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Hemangiomas are the most common primary tumors of the spine. Mainly asymptomatic Incidental finding when performing an imaging study. The incidence reported at autopsies is 11% in the spine, multifocal lesions are present in 25 to 30% of cases.

Vertebral cervical hemangioma with benign and stable characteristics that underwent surgical treatment, observing aggressive post-surgical behavior two months later.

The approach to vertebral pathology is algorithmic and protocolized, it is necessary to determine the treatment based on the overall understanding of the disease and according to the clinical practice guidelines.

The approach to vertebral pathology is algorithmic and protocolized, it is necessary to determine the treatment based on the overall understanding of the disease and according to the clinical practice guidelines.

A metastasis is the tumor cell capacity to migrate from the primary tumor and implant itself in tissues of an organ at a distance by hematogenous, lymphatic or contiguity. The main causes of bone metastases are breast, prostate and lung cancer. It usually occurs in patients over 50 years of age. There is a predilection for metastasizing to the axial skeleton.

To determine the frequency of tumors that produce bone metastases in our institution.

Observational, cross-sectional, descriptive study, for retrospective analysis of the cases of patients diagnosed with bone metastases.

193 cases; 121 women and 72 men with an age range of 42 to 84 years. Cancers associated with bone metastases were breast, lung, prostate, cervical and renal cancers; to a lesser extent other such as colon, thyroid, liver and skin. The most affected bones were axial skeleton lumbar and dorsal spine, and in appendicular skeleton the femur in the diaphysiary region and in the humerus the proximal third. At present it has not been possible to improve the effectiveness of timely detection strategies, so bone pain should begin with a protocol of tumor suspicion.

More than 80% of the patients came for fracture. All patients had a history of pain greater than 12 months with no prior study protocol.

More than 80% of the patients came for fracture. All patients had a history of pain greater than 12 months with no prior study protocol.

Congenital talipes equino varus (club foot) is a frequent congenital deformity of the foot. The Ponseti method is the gold standard for treatment. It consists of foot manipulation with weekly serial cast, minimally invasive surgery and Dennis-Brown bar up to five years.

To describe the follow-up of patients with PEVAC treated using the Ponseti method.

Descriptive, longitudinal study, during 2013-2019, in patients with PEVAC managed with Ponseti method. We included patients with uni- or bilateral club foot, under two years of age, without prior surgery, whose parents signed informed consent. Patients with other malformations were excluded. Serial weekly cast was placed for 4-8 weeks, a tenotomy of the Achilles tendon was performed, and cast for three more weeks; then reverse footwear with Dennis-Brown bar. The revisions were recorded at day zero, at eight weeks and every three months up to five years of age. Correction of deformity and pain on walking was assessed.

There were 22 patients; 17 (77.3%) corrected more than 90% of the deformity, with adequate functionality and 86.3% without pain on gait, mean follow-up 3.9 years (1-7 years); six patients relapsed (27.27%) due to poor attachment, one re-treated with cast, and five with anterior tibial transfer, all successfully.

The club foot managed with Ponseti method corrects more than 90% of the deformity and without or minimal pain with good adherence to treatment. We had a 27.27% recurrence in our series.

The club foot managed with Ponseti method corrects more than 90% of the deformity and without or minimal pain with good adherence to treatment. Sapanisertib order We had a 27.27% recurrence in our series.

Hip fracture are an important cause of morbidity and mortality in old patients. The one-year mortality after a hip fracture increase between 14 to 47%. The main objective was to analyze the risk factors associated with mortality after a hip fracture in a low-income population.

Retrospective study of patients with traumatic hip fracture in a four-year period in an orthopedic training hospital. The data collected was age, gender, Charlson comorbidity index (CCI), delay time in days for surgery, duration in hours for surgical procedure, transfusion. Two groups were analyzed, alive patients and deceased patients.

A total of 96 patients with traumatic hip fracture was analyzed. Mortality rate in the first year was pf 16.6%, and at the end of the follow-up was 32.2%. The alive patients showed better values of CCI with a value of 4.2 ± 1.1 versus 5.2 ± 1.0 in the deceased patients. When compared delay time for surgery and duration of surgical procedure did not observe significant difference between patients alive and deceased.

The delay time of surgery did not affect the mortality after a traumatic hip fracture in old patients with economic low-income.

The delay time of surgery did not affect the mortality after a traumatic hip fracture in old patients with economic low-income.

Total femoral replacement (TFR), it is an uncommon surgery in non-oncological patients. Our main objective is to review our total femur replacement surgeries and analyze functional and clinical outcomes.

We retrospectively review our series of seven non-oncological patients treated at our center with a TFR from 2011 to 2014. After excluding patients (Oncological patients or non-follow up) we revised four patients. Paprosky bone loos classification and different values were studied number and time of surgeries, complications, revision surgeries, functional scales, and follow-up.

Mean age of 78.5 years. According to Paprosky classification of femur bone loss 1 IIIA, 2 were IIIB, 1 IV. On the other side acetabular loss 2 I, 1 IIA, 1 IIB. Surgical time for TFR was 110 minutes on average. Three patients were need revision surgery due to instability. And every single patient suffered from chronic infection. Mean range of motion was 85 flexion, 0o extension. Comparing preoperative and postoperative Harris Hip Score for hip function was 54.9 points and Enneking score was an average of 14.25 points better in our patients with TFR. Visual analogue pain score was on average less than two points. Mean follow-up is almost seven and a half years.

TFP has not a standardized surgical protocol yet. Infection is always present in our series and acetabular constrained components in TFR avoid instability complications. TFP should be implanted only in selected patients.

TFP has not a standardized surgical protocol yet. Infection is always present in our series and acetabular constrained components in TFR avoid instability complications. TFP should be implanted only in selected patients.

The incidence of hip fracture will increase dramatically in the coming decades. It has been associated with high mortality and morbidity. Orthogeriatric programs have improved outcomes in fragility hip fracture worldwide. There is little evidence in Mexico on the impact of orthogeriatrics and adherence to quality indicators.

To compare adherence to quality indicators in hip fracture before and after the implementation of an orthogeriatrics team compared to the traditional model.

Quasi-experimental study conducted in León, Mexico. Adherence to quality indicators before and after an interconsultant orthogeriatrics team was compared. The indicators measured were surgical delay, treatment for osteoporosis, early mobilization, type of implant and delirium.

We included 83 patients. The surgical delay was reduced from 144 to 116 hours (28 hours), the percentage of patients with early surgery was increased from 7.9 to 18%, in addition the percentage of patients with treatment for osteoporosis was increased and the incidence of delirium was reduced.

Adherence to indicators is low, however, it was possible to discreetly increase adherence to these indicators. Internal policies must be generated in public hospitals to improve this adherence and see its impact on long-term outcomes.

Adherence to indicators is low, however, it was possible to discreetly increase adherence to these indicators. Internal policies must be generated in public hospitals to improve this adherence and see its impact on long-term outcomes.

Stress fractures are common injuries in the military population, they begin with the imposition of repetitive and excessive effort on the bone. This leads to the acceleration of bone remodeling and production of microfractures. The incidence, during their basic combat training, is 0.8 to 5.1% for men compared to 1.1 to 18% among women. We present a series of hip stress fractures in young male military men with progressive training of 8 hours a day over a period of 14 weeks.

Mean age 19.72 years, 4 transcervical and 7 basicervical fractures, 6 displaced and 5 no, 54.5 % right. All treated with osteosynthesis, DHHS (blockable compression plate system with hip spiral blade) in 3, cannulated screws in 3 and the proximal femoral fixation system with trochanteric nail (TFN) in five patients. The only common factor in all of them was intensive military training, pathology of metabolic or endocrine origin was ruled out. Onset of symptomatology measured in weeks with an average of 5. All patients had a delay in diagnosis with an average of 12.09 days at the time of definitive diagnosis.

The diagnosis in stress fractures should be made based on clinical suspicion since the pain is insidious and in the report of the current condition patients fail to identify an exact moment as the onset of injury. The functional results were good and all of them managed to finish their military training.

The diagnosis in stress fractures should be made based on clinical suspicion since the pain is insidious and in the report of the current condition patients fail to identify an exact moment as the onset of injury. The functional results were good and all of them managed to finish their military training.

Total knee arthroplasty (TKA) is one of the most successful orthopedic treatments, however, it has been associated with severe postsurgical pain in 30-60% of patients. We propose that infiltration of the articular capsule of the knee during surgery will decrease postsurgical pain.

Experimental, randomized, double-blind study in patients undergoing unilateral TKA between April 2018 and January 2019. Patients were divided into two groups, the first infiltration with placebo and the second with anesthetic solution and adjuvants (fentanyl, epinephrine and ketorolac). Pain was measured with the visual analog scale (VAS) at 4, 6, 8, 12, 18, 24, 36 and 48 hours postsurgical, as well as the consumption of opioid analgesics and antiemetics.

20 patients in each group, with a follow-up of 4 weeks. There were no significant differences in demographic characteristics between the two groups. Better control of postsurgical pain was observed in the group that received infiltration with anesthetic and adjuvant, as well as a decrease in the consumption of opioid analgesics and antiemetics. There was no difference in bleeding or in the incidence of infections between the two groups.

Peri-capsular infiltration is a safe and effective method, as part of multimodal analgesia in total knee arthroplasty, as it decreases postsurgical pain, opioid and antiemetic use and does not increase postsurgical bleeding.

Peri-capsular infiltration is a safe and effective method, as part of multimodal analgesia in total knee arthroplasty, as it decreases postsurgical pain, opioid and antiemetic use and does not increase postsurgical bleeding.