Veronica Montiel

• Universidad de Navarra

Pubic symphysis diastasis is an uncommon injury during pregnancy or childbirth. However, physician should be aware of it, because it can cause both severe acute problems and chronic disability. When a patient presents with pubic symphysis diastasis symptoms, the diagnostic technique of choice ranges from pelvic radiograph, ultrasound, and MRI. If t...

Meniscal injuries are frequent lesions of the knee that mostly occur in the medial meniscus of young active males. The most frequent symptoms are pain and sensation of joint blocking. By means of a clinical evaluation and magnetic resonance imaging (MRI), the lesions are easily diagnosed. Meniscal lesions can be classified according to the localiza...

Background: The increase in anterior cruciate ligament (ACL) injuries in pediatric patients and the high failure rate reported in the literature in this population are driving surgeons to search for specific techniques to better restore knee stability. Recent literature has reported that the combination of lateral extra-articular tenodesis (LET) a...

Purpose A question still remains as to whether constrictive toe-box shoes (TBS) cause disability only due to pain on pressure points or if they can cause permanent changes in the hallux anatomy. The aim of this study is to compare the hallux morphology in 3 groups classified according to their use of constrictive or open TBS. Methods 424 patients...

Background At the time of the first report on the feasibility of corrective osteotomies of the distal phalanx (DP) of the great toe there were no published studies addressing this type of surgery. Along this line, and throughout our clinical experience, this paper tries to show the clinical benefits of hallux DP osteotomies when correcting interpha...

Achilles tendon rupture is a frequent injury with an increasing incidence. After clinical surgical repair, aimed at suturing the tendon stumps back into their original position, the repaired Achilles tendon is often plastically deformed and mechanically less strong than the pre-injured tissue, with muscle fatty degeneration contributing to function...

The remodeling of the extracellular matrix is a central function in endochondral ossification and bone homeostasis. During secondary fracture healing, vascular invasion and bone growth requires the removal of the cartilage intermediate and the coordinate action of the collagenase MMP‐13, produced by hypertrophic chondrocytes, and the gelatinase MMP...

The purpose of this study was to determine if driving ability 6 weeks after anterior cruciate ligament (ACL) reconstruction is affected by the addition of a meniscal suture. It was also hypothesized that no differences in the driving performance would be found between right or left knee surgery subgroups. A total of 82 people participated in this p...

Introducción: Las técnicas para corregir las deformidades del hallux incluyen osteotomías metatarsianas y falángicas. Las osteotomías sobre la falange proximal corrigen el DASA y el ángulo interfalángico. Sin embargo, no se han publicado las indicaciones para la osteotomía de la falange distal. El objetivo de este artículo es comunicar la técnica y...

Purpose: The aim of the present study was to determine whether the risk of complications increases with the number of people in the operating room (OR). Several studies have stated that an increased number of people in the OR increases not only the risk of infection but also the risk of intraoperative complications due to distractions during the s...

Introduction The knee in Parkinson’s disease (PD) patients is a problematic joint due to pain, stiffness and gait instability. The aim of this study is to evaluate the functional outcome and degree of pain relief achieved after total knee arthroplasty (TKA) in PD patients. Materials and methods This is a retrospective review of 26 PD patients (32...

Background There is some controversy about how the proximal tibiofibular joint (PTFJ) capsulotomy changes PTFJ anatomy in closed-wedge high tibial osteotomy (CW-HTO) and about how this affects ankle and knee mobility and the onset of lateral knee pain. The aim of this study is to evaluate changes in PTFJ after CW-HTO, and its possible clinical sign...

Purpose: The main aim of this study was to evaluate the re-rupture risk after an anterior cruciate ligament reconstruction (ACL-R) using the vancomycin soaking technique and to compare it with the re-rupture risk in patients on whom this technique was not utilized. The secondary purpose was to compare the functional outcomes of those two subsets o...

Background and objective Currently, there is no stablished pre-operative model that helps the orthopaedic surgeon predict the final graft diameter in anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to determine whether there is a correlation between semitendinosus (ST) and gracilis (GT) cross-sectional area (CSA) eva...

Background During the last century, total hip arthroplasties have become more popular. They have had a huge impact on the quality of life, pain, range of motion, social interaction, and psychological well-being. A number of studies have emphasized the importance of using templates to choose the appropriate implant size when planning the surgery. Ou...

Resumen Antecedentes y objetivo Actualmente no existe un modelo establecido en la práctica clínica que permita predecir de forma fiable este parámetro. El objetivo del estudio fue valorar si existe correlación entre el área total sumada de los tendones recto interno (TRI) y semitendinoso (ST) en estudios preoperatorios de resonancia magnética (RM)...

Background Although different fixation techniques for the Akin osteotomy have been described in the literature, there are no many studies trying to analyze the differences between the types of fixation available. The aim of this study is to analyze if there are any differences between three types of staple fixation available in the market.Method We...

Objectives: We propose a novel and simple method to determine the magnitude of the curve in scoliosis and its correlation with the Cobb angle. Methods: Using multiple rounds of nominal group technique and an established consensus-building methodology, a multidisciplinary research group identified a simple method to value the curve deformity based o...

Introduction: There are many techniques to correct the hallux deformity. Most of them include metatarsal and/or phalanx osteotomies. Akin osteotomy of the proximal phalanx is used to correct the distal articular set angle or the interphalangeal angle. However, indications for distal phalanx osteotomy remain unpublished. The aim of this study is to...

Objective To analyze the long-term results and the prognosis of patients who have undergone proximal row carpectomy (PRC) in our hospital. Material and method This is a retrospective study of 14 patients undergoing PRC with a follow-up of 3–16 years. The ability to perform daily activities, mobility and functional capacity after the surgery were a...

Resumen Objetivo Conocer los resultados a largo plazo y el pronóstico de los pacientes que han sido intervenidos de resección de la primera fila del carpo (RPFC) en nuestro centro. Material y método Realizamos un estudio retrospectivo de 14 pacientes intervenidos de RPFC con un seguimiento de 3 a 16 años. Se evaluaron la movilidad, la capacidad f...

Background: Having had a previous experience of 4 open F2 osteotomies to correct interphalangeal hallux valgus, the aim of this study was to test the efficacy of a percutaneous approach for this correction. Methods: 3 open and 12 percutaneous F2 osteotomies in 15 cadaver feet were performed. Interphalangeal (IPH), F2 asymmetry (AF2) and joint de...

Introduction: Atrophy, fatty infiltration and fibrosis are irreversible changes of the muscle after chronic retraction of a torn tendon. These changes result in further loss of function and are prognostic factors for worse clinical outcomes after surgical repair, making such approach ineffective. Currently, there is no clinical treatment to reverse...

RESUMEN Abstención, artrodesis, artroplastia o combinaciones de estas últimas son las opciones terapéuticas en artrosis bilateral de tobillo. En la indicación quirúrgica es razona-ble dudar por temor a una mala calidad de vida en caso de artrodesis bilateral. Los pocos estudios publicados se centran en artrodesis de un tobillo. El objetivo de este...

Background Exostoses at the base of the distal phalanx of the great toe are usually asymptomatic. The literature has not generally considered them as the origin of a possible problem resulting from a pressure conflict between hallux and shoe (medial aspect) or second toe (lateral aspect) nor a potential complication of surgical correction of hallux...

Presentamos el caso de un varón sano de 52 años que acude a consulta por fatiga en extremidad superior izquierda de 4 meses de evolución. Progresivamente fue teniendo claudicación a mínimos esfuerzos y dolor nocturno que le despertaba, hormigueos, frialdad y palidez en toda la mano. La movilidad cervical, del hombro, codo y muñeca eran completas y...

JUSTIFICACION Las exostosis en la base de la falange distal del primer dedo del pie han pasado desapercibidas como potencial complicación en pacientes sometidos a cirugía del antepíe porque generalmente son asintomáticas. En nuestros estudios previos se encontró una prevalencia de exostosis en la base de F2 es alta (51.9%), pero pueden no ser sinto...

La displasia osteofibrosa de tibia es una entidad muy poco frecuente, perteneciente al grupo de tumores óseos benignos. Generalmente asintomática, aunque en ocasiones, puede asociar deformidad con curvatura anterior o desviación en varo o valgo de la tibia, o fracturas patológicas. Se recomienda realizar un tratamiento de los síntomas, o de la defo...

BACKGROUND: Interphalangeal deformities are not usually included in feet deformity treatment algorithms. There are few studies on the correction of hallux distal phalanx deviation. AIM: The aim of this study is to test efficacy and security of using a percutaneous technique to correct valgus of hallux second phalanx. METHOD After having planned a...

BACKGROUND: Interphalangeal valgus angle of the hallux can be decomposed into obliquity angle (AF1), asymmetry angle (AF2) and joint deviation. There is insufficient evidence to determine the normal range of these angles and how they affect each other, as well as how they adjust in different foot morphologies. AIM The aim of this study is to examin...