Use of the Heracles straight blade in the treatment of intertrochanteric hip fractures: a prospective study with a 1-year follow-up.

Introduction: The treatment of intertrochanteric fractures in the elderly remains challenging for orthopedic surgeons, due to aging, comorbidities, and poor bone quality. The Heracles straight blade has proven a lower rate of cut-out and femoral head displacement in biomechanical studies; however, there are currently no published clinical studies using this nail.

Purpose: To analyze the clinical and radiological results of the Heracles nail with the straight cephalic Heracles blade as a device to treat osteoporotic intertrochanteric fractures of the proximal femur.

[External fixation in reconstructive surgery: crossed leg flap.].

Introduction: Lower limb coverage defects are sometimes associated with disruption of vascular pedicles that make it impossible to perform free flaps. In these cases the crossed leg flap is a good therapeutic alternative. T

Material And Methods: wo patients presented a coverage defect non-treatable with microvascularized free flap after being operated on multiple times in the lower limbs.

[Use of silver coating in tumoral prosthetic surgery: influence on infection rate.].

Introduction: megaprostheses are one of the most widely used treatments in oncological surgery, and one of its major complications is the high rate of infection. Methods: 30 patients underwent implantation of silver-coated Mutars® arthroplasty due to neoplastic disease or periprosthetic fracture. Clinical and analytical monitoring was performed with a minimum of 4 years follow-up.

[Tillaux fractures: functional results after surgical treatment].

Introduction: Tillaux Fractures are an infrequent type of fracture that occurs in teenagers. The mechanism is an external rotation that causes stress on the anterior tibiofibular ligament, which displace the distal tibial physis fragment.

Methods: 6 patients (5 girls and one boy), with an age between 12-14 years, who had Tillaux fractures with a displacement more than 2 mm; were treated by orthopedic reduction and fixation with a screw.

[Results after surgical treatment of giant cell tumor].

Introduction: giant cell is a tumor that appears in young adults, requirirng surgical treatment due to its metastatic capacity, but recurrence rates makes no consensus about theraperutic management.

Methods: 23 patients were operated between 1996-2012 at Miguel Servet hospital, performing a mean of 8.9 years follow-up.

[Epidemiology of fractures of the proximal third of the femur: 20 years follow-up].

Objective: To evaluate if the age, sex and morphology of osteoporotic hip fractures have changed over the last 20 years in our country.

Materials And Methods: The study included all proximal femoral fractures in patients over 65 years old who were treated at the Miguel Servet Hospital in Zaragoza during the periods 1989-1990 (n = 514 patients), 1999-2000 (n = 518 patients) and 2009-2010 (n = 625 patients).

Results: The results showed a statistically significant increase in the mean age of patients with hip fracture from 80.

[Evaluation of general health status by SF-36 tool in Hip Osteoarthritis].

Objective: To determine the general health status perceived by patients undergoing total hip arthroplasty with mini-stem.

Material And Methods: Health questionnaire SF-36 has been used to assess health perceived by 13 male patients with a mean age of 46.62 (34-53) years after the implantation of an uncemented, MiniHip® (CorinMedical) total hip arthroplasty, after a mean follow up of 23.