0000000000146126
AUTHOR
E. Gargallo
Luxación inestable traumática trapeciometacarpiana.
Isolated dislocation of the carpal-metacarpal joint of the thumb or Trapezio-metacarpal (TMC) is a rare but challenging lesion, and represents 1% of all fractures of the hand. There is still controversy about the best treatment for this pathology. Acute TMC joint dislocation is usually managed by three treatment modalities: closed reductionand immobilization with a cast, closed or open reduction with Kirschner wires fixation,and reconstruction or repair of ligaments and capsulorrhaphy.Suture anchor repair is currently being used as the primary treatment for unstable dislocations.The aimof the present work is to review two cases of carpo-metacarpal dislocation of the thumb treatedby reductio…
Utilización del manguito de isquemia en artroplastia total de rodilla. Práctica habitual en la Comunidad Valenciana y revisión bibliográfica
The aim of this study is to know which is the routine clinical practice related to the use of ischemic tourniquet in total knee arthroplasty (TKA) in hospitals of Comunidad Valenciana and to make a Literature review. We performed a retrospective, descriptive, observational study based on questioner surveys of specialists in Orthopedic Surgery and Traumatology in 9 public Hospitals of Comunidad Valenciana 96, 9% of surgeons preferred the use of ischemic tourniquet in protheses implantation, versus 3,1% who did not. Among those who used Ischemic tourniquet, 57,8% preferred to inflate it before establishing a sterile field versus 39,1% who inflated the tourniquet once the sterile field was est…
Estrategias de ahorro de sangre en Artroplastia Total de Rodilla Primaria aplicadas en nuestra Comunidad
Antecedentes. El objetivo del presente estudio fue realizar una actualización sobre las diferentes estrategias en el ahorro de sangre en cirugía protésica de rodilla pri-maria, a través de una revisión bibliográfica; así como, conocer qué estrategias se siguen en diferentes centros hospitalarios de nuestro ámbito, mediante un estudio multicéntrico. Métodos. Se realizó un estudio observacional transversal descriptivo basado en una encuesta realizada a 64 cirujanos y una búsqueda bibliográfica sobre los distintos aspectos incluidos en la encuesta. Resultados. Los cirujanos refieren que cuentan con protocolos de ahorro sanguíneo prequirúrgicos implantados en su Hospital en un 48,4% (31/64). La…
Ácido tranexámico más bloqueo anestésico con adrenalina frente a recuperador de sangre en artroplastia total de rodilla primaria. : eficacia como protocolos en el ahorro de sangre
The aim of the present study was to compare two blood-saving protocols: the use of the postoperative blood recuperator for autotransfusion (RSPA), the use of intraoperative tranexamic intravenous (ATX) and intra-articular ATX, and anesthetic block with Adrenaline intrarticular. Material and method. Retrospective descriptive observational study of a series of 54 patients operated in our Center by Gonarthrosis, and who were implanted with a total primary knee prosthesis in 2015. They were divided into two groups: group A, patients treated with ATX and anesthetic block according to the protocol described below, and group B, patients in whom a blood recuperator was used during the immediate pos…
Medidas para la prevención de la infección en la artroplastia de rodilla : prácticas habituales y evidencias
Infection after knee arthroplasty is one of the most feared complications and routine measures are applied to prevent it. The objective of this study is to identify which are the measures applied by the surgeons of the Valencian Community (CV) and know if the scientific evidence supports them or not. Methods. A descriptive cross-sectional observational study based on a survey of 64 surgeons and bibliographic searches on the aspects included in the survey were conducted. Results. 18.8% of the surgeons perform screening for SARM carriers and decolonization. 98.4% use cefazoline and 1.6% cefuroxime as antibiotic prophylaxis. With respect to the duration of antibiotic prophylaxis, 51% of surgeo…