病的患者。术前、术后即刻、3个月、6个月、12个月、18个月和24个月对疼痛和功能进行评估。术前、24小时和24个月对内侧和外侧关节高度、关节间隙比例、股胫骨角和髁板进行影射评估。p < 0.05的值被认为是显著的。结果:对20例患者进行分析。疼痛(VAS 7 [6-8] vs 3[3-3]术前和术后即刻p≤0.001),功能(KSS 45 [40-49] vs 74[66-78]术前和术后即刻p = 0.001, WOMAC 59±3 vs 12±1术前和术后即刻p≤0.001)。24个月后,与术前相比,内侧部分的高度增加(2.5±0.5 vs 2.2±0.6 mm, p = 0.004)。股骨-胫骨角(174±1 vs 178±1,术前和术后即期p≤0.001)。FD可显著改善Kellgren-Lawrence II-III级膝关节骨关节炎和膝关节曲张患者的疼痛和功能。
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引用次数: 0
Reconstrucción diafisaria de radio en pérdida ósea infectada por Pseudomonas aeruginosa mediante técnica de Masquelet 用Masquelet技术重建铜绿假单胞菌感染骨丢失的桡骨
Pub Date : 1900-01-01 DOI: 10.35366/110719
Gibran Ambriz Ramírez, Rodolfo Sánchez Ayala, I. Gutiérrez-Mendoza, Rafael Reyes Pantoja, Óscar Iván Giles Mazón, Gerardo Armando Esparza Méndez
Introduction: due to its anatomy, infected pseudarthrosis in the forearm is a challenge, and there are also few publications that describe the treatment of infected diaphyseal bone loss in the radius using the Masquelet technique. The objective of reporting this case is that having a bone loss of 7 cm infected with Pseudomonas aeruginosa , we eliminate the infection and based on the importance of the diamond concept through a balance between the biological environment and absolute mechanical stability, we achieve bone consolidation and complete functionality. Case presentation: male patient, 30 years old, type 2 diabetes mellitus, hypotrophic septic nonunion of the left radius, previously treated for closed fracture, presenting a month later rejection of the osteosynthesis material with skin fistula, purulent exudate and culture for Pseudomonas aeruginosa . The treatment consisted of performing the induced membrane technique with medicated polymethylmethacrylate, application of an autologous iliac crest graft plus bone marrow aspiration, eliminating the infection, achieving
简介:由于其解剖结构,前臂感染假关节是一个挑战,并且也很少有出版物描述使用Masquelet技术治疗桡骨感染骨干骨丢失。报告此病例的目的是,感染铜绿假单胞菌的骨质流失7厘米,我们消除了感染,并基于钻石概念的重要性,通过生物环境和绝对机械稳定性之间的平衡,我们实现了骨巩固和完整的功能。病例介绍:男性,30岁,2型糖尿病,左桡骨肥厚性脓毒性不愈合,既往治疗闭合性骨折,1个月后出现植骨材料排斥反应,伴有皮肤瘘,脓性渗出,铜绿假单胞菌培养。治疗方法包括:应用带药的聚甲基丙烯酸甲酯诱导膜技术,应用自体髂骨移植物加骨髓抽吸,消除感染,达到
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引用次数: 0
Prevalencia de lesión nerviosa periférica por fractura supracondílea de húmero en pacientes pediátricos 小儿患者肱骨髁上骨折引起的周围神经损伤的患病率
Pub Date : 1900-01-01 DOI: 10.35366/100624
Jesús Ruiz-Ruvalcaba, Pablo Espinoza-Hernández, C. Cuevas-Mora
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引用次数: 0
Inestabilidad acromioclavicular crónica tratada mediante reconstrucción anatómica de los ligamentos coracoclaviculares: plastia tipo Mazzocca 冠锁骨韧带解剖重建治疗慢性肩锁不稳:Mazzocca成形术
Pub Date : 1900-01-01 DOI: 10.35366/107278
Tomás Botello Fuentes, José Roberto Viveros Encarnación
el reporte de un caso clínico con su revisión de la bibliografía sobre una luxación acromioclavicular crónica grado IIIB, ma- nejada de manera quirúrgica con plastia tipo Mazzocca, su técnica quirúrgica y sus resultados funcionales. Se utilizaron las escalas funcionales Oxford Instability Score (OIS) y UCLA (University of California at Los Angeles) , con resultados de 23 y 26 previos a la cirugía, respectivamente, y una notable mejoría con resultados de 42 y 34 después de la cirugía, interpretados como funcionalidad excelente de la extremidad evaluada. Abstract A clinical case report is presented with a review of the literature on a chronic grade IIIB acromioclavicular dislocation, surgically managed with Mazzocca type plasty, its surgical technique and its functional results. Using the functional scales, Oxford Instability Score (OIS), UCLA (University of California at Los Angeles), with scores of 23 and 26 before surgery respectively, and a remarkable improvement with scores of 42 and 34 after surgery interpreted as excellent functionality of the evaluated limb.
本研究的目的是评估慢性肩肌锁骨脱位(iii ib级)的临床病例和文献综述,采用Mazzocca成形术治疗,其手术技术和功能结果。采用了牛津Instability Score的函数表(任何)和加州大学洛杉矶分校(University of California at Los Angeles),结果23日和26日分别手术之前,一个显著的改善结果第42和第34手术后,成优秀的一端评价等功能。摘要一份临床病例报告回顾了一种慢性IIIB级肩锁锁骨脱位、马佐卡型成形术治疗、手术技术及其功能结果的文献。使用功能量表,牛津不稳定性评分(OIS),加州大学洛杉矶分校(加州大学洛杉矶分校),术前评分分别为23分和26分,手术后评分分别为42分和34分,这被解释为被评估的肢体功能良好。
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引用次数: 0
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