[Early diagnosis of hip dysplasia. Crippling disease for life. Consensus of the Mexican College of Orthopedics and Traumatology]. / El diagnóstico oportuno de la displasia de cadera. Enfermedad discapacitante de por vida. Consenso del Colegio Mexicano de Ortopedia y Traumatología.

The developmental dysplasia of the hip (DDH), where the spectrum of deformity varies from a slight mismatch in the articular surfaces between the ilium and femur, which will bring a premature wear of the joint, until the situation more serious when the femoral head is out of the acetabulum, causing a host of disorders side as curvature of the spine, significant shortening of the limb deformities in the knee and the contralateral hip, as well as causing pain and loss of joint mobility mentioned. All this makes the spectrum of abnormalities in a person being disabled with a social and economic burden for the family and society. "Preventing" a clinical entity such as developmental dysplasia of the hip does not mean to anticipate the presentation, because children continue to be born with this problem, but to have a program for early detection and early treatment and thus prevent the occurrence. The goal of this study was to provide the medical community that timely tool for prevention. When diagnosed and treated in a timely and favorable prognosis qualified for motor function and quality of life.

[Arthroscopy-assisted ankle arthrodesis with MIPF. An alternative proposal]. / Artrodesis de tobillo con FMIP, asistida con artroscopía. Propuesta alternativa.

The ankle is a loading joint with a small contact surface and it is therefore very vulnerable to trauma, as it is an exposed region. It is a unique joint because it forms several joints. In this joint the load falls on the contact area, which is one third of the knee or the hip, and it is the most important part of our musculo-skeletal system designed for ambulation and bipedestation. In case of ankle injuries, arthrodesis is a procedure performed to relieve pain, decrease deformity and provide stability. An optimum result of this procedure may be easily achieved if the ankle is fixed in the right position, so this technique will continue to be a treatment alternative. With "minimally invasive percutaneous fixation (MIPF)" fixation is safe, it relieves pain and stops the progression of regeneration, it is a minimally invasive method performed through a small posteromedial incision on the ventral surface of the distal tibial metaphysis, which minimizes soft tissue dissection thus eliminating wound complications. In this study we included patients with severe joint damage and pain, with a physically demanding type of work, in whom other treatments had previously failed and in whom total arthroplasty was not possible (due to questionable results). Patients with a varus-valgus > 15 degrees, talar necrosis, bone defects requiring a graft or subtalar arthrosis were excluded. Our results are no different from the world literature concerning the incidence rate of complications by age and diagnosis as well as the healing rate. Postoperative patient management was better as no rigid immobilization was required. Even though weight bearing was not immediate, at two weeks they could use an unloading boot for partial weight bearing, and total weight bearing was possible by week six. Therefore, there were less complications and in failed cases salvage surgery was possible.

[Diagnosis and treatment of osteoporosis. Position of the Mexican College of Orthopedics and Traumatology]. / Diagnóstico y tratamiento de la osteoporosis. Posición del Colegio Mexicano de Ortopedia y Traumatología.

Our current in Mexico is that it represents a serious health problem not yet recognized as low-energy fractures in older adults account for approximately 10% of subjects over 65 years (compared with 29% in Japan) about 4.4 million fractures in patients over 70 years, taking into account that we are a nation of 112 million, the problem is minor compared with other diseases in this and other population groups. In the Mexican health system, orthopedic services instead share with other health priorities, so that the authorities do not understand osteoporosis as a health problem, not observe increased morbidity and mortality that implicitly leads, there are few centers to support the diagnosis of osteoporosis (densitometers do not have), and recruitment, diagnosis and management of patients who have suffered a broken ground mechanically compromised. Have increased the frequency of fractures in osteoporotic ground, and institutional level has only treatments based on calcitriol and calcium to maintain bone mineral density. In the Mexican health system, orthopedic services instead share with other health priorities, so that the authorities do not understand osteoporosis as a health problem, not observe increased morbidity and mortality that implicitly leads, there are few centers to support the diagnosis of osteoporosis (we don't count with densitometers), and recruitment, diagnosis and management of patients who have suffered a broken ground mechanically compromised. Have increased the frequency of fractures in osteoporotic ground, and institutional level has only treatments based on calcitriol and calcium to maintain bone mineral density.

[Joint position statement of the Mexican College of Orthopedics and Traumatology: prophylaxis for venous thromboembolic disease in high-risk orthopedic surgery]. / Declaración de posición conjunta del Colegio Mexicano de Ortopedia y Traumatología: profilaxis de la enfermedad tromboembólica venosa en cirugía ortopédica de alto riesgo.

Venous thromboembolic disease (VTED) is a public health problem worldwide. In the United States it causes 2 million annual cases. Its annual incidence is 1-2 cases per 1,000 individuals in the general population. It is a disease frequently associated with life threatening complications and its mortality rate is 1-5% of cases. Due to its high complication rate, its slow recovery, and the need for prolonged disability, it is considered as a high-cost disease. VTED may occur in both surgical and medical patients; the known associated risk factors include prolonged rest, active cancer, congestive heart failure, atrial fibrillation, and stroke, among the major medical conditions. Orthopedic surgery represents the main surgical risk factor for VTED, including mainly hip and knee replacements, as well as polytraumatized patients with severe spinal lesions, and major fractures. VTED may be prevented with the appropriate use of antithrombotics. The participants in this consensus defined thromboprophylaxis as the strategy and actions undertaken to reduce the risk of VTED in patients undergoing high risk orthopedic surgery. The position of the Mexican College of Orthopedics and Traumatology regarding the prevention of VTED in orthopedic surgery is described herein.