Talipes equinovarus or clubfoot is a congenital deformity of the foot with bone, muscle, and tendon involvement. It’s one of the most frequent foot malformations in pediatric orthopedics. Although generally idiopathic, it may have a syndromic cause and be associated with musculoskeletal, neurological, or connective tissue conditions. The treatment of choice in idiopathic clubfoot is the Ponseti method based on manipulation and fixation with serial casts that seek progressive correction of the deformity. The Ponseti method effectiveness has been demonstrated in arthrogryposis and myelomeningocele clubfoot. There are few clinical studies demonstrating the efficacy of this therapeutic option in patients with syndromic clubfoot.

Retrospective study with 6 patients (9 feet) with syndromic clubfoot treated in a tertiary center with the Ponseti method with a minimum follow up of two years (2-18). find more The results were evaluated with the Pirani classification, assessing clubfoot severity before and after treatment.

Of the six patients treated were used an average of 6.5 casts. The Pirani scale obtained a mean score of 5.2 before treatment, with a decrease to 1.27 after treatment, with a mean improvement of 3.93 points. In more than half of the cases it was necessary to lengthen the Achilles tendon to correct the equine deformity. In addition, an ankle-foot orthosis was used to reduce recurrences in patients with dysmetria or psychomotor retardation. The most frequently observed residual deformity was the adduct. A patient relapsed twice.

The Ponseti method obtains effective results in the correction of syndromic clubfoot, although it requires a greater number of corrective casts than other pediatric foot pathologies.

The Ponseti method obtains effective results in the correction of syndromic clubfoot, although it requires a greater number of corrective casts than other pediatric foot pathologies.

The aim of this study is evaluate clinical and radiographic outcomes of Latitude elbow hemiarthroplasty in the treatment of articular distal humerus multifragmentary fractures in patients older than 65 years.

We included those patients older than 65 years who sustained an unreconstructable articular distal humeres fracture and it was replace with a Latitude hemiarthroplasty. We excluded those with a minimum follow up less than 2 years. The clinical outcomes were assessed with Mayo Elbow Performance Score (MEPS). Range of motion, pain, complications and elbow radiological assessments were recorded at the final follow up.

We have found that after a mean follow-up of 5 years, the five patients included in the study have mild pain in the elbow. They have recovered a median flexion arch of 100°, with a 10° extension lag. The MEPS was considered as good in all the cases. There were not any instability or prosthesis loosening, but two patients developed a moderate proximal cubitus wear.

Latitude elbow arthroplasty is an option in the distal articular humerus multifragmentary fractures treatment in osteoporotic and aging patients with satisfactory results as long as the elbow ligamentous stability can be restored.

Latitude elbow arthroplasty is an option in the distal articular humerus multifragmentary fractures treatment in osteoporotic and aging patients with satisfactory results as long as the elbow ligamentous stability can be restored.

To evaluate the short term and 1-year follow-up functional effects of a physiotherapy program in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear.

A total of 96 patients with massive and irreparable RC tear were prospectively recruited. All patients were treated with a 12-week physiotherapy program. Three evaluations were performed, at the beginning, at the end of the treatment and at one year of follow-up. The Constant-Murley questionnaire was used to assess shoulder function, the DASH questionnaire for upper limb function, and the Visual Analogue Scale (VAS) for pain intensity.

At the end of the treatment, all the variables showed a clinically and statistically significant difference (p < 0.05). At one year of follow-up, the Constant-Murley showed an increase of 26.5 points (Cohen’s d = 1.7; 95% CI 23.5 to 29.5; p < 0.001), DASH showed a decrease of 31.4 points (Cohen’s d = 2.2; 95% CI 28.5 to 34.3; p < 0.001), and the VAS showed a decrease of 3.9 cm (Cohen’s d = 3.6; 95% CI 3.6 to 4.1; p < 0.001).

In the short term and 1-year follow-up, a physiotherapy program showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.

In the short term and 1-year follow-up, a physiotherapy program showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.

and objective The aim of this work was to evaluate clinical outcomes of patients with biceps brachii tendon rupture who underwent a surgical tendon reconstruction using our own modified double approach technique.

The study was performed in 20 patients (21cases) with biceps brachii tendon rupture. Patients were treated with our own double-approach surgical technique consisting of 2minimum incisions. After one year follow-up, functional evaluation was assessed using the mayo Elbow Performance Score, muscle strength was estimated with the Medical Research Council questionnaire and pain was evaluated with the Visual Analogic Scale. Range of motion was determined by measuring extension and flexion RESULTS One year after surgery all patients had returned to sports at the same level they had previously. Visual Analogic Scale was 1.90±0.89 (mean±standard deviation) and median Mayo Elbow Performance Score was 90 (minimum-maximum 80-100). Of them, 16 patients (76.2%) showed the highest Medical Research Council scorand median Mayo Elbow Performance Score was 90 (minimum-maximum 80-100). Of them, 16 patients (76.2%) showed the highest Medical Research Council score, score 5, while 6 cases (26.1%) still scored 4+. Patients had a mean of 136.67° flexion (95% CI 134.14°-139.19°) and -7.38° extension (95% CI [-10.04°]-[-4.72°]) CONCLUSIONS Double-incision surgical approach for distal biceps brachial tendon rupture anatomical repair is a safe technique, providing results that allow patients muscle recovery and return to sports.