Total knee arthroplasty in octogenarians: Should we still be so restrictive?

Producción CientíficaDemand for total knee arthroplasty (TKA) in octogenarians will increase in subsequent years as society ages. We conducted a retrospective observational study in octogenarians operated on with TKA between 2015 and 2019, comparing preoperative and postoperative Knee Society Score (KSS), Knee Society Function Score (KSFS), extension and flexion balance, and radiologic alignment using a paired Student t-test. A chi-squared test was used to correlate mortality with Charlson comorbidities index score and with ASA scale. Kaplan–Meier analysis was performed to calculate patient survival. In this period 36 patients ≥80 years underwent TKA, with a mean age of 81.6 years. Of these, 24 patients (66.7%) were classified as ASA II and 12 (33.3%) as ASA III. Sixteen patients (44.4%) were Charlson 0, 14 (38.9%) Charlson 1, two (5.6%) Charlson 2, and four (11.1%) Charlson 3. KSS, KSFS, flexion and extension range, and radiologic alignment were statistically significant (p 0.05) was found between mortality and ASA or Charlson score. Seven patients (19.4%) suffered a medical complication and two patients experienced surgical complications. Four patient died (11.1%) during follow-up. The mean patient survival was 67.4 months. Patients ≥80 years achieve clinical improvement after TKA. Comorbidities, not age, are the burden for surgery in older patients

Long-term results of joint arthroplasty with total prosthesis for trapeziometacarpal osteoarthritis in patients over 65 years of age

Producción CientíficaTrapeziometacarpal osteoarthritis (TMCOA) is a highly prevalent disease in the older population. Many different types of surgical treatments are possible, depending on the degree of joint involvement, the personal and professional circumstances of the patient and the preferences of the orthopedic surgeon. This paper evaluated the clinical and radiological results of consecutive cohorts of patients over 65 years old treated with total joint arthroplasties (TJA) of the ball and socket type (B&S) for TMCOA, with a minimum of 10 years follow-up. The survival rate (Kaplan–Meier) of the functional prostheses at 10 years was 92.2% (95% CI (89.1%, 96.1%). These functional arthroplasty patients, after 10 years of follow-up, showed little or no pain, good function and good key pinch, without radiological alterations. TJAs of the B&S type are a long lasting, effective and reliable alternative to surgical treatment of TMCOA in patients over 65 years of age, when they are performed with the patient selection criteria and surgical technique described throughout this study.Fundación General de la Universidad de Valladolid (FUNGE-Uva) - (Art. 83 number 061/186301

Intranet del centro público Los Ángeles

Trabajo no publicadoEl proyecto se integra en las actividades desarrolladas por el Centro de Formación del Profesorado e Innovación Educativa de Miranda de Ebro con la participación de un total de 9 profesores y ha sido llevado a cabo en el Centro Público 'Los Ángeles'. El proyecto persigue la consecución de los siguientes objetivos generales: concebir la red del colegio como un aula de informática, usar una página web interna como medio de comunicación; y como objetivos específicos: montar un servidor en la intranet del centro, elaborar una página web interna, actualizar esta página web al menos cada semana, mantener actualizada la web oficial, consensuar el uso de cada ordenador individual como centro de recursos colectivo, hacer partícipes a los alumnos del diseño y contenido del apartado web dedicado a su curso/ciclo. Como recursos generados al margen de la creación, actualización y mantenimiento de la página web interna, se señala la elaboración del cd-rom que contiene los documentos tal y como se encuentran en el servidor del centro.Junta de Castilla y LeónCastilla y LeónES