Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第10页

[Translated article] Hip fractures in Spain. How are we? Systematic review and meta-analysis of the published registries 【翻译文章】西班牙髋部骨折。我们怎么样？对已发表的注册表进行系统回顾和荟萃分析。

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.010

J.H. Núñez , F. Moreira , M. Surroca , J. Martínez-Peña , M.J. Jiménez-Jiménez , B. Ocrospoma-Flores , P. Castillón , E. Guerra-Farfán

Objective

Spain is expected to be the country with the highest life expectancy in the coming years. In this context, it is important to improve the care of hip fractures. The objective of this work was to describe the results of the registries published on hip fractures in Spain.

Material and methods

Systematic review and meta-analysis of the records published on hip fractures in Spain, the last 10 years. The characteristics of the study, characteristics of the patients, of the fractures, the type of surgery, as well as morbidity and mortality were analyzed.

Results

A total of 55,680 patients with a mean age of 84.6 years were analyzed, of whom 75% were women. Extracapsular fractures were the most frequent (58%). It was found that conservative treatment was applied in an average of 3% of cases. The average surgical delay was 64.7 h, with a mean percentage of patients operated on within 24 h at 18%, and within 48 h at 40%. A mean hospitalization time of 10.7 days was found. Delirium was found to be the most frequent postoperative complication (42%). The mean transfusion rate was 36%. Mean in-hospital mortality at one month and one year was 4%, 5% and 18%, respectively.

Conclusions

Less than half of patients with a hip fracture undergo surgery within 48 h, despite being recommended by the majority of clinical practice guidelines. Delirium is the most frequently reported postoperative complication, and one in every 5 patients will die within a year after a hip fracture. Standardizing the management of hip fractures at the state level could improve healthcare quality and facilitate the establishment of common criteria for good clinical practice.

西班牙有望在未来几年成为预期寿命最高的国家。在这种情况下，改善髋部骨折的护理是很重要的。这项工作的目的是描述在西班牙公布的髋部骨折登记结果。材料和方法对西班牙近10年髋骨骨折的文献进行系统回顾和荟萃分析。分析研究特点、患者特点、骨折类型、手术方式、发病率和死亡率。结果共分析55,680例患者，平均年龄84.6岁，其中75%为女性。囊外骨折最为常见（58%）。结果发现，平均3%的病例采用保守治疗。平均手术延迟为64.7小时，24小时内手术的患者平均百分比为18%，48小时内手术的患者平均百分比为40%。平均住院时间为10.7天。谵妄是最常见的术后并发症（42%）。平均输血率为36%。1个月和1年的平均住院死亡率分别为4%、5%和18%。结论：尽管大多数临床实践指南建议在48小时内进行手术，但只有不到一半的髋部骨折患者接受手术。谵妄是最常见的术后并发症，每5名患者中就有1人在髋部骨折后一年内死亡。在州一级规范髋部骨折的管理可以提高医疗质量，并促进建立良好临床实践的共同标准。

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引用次数: 0

[Translated article] Does plate fixation improve the Latarjet procedure for anterior glenohumeral instability? 钢板内固定能改善治疗肱骨前关节不稳的Latarjet手术吗？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.017

A. Portes, F. Santana, C. Torrens

The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) and those with screws only (GSP) for coracoid fixation.

Material and methods

A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same center between October 2009 and February 2021. A total of 85 shoulders were analyzed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss <10%, ligamentous hyperlaxity (Beighton score >6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity.

Results

Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30 ± 8.78 years. Both groups were statistically comparable. No significant differences were found in the WOSI test (p = .140), the Rowe test (p = .380) or in complications (p = .692). A higher percentage of the GP group returned to sports activity (77.1% GP vs. 51.7% GSP, p = .039).

Conclusions

No statistically differences were observed in quality of life, complications, or redislocations. However, the use of a plate showed a greater predisposition to return to sports activity (p = .039) in patients with anterior glenohumeral instability.

Latarjet技术是一种用于治疗肱骨前盂不稳伴盂骨丢失的手术。关于喙骨的各种固定系统已经在文献中描述过。本研究旨在比较用钢板螺钉（GP）和只用螺钉（GSP）治疗的冠状骨固定患者的生活质量和并发症的结果。材料和方法一项回顾性研究，包括2009年10月至2021年2月在同一中心接受Latarjet治疗的肱骨前盂不稳和盂骨丢失患者。共分析了85个肩部，其中64个完成了至少一年的随访。排除有同侧肩关节手术史、骨质流失和既往感染的患者。记录并发症，并使用WOSI和Rowe试验评估生活质量和恢复体育活动。结果64例患者中35例采用钢板（GP）， 29例采用螺钉（GSP）。平均年龄30±8.78岁。两组具有统计学上的可比性。WOSI试验（P = .140）、Rowe试验（P = .380）和并发症（P = .692）无显著差异。GP组恢复体育活动的比例较高（77.1% GP vs. 51.7% GSP, P = 0.039）。结论两组患者在生活质量、并发症或再脱位方面无统计学差异。然而，在肱骨前关节不稳的患者中，钢板的使用显示出更大的恢复运动活动的倾向（P = 0.039）。

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引用次数: 0

[Translated article] Open Science. Business or Opportunity? [翻译文章]开放科学。生意还是机会？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.03.011

Enrique Guerado Parra

引用次数: 0

¿Mejora la fijación con placa la cirugía de Latarjet para la inestabilidad anterior glenohumeral? 钢板固定能否改善盂兰盆前关节失稳的 Latarjet 手术？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.11.015

A. Portes, F. Santana, C. Torrens

The Latarjet technique is a procedure used to treat anterior glenohumeral instability with glenoid bone loss. Various fixation systems for the coracoid have been described in the literature. This study aims to compare the results in quality of life and complications between patients treated with plate and screws (GP) and those with screws only (GSP) for coracoid fixation.

Material and methods

A retrospective study including patients with anterior glenohumeral instability and glenoid bone loss treated with Latarjet at the same center between October 2009 and February 2021. A total of 85 shoulders were analyzed, of which 64 completed at least one year of follow-up. Patients with previous surgical history in the same shoulder, bone loss < 10%, ligamentous hyperlaxity (Beighton score > 6), and previous infections were excluded. Complications were recorded, and the WOSI and Rowe tests were used to assess quality of life and return to sports activity.

Results

Of the 64 patients, 35 were treated with a plate (GP) and 29 with screws (GSP). The mean age was 30 ± 8.78 years. Both groups were statistically comparable. No significant differences were found in the WOSI test (P = .140), the Rowe test (P = .380) or in complications (P = .692). A higher percentage of the GP group returned to sports activity (77.1% GP vs. 51.7% GSP, P = .039).

Conclusions

No statistically differences were observed in quality of life, complications, or re-dislocations. However, the use of a plate showed a greater predisposition to return to sports activity (P = .039) in patients with anterior glenohumeral instability.

Latarjet技术是一种用于治疗盂骨缺失的盂肱前部不稳定的手术。文献中描述了多种用于固定肩胛骨的系统。本研究旨在比较使用钢板和螺钉（GP）与仅使用螺钉（GSP）进行肩胛骨固定的患者在生活质量和并发症方面的结果：2009年10月至2021年2月期间在同一中心接受Latarjet治疗的前盂肱骨不稳定和盂骨缺损患者。共分析了 85 例肩关节，其中 64 例完成了至少一年的随访。排除了曾在同一肩部接受过手术、骨丢失 6) 和曾感染的患者。并发症记录在案，WOSI和ROWE测试用于评估生活质量和运动恢复情况：64名患者中，35人使用钢板（GP）治疗，29人使用螺钉（GSP）治疗。平均年龄为（30±8.78）岁。两组患者在统计学上具有可比性。WOSI测试（P=0.140）、ROWE测试（P=0.380）和并发症（P=0.692）均无明显差异。全科医生组恢复体育活动的比例更高（77.1% 的全科医生对 51.7% 的全科医生，p=0.039）：在生活质量、并发症或再次脱位方面没有统计学差异。结论：在生活质量、并发症或再次脱位方面未观察到统计学差异，但在盂肱关节前侧不稳定的患者中，使用钢板更容易恢复运动活动（P=0.039）。

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引用次数: 0

Caracterización clínica de pacientes con coaliciones tarsianas. Experiencia de 12 años en hospital de alta complejidad 跗骨联合患者的临床特征。

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.09.007

E. Fernández-Rojas , M. Monteagudo de la Rosa , P. Martínez de Albornoz Torrente , E. Maceira Suárez

Background

Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.

Materials and methods

Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.

Results

Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56,5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).

Discussion

In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, P=.032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.

背景：跗骨联合是两块或多块跗骨的异常联合，可能会导致不同的足踝病症。跗骨联合的发病率也不尽相同，但最常诊断的是距骨联合和方骨联合。本文旨在评估被诊断为跗骨联合的患者的临床和流行病学特征：2007 年 8 月至 2020 年 1 月期间，在西班牙马德里的一家私立大学医院对跗关节联盟患者进行了横断面描述性研究。研究获得并分析了有关年龄、性别、根据解剖位置和组织类型划分的跗骨联合类型、侧位和后足状况以及症状的数据：在已确认的 57 名患者（80 英尺）中，有 31 名男性（54.4%）和 26 名女性（45.6%）。平均年龄为 36.9 岁。联盟总数为 85 个。48例为双侧联合（56.5%）。其中52例为距骨联合（TCC）（61.2%），32例为方骨联合（CNC）（37.6%），1例为方臼联合（1.2%）。我们的系列研究显示有 36 个骨性联盟（42.4%）和 49 个纤维软骨性联盟（57.6%）。单独评估时，35 例 TCC 为骨性（67.3%），17 例为纤维软骨性（32.7%）；1 例 CNC 为骨性（3.1%），31 例为纤维软骨性（96.9%）：讨论：在我们的研究中，TCC 是最常见的亚型，其中大多数为骨性。从性别分布来看，CCN 组中男性发病率较高（费雪精确检验，P = 0.032）。其中一些结果与之前的文献报道不同，因此需要进行新的研究来解释我国人群中的这种差异。

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引用次数: 0

[Translated article] Clinical characterization of patients with tarsal coalitions. Twelve-year experience in a high-complexity hospital 【翻译文章】跗骨联合患者的临床特征。在高度复杂的医院工作了12年。

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.015

E. Fernández-Rojas , M. Monteagudo de la Rosa , P. Martínez de Albornoz Torrente , E. Maceira Suárez

Background

Tarsal coalitions are aberrant unions of two or more tarsal bones which may condition variable foot and ankle conditions. Their incidence is also variable but most frequently diagnosed coalitions are talocalcaneal and calcaneonavicular. This article aims to evaluate clinical and epidemiological characteristics of patients diagnosed with tarsal coalitions.

Materials and methods

Cross-sectional descriptive study of patients with tarsal coalitions from August 2007 to January 2020 in a private University Hospital in Madrid, Spain. Data on age, sex, type of coalition according to anatomical location and tissue type, laterality and hindfoot condition and symptoms were obtained and analyzed.

Results

Of the 57 patients identified (80 feet), there were 31 males (54.4%) and 26 females (45.6%). Average age was 36.9 years. The total number of coalitions was 85. There were 48 bilateral coalitions (56.5%). Fifty-two talocalcaneal coalitions (TCC) (61.2%), 32 calcaneonavicular coalitions (CNC) (37.6%) and 1 calcaneocuboid coalition (1.2%) were registered. Our series showed 36 osseous coalitions (42.4%) and 49 fibrocartilaginous coalitions (57.6%). When evaluated separately, 35 of the TCC were osseous (67.3%) and 17 were fibrocartilaginous (32.7%); 1 of the CNC was osseous (3.1%) and 31 were fibrocartilaginous (96.9%).

Discussion

In our review, TCC was the most frequent subtype, with the majority being the bony in nature. In the distribution according to sex, a higher incidence of males is found within the CCN group (Fisher's Exact test, p = .032). Some of the results obtained are different from what was previously reported in the literature, which gives rise to new studies that explain this difference in our population.

跗骨联合是两根或多根跗骨的异常结合，可能导致足部和踝关节的变化。它们的发生率也各不相同，但最常诊断的是距跟骨和跟棘骨联合。本文旨在探讨跗骨结扎患者的临床和流行病学特征。材料和方法对西班牙马德里一家私立大学医院2007年8月至2020年1月的跗骨联合患者进行横断面描述性研究。根据解剖位置和组织类型，获得年龄、性别、结扎类型、侧侧和后足状况及症状的数据并进行分析。结果57例（80尺）患者中，男性31例（54.4%），女性26例（45.6%）。平均年龄为36.9岁。联盟总数为85个。有48个双边联盟（56.5%）。52例距骨关节（TCC）（61.2%）， 32例跟骨棘关节（CNC）（37.6%）和1例跟骨立方关节（1.2%）。我们的研究显示36个骨性联盟（42.4%）和49个纤维软骨联盟（57.6%）。单独评估时，35例TCC为骨性（67.3%），17例为纤维软骨性（32.7%）；1例骨性（3.1%），31例纤维软骨（96.9%）。在我们的综述中，TCC是最常见的亚型，大多数是骨性的。在按性别分布中，CNC组中男性发病率较高（Fisher's Exact检验，P= 0.032）。其中一些结果与之前的文献报道有所不同，这引发了新的研究来解释我们人群中的这种差异。

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引用次数: 0

Functional evaluation after cortical button fixation for distal biceps ruptures – Is there any difference between manual or non-manual workers? 皮质纽扣固定治疗肱二头肌远端断裂后的功能评估--体力劳动者和非体力劳动者有区别吗？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.007

A. Batista , N. Moura , M. Sarmento , T. Coelho , D. Gomes , R. Ramos , A. Cartucho

Background

This study aims to compare clinical and functional results after distal biceps tendon repair in manual workers vs. non-manual workers.

Methods

This is a retrospective comparative study which refers to 57 cases with distal biceps tendon rupture, divided in manual workers (24 elbows) and non-manual workers (33), that were treated by a single incision with cortical button and interference screw fixation. Included cases have a minimum of 3 months follow-up, post-operative X-ray and signed informed consent for the investigation.

Results

Supination and flexion strength was higher in manual workers vs. non-manual workers (p-value = 0.192 and 0.878, respectively). Nine patients showed loss of range of motion, concerning supination and pronation, and this was correlated to worse functional scores. Functional scores tend to be superior in non-manual workers. Ten patients had heterotopic ossification and 20 patients reported lateral antebrachial cutaneous nerve neuropraxia; one had both. Most of them had a full recovery.

Conclusion

According to clinical evaluation and post-operative scores, the performed surgical procedure provides good to excellent mid-term functional results. Nevertheless, there were not any differences between manual or non-manual workers.

背景：本研究旨在比较体力劳动者与非体力劳动者进行二头肌远端肌腱修复后的临床和功能效果：本研究旨在比较体力劳动者与非体力劳动者肱二头肌远端肌腱修复术后的临床和功能效果：这是一项回顾性比较研究，涉及 57 例肱二头肌远端肌腱断裂病例，分为体力劳动者（24 例）和非体力劳动者（33 例），均采用单切口皮质纽扣和干扰螺钉固定术进行治疗。所纳入的病例至少接受了 3 个月的随访、术后 X 光检查，并签署了调查知情同意书：结果：体力劳动者与非体力劳动者相比，上举和屈曲强度更高（P值分别为0,192和0,878）。九名患者在仰卧和前屈方面的活动范围有所减小，这与较差的功能评分有关。非体力劳动者的功能评分往往更高。10名患者出现异位骨化，20名患者出现外侧肱前皮神经神经瘫痪，其中一名患者同时出现这两种情况。结论：结论：根据临床评估和术后评分，手术治疗的中期功能效果良好。尽管如此，体力劳动者和非体力劳动者之间没有任何差异。

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引用次数: 0

Interobserver reliability of classifying shoulder calcific tendinopathy on plain radiography and ultrasound 通过X光平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性。

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2023.12.002

A. Fernández-Bravo Rueda , B. Gutiérrez-San José , J. Fernández-Jara , A. Fernández-López , P. Núñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín-Ríos

Introduction

Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or X-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.

Material and methods

From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.

Results

Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.

Conclusion

This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.

导言肩部钙化性肌腱病是肩部疼痛的常见原因。诊断通常基于超声波（US）和/或 X 光片。US 被认为是一种固有的依赖于操作者的成像模式，肌肉骨骼 US 方面的专家曾描述过观察者之间的差异性。本研究的主要目的是评估肩部钙化性肌腱病的观察者之间的一致性，即受过培训的肌肉骨骼放射科医生在平片和超声中分析的钙的大小、类型和位置：2018年6月至2019年5月，我们进行了一项前瞻性研究。纳入了被诊断为与钙化性肌腱病相关的肩痛患者。由两名不同的经验丰富的肌肉骨骼放射科医生独立评估平片和美片：结果：共纳入 40 名患者，平均年龄为 54.6 岁。平片和X光片上钙化类型的科恩卡帕系数（Cohen´s kappa coefficient）分别为 0.721 和 0.761。钙化位置在普通胶片和 US 中的系数分别为 0.927 和 0.760。钙化大小的类内相关系数（ICC）在平片和 US 中分别为 0.891 和 0.86。这两项测量结果均未发现有统计学意义的差异：这项研究表明，经验丰富的肌肉骨骼放射科医生对肩部钙化性腱鞘炎的类型和大小测量（平片和 US）的观察者间可靠性非常高：证据级别：III，前瞻性观察者间研究。

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引用次数: 0

[Artículo traducido] Concordancia interobservador de la clasificación de la tendinopatía calcificante de hombro "利用平片和超声波对肩部钙化性肌腱病进行分类的观察者间可靠性"。

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2025.02.008

A. Fernandez-Bravo Rueda , B. Gutiérrez San José , J. Fernández Jara , A. Fernández López , P. Nuñez de Aysa , D. González-Martín , E. Calvo , M.D. Martín Ríos

Introduction

Shoulder calcific tendinopathy is a frequent cause of shoulder pain. Diagnosis is usually based on ultrasound (US) and/or x-ray. US is considered an inherently operator-dependent imaging modality and, interobserver variability has previously been described by experts in the musculoskeletal US. The main objective of this study is to assess the interobserver agreement for shoulder calcific tendinopathy attending to the size, type, and location of calcium analyzed in plain film and ultrasound among trained musculoskeletal radiologists.

Material and methods

From June 2018 to May 2019, we conducted a prospective study. Patients diagnosed with shoulder pain related to calcific tendinopathy were included. Two different experienced musculoskeletal radiologists evaluated independently the plain film and the US.

Results

Forty patients, with a mean age of 54.6 years, were included. Cohen's kappa coefficient of 0.721 and 0.761 was obtained for the type of calcium encountered in plain film and the US, respectively. The location of calcification obtained a coefficient of 0.927 and 0.760 in plain film and US, respectively. The size of the calcification presented an intraclass correlation coefficient (ICC) of 0.891 and 0.86 in plain film and US respectively. No statistically significant differences were found in either measurement.

Conclusion

This study shows very good interobserver reliability of type and size measurement (plain film and US) of shoulder calcifying tendinopathy in experienced musculoskeletal radiologists.

肩部钙化性肌腱病是引起肩部疼痛的常见原因。诊断通常基于超声（US）和/或x射线。US被认为是一种固有的依赖于操作者的成像模式，并且以前肌肉骨骼US的专家已经描述了观察者之间的可变性。本研究的主要目的是评估训练有素的肌肉骨骼放射科医生对肩关节钙化肌腱病变的大小、类型和位置的观察一致性，包括平片和超声分析。材料与方法2018年6月至2019年5月，我们进行了前瞻性研究。诊断为与钙化肌腱病相关的肩痛的患者被纳入研究。两个不同的经验丰富的肌肉骨骼放射科医生独立评估平片和美国。结果共纳入40例患者，平均年龄54.6岁。在普通膜和US中遇到的钙的类型，分别得到Cohen’s kappa系数为0.721和0.761。钙化位置在平膜和US中的系数分别为0.927和0.760。钙化大小的类内相关系数（ICC）分别为0.891和0.86。两项测量均未发现统计学上的显著差异。结论本研究显示，经验丰富的肌肉骨骼放射科医师对肩部钙化肌腱病的类型和大小测量（平片和超声）具有良好的观察者间可靠性。

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引用次数: 0

Cifoplastia con silicona (elastoplastia) versus cifoplastia tradicional con cemento para fracturas vertebrales osteoporóticas. ¿Esta nueva técnica reduce las complicaciones? VK100 硅胶弹性成形术与 PMMA 骨水泥椎体成形术治疗骨质疏松性椎体骨折。这种新技术的并发症更少吗？

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2025-05-01 DOI: 10.1016/j.recot.2024.10.013

R. Luque, D. Garríguez, P. Checa Betegon, M. Sanchez, M. Olvera, J.L. Perez Gonzalez, I. Dominguez Esteban

Introduction

Stiffness is increased in vertebrae after kyphoplasty with bone cement is performed, which cause an increase in subsequent fractures in adjacent levels. This has led to increased interest in alternative filling materials such as bioactive calcium phosphate ceramics or silicon-based polymers. This study's objective is to compare the results between kyphoplasty with bone cement and with the VK100 silicone.

Materials and methods

This is a comparative, prospective study involving 64 patients, 23 treated using VK100 and 41 with PMMA. Clinical, radiological and functional results (Oswestry) and quality of life and (EQ-5D) were analyzed and compared between both groups, focusing on differences in subsequent fractures in adjacent levels.

Results

There are no differences between the two treatments in terms of epidemiological factors (age and sex) or hospital management. A significant difference is observed in the gain of vertebral body height, with greater improvement in those treated with PMMA. There is also a higher fracture rate in the PMMA group, the difference is not significant. Finally, both treatments show similar outcomes in pain relief and quality of life.

Conclusion

Both VK100 Elastoplasty and PMMA Kyphoplasty are effective treatments for vertebral fractures. VK100 has a lower rate of complications and adjacent fractures. However, long-term results in terms of pain relief and quality of life are similar, making both treatments equally valid.

简介使用骨水泥进行椎体后凸成形术后，椎体的硬度会增加，从而导致邻近水平的骨折增加。因此，人们对生物活性磷酸钙陶瓷或硅基聚合物等替代填充材料越来越感兴趣。本研究的目的是比较使用骨水泥和 VK100 硅酮进行椎体后凸成形术的效果：这是一项涉及 64 名患者的前瞻性比较研究。64 名患者中，23 人使用 VK100 治疗，41 人使用 PMMA 治疗。对两组患者的临床、放射学和功能结果（Oswestry）以及生活质量（EQ-5D）进行了分析和比较，重点关注相邻水平后续骨折的差异：结果：两种治疗方法在流行病学因素（年龄和性别）或医院管理方面没有差异。在椎体高度的增加方面有明显差异，使用 PMMA 治疗的患者椎体高度增加的幅度更大。PMMA 组的骨折率也较高，但差异并不显著。最后，两种治疗方法在缓解疼痛和提高生活质量方面的效果相似：结论：VK100 Elastoplasty 和 PMMA Kyphoplasty 都是治疗椎体骨折的有效方法。VK100 的并发症和邻近骨折发生率较低。然而，两种疗法在缓解疼痛和提高生活质量方面的长期效果相似，因此两种疗法同样有效。

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