ABSTRACT
Introducción El objetivo del estudio es conocer la incidencia, los resultados tras la cirugía y la necesidad de rehabilitación de las fracturas por avulsión de tipo II de la tuberosidad posterior del calcáneo. Materiales y métodos Se realizó un estudio observacional de tipo serie de casos. Se revisaron retrospectivamente todas las fracturas de calcáneo diagnosticadas en nuestro hospital en los últimos 12 años y se seleccionaron aquellas que fueron clasificadas como fracturas por avulsión de la tuberosidad del calcáneo (pico de pato). Resultados Encontramos 10 fracturas con un patrón de fractura por avulsión de la tuberosidad del calcáneo (pico de pato), que corresponden al 4% de todas las fracturas de calcáneo revisadas. Todas fueron tratadas mediante reducción abierta y fijación interna. Un caso fue tratado de forma urgente debido a signos de sufrimiento de partes blandas. Cuatro casos presentaron complicaciones posquirúrgicas. Tres casos requirieron tratamiento específico de rehabilitación. Ningún paciente necesitaba ayuda técnica un año después de la cirugía. Discusión Es razonable esperar un aumento de la incidencia en los próximos años debido al envejecimiento de la población y la prevalencia en aumento de diabetes y osteoporosis. El fragmento desplazado producido por el tendón aquíleo puede poner en peligro la viabilidad cutánea y afectar a la cicatrización posterior. A menudo, no se necesita un protocolo rehabilitador específico. Nivel de evidencia clínica. Nivel IV.
Background The objective of the study is to know the incidence, the results of the surgery and the need for rehabilitation of type II avulsion fractures of the posterior tuberosity of the calcaneus. Materials and methods An observational study of a series of cases was carried out. We retrospectively reviewed all the calcaneal fractures diagnosed in our hospital in the last 12 years and selected the ones classified as avulsion fractures of the tuberosity of the calcaneus (duck beak). Results We found 10 fractures with an avulsion fracture pattern of the calcaneal tuberosity (duck beak), which correspond to 4% of all the calcaneal fractures reviewed. All were treated by an open reduction and internal fixation. One case was treated urgently due to signs of suffering of soft tissue. Four cases presented post-surgical complications. Three cases required specific rehabilitation treatment. Usually, there is no a unique formula to establish a rehabilitation program after surgery. Discussion It is likely to expect an increase rate of this particular fracture according to that elderly population increase with associated osteoporosis and diabetes. The displaced fragment produced by the Achilles' tendon may compromise scaring after surgery. Often a specific rehabilitative protocol is not needed. Evidence level. IV.
Subject(s)
Humans , Calcaneus , Therapeutics , Fractures, AvulsionABSTRACT
Twenty-five BVDV strains, detected in serum from persistently infected cattle from Peru (n=15) and Chile (n=10) were genetically characterized. The phylogenetic analysis based on the 5' UTR showed that all 25 strains belonged to genotype 1. Twenty-three of the strains could further be subdivided into subtype 1b, and two out of ten Chilean strains into subtype 1a. In conclusion, in total 23 out of 25 strains analyzed were of genotype 1, subtype 1b. This is the predominant BVDV subtype in many countries all over the world, including USA. The close homology with previously described strains reflects the influence of livestock trade on the diversity of BVDV circulating within and between countries and continents. Peru and Chile have imported large numbers of cattle from USA and Europe, mostly with insufficient or lacking health documentation.
Um total de 25 isolados do vírus da diarréia viral bovina (BVDV), sendo 15 originarias do Peru e 10 do Chile foram sujeitas a caracterização genética. A árvore filogenética baseada na análise da região proximal não-codificante (5'UTR) do genoma viral demonstrou que as 25 estirpes pertencem ao genótipo 1 do vírus BVD. Vinte e três destas estirpes puderam adicionalmente ser subdivididas no subtipo 1b, enquanto duas das 10 estirpes isolados provenientes do Chile foram identificadas como pertencentes ao subtipo 1a. Em conclusão, 23 de um total de 25 isolados analisados pertencem ao genótipo 1, subtipo 1b. Este é o subtipo de BVDV predominante em muitos países do mundo, incluindo os EUA. A elevada similaridade genética com isolados descritos anteriormente em outras regiões do mundo realça o papel do comércio internacional de gado no estabelecimento de diversidade genética do vírus BVD. Tanto o Peru como o Chile têm historia de importação de grandes quantidades de gado dos Estados Unidos e da Europa, no entanto sem suficiente documentação comprovativa do estado sanitário no que concerne a esta virose.
Subject(s)
Genetic Variation , Diarrhea Virus 1, Bovine Viral/isolation & purification , /isolation & purificationSubject(s)
Animals , Respirovirus Infections/immunology , Pulmonary Fibrosis/diagnosis , Swine/immunology , Swine Diseases/immunology , Enzyme-Linked Immunosorbent Assay , Viral Vaccines/administration & dosage , Vaccines, Inactivated/administration & dosage , Meningoencephalitis/diagnosis , Corneal Opacity/diagnosis , Syndrome , Hemagglutination Inhibition Tests , Neutralization TestsABSTRACT
Warts or papillomas are caused by papillomavirus, a member of the Papovaviridae family. the virus is 55 nm in diameter, consisting of a protein capsid with 72 capsomers arranged in a icosaedral form. The genome is a double standed circular DNA molecule containing approximately 8.000 base pairs. The papillomavirus does not multiply in any culture system tested so far and this hampered the molecular studies of this virus. However, the development of recombinant DNA techniques makes it possible to clone papillomavirus genomes in bacterial vectors and hence to produce viral DNA in sufficient quantities to be used for structural studies and for biological experiments. The genome of papillomavirus replicates extrachromosomally in mouse cells and can therefore be used as a cloning vector in mammalian cells. Moreover, the virus or its genome can efficiently transform mouse cells in vitro and therfore has been a useful model to study papillomavirus transformation, oncogenicity as well as gene expression. The present work summarizes the results obtained un our laboratory concerning the biological and molecular characterizarion of some papillomavirus isolated in Sweden (Bovine papillomavirus type 1, FPV and the Reindeer papillomavirus RPV)