0000000000635305
AUTHOR
Antonio Silvestre-muñoz
Chondrocostal grafting for lateral osteochondral injury of the metacarpal head
Abstract Osteochondral injuries of the metacarpal head require anatomical restoration to prevent limitations in range of motion and osteoarthritis. Osteochondral bone grafting is a viable option, especially in younger patients. Central injuries allow for different types of grafting, but when the injured area is on the lateral portion of the metacarpal head, the graft must include both a cortical and a cartilaginous portion. We present here the pearls and pitfalls in the surgical technique of chondrocostal grating from the 6th rib and an example of its use within a case of comminuted fracture of the metacarpal head. This technique provides a graft with cortical bone that allows for a stable …
Valoración funcional en pacientes intervenidos mediante plastia de LCA con semitendinoso-recto interno y sistema Togglelock.
espanolIntroduccion: Una de las lesiones mas frecuente de la rodilla y que esta en aumento, sobre todo en el ambito deportivo es la lesion del ligamento cruzado anterior. La reconstruccion quirurgica es fundamental para recuperar la biomecanica de la rodilla, proporcionar una correcta estabilidad y funcionamiento libre de dolor, asi como evitar cambios degenerativos tempranos. El objetivo del presente estudio fue valorar la recuperacion funcional de los pacientes sometidos a una reconstruccion del ligamento cruzado anterior mediante ligamentoplastia con tendon semitendinoso-recto interno y sistema Toggelock. Material y metodos: Se diseno un estudio retrospectivo descriptivo observacional, e…
Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: A systematic review and meta-analysis.
Abstract Backgound Balance and proprioceptive deficits are frequently persistent after total joint replacement, limiting functionality and involving altered movement patterns and difficulties in walking and maintaining postural control among patients. Research question The goal of this systematic review was to evaluate the short- and mid-term effects of proprioceptive and balance training for patients undergoing total knee and hip replacement. Methods This is a systematic review of literature. MEDLINE, Embase, Cochrane Library, PEDro, and Scopus were the databases searched. The review included randomized clinical trials in which the experimental groups underwent a training aimed at improvin…
Autogreffe chondrocostale pour lésion latérale ostéochondrale de la tête métacarpienne
Abstract Osteochondral injuries of the metacarpal head require anatomical restoration to prevent limitations in range of motion and osteoarthritis. Osteochondral bone grafting is a viable option, especially in younger patients. Central injuries allow for different types of grafting, but when the injured area is on the lateral portion of the metacarpal head, the graft must include both a cortical and a cartilaginous portion. We present here the pearls and pitfalls in the surgical technique of chondrocostal grating from the 6th rib and an example of its use within a case of comminuted fracture of the metacarpal head. This technique provides a graft with cortical bone that allows for a stable …
Expectativas del paciente ante la artroplastia total de rodilla.
espanolIntroduccion: La artroplastia total de rodilla es una de las cirugias mas realizadas en ortopedia y su incidencia esta en aumento, siendo la indicacion principal en patologias como la artrosis y la artritis reumatoide cuando estas no responden al tratamiento conservador. Ademas, en los ultimos anos esta tomando especial relevancia la opinion y satisfaccion de los pacientes respecto a la intervencion, siendo estos parte esencial en el proceso asistencial. Material y metodos: En el presente trabajo se ha realizado un estudio con 30 pacientes intervenidos de artroplastia total de rodilla. Estos han respondido a dos encuestas, una de ellas acerca de la importancia que otorgaban a distint…