jueves, 22 de diciembre de 2016

IMSS Puebla logra el mayor número de trasplantes en el país durante 2016

miércoles, 21 de diciembre de 2016

Rehabilitación post-aguda después del reemplazo total de rodilla: Un ensayo clínico multicéntrico aleatorizado que compara los resultados a largo plazo

Publicada en diciembre 21, 2016 por admin

Post-acute rehabilitation after total knee replacement: A multicentre randomized clinical trial comparing long-term outcomes

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/27868384

http://onlinelibrary.wiley.com/doi/10.1002/acr.23117/abstract;jsessionid=B8FE860D90647DBD5B4ECAAC83682073.f02t01

De:

Fransen M, Nairn L, Bridgett L, Crosbie J, March L, Parker Mbbs D, Crawford R, Harmer AR

Arthritis Care Res (Hoboken). 2016 Nov 21. doi: 10.1002/acr.23117. [Epub ahead of print]

Todos los derechos reservados para:

© 2016, American College of Rheumatology.

Abstract

OBJECTIVE:

To evaluate the long-term benefit of providing a post-acute outpatient group exercise program for patients following primary total knee replacement (TKR) surgery for osteoarthritis.

CONCLUSIONS:

Providing access to a post-acute group exercise program did not result in greater reductions in long-term knee pain or activity limitations than usual care. Patients undergoing primary TKR retain marked physical performance deficits 12 months after surgery. This article is protected by copyright. All rights reserved.

Resumen
OBJETIVO:
Evaluar el beneficio a largo plazo de proporcionar un programa de ejercicio de grupo ambulatorio post-agudo para pacientes después de la cirugía de reemplazo total de rodilla (TKR) primaria para la osteoartritis.
CONCLUSIONES:
Proporcionar acceso a un programa de ejercicios de grupo post-agudo no resultó en mayores reducciones en el dolor a largo plazo de rodilla o limitaciones de actividad que la atención habitual. Los pacientes sometidos a TKR primaria mantienen déficit de rendimiento físico marcado 12 meses después de la cirugía. Este artículo está protegido por derechos de autor. Todos los derechos reservados

Cómo prevenir las lesiones más frecuentes del ciclismo

Lesiones del ligamento cruzado anterior alteran la cinemática de rodillas con o sin deficiencia meniscal

Categorías:

academia

(Editar Entrada)

Por admin

Anterior Cruciate Ligament Injuries Alter the Kinematics of Knees With or Without Meniscal Deficiency

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/27511793

http://journals.sagepub.com/doi/full/10.1177/0363546516658026

De:

Zhang Y^1,², Huang W^3,², Yao Z^3,², Ma L³, Lin Z³, Wang S⁴, Huang H³

Am J Sports Med. 2016 Dec;44(12):3132-3139. Epub 2016 Aug 10

Todos los derechos reservados para:

© 2016 The Author(s).

Abstract

BACKGROUND:

Numerous studies have investigated kinematic alterations in patients with an isolated anterior cruciate ligament (ACL) injury. However, a substantial proportion of patients with injured ACLs also have concomitant meniscal tears.

PURPOSE:

To evaluate the in vivo alteration of knee kinematics after an ACL tear, with or without a combined medial or lateral meniscal tear, during level walking activity.

CONCLUSION:

The results indicate that meniscal injuries alter the kinematics of the ACLD knee when compared with knees with an isolated ACL injury. The location of the meniscal tear also affects knee kinematics.

CLINICAL RELEVANCE:

Considering the varying effects of meniscal injuries on knee joint kinematics, these data provide insight into the pathological function of the ACL-injured knee joint during walking.

KEYWORDS:

6 DOF; combined deficiency; kinematic alteration; knee injury

Conducto lumbar estrecho ¿Como esta clasificado?

http://www.columnayortopedia.com.mx/academia/conducto-lumbar-estrecho-como-esta-clasificado/

Lumbar Spinal Stenosis: How Is It Classified?

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/27849674

http://sso.aaos.org/login.aspx?vi=8&vt=3ac8020bdc4830d70ecd3616884ec59fc352f3b3e5210a2b771e8a4aaac4bb790bf34cbf60caad7416050b34b12f1325af4188fd1f2bdc72a91a9d64ebf0911642621661ebedee044a1b27c31767ea1c2a2921ed74c22d83cfc1d97cbd234e8bbe16eb10e9e757e06823c0bbe1549e50a191f3a2b8b045f008f684dbcd7a22e7a27bbeba0c55f6e3cf5bf9006959cb6d6d164123269c31771a1c6331ce84eb661305db3fa9dab5c1b1c4163c6728ae4545627d9a31f011e788abedd38963d27fbbe4a2f4513e60dcfb1dcbcc22cbd069

http://journals.lww.com/jaaos/pages/articleviewer.aspx?year=2016&issue=12000&article=00003&type=abstract

De:

Schroeder GD¹, Kurd MF, Vaccaro AR.

J Am Acad Orthop Surg. 2016 Dec;24(12):843-852

Abstract

The prevalence of lumbar spinal stenosis is approximately 9.3%, with people most commonly affected in the sixth or seventh decade of life. Patients often have pain, cramping, and weakness in their legs that is worsened with standing and walking. Although the Spine Patient Outcomes Research Trial clearly demonstrated that surgery improves health-related quality of life, treatment for lumbar spinal stenosis varies widely from the type of decompression performed to the need for fusion. This variability can be attributed largely to the lack of an accepted classification system. A good classification system serves as a common language to define the severity of a condition, guide treatment, and facilitate clinical research.

Resumen

La prevalencia de estenosis espinal lumbar es de aproximadamente el 9,3%, con las personas más afectadas en la sexta o séptima década de vida. Los pacientes a menudo tienen dolor, cólicos y debilidad en sus piernas que se agrava con pie y caminar. Aunque el ensayo de investigación de resultados de pacientes con columna vertebral demostró claramente que la cirugía mejora la calidad de vida relacionada con la salud, el tratamiento para la estenosis espinal lumbar varía ampliamente desde el tipo de descompresión realizada hasta la necesidad de fusión. Esta variabilidad puede atribuirse en gran parte a la falta de un sistema de clasificación aceptado. Un buen sistema de clasificación sirve como un lenguaje común para definir la gravedad de una condición, guiar el tratamiento y facilitar la investigación clínica

PMID: 27849674 DOI:

10.5435/JAAOS-D-15-00034

[PubMed – in process]

Fuente:columnayortopedia.com.mx

#conductolumbarestrecho #estenosis

Cirugía plástica / Plastic surgery

Diciembre 21, 2016. No. 2545

Contorno del cuerpo y escultura

Body Contouring and Sculpting

Edited by Nikolay P. Serdev, ISBN 978-953-51-2830-4, Print ISBN 978-953-51-2829-8, 234 pages, Publisher: InTech, Chapters published December 14, 2016 under CC BY 3.0 license
DOI: 10.5772/62515
Edited Volume
Over the past decades, surgical techniques have greatly progressed to improve and correct appearance. They are artistic procedures to give the highly demanded proportions. The growing public interest in aesthetic and plastic surgery interventions such as body contouring and sculpting requires clear description and differentiation of these highly sophisticated techniques, their results and combinations, as well as scientific information about the different instrumentation, devices and materials used. Such clarification will be hugely beneficial both for patients and doctors, having in mind the increasing number of such interventions and progressing interest for a better and healthy living including improved appearance in society. The book adds some scientific news to the understanding of body contouring treatments. Currently, the request for atraumatic, short downtime procedures predominates and demonstrates the importance of hi-tech and safe liposculpture and fat transfer, although they cannot totally replace surgical excision methods.

Libro / Book

El papel de los cirujanos plásticos en el avance del desarrollo global

The Role of Plastic Surgeons in Advancing Development Global.

Broer PN1, Jenny HE2, Ng-Kamstra JS3, Juran S4.

World J Plast Surg. 2016 May;5(2):109-13.

Abstract

In September 2015, the international community came together to agree on the 2030 Agenda for Sustainable Development, a plan of action for people, the planet, and prosperity. Ambitious and far-reaching as they are, they are built on three keystones: the elimination of extreme poverty, fighting climate change, and a commitment to fighting injustice and inequality. Critical to the achievement of the Agenda is the global realization of access to safe, affordable surgical and anesthesia care when needed. The landmark report by the Lancet Commission on Global Surgery estimated that between 28 and 32 percent of the global burden of disease is amenable to surgical treatment. However, as many as five billion people lack access to safe, timely, and affordable surgical care, a burden felt most severely in low- and middle-income countries (LMICs). Surgery, and specifically plastic surgery, should be incorporated into the international development and humanitarian agenda. As a community of care providers dedicated to the restoration of the form and function of the human body, plastics surgeons have a collective opportunity to contribute to global development, making the world more equitable and helping to reduce extreme poverty. As surgical disease comprises a significant burden of disease and surgery can be delivered in a cost-effective manner, surgery must be considered a public health priority.

KEYWORDS: Capacity development; Global burden of disease; Global surgery; Plastic surgery; Sustainable development

PDF

Revisión de 2975 cirugías consecutivas por un cirujano en un centro quirúrgico ambulatorio acreditado. Experiencia canadiense

A review of 2975 consecutive operations by one surgeon in an accredited outpatient plastic surgicentre: A Canadian experience.

Chasmar LR1.

Can J Plast Surg. 2005 Winter;13(4):188-90.

Abstract

The present paper constitutes a retrospective review of 2975 consecutive operations performed by the author, one of the three owners of the Saskatoon Plastic Surgicentre. The unit opened in 1987; therefore, the study spans 17 years. Patients are not kept overnight, and the Surgicentre is approved and equipped as a level C facility for general anesthesia. Only patients who score 1 or 2 according to the American Association of Anesthesiologists are treated. Only certified anesthesiologists are used. Of the patients with postoperative complications, only two required transfer to a hospital. One developed a pneumothorax, which was treated on arrival at the intensive care unit with no sequelae. The other collapsed following facelift surgery. She was transferred to University of Saskatchewan hospital and died later that evening with a massive pulmonary embolus. In a properly established outpatient centre, a large number of patients can be safely treated with very few complications. However, despite placing patient safety as the first consideration and adhering strictly to the highest standards, death can occur.

KEYWORDS: Ambulatory surgery; Retrospective review; Surgical complications

PDF

Regional Anesthesiology and Acute Pain Medicine Meeting

April 6-8, 2017, San Francisco, California, USA

ASRA American Society of Regional Anesthesia and Pain Medicine

Información / Information

California Society of Anesthesiologists

Annual Meeting April 27-30, 2017

San Francisco California

Información / Information

Anestesiología y Medicina del Dolor

52 664 6848905

vwhizar@anestesia-dolor.org

anestesia-dolor.org

Trasplante de mano comparado con prótesis

http://www.manoytrauma.com.mx/academia/trasplante-de-mano-comparado-con-protesis/

Functional and Psychosocial Outcomes of Hand Transplantation Compared with Prosthetic Fitting in Below-Elbow Amputees: A Multicenter Cohort Study.

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/27589057

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0162507

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010226/

http://www.anatomia-fisioterapia.es/57-systems/various/2067-trasplante-de-mano-comparado-con-protesis

De:

Salminger S^1,², Sturma A^2,³, Roche AD², Hruby LA^2,³, Paternostro-Sluga T^4,³, Kumnig M⁵, Ninkovic M⁶, Pierer G⁷, Schneeberger S⁸, Gabl M⁹, Chelmonski A¹⁰, Jablecki J^10,¹¹, Aszmann OC^1,².

PLoS One. 2016 Sep 2;11(9):e0162507. doi: 10.1371/journal.pone.0162507. eCollection 2016.

Creative Commons Attribution License

, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.AbstractBACKGROUND:

Hand-transplantation and improvements in the field of prostheses opened new frontiers in restoring hand function in below-elbow amputees. Both concepts aim at restoring reliable hand function, however, the indications, advantages and limitations for each treatment must be carefully considered depending on level and extent of amputation. Here we report our findings of a multi-center cohort study comparing hand function and quality-of-life of people with transplanted versus prosthetic hands.

METHODS:

Hand function in amputees with either transplant or prostheses was tested with Action Research Arm Test (ARAT), Southampton Hand Assessment Procedure (SHAP) and the Disabilities of the Arm, Shoulder and Hand measure (DASH). Quality-of-life was compared with the Short-Form 36 (SF-36).

RESULTS:

Transplanted patients (n = 5) achieved a mean ARAT score of 40.86 ± 8.07 and an average SHAP score of 75.00 ± 11.06. Prosthetic patients (n = 7) achieved a mean ARAT score of 39.00 ± 3.61 and an average SHAP score of 75.43 ± 10.81. There was no significant difference between transplanted and prosthetic hands in ARAT, SHAP or DASH. While quality-of-life metrics were equivocal for four scales of the SF-36, transplanted patients reported significantly higher scores in “role-physical” (p = 0.006), “vitality” (p = 0.008), “role-emotional” (p = 0.035) and “mental-health” (p = 0.003).

CONCLUSIONS:

The indications for hand transplantation or prosthetic fitting in below-elbow amputees require careful consideration. As functional outcomes were not significantly different between groups, patient’s best interests and the route of least harm should guide treatment. Due to the immunosuppressive side-effects, the indication for allotransplantation must still be restrictive, the best being bilateral amputees.

PMID: 27589057 PMCID: PMC5010226 DOI: 10.1371/journal.pone.0162507

[PubMed – in process]

Free PMC Article

Este estudio tuvo como propósito comparar objetivamente el uso de prótesis de miembro superior con el trasplante de mano. Todos los participantes que se sometieron a un trasplante experimentaron un episodio agudo de rechazo al menos una vez, y el tratamiento de este rechazo causa varios efectos secundarios. A pesar de esto, los niveles de calidad de vida para los receptores de trasplante fueron mayores que los usuarios de prótesis.

Perder una mano te cambia la vida; la ciencia y la tecnología han intentado durante años mejorar este problema con diferentes maneras de reemplazar el miembro perdido.

El primer aloinjerto se realizó en 1964 pero fue rechazado por el cuerpo del receptor: el primer trasplante exitoso, en 1998, fue rechazado en los primeros dos años y medio cuando el receptor no fue capaz de mantener el régimeninmunosupresivo.

Paralelo a este desarrollo, las prótesis mioeléctricas han avanzado de gran manera. Muchas prótesis modernas permiten un control intuitivo y movimientos finos. Sin embargo, las actividades relacionadas con el aseo son todavía una limitación común en las capacidades de la prótesis.

Para comparar las dos opciones, los participantes fueron medidos en su funcionalidad global del brazo y la satisfacción en la calidad de vida. Aunque hay muchas creencias sobre las limitaciones de las prótesis actuales, los resultados en la funcionalidad no mostraron diferencias significativas. El continuo régimen de inmunosupresivos es indispensable para evitar el rechazo, pero puede hacer al individuo vulnerable a infección, etc.

¿Quieres leer en mayor profundidad sobre este tema? ¡Echa un vistazo a este interesante artículo que fue publicado en The Lancet!

¿Qué opción elegirías?

Fuente:manoytrauma.com.mx

#trasplante de mano #mano #prótesis