Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献

{"title":"Fijación de las fracturas de cuello femoral del adulto: comparación retrospectiva entre tornillos canulados y el sistema de cuello femoral (FNS)","authors":"E. Guillén Botaya,&nbsp;Á. Soler García,&nbsp;J.L. Aparicio Martínez,&nbsp;A. Tejeda Gómez,&nbsp;F. Segura Llopis,&nbsp;A. Silvestre Muñoz","doi":"10.1016/j.recot.2024.10.006","DOIUrl":"10.1016/j.recot.2024.10.006","url":null,"abstract":"<div><h3>Objective</h3><div>The FNS System DePuy Synthes® (EEUU, 2018) represents a recent alternative treatment for the fixation of femoral neck fractures, providing biomechanical advantages with respect to cannulated screws (3 CS). The objective of this study is to compare the clinical results of both fixation methods.</div></div><div><h3>Method</h3><div>A retrospective collection of the 36 subcapital fractures treated with the FNS system was carried out compared with a retrospective search of the last 35 patients treated with 3 CS. Age, sex, fracture pattern, delay until the intervention, length of intervention, hospital length stay, and haemoglobin loss were analyzed. In addition, the rate of avascular necrosis, nonunion, symptomatic femoral neck shortening, and material protrusion with or without its removal were recorded during a minimum follow-up of 6 months.</div></div><div><h3>Results</h3><div>No significant differences were found in age (<em>p</em>-value 0.32), fracture patterns (<em>p</em>-value 0.77), surgical delay (<em>p</em>-value 0.28), surgical time (<em>p</em>-value 0.226), length of hospital stay (<em>p</em>-value 0.921) and blood loss (<em>p</em>-value 0.086) between the two groups.</div><div>A significantly higher overall complication rate was observed in the group treated with cannulated screws (<em>p</em>-value 0.004). Analysed separately, a higher rate of avascular necrosis, symptomatic shortening of the femoral neck, protrusion of the osteosynthesis material with or without removal was observed in the group treated with cannulated screws.</div></div><div><h3>Conclusions</h3><div>The FNS system represents a safe and reproductible alternative for the fixation of femoral neck fractures, showing non-inferior outcomes to treatment with cannulated screws.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 385-391"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477016","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}

{"title":"La reparación aislada presenta mayor altura patelar postoperatoria según el índice de Insall-Salvati en comparación con la aumentación biológica en roturas agudas del tendón rotuliano","authors":"R. Olivieri ,&nbsp;J.T. Muñoz ,&nbsp;J.I. Laso ,&nbsp;J. Ugarte ,&nbsp;N. Franulic ,&nbsp;P. Innocenti","doi":"10.1016/j.recot.2024.10.002","DOIUrl":"10.1016/j.recot.2024.10.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and objective&lt;/h3&gt;&lt;div&gt;Patellar tendon ruptures (PTR) are rare but highly disabling injuries. Surgical treatment is the standard approach. Postoperative patellar height (PH) is used to determine the success of the intervention, with various indices described in the literature. The objective of the study was to determine if there are differences in PH according to the Insall-Salvati index in the immediate postoperative period and at 4 months, between two groups of patients operated on for acute PTR: The first group underwent isolated repair techniques (IR) and the second group had biological augmentation with autograft or allograft added to the repair (BAR). Our hypothesis was that the BAR group would have lower PH in the immediate postoperative period and at 4 months.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;All patients with acute PTR treated at our center between 2016 and 2022 were reviewed retrospectively. Patients with re-rupture of the operated tendon and those with non-biological augmentation were excluded. PH according to the Insall-Salvati index was measured in radiographs taken the day after surgery and at 4 months postoperatively by three orthopedic surgeons with a subspecialty in knee surgery, independently. A fourth blind evaluator analyzed the measurement results, determining the average PH and the intraclass correlation coefficient for absolute agreement among the three evaluators. The primary outcome was the difference in PH between both groups the day after surgery and at 4 months. The secondary outcome was the difference in PH between the immediate postoperative measurement and at 4 months in both groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;This was a retrospective observational study. Thirty-one operated knees were included. IR was performed on 15 knees (48.38%), and biological augmentation was added in 16. The intraclass correlation coefficient between observer 1 and 2 was 0.88; between 2 and 3 it was 0.89; and between observers 1 and 3 it was 0.92, showing at least substantial agreement among observers. The average Insall-Salvati index the day after surgery and at 4 months was 1.15 and 1.21 for the IR group, and 0.97 and 1.07 for the BAR group, respectively. A statistically significant difference in the Insall-Salvati index was found between the two groups, both in the measurement taken the day after surgery (&lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.0001) and at 4 months (&lt;em&gt;p&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.0002). Additionally, significant differences were observed indicating an increase in average PH when comparing the immediate postoperative measurement and at 4 months in each study group (for IR &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.0016 and for BAR &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.0001).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The Insall-Salvati index was significantly lower in BAR cases both the day after surgery and at 4 months postoperatively. Additionally, a significant increase in PH was observed at 4 months","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 372-379"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406924","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}

{"title":"Impacto del alargamiento de miembros inferiores con clavos telescópicos en la funcionalidad y calidad de vida de pacientes con acondroplasia","authors":"M. Galán-Olleros,&nbsp;J. Alonso-Hernández,&nbsp;C. Miranda-Gorozarri,&nbsp;J. García-Fernández,&nbsp;R.M. Egea-Gámez,&nbsp;Á. Palazón-Quevedo","doi":"10.1016/j.recot.2025.01.001","DOIUrl":"10.1016/j.recot.2025.01.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The short stature characteristic of patients with achondroplasia can negatively affect health-related quality of life (HRQoL). Lower limb lengthening reusing telescopic intramedullary nails (TIMNs) offers an alternative to external fixators, with the potential to enhance functionality, self-esteem, and HRQoL, while reducing complication risks, which this study aims to evaluate.</div></div><div><h3>Materials and methods</h3><div>This retrospective study included nine patients with achondroplasia who underwent parallel transverse lengthening of femurs and/or tibias reusing a TIMN between 2015 and 2022. Functionality (Lower Extremity Functional Scale, LEFS), self-esteem (Rosenberg Self-Esteem Scale), and HRQoL (Short Form-12, SF-12, and EuroQol VAS) were assessed preoperatively and at least two years post-surgery. Complications (Clavien-Dindo-Sink classification) and patient satisfaction were also recorded.</div></div><div><h3>Results</h3><div>The median age was 13.5 years (IQR: 12.5-17.1), with a significant height increase of +19.9<!--> <!-->cm +19.9<!--> <!-->cm (p<!--> <!-->&lt;<!--> <!-->0.05). Improvements were significant in functionality (LEFS, +4.6 points; p<!--> <!-->&lt;<!--> <!-->0.05), self-esteem (Rosenberg, +3.7 points; p<!--> <!-->&lt;<!--> <!-->0.05), and HRQoL (SF-12 physical, +8.9 points; p<!--> <!-->&lt;<!--> <!-->0.05; EQ-VAS, +20 points; p<!--> <!-->&lt;<!--> <!-->0.05). A total of 22 complications were reported in 32 treated bones, most classified as grade 2 or 3<!--> <!-->B, with no significant correlation to functionality, HRQoL, or self-esteem outcomes (p<!--> <!-->&gt;<!--> <!-->0.05).</div></div><div><h3>Conclusions</h3><div>Lower limb lengthening reusing TIMNs appears to improve functionality, HRQoL, and self-esteem in patients with achondroplasia compared to their preoperative status. High patient satisfaction and manageable complications were observed, with no negative impact on outcomes, laying the groundwork for future studies.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 4","pages":"Pages 412-420"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013560","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}

{"title":"Utilización de prótesis «cono de helado» en defectos acetabulares secundarios a resecciones tumorales","authors":"J. Teves,&nbsp;J. Perez-Abdala,&nbsp;N. Stramazzo,&nbsp;I. Albergo,&nbsp;G. Farfalli,&nbsp;M. Ayerza,&nbsp;L. Aponte-Tinao","doi":"10.1016/j.recot.2025.02.022","DOIUrl":"10.1016/j.recot.2025.02.022","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Antecedentes y objetivos&lt;/h3&gt;&lt;div&gt;El tratamiento de tumores pélvicos, particularmente en la región periacetabular (zona &lt;span&gt;ii&lt;/span&gt; de Enneking y Dunham), representa un gran desafío para los cirujanos ortopédicos oncológicos debido a la complejidad anatómica y a la necesidad de preservar la función de la cadera. Las prótesis tipo «cono de helado» han surgido como una opción reconstructiva prometedora por su versatilidad y su potencial para minimizar infecciones, aunque la evidencia sobre su efectividad aún es limitada.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materiales y métodos&lt;/h3&gt;&lt;div&gt;Se analizó una cohorte retrospectiva de pacientes con tumores óseos pélvicos tratados con prótesis tipo «cono de helado» entre 2016 y 2023 en un único centro de tercer nivel. Se incluyeron aquellos pacientes con afectación tumoral en la zona &lt;span&gt;ii&lt;/span&gt; y preservación de zona Ia según la clasificación de Enneking. Se evaluaron variables quirúrgicas, complicaciones, funcionalidad, recurrencia y mortalidad.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Resultados&lt;/h3&gt;&lt;div&gt;Diez pacientes cumplieron con los criterios de inclusión. La mediana de edad fue de 50 años, con un seguimiento promedio de 26,4 meses. El condrosarcoma fue el tumor más frecuente (60%). Todas las cirugías lograron márgenes oncológicos negativos. La mediana en la escala &lt;em&gt;Musculoskeletal Tumor Society&lt;/em&gt; (MSTS) postoperatoria fue de 22,5 puntos (rango: 12-28). No se observó recurrencia local, aunque un paciente presentó metástasis y otro falleció por complicaciones de una enfermedad renal crónica.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusión&lt;/h3&gt;&lt;div&gt;La utilización de prótesis tipo «cono de helado» para defectos acetabulares secundarios a resección oncológica parece ser una técnica segura y eficaz en pacientes seleccionados, ofreciendo buenos resultados funcionales y alta satisfacción, con tasas de complicaciones comparables a otras alternativas.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background and objectives&lt;/h3&gt;&lt;div&gt;The treatment of pelvic tumors, particularly in the periacetabular region (zone II of the Enneking and Dunham classification), represents a significant challenge for orthopedic oncologic surgeons due to the anatomical complexity and the need to preserve hip function. “Ice cream cone” prostheses have emerged as a promising reconstructive option due to their versatility and potential to reduce infection rates, although evidence regarding their effectiveness remains limited.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;A retrospective cohort of patients with pelvic bone tumors treated with “ice cream cone” prostheses between 2016 and 2023 at a single tertiary care center was analyzed. Patients with tumors affecting zone II and undergoing preservation of zone Ia were included. Surgical variables, complications, functionality, recurrence, and mortality were evaluated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Ten patients met the inclusion criteria. The median age was 50 years, with a mean follow-up of 26.4 months. Chondrosarcoma was the most ","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 6","pages":"Pages 605-613"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374393","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}

{"title":"[Translated article] ‘À la carte’ treatment algorithm for patellofemoral instability","authors":"T. Pineda ,&nbsp;D.H. Dejour","doi":"10.1016/j.recot.2025.06.010","DOIUrl":"10.1016/j.recot.2025.06.010","url":null,"abstract":"<div><div>Patellar instability is a complex and multifactorial problem that poses difficulties in treatment decision-making. The treatment algorithm proposed by the Lyon School of Knee Surgery aims to guide surgeons in identifying imaging risk factors for failure and proposing a therapeutic plan focused on correcting major risk factors present in specific case.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T544-T550"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890918","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}

{"title":"[Translated article] Predictive factors of hospital and nursing facility admission in the fixation of low-energy ankle fractures","authors":"J.V. Andrés-Peiró ,&nbsp;M.M. Reverté-Vinaixa ,&nbsp;O. Pujol-Alarcón ,&nbsp;M. Altayó-Carulla ,&nbsp;S. Castellanos-Alonso ,&nbsp;J. Teixidor-Serra ,&nbsp;J. Tomàs-Hernández ,&nbsp;J. Selga-Marsà ,&nbsp;C.A. Piedra-Calle ,&nbsp;F. Blasco-Casado ,&nbsp;Y. García-Sánchez ,&nbsp;N. Joshi-Jubert ,&nbsp;J. Minguell-Monyart","doi":"10.1016/j.recot.2025.06.014","DOIUrl":"10.1016/j.recot.2025.06.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Ankle fractures are increasingly common in frail patients, with hospitalisation being the principal cost driver, particularly for the elderly who often need referral to nursing facilities. This study aims to identify factors affecting resource utilisation per admission (hospital and nursing) in the fixation of low-energy ankle fractures.</div></div><div><h3>Materials and methods</h3><div>This retrospective cohort study examined patients undergoing fixation for low-energy ankle fractures. The primary outcome was the length of hospitalisation. Secondary outcomes included delays in fixation and the need for referral to a nursing institution. Multiple linear and logistic regression models were used to determine predictors related to patient demographics, injury characteristics, and treatment.</div></div><div><h3>Results</h3><div>We analysed 651 patients with a median age of 58<!--> <!-->years. The median hospitalisation duration was 9<!--> <!-->days, primarily before surgery. Extended hospitalisation was associated with antithrombotic treatment (<em>b</em> <!-->=<!--> <!-->4.08), fracture-dislocation (2.26), skin compromise (7.56), complications (9.90), and discharge to a nursing centre (5.56). Referral to a nursing facility occurred in 17.2%, associated with older age (OR<!--> <!-->=<!--> <!-->1.10) and an ASA score<!--> <!-->≥<!--> <!-->III (6.96).</div></div><div><h3>Conclusions</h3><div>Prolonged hospitalisation was mainly due to surgical delays and was related to fracture-dislocations, skin compromise, and complications. Older and comorbid patients were more likely to need nursing facilities, and delays in these facilities’ availability contributed to extended hospital stays.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T495-T503"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890996","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}

{"title":"[Translated article] Biomechanical study on cadaveric reconstruction with graft of the anterior talofibular and calcaneofibular ligaments","authors":"A. Abarquero-Diezhandino ,&nbsp;M.Á. Mellado-Romero ,&nbsp;M. Muñoz de la Espada-López ,&nbsp;R. Diaz-Suárez ,&nbsp;E. García-Jarabo ,&nbsp;A. Núñez-García ,&nbsp;E.J. Sánchez-Morata ,&nbsp;M.T. Vázquez-Osorio ,&nbsp;F. Guerra-Pinto ,&nbsp;J. Vilá-Rico","doi":"10.1016/j.recot.2025.06.008","DOIUrl":"10.1016/j.recot.2025.06.008","url":null,"abstract":"<div><h3>Background and aim</h3><div>Ankle sprains can lead to chronic lateral ankle instability (CLAI) in 10-50% of cases. While the anterior talofibular ligament (ATFL) is traditionally considered the primary structure affected, recent studies indicate a high incidence of combined injuries to the ATFL and the calcaneofibular ligament (CFL). Given the importance of the CFL, this study aims to evaluate the biomechanical efficacy of double tendon graft reconstruction of the ATFL and CFL in cases of CLAI.</div></div><div><h3>Materials and methods</h3><div>This biomechanical study on cadaveric ankles compares two techniques: anatomical reconstruction using a double graft for both the ATFL and CFL versus isolated anatomical reconstruction of the ATFL with a single graft. Stability was assessed using specific examination maneuvers (anterior drawer, forced varus, and pivot shift) with an arthrometer measuring angular displacement across three spatial planes (horizontal, coronal, and sagittal). Four models were analyzed: intact ankle, sectioning of the ATFL and CFL, double graft reconstruction of the ATFL and CFL, and single graft reconstruction of the ATFL.</div></div><div><h3>Results</h3><div>The results showed no significant differences between the double graft reconstruction and the intact ankle. Comparing the double graft with the single graft reconstruction revealed statistically significant differences, favoring the double graft for greater angular stability in the coronal plane during forced varus and external rotation maneuvers.</div></div><div><h3>Conclusions</h3><div>Double graft reconstruction of the ATFL and CFL provides greater angular stability compared to isolated ATFL reconstruction, demonstrating significant benefits in lateral and rotational stabilization of the ankle in CLAI cases.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T512-T522"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890998","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}

{"title":"[Translated article] Induced osteogenesis by chitosan (3-glycidoxypropyl)trimethoxysilane and silica-based biomaterial in rabbits","authors":"J. Orta-Chincoa ,&nbsp;M. Salido ,&nbsp;M. Piñero ,&nbsp;N. García ,&nbsp;P. Andrés-Cano","doi":"10.1016/j.recot.2025.06.012","DOIUrl":"10.1016/j.recot.2025.06.012","url":null,"abstract":"<div><h3>Introduction</h3><div>Synthetic biomaterials obtained through tissue engineering offer an alternative to the use of autologous and heterologous grafts for the repair of bone defects of various etiologies, although the ideal material for this purpose has not yet been developed. A gel based on chitosan (CS) (3-glycidoxypropyl)trimethoxysilane (GPTMS), and silica have shown efficacy in experimental studies from a biomechanical and in vitro osseointegration perspective.</div></div><div><h3>Objective</h3><div>To demonstrate that the hybrid aerogel based on CS-GPTMS-silica is effective and safe for treating bone defects in load-bearing bone in rabbits.</div></div><div><h3>Materials and methods</h3><div>A comparative experimental study was conducted on 12 adult New Zealand rabbits, involving osteotomy in both radii as case (osteotomy with biomaterial placement) and contralateral control (osteotomy with placement of the extracted bone), both fixed with plates and screws. After 10 weeks, the animals were euthanized, and the surgical area was subjected to histological analysis.</div></div><div><h3>Results</h3><div>For all subjects, wound healing was successful, and normal gait was observed within 24–48<!--> <!-->h. In <em>case limbs</em>, cortical closure of 95.9% was observed compared to 98% in <em>control limbs</em>. Residual biomaterial was observed in 5 subjects, with an average of 16% of the total analyzed area. Inflammatory cells were grouped (5–10%) in all <em>case samples</em>, with significant differences between case and control samples (<em>p</em> <!-->&lt;<!--> <!-->.05). An increase in the presence of bone precursor cells (5–10%) was observed in all <em>case samples</em> compared to <em>control samples</em>, with significant differences (<em>p</em> <!-->&lt;<!--> <!-->.05).</div></div><div><h3>Conclusions</h3><div>The aerogel based on chitosan CS-GPTMS, and silica is biocompatible and safe in rabbits, demonstrating minimal inflammatory reaction, good osteoblast adhesion, and a high resorption rate.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T469-T476"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891000","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}

{"title":"[Translated article] Superior capsular reconstruction of the shoulder with biceps autograft vs. Achilles allograft: A 2-year comparative study","authors":"D.J. Gómez,&nbsp;S. Ávila Posada,&nbsp;N. Gabotto,&nbsp;G.M. Viollaz,&nbsp;Á.J. Muratore,&nbsp;N.N. Altamirano,&nbsp;D. Moya","doi":"10.1016/j.recot.2025.06.006","DOIUrl":"10.1016/j.recot.2025.06.006","url":null,"abstract":"<div><h3>Purpose</h3><div>To retrospectively evaluate the clinical–functional outcomes, healing rates, complications, and surgical time in patients treated with superior capsular reconstruction (SCR) using long head of the biceps autograft (LHB) and Achilles allograft (AA).</div></div><div><h3>Materials and methods</h3><div>This retrospective study included 24 patients with irreparable rotator cuff tears of the supraspinatus and infraspinatus, treated with SCR. Two treatment groups were formed: one with 12 cases using AA and another with 12 cases using LHB. All patients were followed for a minimum of 2 years.</div></div><div><h3>Results</h3><div>The SSV was 73.7<!--> <!-->±<!--> <!-->25.3 vs. 86.0<!--> <!-->±<!--> <!-->8.7 (<em>p</em> <!-->=<!--> <!-->0.26), the Constant score was 76.8<!--> <!-->±<!--> <!-->20.1 vs. 83.7<!--> <!-->±<!--> <!-->4.6 (<em>p</em> <!-->=<!--> <!-->0.12), and the VAS was 1.6<!--> <!-->±<!--> <!-->2.3 vs. 1.7<!--> <!-->±<!--> <!-->0.5 (<em>p</em> <!-->=<!--> <!-->0.9) for the LHB and AA groups, respectively. Tendon healing was 66.7% in AA and 100% in LHB (<em>p</em> <!-->=<!--> <!-->0.001). Complications were 50% in AA and 0% in LHB. The average surgical time was 127.7<!--> <!-->±<!--> <!-->37.6<!--> <!-->min for AA and 84.3<!--> <!-->±<!--> <!-->14.3<!--> <!-->min for LHB (<em>p</em> <!-->=<!--> <!-->0.01).</div></div><div><h3>Conclusions</h3><div>SCR with LHB showed better results in terms of tendon healing, fewer complications, and reduced surgical time compared to the use of AA.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T484-T494"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890995","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}

{"title":"[Translated article] Use of artificial intelligence to predict complications in degenerative thoracolumbar spine surgery: A systematic review","authors":"G. Ricciardi ,&nbsp;J.I. Cirillo Totera ,&nbsp;R. Pons Belmonte ,&nbsp;L. Romero Valverde ,&nbsp;F. López Muñoz ,&nbsp;A. Manríquez Díaz","doi":"10.1016/j.recot.2025.06.015","DOIUrl":"10.1016/j.recot.2025.06.015","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>A total of 2341 titles were identified (763 were duplicates). Screening was performed on 1578 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 Orthopaedics 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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 5","pages":"Pages T446-T460"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891030","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}