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Surgery of the wrong side is a very uncommon complication in orthopaedic surgery, but with serious consequences for the patient, the surgeon and the health institution, having to put all the necessary measures in place to prevent this occurring.We have conducted a prospective study on the introduction of a protocol to prevent the surgery of the wrong side in 101 patients operated on for any foot disease...
The equinovarus deformity of the foot and digital scrolling is very common among people with sequelae from cerebrovascular accidents. The aim of this study was focused on changes produced by surgical correction of the deformity in terms of comfort, balance, independence and ability to move freely within the context of the daily life of the patient.The data were evaluated using a retrospective survey...
We report on a case of giant enchondroma of the distal phalanx of the thumb, with a significant degree of clinical and radiographic deformity. It is extremely rare in this location and its treatment should be surgical, with curettage of the lesional cavity and filling with autologous bone graft. In this case, we performed a differential diagnosis of a giant cell tumour and aneurysmatic bone cyst (X-ray...
To demonstrate the effectiveness of functional treatment for the fractures of the metatarsal, which consisted of immediate or early weight bearing without immobilisation.We prospectively studied 276 patients with simple or complex fractures of the metatarsal, treated with a functional method which consisted of immediate (before the 3rd day since the fracture) or early (between 3rd and 21st day) effective...
To analyse the changes in synovial fluid (SF) in the most common knees joint diseases, and to establish a relationship according to its concentration.A total of 62 synovial fluids were analysed from knees with, meniscus disease (32), anterior cruciate ligament (ACL) (17) and isolated chondral injury (13). A quantitative and quality study was performed on each sample, which included cytokines IL-1,...
In this study we evaluate the treatment of displaced mid-shaft clavicle fractures or comminuted fractures with a third fragment using a superior anatomic plate.A retrospective study was conducted on 34 patients operated on between January 2006 and June 2010 with this type of fracture. Mean follow-up was 25 months (6–54 months). By Robinson Classification, 12 cases were type 2B, 17 type 2B1 and 5 type...
Giant cell tumours (GCTs) of the bone are benign, but locally invasive tumours. We present a new case of carpus GCT, involving the triquetrum.The diagnosis required a prior biopsy before doing the block resection. This treatment is the best option to avoid recurrences.We review the literature on this particular lesion in the carpus bone.
To determine the relationship between osteoarthritis in the plantar region of the first metatarsophalangeal joint of the foot and patient pain after hallux valgus surgery.A total of 28 patients undergoing hallux valgus surgery were examined. The patients were examined for pain in the plantar region of the metatarsophalangeal joint (sesamoid bones area), by looking into their medical records and by...
The treatment of severe post-traumatic ankle arthritis remains a challenge nowadays. Since patients suffering from this pathology are mainly young and active people, a correct reconstruction, if possible, of the articular cartilage defects of the tibiotalar joint is very important to achieve a good result. Fresh bipolar osteochondral allograft (FBOA) is a promising operative technique, as an alternative...
A patient suffered a complete popliteal artery injury one month after a partial arthroscopic meniscectomy. The patient complained of progressive and severe distal pain. A complete lesion of the popliteal artery was found. Distal vascular flow was barely supported by two geniculate arteries. Vascular repair was performed using open vascular surgery.Although the popliteal neurovascular bundle is close...
We report on a case of aplasia or unilateral congenital absence of the carpal scaphoid associated with dysplasia of the capitate. Congenital absence of the carpal scaphoid is a rare but well-documented condition. As far as we know, the present case is the seventh one reported in the medical literature. Imaging studies (X-ray and MRI) confirmed the absence of the carpal scaphoid associated with a dysplasia...
Vitamin D deficiency or insufficiency is a clinical problem particularly prevalent in elderly patients with low-energy fractures, particularly hip fractures, but has also been associated with stress fractures and high energy fractures.There is much evidence that supports the need to maintain adequate levels of vitamin D in the blood in order to; reduce the number of fragility fractures, furthering...
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