Transiliac Cerclage in Unstable Pelvic Ring Fractures.

BACKGROUND: To evaluate the outcomes of transiliac cerclage with Dall-Miles cable in the internal fixation of the posterior complex in unstable pelvic ring fractures between January 1995 and December 2014. MATERIAL AND METHODS: A study of 42 men injured at work with an average age of 35.2 years (range, 23 to 61) was conducted. The mechanisms of injury were traffic accidents in 25 cases (59.5%), crushing accidents in 12 cases (28.6%), and fall from height in 5 cases (11.9%). Thirty-six cases were polytraumatized patients (85.7%). The patients were evaluated using Majeeds functional score and Mattas radiological criteria. RESULTS: The average follow-up time was 135.8 45.6 months. The clinical outcomes were excellent in 17 cases (40.5%), good in 19 cases (45.2%), fair in 5 cases (11.9%), and poor in 1 case (2.4%). The radiological outcomes were satisfactory in 32 cases (76.2%) and unsatisfactory in 10 cases (23.8%). All fractures were healed. The sequelae were 3 cases (7.2%) of lower limb dysmetria and 3 cases (7.2%) of chronic neuropathic pain. CONCLUSION: The internal fixation of the sacroiliac complex by Dall-Miles cable cerclage reinforced with small fragment plates should be considered as an alternative method for minimally invasive osteosynthesis in selected cases of unstable pelvic ring fractures.

Retinaculotomía endoscópica de doble portal en el síndrome del túnel carpiano / Dual-portal endoscopic release in carpal tunnel syndrome

NiResumen Objetivo: Evaluar los resultados de la retinaculotomía endoscópica para tratar el síndrome del túnel carpiano mediante la técnica de doble portal de Chow, entre enero de 2006 y diciembre de 2015. Materiales y Métodos: Estudio de 179 pacientes (edad promedio 48.2 años [rango 32-68]), con 217 casos de síndrome del túnel carpiano idiopático y un seguimiento promedio de 97.9 meses. Los pacientes eran 145 mujeres (81%) (31 bilaterales) y 34 hombres (19%) (7 bilaterales) y fueron evaluados con la Symptom Severity Scale (SSS) y la Functional Status Scale (FSS) del Boston Carpal Tunnel Questionnaire (BCTQ). Resultados: El puntaje medio de la SSS-BCTQ fue de 3,20 + 0,26 antes de la cirugía, mejoró a 1,30 + 0,12 a los 6 meses y se mantuvo en 1,25 + 0,11 a largo plazo. El puntaje medio de la FSS-BCTQ fue de 2,57 + 0,29 antes de la cirugía, mejoró a 1,28 + 0,18 a los 6 meses y se mantuvo en 1,20 + 0,09 a largo plazo. Hubo 7 casos (3,2%) de neuropraxia posquirúrgica transitoria. No hubo conversiones a técnica abierta. Conclusión: La liberación endoscópica del túnel carpiano con la técnica de Chow es un método quirúrgico eficaz y seguro para tratar el síndrome del túnel carpiano idiopático. Nivel de Evidencia; III

Objective: To evaluate the outcomes of endoscopic release of the transverse carpal ligament (TCL) in carpal tunnel syndrome (CTS) using the Chow dual-portal technique between January 2006 and December 2015. Materials and Methods: Study population consisted of 217 cases of idiopathic CTS, in 179 patients, 145 females (81%) (31 bilateral cases) and 34 males (19%) (7 bilateral cases), with an average age of 48.2 years (range, 32-68) and an average follow-up of 97.9 months. The symptom severity and functional evaluations were performed using the Boston Carpal Tunnel Questionnaire Symptoms Severity Scale (BCTQ-SSS) and the Functional Status Scale (BCTQ-FSS). Results: The average BCTQ-SSS was 3.20±0.26 in the preoperative period, which improved to 1.30±0.12 at the 6-month postoperative follow-up and remained at 1.25±0.11 in the long-term. The average BCTQ-FSS was 2.57±0.29 in the preoperative period, which improved to 1.28±0.12 at the 6-month postoperative follow-up and remained at 1.20±0.09 in the long-term. There were 7 cases (3.2%) of transient postoperative neurapraxia. No patient required to be converted to open technique. Conclusion: The endoscopic carpal tunnel release with Chow technique is an effective and safe surgical method for the treatment of idiopathic CTS. Level of Evidence; III

Influencia del autodiálogo sobre los niveles de ansiedad y estrés en jugadores de tenis: una revisión sistemática / The influence of self-talk on levels of stress and anxiety in tennis players: a systematic review / Influência do autodiálogo sobre os níveis de ansiedade e estresse nos jogadores de tênis: uma revisão sistemática

Resumen El incremento en los niveles de ansiedad y estrés se han relacionado la mayoría de las veces con efectos negativos para el desempeño de atletas, por lo que la utilización de habilidades psicológicas como el autodiálogo se han usado para manejar la ansiedad y el estrés para obtener un mejor rendimiento deportivo. Este artículo presenta una revisión sistemática centrada en intervenciones que utilizaron el autodiálogo como método de entrenamiento mental para controlar niveles de ansiedad y estrés en jugadores de tenis. Se encontraron solamente 3 estudios que investigaron el método de autodiálogo en variables psicológicas y apenas un estudio que evaluó el efecto sobre la ansiedad. Por esta razón, se sugieren más investigaciones que aborden las variables mencionadas.

Abstract The increase in levels of anxiety and stress have been related most of the time to negative effects on the performance of athletes, so the use of psychological skills such as self-talk has been used to manage anxiety and stress to obtain better sports performance. This article presents a systematic review focused on interventions that used self-talk as a method of mental training to control levels of anxiety and stress in tennis players. We found only 3 studies that investigated the method of self-talk in psychological variables and only one study that evaluate the effect on anxiety. For that reason, more research is suggested to addresses these variables.

Resumo O aumento nos níveis de ansiedade e estresse tem sido relacionado na maioria das vezes a efeitos negativos no desempenho de atletas, de modo que o uso de habilidades psicológicas como a autodiálogo tem sido utilizado para gerenciar a ansiedade e o estresse para obter melhor desempenho esportivo. Este artigo apresenta uma revisão sistemática focada em intervenções que utilizaram o autodiálogo como método de treinamento mental para controle 2 níveis de ansiedade e estresse em tenistas. Foram encontrados apenas três estudos que investigaram o método de autodiálogo em variáveis psicológicas e apenas um estudo que avaliou o efeito sobre a ansiedade. Por essa razão, sugere-se mais pesquisas que abordem as variáveis mencionadas.

Efecto agudo de un protocolo de Complex Training sobre la velocidad del lanzamiento de la granada en pentatletas militares / Acute effect of Complex Training protocol on grenade throwing velocity on military pentathletes

Introducción: El Complex Training se ha utilizado para lograr la potenciación post-activación (PAP) de las capacidades físicas y, al hacerlo, mejorar el rendimiento deportivo de los atletas. Sin embargo pocos estudios han considerado una activación con intensidades en zonas de potencia. Objetivo: Determinar el efecto agudo de un protocolo de Complex Training en press banca sobre la velocidad del lanzamiento de la granada en pentatletas militares. Método: Diecinueve pentatletas militares fueron parte del estudio. El estudio tuvo un diseño cuasi experimental intrasujeto. El protocolo de Complex Training consistió en: 4 series de 5 repeticiones al 30% de 1RM + 4 repeticiones al 60% de 1RM + 3 lanzamientos de granada separada por 15 segundos. Las variables medidas fueron: velocidad máxima (Vmax) y promedio (Vpro) del lanzamiento de la granada a través de un Radar Gun, las potencias máximas (Pmax) y promedio (V pro) en press banca a través de un encoder lineal y concentraciones de lactato [La] post esfuerzo. Para el análisis estadístico se utilizó ANOVA de medias repetidas y para el tamaño del efecto la prueba Eta Cuadro Parcial. Resultados: La Vmax, Vpro y Pmax no presentaron modificaciones significativas entre la serie control y las cuatro series experimentales (p = 0,90; p = 0,94; p = 0,06). Sin embargo las Ppro de press banca y las [La] sufrieron un descenso significativo (p = 0,002; p = 0,001). Conclusiones: Los resultados del estudio no mostraron efectos positivos del protocolo de Complex Training sobre las velocidades de lanzamiento de la granada en pentatletas militares, por lo tanto no se consiguió PAP en la musculatura involucrada en el lanzamiento del proyectil. También se observó fatiga general y local durante la aplicación del protocolo. Se sugiere seguir indagando las cargas de activación realizando cambios en la intensidad y pausas de las cargas

Introduction: Complex Training (CT) has been used to achieve Post-activation Potentiation (PAP) of physical capabilities and, in doing so, improve athletes’ sports performance, however few studies have taking into account an activation with intensities in power zones. Objective: To determine the acute effect of Complex Training on bench press on grenade throwing velocity on military pentathletes. Method: Nineteen military pentathletes were part of the study. The study had a quasi-experimental intra-subject design. The Complex Training protocol consisted of 4 sets of 5 repetitions at 30% one Repetition Maximum (1RM) + 4 repetitions at 60% 1RM + 3 grenade throws with a 15-second rest. The measured variables were: maximum velocity and grenade throw average through a Radar Gun, peak power and bench press average through a lineal encoder and post-effort Lactate [La]. For the statistical analysis repeated measures of ANOVA was used, and for the size of the effect an Eta-squared test was used. Results: The maximum velocity, average velocity and peak power did not show significant modifications between the control series and the 4 experimental series (p = 0.90; p = 0.94; p = 0.06). However, the average power of bench press and [La] showed a significant fall (p = 0.002: p = 0.001). Conclusions: The results of the study did not show effects in Complex Training on maximum and average velocity of grenade throwing in military pentathletes; hence, Post Activation Potentiation was not reached in the muscles involved in the projectile throwing. General and local fatigue was also observed during the application of the protocol. It is recommended to continue researching on activation loads, performing changes in the intensity and pauses of each load

Efecto de la resistencia variable sobre la potenciación post activación: una revisión sistemática / Effect of variable resistance on post-activation potentiation: a systematic review

Introducción: Tanto la Resistencia Variable (RV) como la Potenciación Post Activación (PAP) han sido utilizadas como metodologías de entrenamiento para mejorar la fuerza explosiva en deportistas, pero hasta el momento no se sabe cuántas investigaciones existen en las principales bases de datos que relacionen ambas variables. Objetivo: Investigar cuáles fueron los métodos de RV utilizados para generar PAP entre enero de 2011 y enero de 2016. El objetivo secundario fue visualizar las intensidades de estimulación y los cambios en los niveles de fuerza explosiva reportados en cada uno de los estudios consultados. Método: El diseño corresponde a una Revisión Sistemática de los estudios previamente publicados que relacionaron la RV con PAP. La búsqueda sistemática incluyó artículos publicados desde enero de 2011 a enero de 2016 en Web of Science (WOS), Scopus, Sport Discuss, PubMed y Medline. Para la selección de los estudios, se identificaron sólo aquellos artículos que usaron RV como metodología de entrenamiento para generar PAP. Resultados: Se identificaron nueve artículos, los cuales fueron estratificados según el entrenamiento que realizaban: (i) Resistencia variable intra-sesión (n = 3), (ii) Resistencia variable intra-repetición (n =1) y (iii) Resistencia variable intra-serie (n = 5). Por otro lado, ocho de los nueve estudios consultados estuvieron centrados en los miembros inferiores y ninguno de forma específica en los miembros superiores. También se pudo observar, que todos aquellos estudios que reportaron cambios significativos en la fuerza explosiva trabajaron sobre el 80 % de 1RM. Conclusiones: No existe evidencia suficiente para conocer el verdadero efecto de la RV sobre la PAP, más aún en los miembros superiores. Sin embargo, hay indicios que la resistencia variable intra-serie puede generar cambios agudos en los niveles de fuerza explosiva trabajando sobre un 80 % de 1RM

Introduction: The Variable Resistance (VR), as well as the Post-Activation Potentiation (PAP) have been used as training methodologies to improve the explosive strength in athletes. By the moment, there is no specific knowledge of the number of investigations connecting both variables that exist in the main data bases. Objective: The aim of this study was to find out which were the VR methods used to generate PAP between January 2011 and January 2016. The secondary aim was to visualize the stimulus intensity and the variations in the explosive strength levels recounted in every one of the studies consulted for this research. Method: the design is a systematic revision of the studies previously published that connected VR with PAP. The systematic research included articles published since January 2011 until January 2016 in the Web of Science (WOS), Scopus, Sport Discuss, PubMed, and Medline. For the studies selection, only those articles using VR as a training methodology to generate PAP were identified. Results: Nine articles were identified, which were stratified according to the training performed: (i) Intra-Session Variable Resistance (n = 3), (ii) Intra-Repetition Variable Resistance (n = 1), and (iii) Intra-Set Variable Resistance (n = 5). On the other hand, eight out of nine studies were focused on the lower limbs and none of them focused specifically on the upper limbs. It was also observed that all those studies showing significant variation in explosive strength worked with over 80 % 1RM. Conclusions: There is no conclusive evidence to identify the real effect of VR over PAP, and clearly not for the upper limbs. However, there are indicators that the Intra-Set Variable Resistance can generate acute changes in the explosive strength levels working over 80 % 1RM

Role of porosity and pore architecture in the in vivo bone regeneration capacity of biodegradable glass scaffolds.

The aim of this work is to shed light on the role of porosity and pore architecture in the in vivo bone regeneration capacity of biodegradable glass scaffolds. A calcium phosphate glass in the system P2O5-CaO-Na2O-TiO2 was foamed using two different porogens, namely albumen and hydrogen peroxide (H2O2); the resulting three-dimensional porous structures were characterized and implanted in New Zealand rabbits to study their in vivo behavior. Scaffolds foamed with albumen displayed a monomodal pore size distribution centered around 150 µm and a porosity of 82%, whereas scaffolds foamed with H2O2 showed lower porosity (37%), with larger elongated pores, and multimodal size distribution. After 12 weeks of implantation, histology results revealed a good osteointegration for both types of scaffolds. The quantitative morphometric analysis showed the substitution of the biomaterial by new bone in the case of glasses foamed with albumen. In contrast, bone neoformation and material resorption were significantly lower in the defects filled with the scaffolds foamed with H2O2. The results obtained in this study showed that both calcium phosphate glass scaffolds were osteoconductive, biocompatible, and biodegradable materials. However, differences in porosity, pore architecture, and microstructure led to substantially different in vivo response.