dimecres, 30 de novembre de 2011

Fijador externo supraacetabular

Fijador externo supraacetabular para el tratamiento de las fracturas de anillo pélvico
Axel Gänsslena ,Tim Pohlemannb y Christian Kretteka
Tec. Quir. Ortop. Traumatol. (ed. esp.) Vol. 15 núm. 2, 2006
 
Article interessant , tècnica quirurgica de colocaco de les tijes.


























 

dilluns, 28 de novembre de 2011

VoyantWeb

Us pot interessar......................


https://orthoweb.secure.force.com/VoyantLink/

http://www.voyanthealth.com/downloads/MK3U00343_C_OrthoResidents_Brochure.pdf


VoyantWeb is a suite of integrated cloud technologies, from providers such as Salesforce.com and Amazon.com, that deliver medical-image sharing, workflow, and planning tools to hospitals, clinics, imaging centers, and physicians. VoyantWeb allows you to access and use tools “in the cloud”—no need to purchase and install complex and monolithic software, making them widely accessible and affordable to use.

May be the future?

dimecres, 9 de novembre de 2011

Decidir quan un tractament Q en fractures d'espatlla...

Interessant article:
Hemiarthroplasty versus nonoperative treatment ofdisplaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial.

Olerud, MDa,*, Leif Ahrengart, MD, PhDa, Sari Ponzer, MD, PhDa,Jenny Saving, MDa, Jan Tidermark, MD, PhDa,b.
aKarolinska Institutet, Department of Clinical Science and Education, Section of Orthopaedics, Stockholm S€oder Hospital,Sweden bDepartment of Orthopaedics, Capio St G€orans Hospital, Stockholm, Sweden

Background: The aim of the study was to report the 2-year outcome after a displaced 4-part fracture of the
proximal humerus in elderly patients randomized to treatment with a hemiarthroplasty (HA) or nonoperative
treatment.
Patients and Methods: We included 55 patients, mean age 77 (range, 58-92) years, 86% being women. Follow-up examinations were done at 4, 12, and 24 months. The main outcome measures were healthrelated quality of life (HRQoL) according to the EQ-5D and the DASH and Constant scores.

Results: At the final 2-year follow-up the HRQoL was significantly better in the HA group compared to the
nonoperative group, EQ-5D index score 0.81 compared to 0.65 (P¼.02). The results forDASHand pain assessment were both in favor of the HA group, DASH score 30 versus 37 (P ¼.25) and pain according to VAS 15 versus 25 (P ¼.17). There were no significant differences regarding the Constant score or range of motion (ROM). Both groups achieved a mean flexion of approximately 90-95º and a mean abduction of 85-90º.The need for additional surgery was low: 3 patients in the HA group and 1 patient in the nonoperative group.

Conclusion: The results of the study demonstrated a significant advantage in quality of life in favor of HA,
as compared to nonoperative treatment in elderly patients with a displaced 4-part fracture of the proximal
humerus. The main advantage of HA appeared to be less pain while there were no differences in ROM.

Level of evidence: Level I, Randomized Controlled Trial, Treatment Study.

2011 Journal of Shoulder and Elbow Surgery