Revisiones_bibliográficas TyO

http://www.ortopediaycolumna.com.mx/traumatologia/el-papel-de-la-reparacion-meniscal-para-la-prevencion-del-inicio-temprano-de-la-osteoartritis/

El papel de la reparación meniscal para la prevención del inicio temprano de la osteoartritis

The role of meniscal repair for prevention of early onset of osteoarthritis

Fuente Este artículo es publicado originalmente en:

https://www.ncbi.nlm.nih.gov/pubmed/29607459

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879034/

https://jeo-esska.springeropen.com/articles/10.1186/s40634-018-0122-z

De:

Weber J¹, Koch M¹, Angele P^1,², Zellner J³.

J Exp Orthop. 2018 Apr 2;5(1):10. doi: 10.1186/s40634-018-0122-z.

Author information ► Article notes ► Copyright and License information ▼ Disclaimer

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

El papel de la reparación meniscal: mejores resultados funcionales, así como el efecto preventivo sobre el desarrollo de la osteoartritis dentro de la articulación de la rodilla a largo plazo; es importante preservar la mayor cantidad posible de tejido de menisco.

Abstract

BACKGROUND:

The meniscus plays an important role in the integrity of the knee joint. Therefore, meniscus tissue preserving techniques for the therapy of meniscus injuries seem to be reasonable. One of the important questions is whether meniscal repair can prevent the knee joint from early onset of osteoarthritis.

CONCLUSION:

Due to the improved functional outcomes as well as preventive effect on the development of osteoarthritis within the knee joint in long-term, it is of importance to preserve as much meniscus tissue as possible in meniscus therapy. Patients previously have to be informed about the higher revision rate in context to meniscus suturing.

KEYWORDS:

Meniscus; Meniscus repair; Osteoarthritis of the knee; Prevention; Review

Resumen

ANTECEDENTES:

El menisco juega un papel importante en la integridad de la articulación de la rodilla. Por lo tanto, las técnicas de preservación del tejido del menisco para la terapia de las lesiones del menisco parecen ser razonables. Una de las preguntas importantes es si la reparación meniscal puede evitar que la articulación de la rodilla comience de manera temprana la osteoartritis. CONCLUSIÓN: Debido a los mejores resultados funcionales y al efecto preventivo sobre el desarrollo de la osteoartritis dentro de la articulación de la rodilla a largo plazo, es importante preservar la mayor cantidad de tejido de menisco posible en la terapia de menisco. Los pacientes deben ser informados previamente sobre la tasa de revisión más alta en contexto a la sutura de menisco.

PALABRAS CLAVE:

Menisco; Reparación de menisco; Osteoartritis de la rodilla; Prevención; revisión

PMID: 29607459 PMCID: PMC5879034 DOI: 10.1186/s40634-018-0122-z

Free PMC Article

The role of meniscal repair- improved functional outcomes as well as preventive effect on the development of #osteoarthritis within the knee joint in long-term, it is of importance to preserve as much meniscus tissue as possible https://t.co/GpBnXrjGVU #jeo-esska
— David Hunter (@ProfDavidHunter) 10 de abril de 2018

Dolor agudo postoperatorio / Acute postoperative pain

Abril 7, 2018. No. 3046

Dolor agudo postoperatorio en la unidad postanestésica; Una actualización

Postoperative pain management in the postanesthesia care unit: an update.

Luo J1, Min S1.

Author information

J Pain Res. 2017 Nov 16;10:2687-2698. doi: 10.2147/JPR.S142889. eCollection 2017.

Abstract

Acute postoperative pain remains a major problem, resulting in multiple undesirable outcomes if inadequately controlled. Most surgical patients spend their immediate postoperative period in the postanesthesia care unit (PACU), where pain management, being unsatisfactory and requiring improvements, affects further recovery. Recent studies on postoperative pain management in the PACU were reviewed for the advances in assessments and treatments. More objective assessments of pain being independent of patients' participation may be potentially appropriate in the PACU, including photoplethysmography-derived parameters, analgesia nociception index, skin conductance, and pupillometry, although further studies are needed to confirm their utilities. Multimodal analgesia with different analgesics and techniques has been widely used. With theoretical basis of preventing central sensitization, preventive analgesia is increasingly common. New opioids are being developed with minimization of adverse effects of traditional opioids. More intravenous nonopioid analgesics and adjuncts (such as dexmedetomidine and dexamethasone) are introduced for their opioid-sparing effects. Current evidence suggests that regional analgesic techniques are effective in the reduction of pain and stay in the PACU. Being available alternatives to epidural analgesia, perineural techniques and infiltrative techniques including wound infiltration, transversus abdominis plane block, local infiltration analgesia, and intraperitoneal administration have played a more important role for their effectiveness and safety.

KEYWORDS: acute pain; anesthesia recovery period; pain assessment; pain management; postoperative complications

PDF

Safe Anaesthesia Worldwide

Delivering safe anaesthesia to the world's poorest people

Informes / Information

Anestesiología y Medicina del Dolor

52 664 6848905

Revistas / Journals

Abril 8, 2018. No. 3047

Anesthesiology and Pain Medicine: Feb 2018, 8 (1)

J. Clinical Medicine

Feb 2018; Vol 7 (2)

Cleveland Clinic Journal of Medicine

Apr 2018;Vol. 85 (4)

Clin Exp Emerg Med

2018;5(1)

Indian Journal of Critical Care Medicine (Indian J Crit Care Med)

2018 | February | Volume 22 | Issue 2

J Emerg Trauma Shock

2018;11

Información / Information

Diversos Congresos Médicos por Especialidades en todo Mundo

Various Medical Congresses by Specialties around the World

Safe Anaesthesia Worldwide

Delivering safe anaesthesia to the world's poorest people

Informes / Information

Anestesiología y Medicina del Dolor

52 664 6848905

Curso de Actualización en Anestesiología

Abril 8, 2018. No. 3047

La Federación Mundial de Anestesiología, el Committee for European Education in Anaesthesiology (CEEA) y el Colegio de Anestesiólogos del Estado de Veracruz. A.C. Capítulo Xalapa, le invitan a participar en el Curso de Actualización Médica Continua sobre Respiratorio- Monitorización- Cirugía de Tórax con valor curricular para el Consejo Nacional de Certificación en Anestesiología (México), a celebrarse en el bello Puerto de Veracruz.

¡Aún hay tiempo para inscribirse!

Anestesiología y Medicina del Dolor

52 664 6848905