Diana Chicon Paez

University of Florence, Florens, Tuscany, Italy

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Publications (3)0.64 Total impact

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    ABSTRACT: Proximal humerus fracture in elderly osteoporotic patients usually leads to severe displaced and multifragmentary fractures. Associated comorbidities may limit surgical options and conservative treatment is commonly indicated, however, with variable results. In most cases, surgery is the treatment of choice in order to restore anatomical integrity, and allow early functional recovery. Several techniques were used over the years, each with specific indication. Percutaneous pinning after closed reduction, a mini-invasive technique and fixation by use of K-wires is not preferred commonly. We present our experience with this approach, focusing on its indications and advantages. A study group of 41 consecutive patients with a mean age of 65.5 years were evaluated clinically (VAS, Constant-Murley score, range of motion), and with radiological analysis: 35 patients finally completed a minimum followup of 24 months. K-wires were removed after a mean interval of 4 weeks. Clinical and radiographic healing occurred in a mean time of 8.2 weeks in all fractures but one, with improvements in mean Constant-Murley score of 87.6 points, mean VAS of 2.3. In 33 patients, the reduction was considered satisfactory. In two cases, reduction was poor, but the patients however presented acceptable functional outcome. Percutaneous pinning may represent a suitable option of treatment for 2-or 3-part proximal humerus fractures in selected subjects.
    Indian Journal of Orthopaedics 11/2012; 46(6):664-7. DOI:10.4103/0019-5413.104203 · 0.64 Impact Factor
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    ABSTRACT: Bone-grafting techniques either with autografts or allografts still represent a challenge for reconstructive surgery.Allografts and autografts are the current strategies for filling bone defects and subsequent repair but each have drawbacks. Synthetic bone-graft substitutes, developed in an effort to overcome the inherent limitations of autograft and allograft, represent an alternative strategy. Synthetic bone graft substitutes have the goal of mimicking the physical and mechanical nature of native tissue and to promote osteoconduction for bone regeneration. In addition these substitutes are capable to release drugs or growth factors in a temporally and spatially manner. Some biomaterials are employed to design biomimetic scaffold such as natural and synthetic polymers, ceramics, metallics and composites.The purpose of this paper is to provide an overview of the main biomaterials used for bone reconstruction.
    01/2011; 8(1):21-4.
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    ABSTRACT: We report a case of symptomatic dorsal mass in a 72-year-old man, with onset of pain during daily life efforts. On the other side, the dominant hand, a similar mass without any impairment was present. Before surgery, the mass on the left nondominant wrist was diagnosed by ultrasound as synovial ganglion: during excision, a muscular belly was found and sent to isthological evaluation, confirming the existence of an alive aberrant muscular tissue, named Extensor Digitorum Brevis Manus. Being reported in literature as occasionally bilateral, we decided to perform, 3 months later, an MRI in the contralateral asymptomatic wrist: it was possible to reveal the presence of a similar but asymptomatic mass.
    La Chirurgia degli Organi di Movimento 09/2008; 92(2):133-5. DOI:10.1007/s12306-008-0054-3

Publication Stats

12 Citations
0.64 Total Impact Points


  • 2011–2012
    • University of Florence
      • Dipartimento di Chirurgia e Medicina Traslazionale (DCMT)
      Florens, Tuscany, Italy