Complicaciones a corto plazo de la artroplastia total primaria de cadera

Objetivos: Se pretende analizar las principales complicaciones a corto plazo (seis semanas) tras la Artroplastia total primaria de cadera. ;aterial y métodos: Se revisaron todos los pacientes a los que se realizó artroplastia total de cadera durante el año 2003. Las variables estudiadas fueron el índice de luxaciones, sangrado, infección, fracturas periprotésicas, complicaciones vásculo-nerviosas y mortalidad. Resultados: Obtuvimos una tasa del 4,4% de luxaciones; 1,7% de trombosis venosa profunda con un 0,87% de embolismo pulmonar, 1,7% de infecciones superficiales sin casos de infección profunda. El 14,9% de los casos necesitaron una transfusión postquirúrgica. Intraoperatoriamente observamos apertura del cálcar en el 3,5%, y fracturas periprotésicas postoperatorias en el 0,87%. No registramos complicaciones neurológicas ni mortalidad en estas primeras seis semanas del estudio. Conclusiones: La complicación más frecuente es la luxación, fundamentalmente en los casos secundarios a fractura. La trombosis venosa profunda, a èsar de la profilaxis, continúa siendo una complicación frecuente.Objectives: Our purpose was to analyze the main early complications (six weeks) after primary total hip arthroplasty. Materials and Methods: All patients who had undergone primary total hip replacement during 2003 were reviewed. The studied outcomes were the rates of dislocation, blood loss, infection, periprosthetic fractures, neural and vascular complications, and mortality. Results: Our rates were 4,4% for hip dislocation, 1,7% for deep vein thrombosis with 0,87% for pulmonary embolism, 1,7% for wound infection without cases of deep infection. 14,9% of the patients needed postoperative transfusion. We reported 3,5% fractures of the calcar during surgery and 0,87% of postoperative periprosthetic fractures. We didn ́t reported any neural complications or mortality within six weeks postoperatively. Conclusions: The most frequent complication is dislocation, mainly in cases whose underlying diagnose was hip fracture. Although prophylaxis is done, deep vein thrombosis goes on being a frequent complication

Estudio a corto plazo en artroplastia total de cadera no cementada con par de fricción cerámica-cerámica

Se revisan 38 prótesis con par de fricción cerámica-cerámica en 31 pacientes intervenidos durante los años 2000 a 2003. La edad media era de 47,3 años. La valoración clínica con la escala de Harris pasó de 53 puntos de media en el preoperatorio a 97 en el postoperatorio lo que permitió establecer un 76,3% de resultados excelentes y un 23,7 de buenos. No hemos podido constatar ninguna complicación asociada al par cerámica-cerámica. Los resultados iniciales con el par cerámica-cerámica son superponibles a otras pares de fricción, su utilización en implantes que han demostrado su eficacia con otros pares de fricción, la mejoría en la fabricación y la estricta observación de la técnica quirúrgica permite obviar el riesgo de fractura. Merced a su baja incidencia de desgaste y buen comportamiento biológico representa una alternativa real para su implantación en pacientes jóvenes o con una actividad elevada.From 2000 to 2003, 38 patients underwent ceramic on ceramic bearing total hip artrhoplasty. Mean age was 47.3 years. Clinical evaluation with the harris hip score increased from 53 points preoperatively to 97 postoperatively. There were no complications associated with ceramic on ceramic bearing.Initial results are similar to those found with others bearing surfaces. The use of ceramics in implants that have shown their effectiviness with others bearing surfaces, improvement in manufactured of the ceramics and a carefull surgery decreased the risk os fracture. Low incidence of wear debris and biological caracteristics makes ceramics a real alternative in young or high activity patients

Long‑term results of the augmented PFNA: a prospective multicenter trial

Producción CientíficaPertrochanteric fractures are increasing and their operative treatment remains under discussion. Failures needing reoperations such as a cut-out are reported to be high and are associated with multiple factors including poor bone quality, poor fracture reduction and improper implant placement. The PFNA® with perforated blade offers an option for standardized cement augmentation with a PMMA cement to provide more stability to the fracture fixation. It remains unclear if the augmentation of this implant does any harm in a longer time span. This prospective multicenter study shows clinical and radiological results with this implant with a mean follow-up time of 15 months

Factura trifocal abierte de radio y abierta de cúbito con síndrome compartimental asociado en paciente politraumatizado

Producción CientíficaPresentamos este caso clínico con una fractura poco frecuente, trifocal de radio , asociada a una lesión severa de partes blandas y síndrome compartimental de antebrazo y mano derecha

Innovation, research and development in engineering education: activities of the spanish chapter of the IEEE Education Society: directive board of the IEEE Education Society Spanish chapter 2020-2021

The Technical Committee of the CESEI (Spanish Chapter of the IEEE Education Society) is focused on the Innovation, Research and Development (I+R+D) of the education in engineering, mainly Electric and Computer Engineering. As in other interdisciplinary fields, the I+R+D involves several sources of information and different stakeholders, each one with its own focus and purpose. As a result, sometimes it may be complex for practitioners and researchers to identify the more appropriate entities for their interests. This paper shows how the CESEI Technical Committee tries to solve this difficulty by providing updated information regarding the main publications (journals), events (conferences) and awards to the best academic works. The paper focuses special attention on the activities held during 2020–2021.Peer ReviewedPostprint (published version