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All rights reserved" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Rev Esp Cir Ortop Traumatol. 2011;55:193-203" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 377 "formatos" => array:2 [ "HTML" => 95 "PDF" => 282 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Distribution of periprosthetic osteolysis in the hip: A study using magnetic resonance" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "193" "paginaFinal" => "203" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Distribución de la osteólisis periprotésica en la cadera. Estudio con resonancia magnética" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Suárez-Vázquez, D. Hernández-Vaquero, M. Del Valle López-Díaz, I. Pérez-Coto" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Suárez-Vázquez" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Hernández-Vaquero" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Del Valle López-Díaz" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Pérez-Coto" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1988885611703054?idApp=UINPBA00004N" "url" => "/19888856/0000005500000003/v1_201305031745/S1988885611703054/v1_201305031745/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1988885611703030" "issn" => "19888856" "doi" => "10.1016/S1988-8856(11)70303-0" "estado" => "S300" "fechaPublicacion" => "2011-05-01" "aid" => "70303" "copyright" => "Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Rev Esp Cir Ortop Traumatol. 2011;55:181-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 553 "formatos" => array:2 [ "HTML" => 146 "PDF" => 407 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Varus deformity of the ankle in a child: correction using external fixation" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "181" "paginaFinal" => "186" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Deformidad en varo del tobillo del niño: corrección mediante fijación externa" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Fontao-Fernández, P. González-Herranz" "autores" => array:2 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Fontao-Fernández" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "González-Herranz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1988885611703030?idApp=UINPBA00004N" "url" => "/19888856/0000005500000003/v1_201305031745/S1988885611703030/v1_201305031745/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Vascularised bone graft with mini-acutrak<span class="elsevierStyleSup">®</span> fixation in scaphoid pseudoarthrosis with proximal pole necrosis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "187" "paginaFinal" => "192" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Lamas, I. Proubasta, L. Natera, R. Moldovan, M. Almenara" "autores" => array:5 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Lamas" "email" => array:1 [ 0 => "clamasg@hsp.santpau.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Proubasta" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Natera" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Moldovan" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Almenara" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de la Mano y Extremidad Superior, Servicio de Cirugía Ortopédica y Traumatología, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Injerto óseo vascularizado y fijación con mini-acutrak<span class="elsevierStyleSup">®</span> en las pseudoartrosis de escafoides con necrosis del polo proximal" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-11-15" "fechaAceptado" => "2011-02-10" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec103273" "palabras" => array:3 [ 0 => "Scaphoid nonunion" 1 => "Necrosis proximal pole scaphoid" 2 => "Vascularized bone graft" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec103272" "palabras" => array:3 [ 0 => "Pseudoartrosis de escafoides" 1 => "Necrosis polo proximal escafoides" 2 => "Injerto óseo vascularizado" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We studied the use of vascularized bone graft (VBG) in combination with a fixation with screw in patients with scaphoid nonunion and avascular proximal poles.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Between January 2006 and December 2009, we treated 10 patients with scaphoid nonunion with avascular proximal poles. There were 10 males with nonunion. Their average age was 27 years (range: 18–46 years). The average followup was 18 months (range: 12–43 months). The clinical valuation was the scale of pain (VAS), the range of motion and grip strength. The radiological valuation included radiographies, CT and MRI. We studied the scapholunate angle, the Carpal Height Index by Nattrass et al. and the Mayo Wrist Score.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The mean preoperative VAS was 4.5 (2–8) and postoperative VAS 1 (0–2). All patients achieved union in an average time of 15 weeks (range: 6–25 weeks). X-rays and CT showed a complete osseous union in all patients. Carpal Height Index was a mean of 1.50 preoperative and 1.58 postoperative. The scapholunate angle was a mean of 52° preoperative and 49° postoperative. Mayo Wrist Score was 53 preoperative and 92 postoperative.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We have found that the technique which combines VBG with mini acutrak<span class="elsevierStyleSup">®</span> screw, is successful in treating scaphoid nonunions with avascular poles. We prefer to use the vessel 1, 2 ICSRA. If this vessel is occasionally absent, other pedicles may be used.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluar los resultados del injerto óseo vascularizado (IOV) de la arteria 1, 2 suprarretinacular intercompartimental (1,2 SRIC) junto con la fijación, en pseudoartrosis de escafoides y necrosis del polo proximal.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio retrospectivo, entre enero de 2006 y diciembre de 2009. Se trata de 10 pacientes con pseudoartrosis de escafoides con necrosis del polo proximal. Todos eran varones con edad media de 27 años (rango: 18–46). El seguimiento medio fue de 18 meses (rango: 12–43). La evaluación clínica incluye el dolor según la escala visual analógica (EVA), el balance articular y la fuerza de prensión. La evaluación radiológica incluye radiografías, TC y RNM. Se midió el ángulo escafolunar y la altura carpiana de acuerdo con el índice de Nattrass et al. La escala utilizada fue la Mayo Wrist Score.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La consolidación tuvo lugar en todos en un tiempo medio de 15 semanas (rango: 6–25 semanas). La media de EVA preoperatoria fue de 4,5 (2–8) y postoperatoria de 1 (0–2). El índice de la altura carpiana de Nattrass preoperatorio fue de 1,50 y postoperatorio de 1,58. El ángulo escafolunar medio preoperatorio fue de 52° y postoperatorio de 49°. Los valores preoperatorios de la Mayo Wrist Score fueron de 53 y los valores postoperatorios de 92.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La técnica que combina el IOV y la fijación con un tornillo mini-acutrak<span class="elsevierStyleSup">®</span> presenta buenos resultados, en el tratamiento de las pseudoartrosis de escafoides con necrosis del polo proximal. Preferimos el uso de la arteria 1,2 SRIC. En el caso de que esta arteria esté ausente se pueden utilizar otros pedículos vasculares.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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