Browsing by Author "Arteaga, José"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Publication Orthopedic Residency Programs: What are Our Current Goals? An International Society of Orthopedic Centers (ISOC) Delphi Consensus(2025) Figueroa, David; Moya, Luis; Arteaga, José; Alex Vaisman; Bostrom, Mathias; Acuña, Carolina; Alesi, Domenico; Radice, Fernando; Figueroa, Francisco; Toro, Felipe; Liebergall , Meir; Stegeman, Mark; Tagil, Magnus; Lenza, Mario; Sancheti, Parag; Ranawat, Amar; Calvo, Rafael; Guiloff, Rodrigo; Robbins, Laura; Irarrazaval, Sebastian; Zaffagnini, Stefano; Jung, Tobias; Winkler, TobiasThis article presents an international consensus reached by the International Society of Orthopaedic Centers (ISOC) to establish recommendations on postgraduate orthopedic education. Using the Delphi technique, expert opinions from different regions of the world were collected and analyzed. Twenty statements were evaluated, of which 16 achieved strong consensus, 2 moderate consensus, and 2 did not reach consensus. Key recommendations include the implementation of objective metrics to assess competencies, the integration of ethical and professional standards into the curriculum, the use of high-fidelity simulations and advanced technologies such as virtual reality and telemedicine, the promotion of inclusive and non-discriminatory environments, and the establishment of quotas to ensure sufficient hands-on surgical training. The importance of balancing clinical demands with the mental health needs of residents and fostering interdisciplinary collaboration was also emphasized. The consensus aims to provide a framework for improving orthopedic residency programs, adapting them to current challenges and promoting innovation and better patient outcomes. Limitations such as variability in resources and needs between institutions are acknowledged, and it is proposed to continue with future research and adaptations to maintain the relevance of the recommendations.Publication Return to sports and recreational activities after patellofemoral arthroplasty: A systematic review(2025) Arteaga, José; Poblete, Eduardo; Martin, Fernando; Domecq, Gabriel; Figueroa, DavidImportance: Patellofemoral arthroplasty (PFA) is an established treatment for isolated patellofemoral osteoarthritis. However, evidence regarding postoperative activity levels and return to sport (RTS) remains limited. Objective: The objective of this study was to evaluate RTS and recreational activity rates following PFA, identify factors influencing these outcomes, and report associated complications. Evidence review: A systematic search was conducted in June 2024 across PubMed, EMBASE, ScienceDirect, and Scopus databases, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Search terms included variations of “patellofemoral arthroplasty,” “physical activity,” and “return to sport.” Studies were included if they reported RTS outcomes following PFA. Studies lacking RTS data or isolated PFA results were excluded. From 492 records, 7 studies met the inclusion criteria. Findings: Seven studies (2 prospective and 5 retrospective) comprising 265 patients (281 knees; 64.6% women; mean age: 48.9 years) were included, with a mean follow-up of up to 5.3 years. RTS definitions varied, with reported rates ranging from 64.7% to 91%. Low-impact sports were more commonly resumed, and 58.6% of patients returned to sport within six months. Among those who returned, 74.8% reached or exceeded their preoperative activity level. Postoperative pain improved (visual analog scale scores decreased from 6.3 to 2.7), although up to 38.6% of patients reported pain limiting activity. Conversion to total knee arthroplasty occurred in 6.3% to 13% of cases, and reoperation rates ranged from 10.4% to 25%. Limitations included inconsistent RTS definitions, heterogeneous outcome reporting, and use of non-standardized questionnaires. Conclusions: RTS and recreational activity after PFA can be resumed by most patients, especially low-impact activities. Pain management should be actively addressed. High-quality studies with standardized RTS definitions are needed to evaluate the long-term impact of activity on implant survival. Relevance: RTS after PFA is safe and achievable. A personalized approach is essential to optimize RTS and manage patient expectations. Evidence level: III.Publication Surgical Technique of Medial Collateral Ligament Repair of the Knee with Bioinductive Membrane Augmentation(2026) Figueroa, David; González, Waldo; Arteaga, José; Godoy, DiegoIntroduction: The medial collateral ligament (MCL), a primary stabilizer against valgus forces, often requires surgical intervention in severe injuries, especially when associated with anterior cruciate ligament (ACL) tears. However, MCL repair or reconstruction is typically reserved for patients who continue to experience persistent valgus instability after nonoperative management has failed. The use of synthetic and biological implants is increasingly popular to augment these procedures, providing both biomechanical reinforcement and promoting natural healing. BioBrace, a biocomposite of collagen and bioabsorbable microfilaments, provides structural support and enhances tissue healing. This article explores the surgical treatment of high-grade medial collateral ligament (MCL) injuries of the knee using BioBrace augmentation through a case series. Methods: Cohort of patients who underwent MCL repair surgery with a bioinductive membrane augmentation (BioBrace) between December 2023 and February 2024. This article presents surgical techniques, indications, and clinical outcomes from a case series, highlighting the benefits of BioBrace augmentation in improving stability and functional recovery. Results: A total of 4 patients underwent MCL repair surgery with BioBrace. Results show that patients experienced reduced instability, faster rehabilitation, and favorable outcomes without significant postoperative complications. Conclusion: This method offers a promising alternative for patients with complex knee injuries, especially athletes, by facilitating early rehabilitation and improving joint stability. Further research is recommended to evaluate long-term efficacy and optimize the surgical approach.