Propuesta de algoritmo global de tratamiento del hallux rigidus según la medicina basada en la evidencia

Herrera-Pérez, Mario; Andarcia-Bañuelos, C.; Bergua-Domingo, J. de; Paul, Jochen; Barg, Alexej; Valderrábano, Víctor

doi:10.1016/j.recot.2014.05.004

Cited by 7 publications

(6 citation statements)

References 44 publications

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“…Osteoarthritis in the first metatarsophalangeal joint, known as hallux rigidus, is the most frequent arthrosis of the foot and ankle, and the second most important condition involving the metatarsophalangeal joint of the big toe in the population, only after hallux valgus [3]. Hallux rigidus affects between 2.5 to 5% of the population over 50 years [4]; however, it may also occur at earlier ages.…”

Section: Introductionmentioning

confidence: 99%

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Structural interaction between bone and implants due to arthroplasty of the first metatarsophalangeal joint

Bocanegra

López

Lesso

et al. 2019

Foot and Ankle Surgery

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Principal stresses obtained for the first metatarsal with both implants suggest that failure is induced in this bone because, values exceed (up to 136.84% for Swanson model) the tensile strength reported for phalange trabecular bone, which may be related to osteolysis. Stress and strain values obtained in this work suggest that arthroplasty surgery with Swanson implant is more likely to cause postoperative complications versus Tornier implant.

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Section: Introductionmentioning

confidence: 99%

“…In advanced grade of pathology, arthroplasties are used to correct the problem, as shown by Herrera et al in his proposals of algorithms for the treatment of hallux rigidus [3,4]. There are three types of arthroplasties: resection arthroplasty, interposition arthroplasty, and restorative or prosthetic arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Structural interaction between bone and implants due to arthroplasty of the first metatarsophalangeal joint

Bocanegra

López

Lesso

et al. 2019

Foot and Ankle Surgery

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“…According to the literature reviewed, the Hallux rigidus is more common in the adults for over 50 years old of age, predominating in the sex feminine [4]. This coincided with the studio that presents.…”

Section: Discussionmentioning

confidence: 81%

“…At the present time they are have described various treatments, although the evidence scientific still is scarce [4,9] is recommended treatments conservative so initial (as the state of articulation and demand of the patient). This consists of a non-steroidal antiinflammatory plan, kinesiology, cryotherapy (application of local ice), modification of certain activities and the change of footwear and the use of insoles with metatarsal discharge for a period of approximately 6 months [9].…”

Section: Lmentioning

confidence: 99%

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Effectiveness of Wave of Shock Extracorporeal in Patients with Hallux Rigidus in the CCOI Frank País

Carreras¹

2021

BJSTR

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Objective: To evaluate the effectiveness of therapy with waves of shock in the treatment of hallux rigidus.Methods: Is conducted one study descriptive of cutting transverse, with 26 patients with hallux rigidus, treated with waves of shock Extracorporeal in the complex Scientific Orthopedic International "Frank Country", in the period ranging from March 2019 until February of 2020. performed the analysis of the variables (age, sex, pain and the American Orthopedic Foot & Ankle Society scale). They are obtained the frequencies absolute and relative. With them they were concocted the tables that summarize the data statistics of the research.Results: predominated the sex female 84.6% and 38.5% (50-60 years of age). The number of patients according to the classification of Coughlin (65.3%) belonged to the grade I and all had pain before the application of the therapy. Then of the treatment this situation was reversed and 69.2% of patients ceased to feel, keeping in 7.7% of cases (grade III and IV). The scale of American Orthopedic Foot & Ankle Society (53.8%) of the patients studied, had one interpretation qualitative poorly (<50 points) before starting the treatment; subsequently, only 7.7% remained with that score. Conclusion:The therapy with waves of shock, with the team Well Wave, had one high effectiveness and allowed one quick recovery of patients and their incorporation into the activities daily.

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Neurophysiological Intraoperative Monitoring in the Elderly

Krzeptowsky

San-Juan

Camilli

et al. 2020

Journal of Clinical Neurophysiology

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Introduction: Intraoperative neurophysiological monitoring (IONM) is widely used to prevent nervous system injury during surgeries in elderly patients. However, there are no studies that describe the characteristics and changes in neurophysiological tests during the IONM of patients aged 60 years and older. The study aims to describe and compare IONM changes during surgeries in adult patients aged 18 to 59 years with those aged 60 years and older.Methods: We performed a comparative retrospective study of patients aged 18 to 59 years versus those 60 aged years and older who underwent IONM during 2013 to 2018 in Mexico City. Sociodemographic characteristics were recorded and compared. Intraoperative neurophysiological monitoring techniques, their changes, and surgical procedures for both groups were analyzed and compared using descriptive statistics, Mann-Whitney U, Fisher, and x 2 tests. The sensitivity, specificity, and positive and negative predictive values were calculated.Results: In total, 195 patients were analyzed: 104 patients, 68.63 6 6.54 years old (elderly group) and 91 patients, 42.3 6 10.5 years old (younger group). No differences were found in the rates of signal change during IONM between the group of elderly patients and the younger group. The sensitivity, specificity, and positive and negative predictive values were 80%, 99%, 80%, and 99%, respectively.Conclusions: Elderly patients have a similar rate of changes in IONM signals compared with younger patients during heterogeneous surgeries guided by IONM.

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Propuesta de algoritmo global de tratamiento del hallux rigidus según la medicina basada en la evidencia

Cited by 7 publications

References 44 publications

Structural interaction between bone and implants due to arthroplasty of the first metatarsophalangeal joint

Structural interaction between bone and implants due to arthroplasty of the first metatarsophalangeal joint

Effectiveness of Wave of Shock Extracorporeal in Patients with Hallux Rigidus in the CCOI Frank País

Neurophysiological Intraoperative Monitoring in the Elderly

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