Estudio de las fracturas proximales de radio : a propósito de 41 pacientes

Estudiamos 41 pacientes con fractura proximal de radio valorando los siguientes parámetros etiológicos (edad .. sexo. mecanismo lesiona!) y anatomopatológicos (trazo de fractura. desplazamiento. etc.) e insistiendo en la problemática actual del tratamiento de este tipo de fracturas

Estimacion de ciertos parametros clinico-terapeuticos en 57 pacientes portadores de fracturas de olecranon

Fifty-seven patients affected from an only fracture of olecranon are collected. It is the most frequent fracture of the forearm in, ales in the second decade of life, while it is more frequent in older women. The most usual level is the middle part of the olecranon. The 7 % of the cases were associated with dislocation. The treatment was surgical, reduction with fixation supported by two Kirschner wires

Nuestra experiencia en Patología traumática de la pelvis, con especial énfasis en la utilización de fijadores externos

Se estudian 38 fracturas de pelvis, tratadas en nuestro Servicio en el período que va, desde 1980 a 1986. Se hace discusión de los tratamientos por nosotros empicados, así como los resultados obtenidos. Se insiste preferentemente en la osteotaxis.Thirty-eight fractures of pelvis are reported, studied in the time of 1980-1986, with discussion amont the treatment and results

Estudio crítico de 11 casos de fracturas de 1/3 distal de fémur

Presentamos 11 pacient.es con fractura en la extremidad dist.al del fémur, tratada quirúrgicamente con fijación interna rígida. Estudiamos los resultados en función de la movilización precoz y el tipo de inmovilización postoperatoria. Descriptores: Fractura Supracondilea de Fémur; Fractura de extremidad distal femoral; Fracturas de Fémur; Tratamiento.Eleven patients underwent rigid internal fixation of supracondylar,intercondylar and condylar fractures of the distal end of the femur are colected, 'loe authors study the results based in the posoperative motions

Enfermedad de Perthes : valoración clínica y radiológica de diferentes tipos de tratamiento

After preliminary introduction regarding the treatment of Perthes' disease, a critica! study of 25 cases diagnosed between 1975 andJ985 was made at the hospitals of N. ª S.ª de La Candelaria and Clínico Universitario of Canarias. The diferent treatments were conservative, Salter's,.. Chiari's and femoral osteotomies. Clinical and radiological evaluation of the results were carried out after intervals of treatment ranging from 6 to 91 months, the average being 26,5 months. The followed Catterall's, Ducken's and Melenaus' criteria for clinical and radiological evaluation. The Cases which did not receive treatment obtained the worst results. In Perthes' type I the treatment of choice is conservative in Perthes' type II and III femoral osteotomy

Revisión a corto y largo plazo de 70 pacientes portadores de necrosis a vascular de la cabeza femoral

Los autores estudian 70 enfermos con necrosis avascular de la caheza femoral. De los cuales 11 eran bilaterales por lo que revisan un total de 81 cabezas. Estudian la enfermedad desde el punto de vista clínico y radiológico. haciendo una correlación entre ambos parámetros y una revisión bibliiográfica del tema

Locking versus non-locking one-third tubular plates for treating osteoporotic distal fibula fractures: a comparative study

Introduction Ankle fractures represent the third most common fracture in elderly patients, after hip and wrist fractures. Distal fibula fractures in this population are closely related to osteoporosis, which renders commonly used methods of internal fixation technically demanding and prone to failure. Currently there is a tendency to fix osteoporotic metaphyseal and epiphyseal fractures with locking plates. However, published accounts about the use of this technology in osteoporotic distal fibula fractures are scarc e. In this study we compare the results of two groups of patients who underwent surgery for these types of fracture, one group received locking and the other non-locking screws, both using one-third tubular plates. Methods Sixty-two patients, aged over 64 years, underwent surgery for osteoporotic distal fibula fractures between 2011 and 2014. Forty-five of them were stabilized with a non-locking plate and the remaining 17 with a locking plate fixation. Follow-up was performed at 4, 8, 12, 26, and 52 weeks. Results were assessed according to the AOFAS Ankle-Hindfoot Score and radiological criteria for consolidation. Results Average time to union and AOFAS scores at 6 and 12 months were similar in both groups, including for the individual categories: function, pain, mobility, and alignment. Only time until partial weight bearing was significantly lower in the locking plate group (4.69 ± 2.63 vs 7.77 ± 4.30, p = 0.03). The most common complications were wound dehiscence and superficial infection (two cases of both). Conclusions Both locking and conventional non-locking plates achieved similar treatment outcomes in this group of osteoporotic patients aged over 64. However, locking plates may offer more benefits in cases that have to take into account immobilization time and concomitant soft-tissue damage

Mecanismo de producción de los quistes artrósicos : estudio morfológico sobre 19 cabezas femorales artrósicas

19 osteoarthritic femoral heads obtained during total hip replacement procedure were studies. Photography, x-ray with mamograph and optical microscopy were then carried out. The authors analysed osteoarthritic cysts at different stages of development. By successive cuts they were able to demonstrate the communication of the cyst itself with the joint cavity. The authors believe that the filtration of synovial fluid in the subchondral bone might stimulate the proliferation of conjuntival cells