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  1. Article ; Online: Ultrasound-Guided A1 Pulley Release Versus Classic Open Surgery for Trigger Digit: A Randomized Clinical Trial.

    Rodríguez-Maruri, Guillermo / Rojo-Manaute, Jose Manuel / Capa-Grasa, Alberto / Chana Rodríguez, Francisco / Cerezo López, Eugenio / Vaquero Martín, Javier

    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

    2022  Volume 42, Issue 6, Page(s) 1267–1275

    Abstract: Objectives: We compared an ultra-minimally invasive ultrasound-guided percutaneous A1 pulley release and a classic open surgery for trigger digit.: Methods: We designed a single-center randomized control trial. All cases had clinical signs of primary ...

    Abstract Objectives: We compared an ultra-minimally invasive ultrasound-guided percutaneous A1 pulley release and a classic open surgery for trigger digit.
    Methods: We designed a single-center randomized control trial. All cases had clinical signs of primary grade III trigger digit. Concealed allocation (1:1) was used for assigning patients to each group and data collectors were blinded. The Quick-Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) questionnaire was our primary variable. Quick-DASH, two-point discrimination, grip strength, time until stopping analgesics, having full digital range of motion and restarting everyday activities were registered on the 1st, 3rd, and 6th weeks, 3rd and 6th months, and 1st year after the procedure.
    Results: We randomized 84 patients to ultrasound-guided release and classic open surgery. Quick-DASH scores significantly favored the percutaneous technique until the 3rd month: 7.6 ± 1.2 versus 15.3 ± 2.4 (mean ± standard error of the mean). The percutaneous group obtained significantly better results in all the variables studied: time until stopping analgesics, achieving full range of motion and restarting everyday activities. Grip strength was significantly better in the percutaneous group for the 1st week only. Five cases of moderate local pain were observed in the open technique. There was one case of transient nerve numbness per group.
    Conclusions: The ultra-minimally invasive ultrasound-guided A1 pulley release was clinically superior to the classic open surgery in functional recovery with a lower complication rate.
    MeSH term(s) Humans ; Trigger Finger Disorder/diagnostic imaging ; Trigger Finger Disorder/surgery ; Ultrasonography ; Recovery of Function ; Pain ; Ultrasonography, Interventional/methods ; Analgesics
    Chemical Substances Analgesics
    Language English
    Publishing date 2022-12-07
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 604829-8
    ISSN 1550-9613 ; 0278-4297
    ISSN (online) 1550-9613
    ISSN 0278-4297
    DOI 10.1002/jum.16139
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    Zs.A 1793: Show issues Location:
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    Zs.MO 495: Show issues

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  2. Article ; Online: Managing periprosthetic fractures: perspectives on periprosthetic pelvic fractures.

    de Ridder, Victor A / Pape, Hans-Christoph / Chana-Rodríguez, Francisco / Boudissa, Mehdi / Claudia, Glowalla / Fabian, Stuby / Steven, Herath / Tina, Histing / Konstantinos, Tilkeridis / Zoe, Dailiana

    OTA international : the open access journal of orthopaedic trauma

    2023  Volume 6, Issue 1 Suppl, Page(s) e266

    Abstract: Periacetabular periprosthetic fractures are rare but potentially disastrous for the longevity of the adjacent implants, leading to multiple revision surgeries. It is of paramount importance to identify and treat intraoperative fractures, which will lead ... ...

    Abstract Periacetabular periprosthetic fractures are rare but potentially disastrous for the longevity of the adjacent implants, leading to multiple revision surgeries. It is of paramount importance to identify and treat intraoperative fractures, which will lead to satisfactory results. Postoperative fractures may be managed operatively or nonoperatively depending on the patient's pain and function, the fracture pattern, and the stability of the acetabular component.
    Language English
    Publishing date 2023-03-28
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2574-2167
    ISSN (online) 2574-2167
    DOI 10.1097/OI9.0000000000000266
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  3. Article ; Online: Orthopaedic trauma residency programs: Perspectives from different countries across the world.

    Chana-Rodríguez, Francisco / Blokhuis, Taco Johan / Hernández-Mateo, José María / Jazra, Sebastian / Maqungo, Sithombo / Santos-Machado, Jean Klay / Sakurai, Atsushi / Wong, Ronald Man Yeung / Raymond, Wai-Kit / Wagner, Stephanie / Dunbar, Robert

    Injury

    2023  Volume 54 Suppl 5, Page(s) 111015

    Abstract: The ability to manage the myriad of musculoskeletal conditions successfully requires multiple years of training. Access to and completion of orthopaedic surgical training entails an often grueling, highly regulated path to certification to practice. ... ...

    Abstract The ability to manage the myriad of musculoskeletal conditions successfully requires multiple years of training. Access to and completion of orthopaedic surgical training entails an often grueling, highly regulated path to certification to practice. Although the world is more connected than ever, the question is whether the local certification criteria for medical specialists leads to a generic residency program and a similar training in all countries. This report from eight nations on five continents details the distinctive features of that training, including the number of positions available, the examinations required, the gender distribution of residents, and available possibilities once the residence period is complete. This analysis shows a wide variation in the orthopaedic trauma training program worldwide, with emphasis on different skills per country.
    MeSH term(s) Humans ; Internship and Residency ; Orthopedics/education ; Education, Medical, Graduate ; Curriculum ; Clinical Competence
    Language English
    Publishing date 2023-09-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2023.111015
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    Zs.A 778: Show issues Location:
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    Zs.MO 10: Show issues

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  4. Article ; Online: Homemade 3D mirror imaging models utility for surgical treatment of complex fractures of scapula.

    Martínez-Gómiz, José María / Muniesa, Manuel Pérez-España / Martín, Juan Rodríguez / Garijo, Ricardo Larrainzar / Chana-Rodríguez, Francisco

    Injury

    2021  Volume 52 Suppl 4, Page(s) S109–S116

    Abstract: The treatment of complex articular scapular fractures requires obtaining an anatomic reduction. The experience of the surgeon and the surgical skills needed are still the most important aspect in this surgical field. 3D printed models at a 1:1 scale ... ...

    Abstract The treatment of complex articular scapular fractures requires obtaining an anatomic reduction. The experience of the surgeon and the surgical skills needed are still the most important aspect in this surgical field. 3D printed models at a 1:1 scale provides tactile and visual experience. We used a specular healthy scapula (reverse engineering) as a reliable template for preoperative planning. We pre-contour plates directly over a printed mold, for direct application, without further corrections during the surgical procedure. This reduces improvisation during surgery, the risks of complications and the total costs while improving the accuracy of the anatomical restoration of the native glenopolar angle derived from the indirect reduction of the fracture. Until recently, the use of RP (rapid prototyping) models for managing complex fractures required contracting the services provided by external companies, with the constraints posed on cost and time. We made the whole process ourselves in a DIY mode: from the post-processed radiological images to the 3D model printing, pre contoured plates and surgical simulation.
    MeSH term(s) Acetabulum ; Bone Plates ; Fracture Fixation, Internal ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery ; Humans ; Printing, Three-Dimensional ; Scapula/diagnostic imaging ; Scapula/surgery
    Language English
    Publishing date 2021-05-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2021.04.061
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    Zs.A 778: Show issues Location:
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    Zs.MO 10: Show issues

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  5. Article ; Online: Overview of fracture liaison services in the UK and Europe: standards, model of care, funding, and challenges.

    Chesser, Timothy J S / Javaid, Muhammad Kassim / Mohsin, Zaineb / Pari, Carlotta / Belluati, Alberto / Contini, Achille / Caiaffa, Vincenzo / Chana-Rodríguez, Francisco / Gómez-Vallejo, Jesus / Sánchez-Pérez, Coral / Dailiana, Zoe H / Stefanou, Nikolaos / Tosounidis, Theodoros / Laurent, Michaël / Putzeys, Guy / Poeze, Martijn / Ponsen, Kees Jan

    OTA international : the open access journal of orthopaedic trauma

    2022  Volume 5, Issue 3 Suppl, Page(s) e198

    Abstract: Fragility fractures represent a growing global problem, including in the United Kingdom and European countries. Reports demonstrate the benefits of national guidance and organized fragility fracture programs through fracture liaison services to deliver ... ...

    Abstract Fragility fractures represent a growing global problem, including in the United Kingdom and European countries. Reports demonstrate the benefits of national guidance and organized fragility fracture programs through fracture liaison services to deliver care to patients who sustain these injuries. The challenge of assembling multidisciplinary teams, providing routine screening of appropriate patients, and monitoring therapies where there is a known compliance problem, remains an obstacle to the success of fragility fracture treatment programs to all. Efforts should continue to introduce and maintain fracture liaison services through coordinated national approaches and advanced systems.
    Language English
    Publishing date 2022-06-09
    Publishing country United States
    Document type Journal Article
    ISSN 2574-2167
    ISSN (online) 2574-2167
    DOI 10.1097/OI9.0000000000000198
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  6. Article ; Online: Thromboprophylaxis Management in Surgical Patients: The Efficacy of a Protocol in the Electronic Prescription Program.

    Ribed, Almudena / de Lorenzo-Pinto, Ana / Lallana-Sainz, Elena / Llorente-Parrado, Cesar / Chana-Rodríguez, Francisco / Sanjurjo-Sáez, Maria

    Quality management in health care

    2019  Volume 28, Issue 4, Page(s) 245–249

    Abstract: Background and objective: Venous thromboembolism (VTE) continues to be a problem in surgical patients, but thromboprophylactic measures are not always implemented. This study aimed to evaluate thromboprophylaxis practice in surgical patients at our ... ...

    Abstract Background and objective: Venous thromboembolism (VTE) continues to be a problem in surgical patients, but thromboprophylactic measures are not always implemented. This study aimed to evaluate thromboprophylaxis practice in surgical patients at our institution by assessing appropriateness during admission and discharge; 60-day clinical outcomes are analyzed, and finally further interventions are discussed for continued improvement.
    Methods: A cross-sectional, observational study was conducted in patients undergoing orthopedic and abdominal surgical procedures. Initially, the institution protocol was updated and embedded in the Computerized Physician Order Entry system. We then assessed prospective adequacy of thromboprophylaxis as per established in the protocol. The primary endpoint was thromboprophylaxis initiation and, secondarily, the quality of related prescriptions during hospitalization and at discharge.
    Results: A total of 114 patients were included in the study. According to VTE risk, thromboprophylaxis was initiated in 85.1% of the patients as needed during hospitalization and 94.8% at discharge. The following inadequacies versus the protocol were found: no duration information in the discharge summary (32.5%), incorrect postsurgical administration time of pharmacological prophylaxis (15.8%), omission of mechanical prophylaxis (13.7%), misdosing (9.6%), and omission of pharmacological prophylaxis (2.6%). No VTE events occurred 60 days postdischarge.
    Conclusion: The electronic protocol was an effective tool, as evidenced by the fact that thromboprophylaxis was initiated in the majority of surgical patients in our institution during hospitalization and at discharge. Still, some aspects leave room for improvement (duration, dosing, and timing), and further measures such as implementation of Electronic Medication Administration Records and new functionalities in the Clinical Decision Support systems are proposed.
    MeSH term(s) Academic Medical Centers ; Adult ; Aged ; Aged, 80 and over ; Anticoagulants/administration & dosage ; Clinical Protocols ; Cross-Sectional Studies ; Electronic Prescribing/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Patient Discharge ; Postoperative Complications/prevention & control ; Prospective Studies ; Risk Factors ; Spain ; Time Factors ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2019-09-30
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 1162319-6
    ISSN 1550-5154 ; 1063-8628
    ISSN (online) 1550-5154
    ISSN 1063-8628
    DOI 10.1097/QMH.0000000000000227
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    Zs.A 3806: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  7. Article ; Online: Ultrasound-guided supra-acetabular pelvic external fixator (US-SA FIX).

    Cuervas-Mons, Manuel / Sánchez-Pérez, Coral / Arnal-Burró, Juan / Vaquero-Martín, Javier / Chana-Rodríguez, Francisco

    Injury

    2019  Volume 50 Suppl 1, Page(s) S24–S29

    Abstract: Background: Between the different options in pelvic external fixation, the supra-acetabular pin placement is considered the best option by many authors. The aim of this study is to describe the surgical technique of the ultrasound-guided supra- ... ...

    Abstract Background: Between the different options in pelvic external fixation, the supra-acetabular pin placement is considered the best option by many authors. The aim of this study is to describe the surgical technique of the ultrasound-guided supra-acetabular pelvic external fixator (US-SA FIX).
    Surgical technique: Description of the steps to perform the US-SA FIX technique.
    Discussion: The supra-acetabular pin placement is considered the best option and it is the most wildly used because it combines three crucial qualities: safety, simplicity, and effectiveness. Notwithstanding, when a severely multiple injured patient arrives at the emergency room we need to perform an emergency external fixation, however trained x-ray technicians or pelvic surgeons are not always present, making it difficult to perform the surgery with the proper intra-operative imaging, increasing the surgical time with potentially serious repercussions, a case scenario where the ultrasound can be a very helpful tool. Ultrasound-guided supra-acetabular pelvic external fixator pin placement is feasible without compromising the reliability of its placement, and the application of this new technique in clinical practice in our centre brings encouraging results.
    MeSH term(s) Acetabulum/diagnostic imaging ; Acetabulum/injuries ; Acetabulum/surgery ; Biomechanical Phenomena ; Bone Nails ; External Fixators ; Fracture Fixation/methods ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/pathology ; Fractures, Bone/surgery ; Humans ; Retrospective Studies ; Ultrasonography, Interventional
    Language English
    Publishing date 2019-04-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2019.03.050
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    Zs.A 778: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Zs.MO 10: Show issues

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  8. Article ; Online: 3D surgical printing for preoperative planning of trabecular augments in acetabular fracture sequel.

    Sánchez-Pérez, Coral / Rodríguez-Lozano, Guillermo / Rojo-Manaute, José / Vaquero-Martín, Javier / Chana-Rodríguez, Francisco

    Injury

    2018  Volume 49 Suppl 2, Page(s) S36–S43

    Abstract: We describe the methodical and possibilities of 3D surgical printing in preoperative planning for a total hip arthroplasty in acetabular deformity after acetabular fractures, showing a case of a 43-year-old with posttraumatic arthritis after both column ... ...

    Abstract We describe the methodical and possibilities of 3D surgical printing in preoperative planning for a total hip arthroplasty in acetabular deformity after acetabular fractures, showing a case of a 43-year-old with posttraumatic arthritis after both column fracture of the left acetabulum that was treated non operatively, supporting the do it yourself mode.
    MeSH term(s) Acetabulum/anatomy & histology ; Acetabulum/diagnostic imaging ; Acetabulum/injuries ; Adult ; Arthroplasty, Replacement, Hip ; Cancellous Bone/pathology ; Conservative Treatment/adverse effects ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery ; Hip Dislocation/diagnostic imaging ; Hip Dislocation/surgery ; Humans ; Male ; Osteoarthritis, Hip/diagnostic imaging ; Osteoarthritis, Hip/etiology ; Osteoarthritis, Hip/surgery ; Printing, Three-Dimensional ; Treatment Outcome
    Language English
    Publishing date 2018-09-15
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2018.07.014
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    Zs.A 778: Show issues Location:
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    Zs.MO 10: Show issues

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  9. Article ; Online: Hip fracture systems-European experience.

    Chesser, Tim J S / Inman, Dominic / Johansen, Antony / Belluati, Alberto / Pari, Carlotta / Contini, Achille / Voeten, Stijn C / Hegeman, Johannes H / Ponsen, Kornelis J / Montero-Fernández, Nuria / Delgado-Martínez, Alberto / Chana-Rodríguez, Francisco

    OTA international : the open access journal of orthopaedic trauma

    2020  Volume 3, Issue 1, Page(s) e050

    Abstract: European countries have established health care systems but are struggling with the increasing rise of fragility fractures in their aging population. In trying to address this significant burden, countries are establishing national guidelines and ... ...

    Abstract European countries have established health care systems but are struggling with the increasing rise of fragility fractures in their aging population. In trying to address this significant burden, countries are establishing national guidelines and standards, focusing on hip fractures, which represent the significant cost for this patient group. This has evolved with the establishment of national audits and guidelines. Reports from 4 European countries (England, Italy, Netherlands, and Spain) are presented. All nations have identified both deficiencies in their systems, and protocols to improve these deficiences. When standards are introduced, there has been evidence of improved results. Significantly more work is needed to understand the key components of the systems and pathways, and efforts to study and standardize care are ongoing.
    Language English
    Publishing date 2020-03-23
    Publishing country United States
    Document type Journal Article
    ISSN 2574-2167
    ISSN (online) 2574-2167
    DOI 10.1097/OI9.0000000000000050
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  10. Article: The floating knee: a review on ipsilateral femoral and tibial fractures.

    Muñoz Vives, Josep / Bel, Jean-Christophe / Capel Agundez, Arantxa / Chana Rodríguez, Francisco / Palomo Traver, José / Schultz-Larsen, Morten / Tosounidis, Theodoros

    EFORT open reviews

    2017  Volume 1, Issue 11, Page(s) 375–382

    Abstract: In 1975, Blake and McBryde established the concept of 'floating knee' to describe ipsilateral fractures of the femur and tibia. ...

    Abstract In 1975, Blake and McBryde established the concept of 'floating knee' to describe ipsilateral fractures of the femur and tibia.
    Language English
    Publishing date 2017-03-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2844421-8
    ISSN 2058-5241 ; 2058-5241 ; 2396-7544
    ISSN (online) 2058-5241
    ISSN 2058-5241 ; 2396-7544
    DOI 10.1302/2058-5241.1.000042
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