0000000000772681
AUTHOR
J.c Martínez Algarra
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…
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…
Complicaciones del aloinjerto meniscal : luxación del trasplante meniscal. A propósito de un caso.
Early osteoarthritis is one of the great enemies after meniscal surgery, especially in young patients. When meniscal repair is not possible, there are few therapeutic alternatives in order to prevent this complication in the medium and long term. In this situation we can consider the possibility of carrying out techniques such as implants with substitute materials or meniscal transplants with allografts. This article describes the evolution of a 25-year-old patient who underwent one of these meniscal transplants.