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We performed a clinical-radiological review of several patients with fracture-free ankle dislocations.Descriptive retrospective study of 4 cases, 2 open and 2 closed. A description is made of the etiologies, mechanisms of injury, inter-malleolar distance, talar coverage rate, time to weight-bearing, final joint balance, radiographical sequelae and final Gay & Evrard score.Mean age was 23.25 years;...
To determine the incidence of the characteristic radiological signs of anterior femoro-acetabular impingement (AFAI) in young patients diagnosed with idiopathic hip osteoarthritis.Retrospective review of the clinical records of patients under 50 years of age diagnosed with idiopathic hip osteoarthritis between 1995 and 2000. The functional assessment of the hip was made by means of the Merle D’Aubigne...
To assess cobalt and chromium concentrations in serum and urine in 17 patients that underwent total hip replacement (THR) with a metal-on-metal bearing and to determine their correlation with radiographical findings.Cobalt and chromium concentrations were measured in 17 patients by means of atomic absorption spectrophotometry before implantation of a metal-on-metal THR, between the first and second...
Fracture-dislocations of the tarso-metatarsal joint are a relatively rare injury, but their long-term consequences can be devastating for the patient. The aim of this study is to analyze the results obtained by surgical treatment.The authors reviewed 26 patients between 1995 and 2006. Fractures were classified according to the Myerson & Hardcastle classification. All patients were treated by emergency...
This is a functional and epidemiological long-term study of tibial pilon fractures treated in our hospital over a five-year period. Our aim was to determine the long-term evolution of these fractures, to assess the potential effect of the quality of the reduction obtained and of the condition of the soft tissues on the final outcome and to evaluate the relationship between fracture type, radiographical...
To assess the results of the PCCP (percutaneous compression plate) in the treatment of stable intertrochanteric fractures.Prospective study of 42 patients with a stable intertrochanteric fracture, classified according to the AO/OTA scale, implanted between 2003 and 2005 with a PCCP percutaneous compression plate. There were 12 males and 30 females, with a mean age of 82.3 years. Prior to the fracture,...
Fractures around prosthetic knee implants are currently a much debated problem, given the high rates of posterior complications recorded regardless of the treatment employed. This is especially troublesome since it means that the functional result obtained will inevitable be compromised.A perfect systematization and classification of different fracture patterns will make it possible to make well-founded...
Post-traumatic joint defect reconstruction constitutes a significant challenge for any surgeon. We hereby present our experience of using vascularized osteochondral grafts from the base of the third metatarsal to reconstruct large defects on the distal articular surface of the radius.Surgery was performed on three adults with articular defects in their distal radius and massive cartilage loss who...
To analyze the diagnostic and therapeutic protocol used in multiple-trauma patients with musculoskeletal injuries at a Spanish tertiary referral hospital that lacks a specific unit endowed with the functional structure to treat these patients.Retrospective observational study. All patients admitted to the Intensive Care Unit (ICU) between January 2001 and May 2003 with a diagnosis of multiple trauma...
To assess the medium-term effect of pyrolytic carbon metacarpophalangeal arthroplasty on pain relief, ROM increase and hand function, as well as the incidence and type of complications observed. We also set about evaluating the reduction on ulnar deviation and the patients’ degree of satisfaction.This was a retrospective study of 28 pyrolytic carbon metacarpophalangeal prostheses implanted into 16...
To analyze the location of the long Gamma nail in the distal femoral shaft and to assess the possible complications derived from a poor biometric match between the implant and the femur.Retrospective study of 69 long Gamma nails. To evaluate the position of the distal tip of the implant, a system of coordinates was designed at the distal femoral shaft and the distance from anteroinferior tip of the...
In 1999, the Institute for the Musculoskeletal System (ICAL) was established in Barcelona's Hospital Clínic as an institution entrusted with the organization of the orthopedic and trauma surgery, rheumatology and rehabilitation services offered by the Hospital. At the same time, with a view to making sure that the change was as smooth as possible, a specific quality assurance scheme was implemented,...
When it comes to performing a safe arthroscopic procedure, obtaining an optimal view of the surgical field is essential. For this, a proper functioning of the optical systems and an appropriate distension of the joint are required. With this goal in mind, irrigation systems have been developed that inject fluid into the joint during the arthroscopic procedure. The pressure exerted by the fluid distends...
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