Actualización en el tratamiento de la cadera degenerativa en el adulto joven

El tratamiento de la patología degenerativa de la cadera en el adulto joven es un desafío para el cirujano ortopeda dadas las expectativas de función y calidad de vida que solicitan estos pacientes. En la última década se ha experimentado un cambio hacia la implantación de técnicas quirúrgicas de preservación de la articulación. La selección adecuada de los pacientes candidatos a estas técnicas nos permitirá obtener excelentes resultados y retrasar la necesidad de la cirugía protésica. La prótesis total de cadera sigue siendo la técnica de elección en los pacientes jóvenes con enfermedad degenerativa moderada o severa, aunque es necesario una mejora en los biomateriales y pares de fricción para aumentar la supervivencia del implante y la percepción de calidad de vida por parte del pacienteThe orthopaedic treatment of young patients with hip osteoarthritis is a challenge for the orthopaedic surgeon, as young patients have higher expectation for function and quality of life. Surgical treatment has evolved to joint preservation surgery in the past decade. The proper selection of patients for these techniques allows us to obtain excellent results and delay the need for prosthetic surgery. Total hip replacement is the technique of choice in young patients with moderate or severe hip osteoarthritis. Improvement in biomaterials and bearing surfaces are required to improve the prosthesis survival rates and the quality of life of these patient

Autopistas de la información. Aplicación en cirugía ortopédica

El término autopistas de información describe los servicios de telecomunicaciones que estarán disponibles dentro de 10-15 años. El embrión de estas autopistas es Internet. Internet ofrece 2 clases de servicios: a) comunicación entre usuarios de todo el mundo, y b) acceso a servicios de información. En el primer grupo de estos servicios encontramos el correo electrónico y los grupos de discusión. En el segundo podemos encontrar servicios como logon remoto, transferencia de ficheros, Gopher o WWW. Describimos cada uno de estos servicios y su aplicación a la ortopedia.Information highway describes the telecomunication services will be working in the next 10-15 years. The embryo of this highway is Internet. Internet offers two kinds of services: a) communication between users around the worid, and b) access to information services. In the first group of this services we can find electronic mail and news group. In the second group we can find services such as telnet, file transfer, Gopher and World Wide Web. We describe each of this kind of services and their applications in orthopaedic surgery

Características palinológicas del Cretácico Superior y del tránsito Cretácico-Terciario en los Pirineos Sur-Centrales

XV lnternational A.P.L.E. Symposium of Palynolog

The metallogenic evolution of the Greater Antilles

The Greater Antilles host some of the world's most important deposits of bauxite and lateritic nickel as well as significant resources of gold and silver, copper, zinc, manganese, cobalt and chromium. Beginning in Jurassic time, sedimentary exhalative base metal deposits accumulated in marine sedimentary rift basins as North and South America drifted apart. With the onset of intraoceanic subduction during the Early Cretaceous, a primitive (tholeiitic) island arc formed above a southwesterly-dipping subduction zone. Podiform chromite deposits formed in the mantle portion of the supra-subduction zone, directly above subducted Proto-Caribbean oceanic lithosphere. Within the nascent island arc, bimodal-mafic volcanogenic massive sulfide deposits formed in a fore-arc setting; mafic volcanogenic massive sulfide deposits formed later in mature back-arc basins. The Pueblo Viejo gold district, with five million ounces in production and twenty million ounces in mineable reserves, formed at 108-112Ma, in an apical rift or back-arc setting. By Late Cretaceous time, calc-alkaline volcanism was well established along the entire length of the Greater Antilles. Volcanogenic massive sulfide deposits including shallow submarine deposits characteristic of the primitive island arc gave way to porphyry copper and epithermal precious metal deposits typical of the mature island arc. Oblique collision of the Greater Antilles with North America began in the Late Cretaceous in Cuba and migrated eastward. Orogenic gold and tungsten deposits that formed during the collision event are preserved in ophiolites and in metamorphic core complexes. Since the Eocene, regional tectonism has been dominated by strike-slip motion as the North American continent moved westward relative to the Caribbean Plate. Large nickel-cobalt laterite deposits were formed when serpentinites were exposed to weathering and erosion during the mid-Tertiary. Bauxite deposits were derived from the weathering of volcanic ash within a carbonate platform of Eocene to Miocene age

Fracturas diafisarias de húmero en adultos: estudio retrospectivo de 53 casos

Se estudian retrospectivamente 53 pacientes adultos con fractura diafisaria de húmero, 36 de los cuales siguieron el tratamiento ortopédico funcional. En otros 17 casos, pacientes politraumatizados o con fracturas de tercio medio transversas, realizamos tratamiento quirúrgico. La edad media de los pacientes fue 48 ± 2 2 años. Se afectó más el lado derecho, siendo el antecedente etiológico más frecuente el accidente casual. No hubo diferencia entre el tiempo de consolidación con el tratamiento ortopédico-funcional (60 ± 14 días) y el tratamiento quirúrgico (56 ±1 2 días). Como complicaciones hubo 7 pseudoartrosis (4 tras tratamiento ortopédico-funcional y 3 tratamiento quirúrgico). La edad media de los pacientes con pseudoartrosis fue superior a la de los pacientes con consolidación completa. Ocho casos cursaron con lesión del nervio radial, obteniendo una recuperación funcional del 100% en un tiempo medio de 38 ± 30 semanas. Valorando los resultados con arreglo a los criterios de Gayet, hemos obtenido un 80% de buenos y muy buenos resultados con tratamiento ortopédico funcional y un 70% con tratamiento quirúrgico.Fifty three adult patients with fracture of the humeral shaft were retrospectively studied. Orthopaedic-functional treatment was applied in 36 cases. Seventeen patients with either multiple injuries or transverse middle-shaft fractures were surgically treated. The mean age of patients was 48 ± 21 years. Right side was most frecuently affected and casual fall was the predominated etiology. There were no differences regarding the average consolidation period between fractures treated conservatively (60 ± 14 days) and those undergoing surgery (56 ± 12 days). As complications, there were 7 monounions (4 conservative and 3 operative treatment). The mean age of patients with non-unions was higther than those with complete fracture consolidation. Radial nerve injury was seen in 8 cases. In all there patients, a complete functional were recovery was obtained with a mean average time of 38 ± 30 weeks. When evaluating functional results according to Gayet, satisfactory results were found in 80 per cent of patients with conservative treatment and 70 per cent of those surgically treated

Aplasia del arco posterior del Atlas

Las anomalías congénitas del arco posterior del Atlas son poco frecuentes. Se presenta el caso de una paciente, que tras sufrir un accidente se diagnosticó de aplasia parcial del atlas. Esta lesión es considerada como una variante anatómica benigna de la región cráneovertebral. Se expone el desarrollo y el significado de esta anomalía.Congenital anomalies of the posterior arch of the atlas are uncommon. This paper presents the case of a patient who, as result of an accident, was diagnosed as having a congenital partial agenesia of the posterior arch of the atlas. This finding is considered as a benign anatomical variation of the craniovertebral junction region. The development and clinical significance of this anomaly are discussed

Solubility of gases in fluoroorganic alcohols. Part III. Solubilities of several non-polar gases in water¿+¿1, 1, 1, 3, 3, 3-hexafluoropropan-2-ol at 298.15¿K and 101.33¿kPa

Solubilities of the non-polar gases H2, N2, O2, CH4, C2H6, C2H4, CF4, SF6, and CO2 in the mixture (water + 1, 1, 1, 3, 3, 3-hexafluoropropan-2-ol) at the temperature of 298.15 K and 101.33 kPa partial pressure of gas are reported. A polynomial dependence of the solubilities on the molar fraction of the binary liquid mixture is found. The Henry''s constants at the vapor pressure of water, the standard changes in the Gibbs energy for the solution process and for the solvation process, and the so-called excess Henry''s constant are calculated. The results have been compared with those obtained by Scaled Particle Theory (SPT). A method to compare the solubility of a gas in different liquids is proposed and applied to 2, 2, 2-trifluoroethanol and 1, 1, 1, 3, 3, 3-hexafluoropropan-2-ol

Caracterización clínica e histopatológica de niños con hepatitis autoinmune en un centro de referencia de bogotá, colombia

Autoimmune hepatitis (AIH) is a progressive inflammatory liver disease. It is uncommon in children and adolescents, and is a diagnostic challenge for clinicians and pathologists. We describe the clinical, biochemical and histopathological characteristics of 21 pediatric patients with AIH diagnosed in the last 14 years. Liver biopsies were reassessed to analyze histopathological findings in detail. Of the 21 cases evaluated, 12 (57.1%) were girls and young women, the median age was 14 years old, and 17 (80.9%) had type 1 AIH. The most frequent clinical signs were jaundice (66.7%), choluria (44.4%), evidence of portal hypertension with esophageal varices (47.1%), and splenomegaly (41.2%). Histories of other autoimmune diseases were found in 11.8% of these patients. Elevated levels of aminotransferases were found in 89.5% of the patients, hyperbilirubinemia was found in 88.9%, and 60.0% of the cases had low levels of serum albumin. Reassessed biopsies showed portal lymphoplasmocytic infiltrate (94.4%), interface hepatitis (77.8%) and rosette formation (50.0%). Hyaline inclusions were found in Kupffer cells in 42.9% of the biopsies. About 33.5% of the cases showed cirrhosis at the initial biopsy. Despite immunosuppressive treatment, four patients required liver transplantation and two are on the waiting list. AIH in children can manifest with jaundice, choluria, signs of portal hypertension, elevated aminotransferases, hyperbilirubinemia and circulating antibodies. Hyaline inclusions in Kupffer cells may be a useful finding in the histopathological diagnosis of AIH in children. © 2019 Asociaciones Colombianas de Gastroenterología, Endoscopia digestiva, Coloproctología y Hepatología

Thermophysical and volumetric study of mixtures {p-cymene¿+¿propan-1-ol} at several temperatures and atmospheric pressure. Modeling with COSMO-RS

Experimental isobaric molar heat capacities at atmospheric pressure have been determined for the mixture {p-cymene + propan-1-ol} every 10 K in the temperature interval (298.8–328.5) K and over the entire composition range with a Calvet type calorimeter. Densities, necessary for calculating heat capacities, have been also measured in similar conditions. Excess molar volumes have been calculated from densities. They are positive at (318.15 and 328.15) K and sigmoidal at (298.15 and 308.15) K with negative values in the zone very rich in propan-1-ol. Excess molar heat capacities have been calculated from the molar heat capacities and show positive values. Both excess molar properties increase as the temperature rises at a given molar fraction. Excess properties are discussed in terms of intermolecular interactions. The solvation model COSMO-RS has been applied to predict the excess molar heat capacities, being the quantitative predictions rather poor