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To design a technique aimed at reducing the incidence of residual laxity in anterior cruciate ligament (ACL) surgery.An anatomic study was performed in 20 cadaver knees and in 50 human femurs and 50 human tibias. In addition, a mechanical study was made of the consequences of sectioning the bundles in the cadaver knee.The ACL presented with a tibial piriformis attachment, with an oblique greater axis...
To report on the occlusion of a femoral artery bypass, an unusual complication of primary total hip replacement.A 74-year-old male with a femoro-femoral implant and a Dacron graft suffered arterial ischemia resulting from thrombosis of the vascular graft further to total hip replacement. We present a brief bibliographical review of arterial complications following total hip arthroplasty.As the patient...
Different types of studies and radiographic parameters have been established to diagnose potential patellofemoral alterations; one of the most commonly used of these is the axial patellar view at 30°.To assess the reproducibility of patellar measurements on axial patella X-rays at 30°.In 23 patients we performed 2 axial X-rays of the same patella, at a fixed 30° angle; both films were obtained with...
Congenital scoliosis resulting from hemivertebrae can be treated surgically through resection or convex epiphysiodesis. Our purpose was to assess the results obtained in a series of children operated using both methods.A clinical and radiological review was carried out of a noncomparative series of 27 isolated hemivertebrae of which 16 had been treated by means of resection and 11 by means of epiphysiodesis...
Healthcare quality entails the capacity of a team of healthcare professionals to do what needs to be done, to do it well and in a timely manner striving to meet the patients’ needs through a judicious use of available resources. Total Healthcare Quality is a dynamic concept whereby everybody in an organization undertakes to work to a methodology aimed at continuous improvement. It is a model characterized...
To assess concordance and reproducibility in the observation of radiolucent lines of the humeral prosthetic component in cemented shoulder hemiarthroplasties.Five observers evaluated 128 X-rays obtained from 32 cemented shoulder hemiarthroplasties at 2 points of time during follow-up in anteroposterior and scapular Y views; a re-evaluation was made after 3 weeks. Radiolucent lines were studied in...
To review the clinical and radiological results of a series of rotating platform knee arthroplasties with a follow-up of 6-12 years.This is a retrospective study of 133 arthroplasties implanted in our hospital between 1994 and 2001 using the original surgical technique. We applied the Knee Score and the Function Score of the American Knee Society in order to carry out the corresponding clinical assessment...
To assess the results of treating distal radial fractures with a volar plate. Other aims were to evaluate the concordance between functional scales and the Castaing radiological score and carry out a multivariate analysis of the preoperative data in order to find out which data were most relevant for the final result.A retrospective study was performed of 31 patients with a distal radial fracture...
To analyze the clinical results of collagen meniscal implants (CMIs) combined with tears of the anterior cruciate ligament (ACL).37 males and 1 female were followed up, with ages ranging between 22 and 50, who were subjected to an arthroscopic implantation of a CMI in the medial compartment of the knee associated with repair of the anterior cruciate ligament and the semitendinosus and gracilis tendons...
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