Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第5页

[Translated article] Non-operative management in intracapsular hip fractures. General characteristics in a single-centre series 髋关节囊内骨折的非手术治疗。单中心系列的一般特性

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-11-06 DOI: 10.1016/j.recot.2025.11.005

C. López-Orosa , P. Álvarez-Losada , A.N. Toro-Ibarguen

Background and objective

Non-surgical management of intracapsular hip fractures is rare and reserved for fragile patients with comorbidities that contraindicate surgery. The aim of the study is to determine the mortality rate in intracapsular hip fractures managed non-surgically.

Material and methods

Retrospective series of patients who received non-surgical management between January 2004 and December 2023 included, minimum follow-up 1 year. Periprosthetics or secondary-to-tumor fractures, polytraumatized and surgically treated intracapsular hip fractures were excluded. Mortality was recorded during admission, at 30 days, 6 months and one year.

Results

Non-surgical management was indicated in 54 patients (frequency 7.56%), the most common reason was low functionality (Barthel Index <20 points) associated with non-ambulation and/or neurological disease/dementia. Two patients were excluded due to loss of follow-up. During admission, 3 patients died (5.8%), at 30 days 8 patients (15.4%), at 6 months 23 patients had died (44.2%) and in the first year 30 patients (57. 7%). It was observed that the deceased patients were older (mean age 89.7 years versus 83 years); and association between mortality at one year and Barthel Index (p = 0.019) and mobility 30 days after the fracture (p = 0.006).

Conclusion

We present a high one-year mortality (57.7%), higher than published for surgery, so we believe that in fragile patients we must either improve multidisciplinary outpatient follow-up or consider other palliative care, without reaching harsh therapeutic treatment.

背景与目的髋部囊内骨折的非手术治疗是罕见的，并且保留给有合并症的虚弱患者。该研究的目的是确定非手术治疗髋囊内骨折的死亡率。材料与方法回顾性分析2004年1月至2023年12月间接受非手术治疗的患者，随访时间至少1年。排除假体周围或继发肿瘤骨折、多发创伤和手术治疗的髋关节囊内骨折。分别记录入院期间、30天、6个月和1年时的死亡率。结果54例患者行非手术治疗（发生率7.56%），最常见的原因是功能低下（Barthel指数20分）伴不能行走和/或神经系统疾病/痴呆。2例患者因失去随访而被排除。入院时死亡3例（5.8%），30天死亡8例（15.4%），6个月死亡23例（44.2%），第一年死亡30例（57例）。7%)。观察到，死亡患者年龄较大（平均年龄89.7岁对83岁）；1年死亡率与Barthel指数（p = 0.019）和骨折后30天活动能力（p = 0.006）相关。结论：我们的一年死亡率很高（57.7%），高于手术的死亡率，因此我们认为，在脆弱的患者中，我们必须改善多学科门诊随访或考虑其他姑息治疗，而不是采用苛刻的治疗方法。

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引用次数: 0

[Translated article] A prospective case series: Results of fourth generation minimally invasive surgery (MIS) in hallux valgus correction 前瞻性病例系列：第四代微创手术（MIS）矫正拇外翻的结果

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-11-29 DOI: 10.1016/j.recot.2025.11.036

R. Torre-Puente , M. Rotinen-Diaz , A. Lara-Quintana , J.I. Martino-Quintela , L. Fernandez-Gutiérrez , J. Pascual-Huerta

Introduction

and aim Surgical techniques that try to correct the three-dimensional deformity of hallux valgus is becoming more and more frequent with the hope of achieving better outcomes. The aim of this study was to assess the radiological parameters of correction in transverse and frontal planes as well as clinical outcomes of hallux valgus patients undergoing a 4th generation MIS technique.

Patients and methods

Seventy-seven feet in 77 patients with hallux valgus deformity were treated with a 4th generation minimally invasive technique which allowed frontal plane correction with a follow up of 12 months. Preoperative and postoperative anteroposterior weightbearing X-ray images were analysed including hallux valgus angle, intermetatarsal angle, tibial sesamoid position and frontal plane first metatarsal rotation by means of a classification into four groups. Clinical outcomes were measured using the Visual Analog Scale (VAS), the American Orthopaedic Foot Ankle Society (AOFAS) hallux MTF-IF questionnaire, and EuroQol (EQ5D5L and EQVAS) prior to surgery and one year of follow-up.

Results

There were statistical significant differences in the four radiological variables (p < 0.001) with a mean correction of 23.5 ± 9.6° in hallux valgus angle, 7.0 ± 3.5° in intermetatarsal angle, 2.6 ± 1.3 in tibial sesamoid position and a change of 1.4 ± 0.9 in first metatarsal pronation classification. There was a significant improvement in all the clinical parameters measured. The complication rate was 18.8% and 2.6% required reoperation.

Conclusions

The proposed MIS technique has shown to be a potential method for correction of hallux valgus in the transverse and frontal plane with a low complication rate, patient satisfaction and an improvement in quality of life.

前言与目的矫正拇外翻三维畸形的手术技术越来越多，希望获得更好的治疗效果。本研究的目的是评估在横切面和额平面矫正的放射学参数以及第四代MIS技术的拇外翻患者的临床结果。患者和方法采用第四代微创技术对77例77英尺的拇外翻畸形患者进行治疗，并随访12个月。术前和术后的负重x线图像包括拇外翻角、跖间角、胫骨籽骨位置和第一跖骨额平面旋转，并将其分为四组。临床结果采用视觉模拟量表（VAS）、美国骨科足踝学会（AOFAS）拇趾MTF-IF问卷、术前EuroQol （EQ5D5L和EQVAS）和随访1年进行测量。结果4个影像学指标差异有统计学意义（p < 0.001），拇外翻角平均矫正23.5±9.6°，跖间角平均矫正7.0±3.5°，胫骨籽骨位置平均矫正2.6±1.3°，第一跖前旋分型平均矫正1.4±0.9°。所有临床指标均有显著改善。并发症发生率为18.8%，再次手术率为2.6%。结论MIS技术是一种有潜力的矫正拇趾横额面外翻的方法，并发症发生率低，患者满意度高，生活质量提高。

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引用次数: 0

Influencia de la articulación escafotrapeciotrapezoidea en los resultados de las prótesis totales trapeciometacarpianas 棘皮-棘皮-棘皮类关节对棘皮-棘皮类全假体结果的影响

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-05-21 DOI: 10.1016/j.recot.2025.05.004

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 analyzed 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.

摘要：舟状梯形（STT）关节骨性关节炎可能影响梯形骨假体（TMP）植入术后的预后。关于其临床和放射学评估的文献尚不清楚。我们研究的目的是通过干预前和干预后的CT研究来确定STT受纳程度是否会影响TMP植入后的临床功能或影像学结果，并确定STT骨关节炎是否可能是使用这些植入物的禁忌症。方法对2017 - 2022年间手术治疗的60例III-IV级斜跖骨关节炎患者进行前瞻性研究。评估Van Cappelle功能测试、疼痛、力量和活动能力。简单的影像学研究和CT扫描评估STT术前和术后。分析结果与关节空间的关系。并发症记录及统计。结果共50例患者完成研究，平均年龄59岁，平均随访56个月，植入Isis®36例，Touch®14例。所有变量均有显著改善。干预后STT关节间隙未发生变化，STT关节间隙与不同临床功能变量之间无统计学关联。3例（6%）出现STT疼痛，没有一例需要手术修复。无感染、脱臼或松动。观察到4例De Quervain腱鞘炎和2例种植体周围骨化。植入物的成活率为100%。结论不论是否累及STT， TMP在斜跖骨关节炎患者的中短期疗效都很好，因此不应作为该级别骨关节炎的禁忌症。

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引用次数: 0

Serie de casos prospectiva: Resultados de la cirugía mínimamente invasiva (MIS) de cuarta generación en la corrección del hallux valgus 前瞻性病例系列：第四代微创手术（MIS）矫正拇囊炎的结果

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-07-07 DOI: 10.1016/j.recot.2025.07.001

R. Torre-Puente , M. Rotinen-Diaz , A. Lara-Quintana , J.I. Martino-Quintela , L. Fernandez-Gutiérrez , J. Pascual-Huerta

Introduction

and aim Surgical techniques that try to correct the three-dimensional deformity of hallux valgus is becoming more and more frequent with the hope of achieving better outcomes. The aim of this study was to assess the radiological parameters of correction in transverse and frontal planes as well as clinical outcomes of hallux valgus patients undergoing a 4^th generation MIS technique.

Patients and methods

Seventy-seven feet in 77 patients with hallux valgus deformity were treated with a 4^th generation minimally invasive technique which allowed frontal plane correction with a follow up of 12 months. Preoperative and postoperative anteroposterior weightbearing x-ray images were analyzed including hallux valgus angle, intermetatarsal angle, tibial sesamoid position and frontal plane first metatarsal rotation by means of a classification into four groups. Clinical outcomes were measured using the Visual Analog Scale (VAS), the American Orthopaedic Foot Ankle Society (AOFAS) hallux MTF-IF questionnaire, and EuroQol (EQ5D5L and EQVAS) prior to surgery and one year of follow-up.

Results

There were statistical significant differences in the four radiological variables (p < 0.001) with a mean correction of 23.5 ± 9.6° in hallux valgus angle, 7.0 ± 3.5° in intermetatarsal angle, 2.6 ± 1.3 in tibial sesamoid position and a change of 1.4 ± 0.9 in first metatarsal pronation classification. There was a significant improvement in all the clinical parameters measured. The complication rate was 18.8% and 2.6% required reoperation.

Conclusions

The proposed MIS technique has shown to be a potential method for correction of hallux valgus in the transverse and frontal plane with a low complication rate, patient satisfaction and an improvement in quality of life.

前言与目的矫正拇外翻三维畸形的手术技术越来越多，希望获得更好的治疗效果。本研究的目的是评估在横切面和额平面矫正的放射学参数以及第四代MIS技术的拇外翻患者的临床结果。患者和方法采用第四代微创技术对77例77英尺的拇外翻畸形患者进行治疗，并随访12个月。术前和术后的负重x线图像包括拇外翻角、跖间角、胫骨籽骨位置和第一跖骨额平面旋转，并将其分为四组。临床结果采用视觉模拟量表（VAS）、美国骨科足踝学会（AOFAS）拇趾MTF-IF问卷、术前EuroQol （EQ5D5L和EQVAS）和随访1年进行测量。结果4个影像学指标差异有统计学意义（p < 0.001），拇外翻角平均矫正23.5±9.6°，跖间角平均矫正7.0±3.5°，胫骨籽骨位置平均矫正2.6±1.3°，第一跖前旋分型平均矫正1.4±0.9°。所有临床指标均有显著改善。并发症发生率为18.8%，再次手术率为2.6%。结论MIS技术是一种有潜力的矫正拇趾横额面外翻的方法，并发症发生率低，患者满意度高，生活质量提高。

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引用次数: 0

The role of the orthopaedic surgeon in natural disasters 骨科医生在自然灾害中的作用

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-04-11 DOI: 10.1016/j.recot.2025.04.001

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.

自然灾害是造成重大人员、物质、经济和环境损失的现象，其损失超出了受影响社区或国家以其自身资源作出反应的能力。这些事件的进展分为几个阶段：超急性、急性、亚急性、慢性和康复/恢复。从最初的抢救到长期的康复，骨科医生在每个阶段都起着至关重要的作用。在急性期，他们的职责包括分诊和处理损伤，如骨折（通常在下肢）、伤口感染和挤压伤。有效的治疗对于降低发病率和死亡率至关重要。紧急医疗队和地方当局之间的协调对于有效的反应至关重要，而组织不善可能会阻碍救援工作。骨科医生必须适应有限的资源，尊重文化背景，并解决社会经济现实。由于与气候变化有关的自然灾害日益频繁，它们的作用越来越重要，这强调了准备和合作的必要性。

引用次数: 0

Normalización precoz del índice acetabular como factor de buen pronóstico en la ddc tratada mediante reducción cerrada e inmovilización con yeso pelvipédico 在采用闭合收缩和盆腔石膏固定治疗的ddc中，乙酰胆碱指数作为良好预后因素的早期标准化

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-06-16 DOI: 10.1016/j.recot.2025.06.013

P. González-Herranz, N. Penelas-Abelleira, M.L. Rodríguez-Rodríguez, M. Goday-Etxebarria

Introduction

Early diagnosis of DDH, ultrasonography and treatment with Pavlik arnais have provided an improvent of the results. However, always appear children more than 3 months until 24 months-old with late diagnosis or failure with Pavlik treatment requiring closed reduction and spica cast treament as standard management.

Material and method

The authors reviewed retrospectively DDH cases treated all patients treated with spica cast in human position during 3 months. The minimum follow-up was 5 years. It was considered good result when DDH reduced, remained stable, concentric, without AVN and not required surgery for sequels. All demographics, clinical and radiological parameters were statiscally analyzed.

Results

Of a total 152 hips were treated, 24 (15.8%) required surgery. In 6 cases (4%) was observed AVN. According IHDI/Tönnis displacement severity, types I and II were success treated in 98,9% and types III/IV in 64%. As bad prognosis factors were identified Ortolani test (+), alfa angle minor than 44°, acetabular index higher than 44° or IHDI/Tönnis types III/IV and factors for a good prognosis types I/II and the early recovery of the acetabular index more than 10° after 5 months of treatment. The age and early treatment of the patients was only important for the hips type III/IV (64 hips), the mean age of patients treated successfully was 5,1 months (64%), comparing with 8,8 months of the surgery group (36%). The incidence of AVN was 4% (6 cases) and in all cases the nucleus of ossification was not present in the x-ray pre-treatment. We cannot find relationship between AVN with previous skin traction, adductor tenotomy or severity of displacement.

Conclusions

Conservative management of DDH with spica cast provide excellent results in almost all cases in types I and II hips (98,9%) and in 64% of Types III /IV. An improvement of the Acetabular Index more than 10°, 5 months after the treatment is the best prognosis factor for a good result.

前言早期诊断DDH，超声检查和帕夫利克氏病治疗可以改善结果。然而，总是出现超过3个月至24个月的儿童，诊断较晚或Pavlik治疗失败，需要闭合复位和特殊石膏治疗作为标准处理。材料与方法回顾性分析了3个月内所有采用spica石膏位治疗的DDH病例。最小随访时间为5年。当DDH减少，保持稳定，同心，无AVN且不需要手术治疗时，被认为是良好的结果。统计分析所有人口统计学、临床和放射学参数。结果治疗152例，手术24例（15.8%）。6例（4%）出现AVN。根据IHDI/Tönnis位移严重程度，I型和II型治疗成功率为98.9%，III/IV型治疗成功率为64%。判断预后不良的因素为Ortolani试验（+）、α角小于44°、髋臼指数大于44°或IHDI/Tönnis为III/IV型，预后良好的因素为I/II型，治疗5个月后髋臼指数早期恢复大于10°。患者的年龄和早期治疗仅对III/IV型髋关节（64髋）很重要，成功治疗的患者平均年龄为5.1个月（64%），而手术组为8.8个月（36%）。AVN的发生率为4%（6例），所有病例的x线前处理均未见骨化核。我们没有发现AVN与既往皮肤牵引、内收肌腱切开术或移位严重程度的关系。结论保守治疗DDH在几乎所有I型和II型髋（98.9%）和64%的III /IV型髋中均有良好的效果。治疗后5个月髋臼指数改善10°以上为预后最佳因素，预后良好。

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引用次数: 0

Uso de la impresión 3 D para la fabricación de cárriers con antibiótico en el tratamiento de las infecciones osteoarticulares 使用3D打印制造治疗骨关节感染的抗生素支架

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-07-01 DOI: 10.1016/j.recot.2025.06.017

A. Ortega Yago , C. Ezquer Garín , P. Medina Bessó , F. Baixauli García , J. Ferràs Tarragó

Background

Local antibiotic delivery is crucial in prosthetic infections due to the limited bone penetration of systemic treatments. With the rise of bacterial resistance, alternatives are being explored to utilize these antibiotics without compromising their properties. The aim of this study is to investigate the application of stereolithography in manufacturing customized objects that incorporate thermolabile antibiotics and analyze their biomechanical behavior.

Materials and methods

A stereolithography (SLA) 3 D printer with biocompatible resin Optoprint® Lumina was used to create different models, incorporating various amounts of amoxicillin-clavulanic acid. Mechanical studies were conducted to evaluate the performance of the 3D-printed models before and after antibiotic release.

Results

Resin pieces without antibiotics demonstrated higher resistance, while adding the antibiotic reduced resistance by 18%, and after the elution of amoxicillin-clavulanic acid, the reduction reached 56% of their total strength. Comparatively, antibiotic-loaded cement pieces retained more than twice the resistance post-elution. The progressive loss of biomechanical strength correlated with the antibiotic release from the resin pieces.

Conclusions

The results of this study suggest that it is feasible to design pieces with variable structural characteristics using SLA (stereolithography) printing with biocompatible resin, combined with the incorporation of drugs, including thermolabile antibiotics.

背景：由于全身治疗的骨穿透性有限，局部抗生素递送对假体感染至关重要。随着细菌耐药性的增加，人们正在探索在不损害其特性的情况下利用这些抗生素的替代方法。本研究的目的是研究立体光刻技术在制造含有耐热抗生素的定制物体中的应用，并分析其生物力学行为。材料和方法采用生物相容性树脂optopprint®Lumina的立体光刻（SLA） 3d打印机创建不同的模型，加入不同量的阿莫西林-克拉维酸。通过力学研究来评估抗生素释放前后3d打印模型的性能。结果未加抗生素的树脂片耐药率较高，加抗生素后耐药率降低18%，经阿莫西林-克拉维酸洗脱后耐药率降低56%。相比之下，载抗生素的水泥片在洗脱后保留了两倍以上的耐药性。生物力学强度的逐渐丧失与抗生素从树脂片中释放有关。结论采用生物相容性树脂进行立体光刻，结合药物（包括耐高温抗生素）的掺入，设计具有可变结构特征的片材是可行的。

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引用次数: 0

[Translated article] Cadaveric biomechanical study of the calcaneonavicular ligament in midfoot medial column collapse comparing two surgical techniques 【翻译文章】足中部内侧柱塌陷后跟舟韧带的尸体生物力学研究比较两种手术技术

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-11-29 DOI: 10.1016/j.recot.2025.11.034

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.

跟舟韧带（弹簧韧带）在跟舟静稳定性和内侧纵弓损伤中起基础作用，与扁平足有关。主要目的是比较健康足的弹簧韧带与指长屈肌（FDL）增强和转移手术后的生物力学行为。作为次要目标，我们对单独修复与增强相关或不与转移相关进行生物力学比较。方法本实验生物力学尸体研究在四个阶段评估内侧复合体：完整的踝关节(1)；弹簧损伤(2)；修复和隆胸(3)，富戴劳转移后(4)。使用关节计和手动弹簧韧带探查手法在三个空间平面上测量距舟骨角位移。结果外展和外旋操作后，冠状面（p = 0.050）和矢状面（p = 0.045）的韧带切面差异有统计学意义。增强后在水平面上有显著性差异（p = 0.047）， FDL转移后在水平面上有显著性差异（p = 0.002）。然而，修复和增强与FDL转移之间没有明显差异。结论外展和外旋运动导致冠状面和矢状面不稳定。值得注意的是，这两种手术技术都能够恢复关节的稳定性，甚至超过韧带完好的情况。

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引用次数: 0

How to create by your own a customized hip cement mega-spacer for a hip megaprosthesis two-stage revision surgery after oncologic limb-salvage surgery – Surgical technique and case report 如何为髋关节巨型假体量身定制髋关节骨水泥巨型垫片肿瘤肢体修复手术后的两阶段翻修手术 - 手术技术和病例报告。

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2024-01-09 DOI: 10.1016/j.recot.2024.01.002

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 two 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.

对于恶性骨肿瘤后接受肢体修复手术并使用巨型假体的患者，处理慢性假体周围感染通常需要使用骨水泥垫片进行两阶段翻修手术。本文详细介绍了自制髓内金属稳定巨型骨水泥垫片的制备方法，适用于肿瘤性骨肿瘤切除术和巨型假体肢体修复术后因感染而需要进行两阶段翻修手术的患者，并介绍了两例使用该技术治疗的临床病例。该报告提供了一种实用的手术技术，可在大多数骨科手术环境中使用现成的工具制作骨水泥髋关节巨型垫片。证据级别：IV级。手术技术和病例报告。

引用次数: 0

[Translated article] Reduction is not necessary in overriding metaphyseal distal radius fractures in prepubertal children 【翻译文章】青春期前儿童桡骨远端干骺端骨折不需要复位

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia

Pub Date : 2026-01-01 Epub Date: 2025-11-06 DOI: 10.1016/j.recot.2025.11.007

M. Galán-Olleros, S. Martínez-Álvarez, I. Martínez-Caballero

引用次数: 0