Cirugía de tejidos blandos para adultos con manos espásticas no funcionales después de lesiones del sistema nervioso central: un estudio retrospectivo

Soft Tissue Surgery for Adults With Nonfunctional, Spastic Hands Following Central Nervous System Lesions: A Retrospective Study.

 
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28935338

http://www.jhandsurg.org/article/S0363-5023(17)31415-6/abstract

 
De:
 
Gatin L1Schnitzler A2Calé F1Genêt G3Denormandie P4Genêt F5.

 2017 Dec;42(12):1035.e1-1035.e7. doi: 10.1016/j.jhsa.2017.08.003. Epub 2017 Sep 19.

 
Todos los derechos reservados para:
 

Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

 

Abstract

PURPOSE:

Soft tissue surgery for upper extremity contractures can improve hygiene, pain, and appearance in adults with central nervous system lesions. The goal of such interventions is highly individual; thus, goal attainment scaling (GAS; a method of scoring the extent to which patient’s individual goals are achieved [5 levels] in the course of intervention and using T score values) is pertinent to evaluate outcome. The objective of this study was to assess the effect of soft tissue surgery for upper extremity muscle contractures in patients with central nervous system lesions using GAS.
 

CONCLUSIONS:

Soft tissue surgery can safely and effectively improve hygiene, pain, and appearance in adults with cerebral damage. The preoperative evaluation should be multidisciplinary. The GAS is a useful tool to assess the effectiveness of orthopedic surgery for these patients.
 

KEYWORDS:

Spastic hands; neuro-orthopaedic surgery; soft tissue surgery

 
 

Resumen

 

PROPÓSITO:

La cirugía de tejidos blandos para las contracturas de las extremidades superiores puede mejorar la higiene, el dolor y la apariencia en adultos con lesiones del sistema nervioso central. El objetivo de tales intervenciones es altamente individual; por lo tanto, la escala de consecución de objetivos (GAS, un método para puntuar en qué medida se logran los objetivos individuales del paciente [5 niveles] en el curso de la intervención y el uso de valores de puntuación T) es pertinente para evaluar el resultado. El objetivo de este estudio fue evaluar el efecto de la cirugía de tejidos blandos para las contracturas musculares de las extremidades superiores en pacientes con lesiones del sistema nervioso central que usan GAS.
CONCLUSIONES:
La cirugía de tejidos blandos puede mejorar de forma segura y efectiva la higiene, el dolor y la apariencia en adultos con daño cerebral. La evaluación preoperatoria debe ser multidisciplinaria. El GAS es una herramienta útil para evaluar la efectividad de la cirugía ortopédica para estos pacientes.
Copyright © 2017 Sociedad Americana de Cirugía de la Mano. Publicado por Elsevier Inc. Todos los derechos reservados.
PALABRAS CLAVE:
Manos espásticas; cirugía neuro-ortopédica; cirugía de tejidos blandos

PMID: 28935338   DOI:   10.1016/j.jhsa.2017.08.003

 
 
 
 
 
 

El efecto sobre los resultados clínicos de las lesiones de los tejidos blandos posterior a una fijación de fractura de la meseta tibial

The Effect of Soft Tissue Injuries on Clinical Outcomes Following Tibial Plateau Fracture Fixation

 

Fuente
Este artículo es originalmente publicado en:
De: y Todos los derechos reservados para:
Courtesy: The Orthopaedic Trauma Association, www.ota.org
The Effect of Soft Tissue Injuries on Clinical Outcomes Following Tibial Plateau Fracture Fixation
Stephen Warner, MD, PhD; Matthew Garner, MD; Patrick Schottel, MD; Peter Fabricant, MD, MPH; Ryan Thacher, BA; Michael Loftus, MD; David Helfet, MD; Dean Lorich, MD

 
 
 

Sarcomas de tejidos blandos

Soft Tissue Sarcomas

 

Fuente
Este artículo es originalmente publicado en:
De: Todos los derechos reservados para:
Courtesy: Prof James Wittig
Orthopaedic Oncologist
Sarcoma Surgeon
www.tumorsurgery.org

This lecture describes the clinical, radiographical, and pathological features of soft tissue sarcomas such as Malignant Fibrous Histiocytoma, Liposarcoma, Synovial Sarcoma, Rhabdomyosarcoma, and Leiomyosarcoma.
PDF Version of Lecture 10 can be accessed here: http://www.tumorsurgery.org/Portals/0…
This is part of a lecture series on Radiology, Pathology, and Treatment of Musculoskeletal Tumors.
James C. Wittig, MD is an Orthopedic Oncologist and Sarcoma Surgeon who specializes in Limb Sparing Surgery for pediatric and adult bone and soft tissue sarcomas. He also performs surgery for benign bone and soft tissue tumors, pathological fractures, and metastatic cancers. Dr. Wittig regularly teaches orthopedic surgery residents about the radiological and pathological diagnosis and treatment of musculoskeletal tumors. In 2007, Dr. Wittig won Teacher of the Year award for outstanding leadership, guidance and selfless dedication to the Residents of the NYU Hospital for Joint Diseases Department of Orthopedic Surgery. Dr. Wittig has recently been named one of the top 13 Orthopedic Oncologists in the United States. He has also been featured in Castle Connolly and New York Magazine as one of the Best Orthopedic Oncologists in the New York area and United States.
For more information please see my website: www.TumorSurgery.org
*** Disclaimer: The information presented in this video is not meant to substitute for any particular medical opinion. If you have been diagnosed with a tumor of any part of your body or a musculoskeletal tumor, you must seek a formal opinion from a medical doctor or an orthopedic oncologist. The information presented in these videos is purely for educational purposes. ***

 

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