Acta ortopédica mexicana
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Acta ortopédica mexicana · May 2010
[Usefulness of the cast index and padding index for the prognosis of pediatric forearm fractures].
The most frequent fractures in pediatric patients are those of the mid or distal shaft of the radius and ulna. Most of them can be treated with closed reduction and a brachio-palmar cast, but sometimes redisplacement or angulation occur within the first few weeks. Xray measurements to foresee these complications have been designed; this paper focuses on their certainty and usefulness. ⋯ The results of the measurements are consistent with the findings of other studies, which proves their usefulness; their use should therefore be encouraged to prevent complications like the displacement or angulation of forearm fractures in pediatric patients.
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Acta ortopédica mexicana · Nov 2009
Review Meta Analysis Comparative Study[Systematic review to assess the effectiveness and safety of parecoxib].
Conduct a meta-analysis of randomized clinical trials to assess the effectiveness and safety of parecoxib as analgesic for orthopedic surgery. ⋯ Parecoxib 40 mg is an effective and safe analgesic choice during the postoperative period in orthopedic surgery.
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Acta ortopédica mexicana · Nov 2009
Randomized Controlled Trial Comparative Study[Analgesic effect of intra-artcular fentanyl in knee arthroscopy to treat patellofemoral lateral hyperpressure syndrome].
During arthroscopy for the treatment of patellofemoral lateral hyper-pressure syndrome (LHS), intra-articular morphine or its derivatives (fentanyl) may reduce postoperative pain when combined with anesthetics. We therefore decided to determine whether adding fentanyl to epinephrine and bupivacaine produced an increased analgesia. ⋯ Adding intra-articular fentanyl to the combination of epinephrine plus bupivacaine did not decrease pain, and did not increase neither the analgesia time nor the range of motion in patients with LHS undergoing knee arthroscopy.
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Acta ortopédica mexicana · Jul 2009
Case Reports[Paraplegia due to adhesive arachnoiditis. A case report].
Various conditions of the spinal column occur at the lumbar level and new therapeutic surgical techniques have been applied to reduce the length of hospital stay, contribute to a quick return of patients to their activities of daily living, and reduce the postoperative limitations. However, a silent complication, adhesive arachnoiditis, has been reported with a frequency of 6-16% in cases undergoing lumbar surgery or with a history of revision surgery, and thus a second complication may occur, paraplegia, since the common symptom of arachnoiditis is persistent low back pain. The case of a 40-year-old patient is presented herein, who underwent lumbar spine surgery for herniated discs, and developed adhesive arachnoiditis involving the cauda equina, which was diagnosed with MRI. ⋯ The remaining reports of paraplegia have been in patients with spinal infection, such as HIV-TB, mycosis, brucellosis or meningeal hemorrhage. It is not easy for patients to understand the very likely irreversible neurologic lesion of his complication. However, it is important for the spine surgeon to bear in mind the occurrence and frequency of adhesive arachnoiditis which could lead to irreversible neurologic deficit in patients undergoing lumbar spine surgery.
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Bone tumors of the pelvic area a challenge for the orthopedist surgeon. The pelvic ring has no true barriers to contain the growth of neoplasias and thus by the time patients present to us, their lesion is already quite large. ⋯ The most important aspect of the surgery of bone tumors of the pelvis is achieving clear surgical margins. This surgery has high complication and morbidity rates.