Osteomielitis tuberculosa tibial aislada: a propósito de un caso

Se presenta un caso infrecuent e de osteomielitis tuberculosa aislada tibial sin evidencia de focos tuberculosos en otras localizaciones óseas o extraóseas. Con éste motivo, se revisa la bibliografía y se destaca el valor diagnóstico de la biopsia así como la importancia de asociar el curetaje al tratamiento tuberculostátic o y el bue n pronóstico a distancia de estas lesiones.An infrequent cas e of tuberculous isolated tibial osteomyelitis, without any evidenc e of tuberculous focus in eithe r bone or extrabone locations is presented. With this motive the bibliography is reviewed and the diagnostic value of the biopsy is enhance d as well as the importanc e of associating the curettage to he specific treatment and the good prediction in the long run of these lesions

Safety and effectiveness of shoulder arthroplasties in Spain: a systematic review.

The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant-Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.The article is freely available via the publisher's site, click on the Publisher URL to access