Revisiones_bibliográficas TyO

jueves, 23 de marzo de 2017

Nueva reconstrucción anatómica de los ligamentos tibiofibulares distales restaura la biomecánica sindesmótica

http://www.lesionesdeportivas.com.mx/academia/nueva-reconstruccion-anatomica-de-los-ligamentos-tibiofibulares-distales-restaura-la-biomecanica-sindesmotica/

Novel anatomical reconstruction of distal tibiofibular ligaments restores syndesmotic biomechanics

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28321479

https://link.springer.com/article/10.1007%2Fs00167-017-4485-y

De:

Che J1,2,Li C3,Gao Z4,Qi W3,Ji B5,Liu Y6,Liow MH7

Knee Surg Sports Traumatol Arthrosc.

2017 Mar 20. doi: 10.1007/s00167-017-4485-y. [Epub ahead of print]

Abstract

PURPOSE:

To date, there is a paucity of literature on syndesmotic reconstruction techniques that restore both anatomic stability and physiologic syndesmotic biomechanics. In this cadaveric study, (1) a novel syndesmotic reconstruction surgical technique using autogenous peroneus brevis tendon was described and (2) the biomechanical properties of the reconstruction was investigated.

CONCLUSION:

Anatomical reconstruction of the distal tibiofibular ligaments with the peroneus brevis tendon provides stability and recreates the biomechanical properties of an intact syndesmosis. This new surgical technique may be a viable alternative for the treatment of syndesmotic injuries.

KEYWORDS:

Anatomical reconstruction; Biomechanical cadaveric study; Distal tibiofibular ligaments; Surgical technique; Syndesmosis

ResumenPROPÓSITO:

Hasta la fecha, existe una escasez de literatura sobre las técnicas de reconstrucción sindesmótica que restauran tanto la estabilidad anatómica como la biomecánica sindesmótica fisiológica. En este estudio de cadáver, (1) se describió una nueva técnica quirúrgica de reconstrucción sindesmótica utilizando el tendón peroneo brevis autógeno y (2) se investigaron las propiedades biomecánicas de la reconstrucción.CONCLUSIÓN:

La reconstrucción anatómica de los ligamentos tibiofibulares distales con el tendón peroneo brevis proporciona estabilidad y recrea las propiedades biomecánicas de una sindesmosis intacta. Esta nueva técnica quirúrgica puede ser una alternativa viable para el tratamiento de lesiones sindesmóticas.PALABRAS CLAVE:

Reconstrucción anatómica; Estudio biomecánico de cadáveres; Ligamentos tibiofibulares distales; Técnica quirúrgica; Sindesmosis

PMID: 28321479 DOI:

10.1007/s00167-017-4485-y

#Reconstrucción anatómica #Estudio biomecánico #cadaver #Ligamentos tibiofibulares distales #Técnica quirúrgica #sindesmosis

Resultados clínicos después de la cirugía de revisión para la reconstrucción del ligamento patelofemoral medial

http://www.reemplazoprotesico.com.mx/academia/resultados-clinicos-despues-de-la-cirugia-de-revision-para-la-reconstruccion-del-ligamento-patelofemoral-medial/

Clinical outcomes after revision surgery for medial patellofemoral ligament reconstruction

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28280905

https://link.springer.com/article/10.1007%2Fs00167-017-4477-y

De:

Chatterton A1,Nielsen TG2,Sørensen OG2,Lind M2.

Knee Surg Sports Traumatol Arthrosc.

2017 Mar 9. doi: 10.1007/s00167-017-4477-y. [Epub ahead of print]

Abstract

PURPOSE:

Medial patellofemoral ligament reconstruction (MPFL-R) is the standard surgical intervention for patella instability. However, limited knowledge exists concerning the causes for failure, and outcome after revision MPFL-R. The purpose of this study is to evaluate the causes of primary MPFL-R failure and clinical outcomes after revision MPFL-R.

CONCLUSION:

Although revision MPFL-R establishes acceptable patellar stability, the subjective outcomes after revision MPFL-R do not improve significantly, and are poorer than after primary MPFL-R. Non-anatomical graft position can be an important cause of MPFL-R failure. The clinical relevance of this study is that it shows that it may be difficult to improve self-reported outcomes in revision MPFL-R patients.

LEVEL OF EVIDENCE:

III.

KEYWORDS:

Dislocation; Ligament reconstruction; MPFL; Medial patellofemoral ligament; Patella instability; Revision surgery

Resumen

PROPÓSITO:
La reconstrucción medial del ligamento patelofemoral (MPFL-R) es la intervención quirúrgica estándar para la inestabilidad de la rótula. Sin embargo, existen limitados conocimientos sobre las causas del fracaso y el resultado después de la revisión MPFL-R. El propósito de este estudio es evaluar las causas del fracaso primario de MPFL-R y los resultados clínicos después de la revisión MPFL-R.

CONCLUSIÓN:
Aunque la revisión MPFL-R establece estabilidad patelar aceptable, los resultados subjetivos después de la revisión MPFL-R no mejoran significativamente, y son más pobres que después de MPFL-R primaria. La posición del injerto no anatómico puede ser una causa importante del fallo de MPFL-R. La relevancia clínica de este estudio es que muestra que puede ser difícil mejorar los resultados autoinformados en los pacientes con MPFL-R de revisión.

NIVEL DE EVIDENCIA:
III.

PALABRAS CLAVE:
Dislocación; Reconstrucción del ligamento; MPFL; Ligamento femoropatelar medial; Inestabilidad de la rótula; Cirugía de revisión

PMID: 28280905 DOI:

10.1007/s00167-017-4477-y

#dislocación #patela #rótula #reconstrucción ligamentaria #femoropatelar medial #inestabilidad rotuliana #inestabilidad patelar #cirugía de revisión

Anestesia en cirugía urológica / Anesthesia for urology

Marzo 23, 2017. No. 2637

Retos anestésicos de pacientes con comorbilidades cardíacas sometidos a cirugía urológica mayor.

Anesthetic challenges of patients with cardiac comorbidities undergoing major urologic surgery.

Domi R1, Sula H1, Ohri I1, Beqiri A2, Kaci M2, Bodeci A2, Laho H3.

Int Arch Med. 2014 Apr 29;7:17. doi: 10.1186/1755-7682-7-17. eCollection 2014.

Abstract

The cardiac patient undergoing major urologic surgery is a complex case requiring a great attention by the anesthesiologist. Number of this group of patients having to go through this procedure is constantly increasing, due to prolonged life, increased agressiveness of surgery and increased anesthesia's safety. The anesthesiologist usually has to deal with several problems of the patient, such as hypertension, chronic heart failure, coronary artery disease, rhythm disturbances, intraoperative hemodymanic changes, intraoperative bleeding, perioperative fluid imbalance, and metabolic disturbances. A cardiac patient undergoing major urologic surgery is a complex case requiring a great attention by the anesthesiologist. The scope of this review article is to present the most frequent issues encountered with this group of patients, and to synthetically discuss the respective strategies and maneuvers during perioperative period, which is the major challenge for the anesthesiologist.

KEYWORDS: Anesthesia; Cardiac patient; Urological surgery

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Aspectos anestésicos de la prostatectomía radical laparoscópica asistida por robot.

Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy.

Gainsburg DM1.

Minerva Anestesiol. 2012 May;78(5):596-604. Epub 2012 Mar 13.

Abstract

The anesthetic concerns of patients undergoing robotic-assisted laparoscopic radical prostatectomy (RALP) are primarily related to the use of pneumoperitoneum in the steep Trendelenburg position. This combination will affect cerebrovascular, respiratory and hemodynamic homeostasis. Possible non-surgical complications range from mild subcutaneous emphysema to devastating ischemic optic neuropathy. The anesthetic management of RALP patients involves a thorough preoperative evaluation, careful positioning on the operative table, managing ventilation issues, and appropriate fluid management. Close coordination between the anesthesia and surgical teams is required for a successful surgery. This review will discuss the anesthetic concerns and perioperative management of patients presenting for RALP.

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Anestesia para cirugía urológica

Anesthesia for Urological Surgery

Zeki Tuncel Tekgul et al.

In: Current Topics in Anesthesiology

InTech, Chapters published February 08, 2017 under CC BY 3.0 license

Abstract

Because of the variable techniques and patients' positions used in urological surgery, anesthesia for urologic surgery requires advanced knowledge and special transactions. In this matter, it is important to follow current approaches for anesthesiologists. Different surgical procedures and complications due to different positions or anesthesia were evaluated separately to be more concise. We have researched recent literature and created this chapter about new technologies in urological surgery and development in anesthesia for urological surgery.

Keywords: urological anesthesia, anesthesia management, anesthesia complications, urological surgery complications

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