Pub Date : 2026-01-01Epub Date: 2025-05-21DOI: 10.1016/j.recot.2025.05.005
A.N. Toro-Ibarguen , E. Sánchez Benito , J.M. Cortés Villar
Background and objective
The primary objective is to evaluate the clinical and functional outcomes of tape reinforcement in anterior cruciate ligament (ACL) reconstructions, recording complications, as well as the rate of reinterventions and graft failure.
Materials and methods
Retrospective analysis of ACL reconstructions with hamstring (HS) autograft that were reinforced with high-strength tape. We included patients in whom we obtained a graft of HS < 8 mm or ≥ 8 mm of poor quality. Age, sex, body mass index (BMI), and previous activity were recorded. Clinical and functional evaluation were made and postoperative range of motion (ROM), pain, and Lysholm functional scale were recorded. Complication rate, graft failure rate, and reintervention rate were analyzed.
Results
A total of 160 patients were included, with a mean age of 29.19 years. Of these, 98 were male and 62 female, with a mean BMI of 23.5. The mean follow-up period was 31.7 months. The average ROM was 137.2°, the mean pain level was 0.8, and the average Lysholm score was 95.1. The complication rate was 11%, with 5% requiring reoperation. The graft failure rate was 1.3%. A graft diameter < 8 mm was associated with females with Fisher's exact test of P<.0001. In the other parameters, no statistically significant differences were found between patients with grafts < 8 mm and those with grafts ≥8 mm.
Conclusions
This study demonstrates that tape reinforcement in ACL reconstruction is a safe procedure, offering excellent clinical and functional outcomes with low reinterventions and graft failure rates.
{"title":"Análisis de los resultados de la reconstrucción del ligamento cruzado anterior asociado al refuerzo con cinta de alta resistencia (material de polietileno trenzado de ultra alto peso molecular)","authors":"A.N. Toro-Ibarguen , E. Sánchez Benito , J.M. Cortés Villar","doi":"10.1016/j.recot.2025.05.005","DOIUrl":"10.1016/j.recot.2025.05.005","url":null,"abstract":"<div><h3>Background and objective</h3><div>The primary objective is to evaluate the clinical and functional outcomes of tape reinforcement in anterior cruciate ligament (ACL) reconstructions, recording complications, as well as the rate of reinterventions and graft failure.</div></div><div><h3>Materials and methods</h3><div>Retrospective analysis of ACL reconstructions with hamstring (HS) autograft that were reinforced with high-strength tape. We included patients in whom we obtained a graft of HS <<!--> <!-->8<!--> <!-->mm or ≥<!--> <!-->8<!--> <!-->mm of poor quality. Age, sex, body mass index (BMI), and previous activity were recorded. Clinical and functional evaluation were made and postoperative range of motion (ROM), pain, and Lysholm functional scale were recorded. Complication rate, graft failure rate, and reintervention rate were analyzed.</div></div><div><h3>Results</h3><div>A total of 160 patients were included, with a mean age of 29.19 years. Of these, 98 were male and 62 female, with a mean BMI of 23.5. The mean follow-up period was 31.7 months. The average ROM was 137.2°, the mean pain level was 0.8, and the average Lysholm score was 95.1. The complication rate was 11%, with 5% requiring reoperation. The graft failure rate was 1.3%. A graft diameter <<!--> <!-->8<!--> <!-->mm was associated with females with Fisher's exact test of <em>P</em><.0001. In the other parameters, no statistically significant differences were found between patients with grafts <<!--> <!-->8<!--> <!-->mm and those with grafts ≥8<!--> <!-->mm.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that tape reinforcement in ACL reconstruction is a safe procedure, offering excellent clinical and functional outcomes with low reinterventions and graft failure rates.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages 20-27"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963179","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 : 2026-01-01Epub Date: 2025-11-10DOI: 10.1016/j.recot.2025.11.011
A. Gargantilla Vázquez , M.J. Pérez Úbeda
A natural disaster is a phenomenon causing significant human, material, economic, and environmental losses, exceeding the capacity of the affected community or country to respond with its own resources. These events progress through phases: hyperacute, acute, subacute, chronic, and rehabilitation/recovery. Orthopedic surgeons play a vital role in each phase, from initial rescue to long-term rehabilitation.
In the acute phase, their responsibilities include triaging and managing injuries such as fractures (commonly in the lower limbs), wound infections, and crush injuries. Effective treatment is crucial to minimizing morbidity and mortality. Coordination between emergency medical teams (EMTs) and local authorities is essential for an efficient response, while poor organization can hinder relief efforts.
Orthopedic surgeons must adapt to limited resources, respect cultural contexts, and address socio-economic realities. Their role is increasingly critical due to the rising frequency of natural disasters linked to climate change, emphasizing the need for preparation and collaboration.
{"title":"[Artículo traducido] El papel del cirujano ortopédico en los desastres naturales","authors":"A. Gargantilla Vázquez , M.J. Pérez Úbeda","doi":"10.1016/j.recot.2025.11.011","DOIUrl":"10.1016/j.recot.2025.11.011","url":null,"abstract":"<div><div>A natural disaster is a phenomenon causing significant human, material, economic, and environmental losses, exceeding the capacity of the affected community or country to respond with its own resources. These events progress through phases: hyperacute, acute, subacute, chronic, and rehabilitation/recovery. Orthopedic surgeons play a vital role in each phase, from initial rescue to long-term rehabilitation.</div><div>In the acute phase, their responsibilities include triaging and managing injuries such as fractures (commonly in the lower limbs), wound infections, and crush injuries. Effective treatment is crucial to minimizing morbidity and mortality. Coordination between emergency medical teams (EMTs) and local authorities is essential for an efficient response, while poor organization can hinder relief efforts.</div><div>Orthopedic surgeons must adapt to limited resources, respect cultural contexts, and address socio-economic realities. Their role is increasingly critical due to the rising frequency of natural disasters linked to climate change, emphasizing the need for preparation and collaboration.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T59-T63"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963172","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 : 2026-01-01Epub Date: 2025-11-06DOI: 10.1016/j.recot.2025.11.009
P.I. Codesido Vilar , P. Sucasas Hermida , B. Calvete Vázquez , C. Bonome Roel , A. Montero Picallo , M. Goday Etxebarria , A. López González
<div><h3>Introduction</h3><div>The most common tibial plateau fractures are AO 41B3/Schatzker type 2 (external unicondylar lesions with a vertical fracture line). The goal of treatment for these fractures is the satisfactory restoration of mechanical alignment, anatomic reduction of the articular surface, and stable fixation to allow early range of motion. The aim of our study is to determine the factors that most influence long-term functional and quality of life outcomes after surgical treatment by strictly selecting previously healthy patients facing an unexpected external tibial plateau fracture.</div></div><div><h3>Material and method</h3><div>A retrospective study was conducted in our tertiary hospital after obtaining approval from the ethics committee. Data from patients with external tibial plateau fracture hospitalized between 2013 and 2018 with more than 3 years of evolution were analyzed. All patients who met the strict inclusion criteria completed the KOOS, EQ-5D profile and VAS questionnaires. In addition, they underwent a physical examination and radiological study using telemetry and computed tomography (CT). The clinical data collected from the patients were: age, sex, fracture side, implant use, graft use, days elapsed until surgery, years after surgery, ASA, range of motion in extension and flexion. The radiological data were: in the telemetry, the deviation in mm of the load axis with respect to the contralateral limb was analyzed, the MPTA of both limbs and the difference in degrees between them; in the CT, the maximum joint step was measured and the affected area was calculated in cm<sup>2</sup> as well as the largest anteroposterior diameter and maximum width in mm (maximum anteroposterior and transverse diameters).</div></div><div><h3>Results</h3><div>A total of 27 patients were analysed, with a mean age of 53.3 years and a mean evaluation time since the fracture of 4.8 years. We found statistically significant correlations (<em>p</em> <!--><<!--> <!-->.05) between: days until surgery and size of the area in cm<sup>2</sup> (<em>p</em> <!-->=<!--> <!-->.042) and step in mm (<em>p</em> <!-->=<!--> <!-->.028), that is, the more days of delay, the greater the area and the greater the step; being a man presented a positive correlation with having a greater step (<em>p</em> <!-->=<!--> <!-->.025), greater area (<em>p</em> <!-->=<!--> <!-->.007) and greater slope (<em>p</em> <!-->=<!--> <!-->.039) compared to women. A statistically significant relationship was observed between the area of residual fracture and the values of KOOS symptoms (<em>p</em> <!-->=<!--> <!-->.015), KOOS function (<em>p</em> <!-->=<!--> <!-->.012), EQ-5D profile (<em>p</em> <!-->=<!--> <!-->.038) and VAS (<em>p</em> <!-->=<!--> <!-->.049); the greater the affected area, the worse the patient's condition. We also detected significant correlations between increased joint step and KOOS symptoms (<em>p</em> <!-->=<!--> <!-->.005), KOOS pain (<em>p</em> <!-->
{"title":"[Translated article] External tibial plateau fracture (AO 41B3/Schatzker 2): Analysis of clinical radiological factors in long-term functional and quality of life outcomes after surgical treatment","authors":"P.I. Codesido Vilar , P. Sucasas Hermida , B. Calvete Vázquez , C. Bonome Roel , A. Montero Picallo , M. Goday Etxebarria , A. López González","doi":"10.1016/j.recot.2025.11.009","DOIUrl":"10.1016/j.recot.2025.11.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The most common tibial plateau fractures are AO 41B3/Schatzker type 2 (external unicondylar lesions with a vertical fracture line). The goal of treatment for these fractures is the satisfactory restoration of mechanical alignment, anatomic reduction of the articular surface, and stable fixation to allow early range of motion. The aim of our study is to determine the factors that most influence long-term functional and quality of life outcomes after surgical treatment by strictly selecting previously healthy patients facing an unexpected external tibial plateau fracture.</div></div><div><h3>Material and method</h3><div>A retrospective study was conducted in our tertiary hospital after obtaining approval from the ethics committee. Data from patients with external tibial plateau fracture hospitalized between 2013 and 2018 with more than 3 years of evolution were analyzed. All patients who met the strict inclusion criteria completed the KOOS, EQ-5D profile and VAS questionnaires. In addition, they underwent a physical examination and radiological study using telemetry and computed tomography (CT). The clinical data collected from the patients were: age, sex, fracture side, implant use, graft use, days elapsed until surgery, years after surgery, ASA, range of motion in extension and flexion. The radiological data were: in the telemetry, the deviation in mm of the load axis with respect to the contralateral limb was analyzed, the MPTA of both limbs and the difference in degrees between them; in the CT, the maximum joint step was measured and the affected area was calculated in cm<sup>2</sup> as well as the largest anteroposterior diameter and maximum width in mm (maximum anteroposterior and transverse diameters).</div></div><div><h3>Results</h3><div>A total of 27 patients were analysed, with a mean age of 53.3 years and a mean evaluation time since the fracture of 4.8 years. We found statistically significant correlations (<em>p</em> <!--><<!--> <!-->.05) between: days until surgery and size of the area in cm<sup>2</sup> (<em>p</em> <!-->=<!--> <!-->.042) and step in mm (<em>p</em> <!-->=<!--> <!-->.028), that is, the more days of delay, the greater the area and the greater the step; being a man presented a positive correlation with having a greater step (<em>p</em> <!-->=<!--> <!-->.025), greater area (<em>p</em> <!-->=<!--> <!-->.007) and greater slope (<em>p</em> <!-->=<!--> <!-->.039) compared to women. A statistically significant relationship was observed between the area of residual fracture and the values of KOOS symptoms (<em>p</em> <!-->=<!--> <!-->.015), KOOS function (<em>p</em> <!-->=<!--> <!-->.012), EQ-5D profile (<em>p</em> <!-->=<!--> <!-->.038) and VAS (<em>p</em> <!-->=<!--> <!-->.049); the greater the affected area, the worse the patient's condition. We also detected significant correlations between increased joint step and KOOS symptoms (<em>p</em> <!-->=<!--> <!-->.005), KOOS pain (<em>p</em> <!-->","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T28-T35"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963208","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 : 2026-01-01Epub Date: 2025-11-08DOI: 10.1016/j.recot.2025.11.008
M. Fa-Binefa, M. Valera Pertegás, A. Peiró Ibañez, L. Trullols Tarragó, P. Machado Granados, I. Gracia Alegría
Managing chronic periprosthetic infections in patients who have undergone limb-salvage surgery following a malignant bone tumor with megaprosthesis often involves a two-stage revision surgery with the use of a cement-spacer. This paper show details the preparation of a self-made intramedullary metal-stabilized mega-cement spacer for patients needing a two-stage revision surgery due to infection after oncologic bone tumor resection and limb-salvage surgery with megaprosthesis and present 2 clinical cases treated with this technique. The report provides a practical surgical technique to create a cement hip mega-spacer using readily available tools in most orthopedic surgical settings.
{"title":"[Artículo traducido] ¿Cómo crear un megaespaciador personalizado para una cirugía de revisión en 2 tiempos de megaprótesis de cadera después de una cirugía de salvamento de extremidad por causa oncológica? Técnica quirúrgica y reporte de 2 casos","authors":"M. Fa-Binefa, M. Valera Pertegás, A. Peiró Ibañez, L. Trullols Tarragó, P. Machado Granados, I. Gracia Alegría","doi":"10.1016/j.recot.2025.11.008","DOIUrl":"10.1016/j.recot.2025.11.008","url":null,"abstract":"<div><div>Managing chronic periprosthetic infections in patients who have undergone limb-salvage surgery following a malignant bone tumor with megaprosthesis often involves a two-stage revision surgery with the use of a cement-spacer. This paper show details the preparation of a self-made intramedullary metal-stabilized mega-cement spacer for patients needing a two-stage revision surgery due to infection after oncologic bone tumor resection and limb-salvage surgery with megaprosthesis and present 2<!--> <!-->clinical cases treated with this technique. The report provides a practical surgical technique to create a cement hip mega-spacer using readily available tools in most orthopedic surgical settings.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T84-T87"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963180","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 : 2026-01-01Epub Date: 2025-11-06DOI: 10.1016/j.recot.2025.11.002
M.R. Sánchez-Crespo , H. Ayala-Gutiérrez , F.J. del Canto-Alvarez , J. Couceiro-Otero , M. Holgado Fernández , M. Vázquez-Sánchez , A. Lamagrande-Obregón , E. Gallardo-Agromayord , R. Landeras-Alvaro
Introduction
Scaphotrapeziotrapezoid (STT) joint osteoarthritis may influence the outcome after trapeziometacarpal prosthesis (TMP) implantation. The literature regarding its clinical and radiological assessment is unclear. The aim of our study was to determine by means of a pre- and post-intervention CT study whether the degree of STT involvement influences the clinical–functional or radiological results after TMP implantation, and to establish whether or not STT osteoarthritis could be a contraindication for the use of these implants.
Methods
Prospective study of 60 patients with trapeziometacarpal osteoarthritis grade III–IV operated between 2017 and 2022. The Van Cappelle functional test, pain, strength and mobility were evaluated. Simple radiology study and CT scan evaluating STT pre and post-surgery. The results were analysed in relation to the joint space. Recording of complications and statistics.
Results
A total of 50 patients completed the study, mean age 59 years, mean follow-up 56 months, 36 Isis® and 14 Touch® were implanted. Significant improvement was observed in all variables. The STT joint space didn’t change after the intervention, and no statistical association was found between the STT joint space and the different clinical–functional variables. Three cases (6%) suffered STT pain and none required surgical revision. No infections, dislocations or loosening. Four De Quervain's tenosynovitis and two perimplant ossifications were observed. Survival of the implants was 100%.
Conclusions
The use of TMP in patients with trapeziometacarpal osteoarthritis has excellent short and medium-term results, regardless of STT involvement, so it should not be a contraindication for osteoarthritis at this level.
{"title":"[Translated article] Influence of the scaphotrapeziotrapezoid joint on the results of total trapeziometacarpal prostheses","authors":"M.R. Sánchez-Crespo , H. Ayala-Gutiérrez , F.J. del Canto-Alvarez , J. Couceiro-Otero , M. Holgado Fernández , M. Vázquez-Sánchez , A. Lamagrande-Obregón , E. Gallardo-Agromayord , R. Landeras-Alvaro","doi":"10.1016/j.recot.2025.11.002","DOIUrl":"10.1016/j.recot.2025.11.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Scaphotrapeziotrapezoid (STT) joint osteoarthritis may influence the outcome after trapeziometacarpal prosthesis (TMP) implantation. The literature regarding its clinical and radiological assessment is unclear. The aim of our study was to determine by means of a pre- and post-intervention CT study whether the degree of STT involvement influences the clinical–functional or radiological results after TMP implantation, and to establish whether or not STT osteoarthritis could be a contraindication for the use of these implants.</div></div><div><h3>Methods</h3><div>Prospective study of 60 patients with trapeziometacarpal osteoarthritis grade III–IV operated between 2017 and 2022. The Van Cappelle functional test, pain, strength and mobility were evaluated. Simple radiology study and CT scan evaluating STT pre and post-surgery. The results were analysed in relation to the joint space. Recording of complications and statistics.</div></div><div><h3>Results</h3><div>A total of 50 patients completed the study, mean age 59<!--> <!-->years, mean follow-up 56<!--> <!-->months, 36 Isis® and 14 Touch® were implanted. Significant improvement was observed in all variables. The STT joint space didn’t change after the intervention, and no statistical association was found between the STT joint space and the different clinical–functional variables. Three cases (6%) suffered STT pain and none required surgical revision. No infections, dislocations or loosening. Four De Quervain's tenosynovitis and two perimplant ossifications were observed. Survival of the implants was 100%.</div></div><div><h3>Conclusions</h3><div>The use of TMP in patients with trapeziometacarpal osteoarthritis has excellent short and medium-term results, regardless of STT involvement, so it should not be a contraindication for osteoarthritis at this level.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T13-T19"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963127","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 : 2026-01-01Epub Date: 2025-11-11DOI: 10.1016/j.recot.2025.11.012
M.B. Spinelli , V.M. Cafruni , N. Lucero Viviani , A.C. Parise , C. Rodriguez , N. Satera , M.G. Santini Araujo
Introducction
Diabetic foot (DF) is a common and serious complication of diabetes mellitus (DM), especially in patients with chronic kidney disease (CKD) undergoing renal replacement therapy (RRT). This study aimed to assess the prevalence of DF and associated conditions in DM patients receiving RRT at a tertiary care hospital in Argentina.
Materials and methods
We conducted a cross-sectional observational study between December 2022 and September 2024. A total of 54 patients with type 1 or type 2 DM undergoing either hemodialysis (HD) or peritoneal dialysis (PD) were included. History of DF, active or pre-ulcerative lesions, neuropathy, peripheral vascular disease, and associated risk factors were evaluated through physical examination and medical record review.
Results
DF was present in 40.7% of patients, with a higher proportion in HD (48.6%) compared to PD (26.3%). Pre-ulcerative lesions were found in 61.1%, and active ulcers in 9.3%. A history of amputation was reported in 31.4% of cases. Diabetic neuropathy (87%) and peripheral vascular disease (81.5%), both closely related to DF development, were key findings. Significant differences were observed in smoking (42.1% PD vs. 11.4% HD, p = 0.016), which may impair microcirculation, and obesity (63.2% PD vs. 25.7% HD, p = 0.016), which increases plantar pressure and contributes to foot deformities.
Conclusions
DM patients on RRT have a high prevalence of DF and related risk factors. Early detection and multidisciplinary follow-up are essential to prevent complications such as ulcers and amputations.
糖尿病足（DF）是糖尿病（DM）常见且严重的并发症，特别是在接受肾脏替代治疗（RRT）的慢性肾脏疾病（CKD）患者中。本研究旨在评估阿根廷一家三级医院接受RRT治疗的糖尿病患者中DF及相关疾病的患病率。材料和方法我们在2022年12月至2024年9月进行了一项横断面观察研究。共纳入54例接受血液透析（HD）或腹膜透析（PD）的1型或2型糖尿病患者。通过体格检查和病历回顾评估DF病史、活动性或溃疡前期病变、神经病变、周围血管疾病及相关危险因素。结果40.7%的患者存在df， HD患者的比例（48.6%）高于PD（26.3%）。溃疡前病变占61.1%，活动性溃疡占9.3%。31.4%的病例有截肢史。糖尿病神经病变（87%）和周围血管疾病（81.5%）与DF的发展密切相关，是主要发现。吸烟（42.1% PD vs. 11.4% HD, p = 0.016）可能损害微循环，肥胖（63.2% PD vs. 25.7% HD, p = 0.016）会增加足底压力并导致足部畸形，两者存在显著差异。结论接受RRT治疗的sdm患者有较高的DF患病率及相关危险因素。早期发现和多学科随访对于预防溃疡和截肢等并发症至关重要。
{"title":"[Artículo traducido] Prevalencia de pie diabético en pacientes con diabetes mellitus en tratamiento con diálisis en un hospital de tercer nivel en Argentina","authors":"M.B. Spinelli , V.M. Cafruni , N. Lucero Viviani , A.C. Parise , C. Rodriguez , N. Satera , M.G. Santini Araujo","doi":"10.1016/j.recot.2025.11.012","DOIUrl":"10.1016/j.recot.2025.11.012","url":null,"abstract":"<div><h3>Introducction</h3><div>Diabetic foot (DF) is a common and serious complication of diabetes mellitus (DM), especially in patients with chronic kidney disease (CKD) undergoing renal replacement therapy (RRT). This study aimed to assess the prevalence of DF and associated conditions in DM patients receiving RRT at a tertiary care hospital in Argentina.</div></div><div><h3>Materials and methods</h3><div>We conducted a cross-sectional observational study between December 2022 and September 2024. A total of 54 patients with type 1 or type 2 DM undergoing either hemodialysis (HD) or peritoneal dialysis (PD) were included. History of DF, active or pre-ulcerative lesions, neuropathy, peripheral vascular disease, and associated risk factors were evaluated through physical examination and medical record review.</div></div><div><h3>Results</h3><div>DF was present in 40.7% of patients, with a higher proportion in HD (48.6%) compared to PD (26.3%). Pre-ulcerative lesions were found in 61.1%, and active ulcers in 9.3%. A history of amputation was reported in 31.4% of cases. Diabetic neuropathy (87%) and peripheral vascular disease (81.5%), both closely related to DF development, were key findings. Significant differences were observed in smoking (42.1% PD vs. 11.4% HD, <em>p</em> <!-->=<!--> <!-->0.016), which may impair microcirculation, and obesity (63.2% PD vs. 25.7% HD, <em>p</em> <!-->=<!--> <!-->0.016), which increases plantar pressure and contributes to foot deformities.</div></div><div><h3>Conclusions</h3><div>DM patients on RRT have a high prevalence of DF and related risk factors. Early detection and multidisciplinary follow-up are essential to prevent complications such as ulcers and amputations.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T8-T12"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963125","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 : 2026-01-01Epub Date: 2025-08-05DOI: 10.1016/j.recot.2025.07.018
N. Gimeno Calavia, P. Martínez Grau, A. Gasset Teixidor, M. Molina Corbacho, O. Ràfols Perramon, G. Casellas Garcia, X. Pelfort López
Background and objective
Intravenous elastomeric pumps have been shown to be effective in managing postoperative pain in major outpatient surgeries, improving patient satisfaction and reducing the need for hospitalization. However, there is little research on their use in adolescents. This work seeks to evaluate the safety and efficacy of these pumps in adolescents.
Materials and methods
A prospective, single-center observational study was conducted in 40 adolescents to evaluate the efficacy and satisfaction with the use of intravenous elastomeric pumps in the management of postoperative pain. Pain was measured using a visual analogic scale (VAS) and satisfaction was assessed with a survey. Data was analyzed descriptively, calculating measures of central tendency and dispersion for quantitative variables and frequencies for qualitative variables.
Results
The study included 40 children (42.5% girls, 57.5% boys), showing positive results in pain control with intravenous elastomeric pumps. 85% of patients reported pain less than 5 on the VAS scale at 24 hours, increasing to 94.8% at 72 hours, indicating a progressive decrease in pain. Regarding satisfaction, 90% of parents and 100% of children recommended this treatment.
Conclusions
The results of this study support the inclusion of intravenous elastomeric pumps in the postoperative pain management protocol in children from 11 years of age in outpatient surgical centers due to their efficacy, safety, tolerability and prompt recovery.
{"title":"Valoración del tratamiento analgésico domiciliario posquirúrgico mediante bombas elastoméricas intravenosas en los pacientes adolescentes","authors":"N. Gimeno Calavia, P. Martínez Grau, A. Gasset Teixidor, M. Molina Corbacho, O. Ràfols Perramon, G. Casellas Garcia, X. Pelfort López","doi":"10.1016/j.recot.2025.07.018","DOIUrl":"10.1016/j.recot.2025.07.018","url":null,"abstract":"<div><h3>Background and objective</h3><div>Intravenous elastomeric pumps have been shown to be effective in managing postoperative pain in major outpatient surgeries, improving patient satisfaction and reducing the need for hospitalization. However, there is little research on their use in adolescents. This work seeks to evaluate the safety and efficacy of these pumps in adolescents.</div></div><div><h3>Materials and methods</h3><div>A prospective, single-center observational study was conducted in 40 adolescents to evaluate the efficacy and satisfaction with the use of intravenous elastomeric pumps in the management of postoperative pain. Pain was measured using a visual analogic scale (VAS) and satisfaction was assessed with a survey. Data was analyzed descriptively, calculating measures of central tendency and dispersion for quantitative variables and frequencies for qualitative variables.</div></div><div><h3>Results</h3><div>The study included 40 children (42.5% girls, 57.5% boys), showing positive results in pain control with intravenous elastomeric pumps. 85% of patients reported pain less than 5 on the VAS scale at 24<!--> <!-->hours, increasing to 94.8% at 72<!--> <!-->hours, indicating a progressive decrease in pain. Regarding satisfaction, 90% of parents and 100% of children recommended this treatment.</div></div><div><h3>Conclusions</h3><div>The results of this study support the inclusion of intravenous elastomeric pumps in the postoperative pain management protocol in children from 11 years of age in outpatient surgical centers due to their efficacy, safety, tolerability and prompt recovery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages 53-58"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963169","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 : 2026-01-01Epub Date: 2025-11-06DOI: 10.1016/j.recot.2025.11.003
N. Gimeno Calavia, P. Martínez Grau, A. Gasset Teixidor, M. Molina Corbacho, O. Ràfols Perramon, G. Casellas Garcia, X. Pelfort López
Background and objective
Intravenous elastomeric pumps have been shown to be effective in managing postoperative pain in major outpatient surgeries, improving patient satisfaction and reducing the need for hospitalization. However, there is little research on their use in adolescents. This work seeks to evaluate the safety and efficacy of these pumps in adolescents.
Materials and methods
A prospective, single-center observational study was conducted in 40 adolescents to evaluate the efficacy and satisfaction with the use of intravenous elastomeric pumps in the management of postoperative pain. Pain was measured using a visual analogic scale (VAS) and satisfaction was assessed with a survey. Data was analyzed descriptively, calculating measures of central tendency and dispersion for quantitative variables and frequencies for qualitative variables.
Results
The study included 40 children (42.5% girls, 57.5% boys), showing positive results in pain control with intravenous elastomeric pumps. Eighty-five percent of patients reported pain less than 5 on the VAS scale at 24 h, increasing to 94.8% at 72 h, indicating a progressive decrease in pain. Regarding satisfaction, 90% of parents and 100% of children recommended this treatment.
Conclusions
The results of this study support the inclusion of intravenous elastomeric pumps in the postoperative pain management protocol in children from 11 years of age in outpatient surgical centers due to their efficacy, safety, tolerability and prompt recovery.
{"title":"[Translated article] Evaluation of home post-surgical analgesic treatment using endovenous elastomeric pumps in adolescent patients","authors":"N. Gimeno Calavia, P. Martínez Grau, A. Gasset Teixidor, M. Molina Corbacho, O. Ràfols Perramon, G. Casellas Garcia, X. Pelfort López","doi":"10.1016/j.recot.2025.11.003","DOIUrl":"10.1016/j.recot.2025.11.003","url":null,"abstract":"<div><h3><em>Background and objective</em></h3><div>Intravenous elastomeric pumps have been shown to be effective in managing postoperative pain in major outpatient surgeries, improving patient satisfaction and reducing the need for hospitalization. However, there is little research on their use in adolescents. This work seeks to evaluate the safety and efficacy of these pumps in adolescents.</div></div><div><h3><em>Materials and methods</em></h3><div>A prospective, single-center observational study was conducted in 40 adolescents to evaluate the efficacy and satisfaction with the use of intravenous elastomeric pumps in the management of postoperative pain. Pain was measured using a visual analogic scale (VAS) and satisfaction was assessed with a survey. Data was analyzed descriptively, calculating measures of central tendency and dispersion for quantitative variables and frequencies for qualitative variables.</div></div><div><h3><em>Results</em></h3><div>The study included 40 children (42.5% girls, 57.5% boys), showing positive results in pain control with intravenous elastomeric pumps. Eighty-five percent of patients reported pain less than 5 on the VAS scale at 24<!--> <!-->h, increasing to 94.8% at 72<!--> <!-->h, indicating a progressive decrease in pain. Regarding satisfaction, 90% of parents and 100% of children recommended this treatment.</div></div><div><h3><em>Conclusions</em></h3><div>The results of this study support the inclusion of intravenous elastomeric pumps in the postoperative pain management protocol in children from 11 years of age in outpatient surgical centers due to their efficacy, safety, tolerability and prompt recovery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T53-T58"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963170","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 : 2026-01-01Epub Date: 2025-07-01DOI: 10.1016/j.recot.2025.06.016
M. Muñoz de la Espada López , M.Á. Mellado Romero , A. Abarquero-Diezhandino , A. Núñez García , E.J. Salvador González , I. Palermo Buzón , L.A. Coraspe Falcón , M.T. Vázquez Osorio , F. Guerra Pinto , J. Vilá y Rico
Introduction
The calcaneonavicular ligament (spring ligament) plays a fundamental role in calcaneonavicular static stability and medial longitudinal arch, injury which is related to flatfoot.
Objective
The primary objective was to compare the biomechanical behaviour of the spring ligament in a healthy foot and after section and repair with augmentation and transfer of the flexor digitorum longus (FDL). As secondary objectives we have the biomechanical comparison between isolated repair with augmentation associated or not with transfer.
Methods
This experimental biomechanical cadaver study evaluates the medial complex in four phases: intact ankle (1); spring injury (2); repair and augmentation (3), and after FDL transfer (4). Talonavicular angular displacement was measured in the three planes of space using an arthrometer and manual spring ligament exploration manoeuvres.
Results
Significant differences were found after sectioning the ligament with the abduction and external rotation manoeuvre in the coronal (P=.050) and sagittal (P=.045) planes. Upon augmentation, there was significance in the horizontal plane (P=.047) and after FDL transfer in the horizontal plane (P=.002). However, no significant differences were identified between repair and augmentation and FDL transfer.
Conclusion
Ligament section generated instability in the coronal and sagittal plane with abduction and external rotation movements. It should be noted that both surgical techniques were able to restore joint stability, even surpassing that achieved with the ligament intact.
{"title":"Estudio biomecánico en cadáver del ligamento calcaneonavicular en el colapso de la columna medial del mediopié comparando 2 técnicas quirúrgicas","authors":"M. Muñoz de la Espada López , M.Á. Mellado Romero , A. Abarquero-Diezhandino , A. Núñez García , E.J. Salvador González , I. Palermo Buzón , L.A. Coraspe Falcón , M.T. Vázquez Osorio , F. Guerra Pinto , J. Vilá y Rico","doi":"10.1016/j.recot.2025.06.016","DOIUrl":"10.1016/j.recot.2025.06.016","url":null,"abstract":"<div><h3>Introduction</h3><div>The calcaneonavicular ligament (spring ligament) plays a fundamental role in calcaneonavicular static stability and medial longitudinal arch, injury which is related to flatfoot.</div></div><div><h3>Objective</h3><div>The primary objective was to compare the biomechanical behaviour of the spring ligament in a healthy foot and after section and repair with augmentation and transfer of the flexor digitorum longus (FDL). As secondary objectives we have the biomechanical comparison between isolated repair with augmentation associated or not with transfer.</div></div><div><h3>Methods</h3><div>This experimental biomechanical cadaver study evaluates the medial complex in four phases: intact ankle (1); spring injury (2); repair and augmentation (3), and after FDL transfer (4). Talonavicular angular displacement was measured in the three planes of space using an arthrometer and manual spring ligament exploration manoeuvres.</div></div><div><h3>Results</h3><div>Significant differences were found after sectioning the ligament with the abduction and external rotation manoeuvre in the coronal (<em>P</em>=.050) and sagittal (<em>P</em>=.045) planes. Upon augmentation, there was significance in the horizontal plane (<em>P</em>=.047) and after FDL transfer in the horizontal plane (<em>P</em>=.002). However, no significant differences were identified between repair and augmentation and FDL transfer.</div></div><div><h3>Conclusion</h3><div>Ligament section generated instability in the coronal and sagittal plane with abduction and external rotation movements. It should be noted that both surgical techniques were able to restore joint stability, even surpassing that achieved with the ligament intact.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages 70-77"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963210","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 : 2026-01-01Epub Date: 2025-11-06DOI: 10.1016/j.recot.2025.11.001
A.G. Casa Casa , J.I. Baltá Aymar , A. Alías Petralanda , L. Ramírez Núñez , A. Serra Trullas , J.A. Fernández-Valencia
Objectives
Hip arthroplasty instability is one of the most worrisome complications and one of the main indications for revision surgery. We present a retrospective study evaluating the results of revision hip replacement surgery performed for instability.
Material and methods
Observational, retrospective study from 1/12/2010 to 1/12/2022. Fifty-nine medical records of patients operated for hip dislocation were reviewed. Epidemiological variables and data such as type of dislocation based on Wera classification, cup position based on Lewinnek, type of implants, associated surgical techniques and the results in terms of recurrence of dislocation or reoperation were recorded.
Results
Fifty-nine patients: 33 women, 26 men, mean age 77.0 years. Mean follow-up 3.2 years (range 1.6–13.1). Based on Wera: had a single cause 37 cases, 2 causes 19 and 3 causes or more, 3 cases. In 61% of the cases in the series, malposition of the cup played an essential role in the dislocation (type I Wera). In the series, the Lewinnek zone could not be evaluated in 7 cases. For the remaining patients, 30% were within the Lewinnek zone. Only one patient in the series had a history of lumbar instrumentation. Implant used: double mobility (DM) in 17 cases (28.8%) and a constrained system in 38 cases (64.4%). Heads with adaptive cone were used in 2 cases (3%). In 4 cases (6%) a modified Whiteside type plasty was associated. Girdlestone was indicated in 2 cases (3%). Recurrence of dislocation 1 occasion: 18 cases (31%); 2 or more occasions: 7 cases (12%). Reoperation 15 cases (25%) range (1–5), main reasons: instability, infection or peri-prosthetic fractures. Probability of success defined as no recurrence: at one year is 80.5%, and at two years is 70.6%, showing no differences between constrained or dual-mobility implant.
Comments and conclusions
Hip prosthesis dislocation is multifactorial in origin, although in most cases in the series the key factor was malposition of the acetabulum. Constrained and DM implants showed similar effectiveness. The results of this study emphasize the need for techniques that allow adequate positioning and orientation of the acetabular component to prevent, in a high percentage of cases, the need for this type of revision surgery.
{"title":"[Translated article] Success after surgical treatment of unstable hip prosthesis: 12 years of experience in a third level hospital","authors":"A.G. Casa Casa , J.I. Baltá Aymar , A. Alías Petralanda , L. Ramírez Núñez , A. Serra Trullas , J.A. Fernández-Valencia","doi":"10.1016/j.recot.2025.11.001","DOIUrl":"10.1016/j.recot.2025.11.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Hip arthroplasty instability is one of the most worrisome complications and one of the main indications for revision surgery. We present a retrospective study evaluating the results of revision hip replacement surgery performed for instability.</div></div><div><h3>Material and methods</h3><div>Observational, retrospective study from 1/12/2010 to 1/12/2022. Fifty-nine medical records of patients operated for hip dislocation were reviewed. Epidemiological variables and data such as type of dislocation based on Wera classification, cup position based on Lewinnek, type of implants, associated surgical techniques and the results in terms of recurrence of dislocation or reoperation were recorded.</div></div><div><h3>Results</h3><div>Fifty-nine patients: 33 women, 26 men, mean age 77.0 years. Mean follow-up 3.2 years (range 1.6–13.1). Based on Wera: had a single cause 37 cases, 2 causes 19 and 3 causes or more, 3 cases. In 61% of the cases in the series, malposition of the cup played an essential role in the dislocation (type I Wera). In the series, the Lewinnek zone could not be evaluated in 7 cases. For the remaining patients, 30% were within the Lewinnek zone. Only one patient in the series had a history of lumbar instrumentation. Implant used: double mobility (DM) in 17 cases (28.8%) and a constrained system in 38 cases (64.4%). Heads with adaptive cone were used in 2 cases (3%). In 4 cases (6%) a modified Whiteside type plasty was associated. Girdlestone was indicated in 2 cases (3%). Recurrence of dislocation 1 occasion: 18 cases (31%); 2 or more occasions: 7 cases (12%). Reoperation 15 cases (25%) range (1–5), main reasons: instability, infection or peri-prosthetic fractures. Probability of success defined as no recurrence: at one year is 80.5%, and at two years is 70.6%, showing no differences between constrained or dual-mobility implant.</div></div><div><h3>Comments and conclusions</h3><div>Hip prosthesis dislocation is multifactorial in origin, although in most cases in the series the key factor was malposition of the acetabulum. Constrained and DM implants showed similar effectiveness. The results of this study emphasize the need for techniques that allow adequate positioning and orientation of the acetabular component to prevent, in a high percentage of cases, the need for this type of revision surgery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"70 1","pages":"Pages T64-T69"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963209","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号