Acta ortopédica mexicana
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Acta ortopédica mexicana · Sep 2012
Observational Study[Pelvic fractures: early management of hemodinamically unstable patients].
Fractures that compromise pelvic and/or acetabular mechanical stability are usually injuries caused by high energy mechanisms and are life threatening. ⋯ Unstable pelvic or acetabular fractures are injuries produced mostly by high energy mechanisms and are life threatening in most cases. Initial management is extremely important for treatment course and final outcome. In cases that present initially with hemodynamic instability mortality is higher and management should be much more aggressive.
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Acta ortopédica mexicana · May 2012
[Incidence of Modic degenerative changes in patients with chronic lumbar pain at Monterrey Regional ISSSTE Hospital].
Several papers have studied the degenerative changes of endplates, but there are no publications referring to the Mexican population. ⋯ The prevalence of Modic changes was 22% (52 patients). Eight patients had Type II Modic changes at two levels. The most affected levels were L4-L5 and L5-S1, in 85% of cases. Patients over 50 years of age were the most affected age group; frequency increased with age. The most frequent disc degeneration pattern was degeneration of the lower lumbar levels. Risk factors need to be further studied and the correlation with the degree of pain needs to be determined to obtain more information.
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Acta ortopédica mexicana · Mar 2012
[Adjuvant treatment with phenol of aggressive benign and low grade malignant bone tumors in patients with immature skeleton].
The surgical treatment of aggressive benign bone tumors is based on intralesional resection associated with local adjuvant treatment to avoid local relapses. The purpose of this study is to assess the effectiveness of adjuvant treatment with phenol in aggressive, low grade, malignant and benign bone tumors in young patients. ⋯ The treatment of bone tumors with phenol shows low relapse and complication rates, so it is indicated for the management of locally aggressive bone tumors.
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Acta ortopédica mexicana · Jan 2012
Case Reports[Delayed healing in long bone fracture: radiologic course and treatment].
Isolated long bone fractures are unusual and may be missed in the initial X-rays, especially when they are minimally displaced. The delayed treatment of these fractures may cause various complications, such as delayed bone healing or seudoarthrosis, which are difficult to manage. Our clinical case shows delayed healing in a long bone fracture and how the radiologic course may assist in the therapeutic management of this complication.
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Acta ortopédica mexicana · Sep 2010
[Treatment of Torode and Zieg type IV unstable pelvic fractures in children].
Pelvic fractures are infrequent in pediatric patients; they account for 1% of hospital admissions. Acetabular fractures are still more infrequent, but when they are associated, they are life threatening. To distinguish pelvic fractures in children from those in adults, one first needs to know their anatomical differences. The magnitude of the trauma can usually cause injuries in other organs and systems, including the abdominal organs, the genitourinary system, vascular and nerve injuries, etc., as well as long bone, spinal and chest fractures. These injuries may be life threatening and must be treated before the pelvic fracture is addressed. ⋯ According to the results and the patient assessment, we propose that unstable pelvic fractures be managed surgically. The mechanism of injury observed in these patients was not lateral compression, as the literature states, but rather a combined mechanism.