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Use of Artificial Intelligence to Predict Complications in Degenerative Thoracolumbar Spine Surgery: A Systematic Review.
Q3 Medicine Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.007
Ricciardi Guillermo, Cirillo Totera Juan Ignacio, Pons Belmonte Rodrigo, Romero Valverde Lyanne, Lopez Muñoz Felipe, Manriquez Díaz Alan

Objective: We aim to conduct a systematic review of the literature to evaluate the effectiveness of artificial intelligence prediction models in predicting complications in adult patients undergoing surgery for degenerative thoracolumbar pathology compared with other commonly used prediction techniques.

Methods: A systematic literature review was conducted in Medline/Pubmed, Cochrane Library, and Lilacs/Portal de la BVS to identify machine learning models in predicting complications in patients undergoing surgery for degenerative thoracolumbar spine pathology between January 1, 2000, and May 1, 2023. The risk of bias was assessed using the PROBAST tool. Study characteristics and outcomes focusing on general or specific complications were recorded.

Results: A total of 2,341 titles were identified (763 were duplicates). Screening was performed on 1,578 titles, and 22 were selected for full-text reading, with 18 exclusions and 4 publications selected for the subsequent review. Additionally, 8 publications were included from other sources (Argentine Association of Orthopedics and Traumatology Library; manual citation search). In 5 (41.6%) articles, the effectiveness of artificial intelligence predictive models was compared with conventional techniques. All were globally classified as having a very high risk of bias. Due to heterogeneity in samples, outcomes of interest, and algorithm evaluation metrics, a meta-analysis was not performed.

Conclusion: Although the available evidence is limited and carries a high risk of bias, the studies analysed suggest that these models may achieve promising performance in predicting complications, with area under the curve values mostly ranging from acceptable to excellent.

{"title":"Use of Artificial Intelligence to Predict Complications in Degenerative Thoracolumbar Spine Surgery: A Systematic Review.","authors":"Ricciardi Guillermo, Cirillo Totera Juan Ignacio, Pons Belmonte Rodrigo, Romero Valverde Lyanne, Lopez Muñoz Felipe, Manriquez Díaz Alan","doi":"10.1016/j.recot.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.007","url":null,"abstract":"<p><strong>Objective: </strong>We aim to conduct a systematic review of the literature to evaluate the effectiveness of artificial intelligence prediction models in predicting complications in adult patients undergoing surgery for degenerative thoracolumbar pathology compared with other commonly used prediction techniques.</p><p><strong>Methods: </strong>A systematic literature review was conducted in Medline/Pubmed, Cochrane Library, and Lilacs/Portal de la BVS to identify machine learning models in predicting complications in patients undergoing surgery for degenerative thoracolumbar spine pathology between January 1, 2000, and May 1, 2023. The risk of bias was assessed using the PROBAST tool. Study characteristics and outcomes focusing on general or specific complications were recorded.</p><p><strong>Results: </strong>A total of 2,341 titles were identified (763 were duplicates). Screening was performed on 1,578 titles, and 22 were selected for full-text reading, with 18 exclusions and 4 publications selected for the subsequent review. Additionally, 8 publications were included from other sources (Argentine Association of Orthopedics and Traumatology Library; manual citation search). In 5 (41.6%) articles, the effectiveness of artificial intelligence predictive models was compared with conventional techniques. All were globally classified as having a very high risk of bias. Due to heterogeneity in samples, outcomes of interest, and algorithm evaluation metrics, a meta-analysis was not performed.</p><p><strong>Conclusion: </strong>Although the available evidence is limited and carries a high risk of bias, the studies analysed suggest that these models may achieve promising performance in predicting complications, with area under the curve values mostly ranging from acceptable to excellent.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469507","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}
引用次数: 0
"INTEROBSERVER RELIABILITY OF CLASSIFYING SHOULDER CALCIFIC TENDINOPATHY USING PLAIN RADIOGRAPHS AND ULTRASOUND". "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 Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.008
Almudena Fernandez-Bravo Rueda, Begoña Gutiérrez San José, Javier Fernández Jara, Ana Fernández López, Patricia Nuñez de Aysa, David González-Martín, Emilio Calvo, Maria Dolores 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 analysed 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.

{"title":"\"INTEROBSERVER RELIABILITY OF CLASSIFYING SHOULDER CALCIFIC TENDINOPATHY USING PLAIN RADIOGRAPHS AND ULTRASOUND\".","authors":"Almudena Fernandez-Bravo Rueda, Begoña Gutiérrez San José, Javier Fernández Jara, Ana Fernández López, Patricia Nuñez de Aysa, David González-Martín, Emilio Calvo, Maria Dolores Martín Ríos","doi":"10.1016/j.recot.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.008","url":null,"abstract":"<p><p>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 analysed 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.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469533","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}
引用次数: 0
[Translated article] Influence of environmental temperature and humidity on the incidence of prosthetic joint infections.
Q3 Medicine Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.013
I Iriberri-Etxabeguren, I Rey-Urdiain, I Larrañaga-Imendji, J Revuelta-González

Background: Prosthetic Joint Infections (PJI) are associated with significant morbidity and mortality, underscoring the importance of identifying the related risk factors. The objective of the present study was to evaluate whether environmental factors were correlated with an increase in PJI.

Material and method: Retrospective cohort study of 1847 consecutive hip and knee prosthesis surgeries performed at a single center over a 10-year period. All patients who underwent surgery during this period were included, with a minimum follow-up of 2 years. The association between infection cases and environmental temperature and humidity was analyzed for both the day of surgical intervention and the week following the procedure.

Results: Sixty-three cases of infection (3.4%) were identified. No statistically significant differences were observed in the infection rate according to the month (p = 0.13) or season (p = 0.42) in which the surgery was performed. Furthermore, no significant association was found between the incidence of PJI and the average temperature or humidity on the day or week following the prosthesis implantation.

Conclusions: Environmental temperature and humidity do not influence the incidence of PJI in regions with an oceanic climate. The increase in PJI according to environmental conditions is primarily observed in large-scale studies based on national registries.

{"title":"[Translated article] Influence of environmental temperature and humidity on the incidence of prosthetic joint infections.","authors":"I Iriberri-Etxabeguren, I Rey-Urdiain, I Larrañaga-Imendji, J Revuelta-González","doi":"10.1016/j.recot.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.013","url":null,"abstract":"<p><strong>Background: </strong>Prosthetic Joint Infections (PJI) are associated with significant morbidity and mortality, underscoring the importance of identifying the related risk factors. The objective of the present study was to evaluate whether environmental factors were correlated with an increase in PJI.</p><p><strong>Material and method: </strong>Retrospective cohort study of 1847 consecutive hip and knee prosthesis surgeries performed at a single center over a 10-year period. All patients who underwent surgery during this period were included, with a minimum follow-up of 2 years. The association between infection cases and environmental temperature and humidity was analyzed for both the day of surgical intervention and the week following the procedure.</p><p><strong>Results: </strong>Sixty-three cases of infection (3.4%) were identified. No statistically significant differences were observed in the infection rate according to the month (p = 0.13) or season (p = 0.42) in which the surgery was performed. Furthermore, no significant association was found between the incidence of PJI and the average temperature or humidity on the day or week following the prosthesis implantation.</p><p><strong>Conclusions: </strong>Environmental temperature and humidity do not influence the incidence of PJI in regions with an oceanic climate. The increase in PJI according to environmental conditions is primarily observed in large-scale studies based on national registries.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469490","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}
引用次数: 0
[Translated article] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays. A retrospective case series.
Q3 Medicine Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.011
J V Andrés-Peiró, C Lloret-Peiró, A Bustos-Mardones, P Martínez-Collado, J Tomás-Hernández, J Selga-Marsá, C A Piedra-Calle, Y García-Sánchez, J Teixidor-Serra

Introduction: Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artifact and its relationship with CT findings.

Materials and methods: In a retrospective, single-center series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability.

Results: Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views.

Conclusions: Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.

{"title":"[Translated article] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays. A retrospective case series.","authors":"J V Andrés-Peiró, C Lloret-Peiró, A Bustos-Mardones, P Martínez-Collado, J Tomás-Hernández, J Selga-Marsá, C A Piedra-Calle, Y García-Sánchez, J Teixidor-Serra","doi":"10.1016/j.recot.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.011","url":null,"abstract":"<p><strong>Introduction: </strong>Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artifact and its relationship with CT findings.</p><p><strong>Materials and methods: </strong>In a retrospective, single-center series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability.</p><p><strong>Results: </strong>Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views.</p><p><strong>Conclusions: </strong>Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469497","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}
引用次数: 0
[Translated article] Functional evaluation after cortical button fixation for distal biceps ruptures - Is there any difference between manual or non-manual workers? [翻译文章] 皮质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 Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.012
Ana Batista, Nuno Moura, Marco Sarmento, Tiago Coelho, Diogo Gomes, Renato Ramos, António 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.

{"title":"[Translated article] Functional evaluation after cortical button fixation for distal biceps ruptures - Is there any difference between manual or non-manual workers?","authors":"Ana Batista, Nuno Moura, Marco Sarmento, Tiago Coelho, Diogo Gomes, Renato Ramos, António Cartucho","doi":"10.1016/j.recot.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.012","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469541","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}
引用次数: 0
[Translated article] Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee.
Q3 Medicine Pub Date : 2025-02-18 DOI: 10.1016/j.recot.2025.02.009
N Franulic, J Laso, C Del Pino, C Brito, R Olivieri, N Gaggero

Objective: To evaluate the range of motion (ROM) of the knee in patients with severe post-traumatic knee arthrofibrosis after being treated with arthroscopic fibroarthrolysis (AFA) and manipulation under anesthesia (MUA).

Methods: Case series of patients with severe post-traumatic knee arthrofibrosis who underwent AFL + MUA in a national referral center. The primary outcome to be assessed was ROM before and after surgery and then at 3-month intervals until a minimum follow-up of one year was completed.

Results: 51 patients were included. The main injuries preceding the stiffness were tibial plateau fracture (37.3%), distal femur fracture (27.5%), and femoral shaft fracture (15.7%). Forty-five patients had severe flexion deficits with a median preoperative flexion of 70°. Intraoperative flexion significantly improved to 110°. Significant loss of flexion was observed at 3 and 6 months, however, patients regained ROM in the 9 and 12-month follow-ups. At discharge, 80% of the patients achieved flexion of 90° or more. There were 4 intraoperative complications and 3 reinterventions were performed.

Conclusion: AFA + MUA can help patients with severe post-traumatic knee arthrofibrosis to recover ROM in most cases. However, this procedure is not without risks and complications, therefore, careful consideration should be given to its indication and execution.

{"title":"[Translated article] Arthroscopic fibroarthrolysis and mobilization under anesthesia is a simple, reproducible, and satisfactory method for the treatment of patients with severe post-traumatic arthrofibrosis of the knee.","authors":"N Franulic, J Laso, C Del Pino, C Brito, R Olivieri, N Gaggero","doi":"10.1016/j.recot.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.009","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the range of motion (ROM) of the knee in patients with severe post-traumatic knee arthrofibrosis after being treated with arthroscopic fibroarthrolysis (AFA) and manipulation under anesthesia (MUA).</p><p><strong>Methods: </strong>Case series of patients with severe post-traumatic knee arthrofibrosis who underwent AFL + MUA in a national referral center. The primary outcome to be assessed was ROM before and after surgery and then at 3-month intervals until a minimum follow-up of one year was completed.</p><p><strong>Results: </strong>51 patients were included. The main injuries preceding the stiffness were tibial plateau fracture (37.3%), distal femur fracture (27.5%), and femoral shaft fracture (15.7%). Forty-five patients had severe flexion deficits with a median preoperative flexion of 70°. Intraoperative flexion significantly improved to 110°. Significant loss of flexion was observed at 3 and 6 months, however, patients regained ROM in the 9 and 12-month follow-ups. At discharge, 80% of the patients achieved flexion of 90° or more. There were 4 intraoperative complications and 3 reinterventions were performed.</p><p><strong>Conclusion: </strong>AFA + MUA can help patients with severe post-traumatic knee arthrofibrosis to recover ROM in most cases. However, this procedure is not without risks and complications, therefore, careful consideration should be given to its indication and execution.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469536","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}
引用次数: 0
PARÁMETROS RADIOLÓGICOS PREOPERATORIOS CORRELACIONADOS CON LA RECIDIVA DE HALLUX VALGUS TRAS OSTEOTOMÍA METATARSIANA DISTAL EN CHEVRON.
Q3 Medicine Pub Date : 2025-02-14 DOI: 10.1016/j.recot.2025.02.003
Yolanda Hernanz-González, José Carlos Martínez-Ávila, Enrique Sánchez-Morata, Alba Gómez-Sánchez, Juan David Serrano-Alonso, Jesús Vilá- Rico

Background and study aims: Most foot surgeons recognize the difficulties to define each patient's hallux valgus (HV) deformity and to select the most appropriate surgical treatment to achieve the best long term outcome. The goal of this study was to analyze radiologic outcomes after distal chevron metatarsal osteotomy and to identify specific preoperative radiological parameters correlating with radiological recurrence. Methods and methods: One hundred twenty patients (134 feet) in patients with symptomatic moderate or severe HV deformity who underwent distal chevron metatarsal osteotomy at our hospital between 2014 and 2019 were included in the present study. Each patient was evaluated preoperatively, postoperatively and at final follow-up by means of radiographs lateral and dorsoplantar views. We examined fourteen radiographic measurements. Data were collected retrospectively.

Results: The mean follow-up time was 23.65 months (range 6-69.4 months). The recurrence rate was 76.1%. Radiologic HV recurrence was defined by a final hallux valgus angle (HVA) equal or greater than 20 degrees.

Conclusions: Greater age at time of surgical treatment and preoperative noncongruent I metatarsophalangeal joint were identified as predictors for HV recurrence.

Level of evidence: Level IV.

背景和研究目的:大多数足部外科医生都认识到,很难确定每位患者的足外翻(HV)畸形,也很难选择最合适的手术治疗方法,以获得最佳的长期疗效。本研究旨在分析远端螯跖骨截骨术后的放射学结果,并确定与放射学复发相关的特定术前放射学参数。方法和手段:本研究纳入了2014年至2019年期间在我院接受远端螯跖骨截骨术的120例无症状中度或重度HV畸形患者(134足)。我们对每位患者的术前、术后和最终随访进行了评估,并拍摄了侧位和背跖位片。我们对 14 项放射学测量进行了检查。数据以回顾性方式收集:平均随访时间为 23.65 个月(6-69.4 个月)。复发率为 76.1%。最终的拇指外翻角度(HVA)等于或大于20度即为HV放射学复发:结论:手术治疗时年龄较大和术前I跖趾关节不协调是HV复发的预测因素:证据级别:IV级
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引用次数: 0
How does multidisciplinary collaboration with an internal medicine physician influence mortality in hip fracture patients?
Q3 Medicine Pub Date : 2025-02-14 DOI: 10.1016/j.recot.2025.02.002
L Cano-Obando, J M Gómez-Palomo, A Galán-Romero, C González-García, P Zamora-Navas

Introduction: The increase in life expectancy and the aging population have led to a higher incidence of hip fractures, especially in women over 60 years old. This study analyzes the influence of a multidisciplinary team with the collaboration of a specialist in internal medicine (IM) with the trauma department on mortality, perioperative complications and hospital stay in patients with hip fractures.

Material y methods: An analytical observational study of historical cohorts was conducted in patients over 65 years admitted for hip fracture and treated with arthroplasty or intramedullary nailing. Two cohorts were established: one before and one after the IM assignment. Patients with metabolic bone diseases different from osteoporosis and those who were operated in other centers were excluded. The minimum follow-up was 12 months.

Results: A total of 190 patients (50 men, 140 women) were included, with a mean age of 82.0 years and a BMI of 27.5. Mortality, which was the main objective of our study, during the first 12 months was higher in the non-IM (27.1 vs. 13.5%; P=.035). In addition, we included systemic complications and hospital stay as secondary objectives. Systemic complications were also higher in the non-IM cohort (43.2 vs. 27.1%; P=.031). Overall hospital stay was shorter in the IM cohort (7.3 vs. 9.9 days; P=.001). "Preoperative stays shorter than 72 hours" were more frequent in the IM group (53.0 vs. 33.2%; P=.009).

Conclusions: Multidisciplinary collaboration with a specialist in internal medicine significantly reduces first-year mortality, systemic complications, and hospital stay in hip fracture patients, allowing earlier interventions and hospital discharge.

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引用次数: 0
[Artículo traducido] Desafíos al implementar un programa de artroplastia total de cadera en un país en vías de desarrollo: nuestra experiencia en el Hospital Monkole de la República Democrática del Congo.
Q3 Medicine Pub Date : 2025-02-14 DOI: 10.1016/j.recot.2025.02.005
V Barro, C Carbonell-Rosell, J Ribera, A Villalonga, L Martin-Domínguez, D Soza, M Plomer, M Aguilar, R Sevil, J José Echarri

Background and objectives: Total hip arthroplasty (THA) is an effective surgery for treating hip osteoarthritis, but access is limited in Sub-Saharan Africa due to multiple challenges. This article describes the implementation of a THA program at Monkole Hospital in the Democratic Republic of Congo, focusing on the technical challenges and surgical complications. The objective is to share our experience to assist other professionals and organizations in similar settings.

Materials and methods: Eight THA surgery campaigns were conducted between July 2019 and February 2023. Most patients presented with femoral head necrosis secondary to sickle cell anemia. Demographic and surgical data, technical difficulties, and complications were prospectively collected, and follow-up was conducted by a local orthopedic surgeon.

Results: Seventy-three surgeries were performed on 63 patients with a mean age of 34 years and an average follow-up of 24 months. Seventeen intraoperative technical incidents (23.2%) were observed. The postoperative complication rate was 9.5%, and three patients required revision surgery due to complications.

Conclusions: The THA program at Monkole Hospital demonstrates that it is feasible to perform complex surgeries in developing countries and that it is a cost-effective procedure that improves patients' quality of life, provided there are adequate hospital infrastructures, team training, availability of implants, and ensured proper care and follow-up. Training local surgeons and investing in resources are key to the sustainability of the program and the improvement of surgical care.

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引用次数: 0
[Artículo traducido] Factores de riesgo para complicaciones en artroplastia total de cadera.
Q3 Medicine Pub Date : 2025-02-14 DOI: 10.1016/j.recot.2025.02.006
L A Hoyos-Velasco, J C Palacio, W P Stangl, C L Chacón-Castillo, V Palacio-Aragón, J P Pulgarín

Introduction and objective: Hip arthroplasty represents a significant advancement in the treatment of refractory chronic joint pain, improving quality of life and functionality. The objective of this study is to identify the risk factors associated with local and systemic complications in patients treated with total hip arthroplasty.

Methods: Observational, analytical, retrospective cohort study, which included 304 participants treated with total hip replacement. Comparison of variables between two groups was performed; 38 participants in the group with complications and 266 participants in the group without complications.

Results: The mean age in the complication group was 66 years (SD 18.7) and in the uncomplicated group it was 67,1 years (SD 15.1) (p 0,686). Female sex was observed in 73.3% of the group with complications and 65% in the group without complications. (p 0.292). Risk factors were: hip fracture as an indication for arthroplasty RR 1.33 [95% CI 1.004;1.775 p 0.047], coronary heart disease RR 1.31 [95% CI 1.067;1.616 p 0.010] and surgical bleeding equal to or greater than 400 cc RR 1.11 [95% CI 1.012;1.218 p 0.028].

Conclusions: The risk factors for complications in total hip arthroplasty were: hip fracture as the indication for arthroplasty, coronary artery disease, and surgical bleeding equal to or greater than 400 cc.

{"title":"[Artículo traducido] Factores de riesgo para complicaciones en artroplastia total de cadera.","authors":"L A Hoyos-Velasco, J C Palacio, W P Stangl, C L Chacón-Castillo, V Palacio-Aragón, J P Pulgarín","doi":"10.1016/j.recot.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.recot.2025.02.006","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Hip arthroplasty represents a significant advancement in the treatment of refractory chronic joint pain, improving quality of life and functionality. The objective of this study is to identify the risk factors associated with local and systemic complications in patients treated with total hip arthroplasty.</p><p><strong>Methods: </strong>Observational, analytical, retrospective cohort study, which included 304 participants treated with total hip replacement. Comparison of variables between two groups was performed; 38 participants in the group with complications and 266 participants in the group without complications.</p><p><strong>Results: </strong>The mean age in the complication group was 66 years (SD 18.7) and in the uncomplicated group it was 67,1 years (SD 15.1) (p 0,686). Female sex was observed in 73.3% of the group with complications and 65% in the group without complications. (p 0.292). Risk factors were: hip fracture as an indication for arthroplasty RR 1.33 [95% CI 1.004;1.775 p 0.047], coronary heart disease RR 1.31 [95% CI 1.067;1.616 p 0.010] and surgical bleeding equal to or greater than 400 cc RR 1.11 [95% CI 1.012;1.218 p 0.028].</p><p><strong>Conclusions: </strong>The risk factors for complications in total hip arthroplasty were: hip fracture as the indication for arthroplasty, coronary artery disease, and surgical bleeding equal to or greater than 400 cc.</p>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434139","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}
引用次数: 0
期刊
Revista Espanola de Cirugia Ortopedica y Traumatologia
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