ABSTRACT
Calcaneal fractures are the most common tarsal fractures and their treatment is still debated today. We intend in this update to highlight the points of controversy and clarify the consensus, especially in the treatment of intra-articular fractures, as well as to describe the management of major complications.
Las fracturas de calcáneo son las más frecuentes del tarso y su tratamiento sigue siendo hoy en día objeto de debate. Pretendemos en esta actualización destacar los puntos de controversia, así como clarificar los consensos, especialmente en el tratamiento de las fracturas intraarticulares, así como describir el manejo de las principales complicaciones.
Subject(s)
Calcaneus , Fractures, Bone , Calcaneus/injuries , Consensus , Fracture Fixation, Internal , Fractures, Bone/surgery , Humans , Treatment OutcomeABSTRACT
Resumen: Las fracturas de calcáneo son las más frecuentes del tarso y su tratamiento sigue siendo hoy en día objeto de debate. Pretendemos en esta actualización destacar los puntos de controversia, así como clarificar los consensos, especialmente en el tratamiento de las fracturas intraarticulares, así como describir el manejo de las principales complicaciones.
Abstract: Calcaneal fractures are the most common tarsal fractures and their treatment is still debated today. We intend in this update to highlight the points of controversy and clarify the consensus, especially in the treatment of intra-articular fractures, as well as to describe the management of major complications.
Subject(s)
Humans , Calcaneus/injuries , Fractures, Bone/surgery , Treatment Outcome , Consensus , Fracture Fixation, InternalABSTRACT
Introducción. La monitorización neurofisiológica intraoperatoria ha experimentado un espectacular desarrollo en los últimos 20 años, particularmente en campos como la neurocirugía y la cirugía de raquis. Se ha constituido en una herramienta muy útil en la prevención de daño neurológico durante la cirugía, si bien su utilidad en la cirugía del nervio periférico en el área de traumatología y ortopedia no ha sido constatada. Objetivo. Describir exhaustivamente la técnica de monitorización neurofisiológica intraoperatoria y secundariamente comunicar la experiencia de nuestro centro. Pacientes y método. Estudio descriptivo retrospectivo de 30 casos de cirugía de nervio periférico realizadas en nuestro centro en el período 2009-2013. Descripción pormenorizada de la técnica de monitorización neurofisiológica intraoperatoria utilizada. Resultados. Registramos 13 tumores del nervio periférico, de estos, obtuvimos 11 resultados excelentes y 2 buenos, uno con hipoestesia temporal y otro con recuperación motora casi completa aunque no sensitiva. Registramos 17 casos de lesiones traumáticas, en 6 casos fue necesaria la realización de injerto, en los 11 restantes solo realizamos neurolisis, con recuperación sensitiva y motora completa. Conclusiones. La monitorización neurofisiológica intraoperatoria supone una herramienta útil en la cirugía secundaria de las lesiones del nervio periférico y en la enfermedad tumoral intraneural de dicho nervio (AU)
Introduction. Intraoperative neurophysiological monitoring has experienced a spectacular development in the past 20 years, particularly in the fields of neurosurgery and spine surgery. it has become a useful, almost indispensable, tool in preventing nerve damage during surgery. The aim of this article is to describe the intraoperative technique and analyze its results in the field of peripheral nerve surgery. Objective. To describe the usefulness of a technique in peripheral nerve surgery, the technique used and the experience in a centre. Patients and methods. A retrospective study was conducted on 30 cases of peripheral nerve surgery performed in this centre from 2009 to 2013, using the intraoperative monitoring technique. Results. Of the total of 13 peripheral nerve tumors recorded, there were 11 excellent results and 2 good results, one temporary hypoesthesia and one with almost complete sensory, except for motor, recovery. Traumatic injury was recorded in 17 cases, of which 6 required performing a graft, and the remaining 11 cases only neurolysis was performed, with complete motor and sensory recovery. Conclusions. Intraoperative neurophysiological monitoring is a useful tool in the secondary surgery of peripheral nerve injury and the intraneural tumor pathology (AU)
Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Peripheral Nerve Injuries/surgery , Peripheral Nerve Injuries , Neurophysiology/methods , Neurilemmoma/surgery , Neurilemmoma , Neurofibrosarcoma/surgery , Neurofibrosarcoma , Peripheral Nerves/surgery , Peripheral Nerves , Neurosurgery/methods , Neurosurgery/standards , Orthopedic Procedures/methods , Orthopedic Procedures/trends , HypesthesiaABSTRACT
INTRODUCTION: Intraoperative neurophysiological monitoring has experienced a spectacular development in the past 20 years, particularly in the fields of neurosurgery and spine surgery. it has become a useful, almost indispensable, tool in preventing nerve damage during surgery. The aim of this article is to describe the intraoperative technique and analyze its results in the field of peripheral nerve surgery. OBJECTIVE: To describe the usefulness of a technique in peripheral nerve surgery, the technique used and the experience in a centre. PATIENTS AND METHODS: A retrospective study was conducted on 30 cases of peripheral nerve surgery performed in this centre from 2009 to 2013, using the intraoperative monitoring technique. RESULTS: Of the total of 13 peripheral nerve tumors recorded, there were 11 excellent results and 2 good results, one temporary hypoesthesia and one with almost complete sensory, except for motor, recovery. Traumatic injury was recorded in 17 cases, of which 6 required performing a graft, and the remaining 11 cases only neurolysis was performed, with complete motor and sensory recovery. CONCLUSIONS: Intraoperative neurophysiological monitoring is a useful tool in the secondary surgery of peripheral nerve injury and the intraneural tumor pathology.
Subject(s)
Intraoperative Complications/prevention & control , Intraoperative Neurophysiological Monitoring/methods , Neurilemmoma/surgery , Neurosurgical Procedures/adverse effects , Peripheral Nerve Injuries/prevention & control , Peripheral Nervous System Neoplasms/surgery , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Intraoperative Complications/diagnosis , Male , Middle Aged , Neurosurgical Procedures/methods , Peripheral Nerve Injuries/diagnosis , Peripheral Nerve Injuries/etiology , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
No disponible
