Dr Salvador Octavio Ramírez Valdivia

Dr Salvador Octavio Ramírez Valdivia
Cirugía de Rescate Articular en Tumores óseos Rodilla y Hombro por Artrocopia

jueves, 27 de noviembre de 2014

Primer estudio en todo el mundo para mostrar mayor concentración de elementos traza en cáncer de hueso

http://www.meduniwien.ac.at/homepage/1/news-and-topstories/?tx_ttnews%5Btt_news%5D=4994&cHash=d013bc1ee11d99c8b745a993c75fb181

De:
J.G. Hofstaetter, B. Pemmer, C. Weixelbaumer, M. Foelser, A. Roschger, P. Wobrauschek, R.  Simon, S. Lang, 
M. Dominkus, R. Windhager, P. Roschger, K. Klaushofer, C. Streli.

Medical University of Vienna. "First study worldwide to show higher concentration of trace elements in bone cancer." ScienceDaily. www.sciencedaily.com/releases/2014/07/140721100121.htm (accessed November 27, 2014).



First study worldwide to show higher concentration of trace elements in bone cancer

Primer estudio en todo el mundo para mostrar mayor concentración de elementos traza en cáncer de hueso


(Vienna, 21st July 2014) In a study that is the only one of its kind worldwide, researchers from the MedUni Vienna, the Vienna Technical University and the Ludwig Boltzmann Institute have investigated the distribution of trace elements in the tissue of bone tumours. The result: tumour tissue contains higher concentrations of trace elements. This could represent a starting point for the development of targeted therapies for bone cancer. 

According to estimates, around 24 patients a year in Austria are diagnosed with osteosarcoma. This makes this malignant bone tumour which, if left untreated, can be fatal, one of the most common cancers to affect the bones. Most cases are diagnosed in young people aged between ten and 25 years.

The causes of osteosarcoma are still largely unknown. Currently, surgical intervention is the only targeted treatment method, and the spectrum of effective drug-based treatments is relatively narrow compared to other types of cancer, such as breast cancer.

High-tech investigation
This was another reason for a group of researchers led by Jochen Hofstätter of the University Department of Orthopaedics at the MedUni Vienna and of the "Orthopädische Spital Speising" (OSS) to shed more light on the biology of this type of cancer. Together with Christina Streli from the Atomic Institute of the Vienna Technical University and Klaus Klaushofer from the Ludwig Boltzmann Institute of Osteology, a study investigated for the first time worldwide the concentration of trace elements in bone tumours.

To do this, the affected region was first fixed via an examination under the electron microscope (backscattered electron imaging) and then investigated using synchrotron radiation, a type of X-ray radiation generated in a particle accelerator. This measurement was carried out in Germany, as Austria currently does not have the equipment to do it. Says Hofstätter: “The results show that the concentration of iron and zinc in the tumour tissue is several times higher than in healthy tissue. The tumour tissue therefore appears to create an environment in which trace elements are able to form bonds more easily. We are keen, however, to investigate the role of trace elements in more detail in further studies.”

Successful interdisciplinary collaboration
Says Hofstätter: “Compared to other methods, this investigation is the most technically challenging, but also the most accurate. The results we have achieved, made possible only through the cooperation of three institutions, demonstrate how important interdisciplinary and even cross-institution collaboration is for successful research.”

New approaches to therapy

Reinhard Windhager, Head of the University Department of Orthopaedics at the MedUni Vienna and Vienna General Hospital and a member of the study group says: “In the field of drug-based therapy for osteosarcoma, there are still many unanswered questions: some tumours respond to chemotherapy, some don't. These new results could offer an approach for new, targeted and personalised forms of treatment.”
Según las estimaciones, alrededor de 24 pacientes al año en Austria son diagnosticados con osteosarcoma. Esto hace que este tipo de tumor óseo maligno que, si no se trata, puede ser mortal, uno de los cánceres más comunes que afectan a los huesos. La mayoría de los casos son diagnosticados en jóvenes de entre diez y 25 años.
Las causas de osteosarcoma aún no se conocen. Actualmente, la intervención quirúrgica es el método de tratamiento sólo se concentraron, y el espectro de tratamientos eficaces a base de drogas es relativamente estrecha en comparación con otros tipos de cáncer, como el cáncer de mama.
Investigación de alta tecnología
Esta fue otra de las razones para un grupo de investigadores dirigidos por Jochen Hofstätter del Departamento de Ortopedia de la Universidad en el MedUni Viena y de la "Orthopädische Spital Speising" (OSS) para arrojar más luz sobre la biología de este tipo de cáncer. Junto con Christina Streli del Instituto Atómica de la Universidad Técnica de Viena y Klaus Klaushofer del Instituto Ludwig Boltzmann de Osteología, un estudio investigó por primera vez en todo el mundo la concentración de elementos traza en los tumores óseos.
Para ello, la región afectada se ha corregido primero a través de un examen bajo el microscopio electrónico (imágenes por electrones retrodispersados) y luego investigado el uso de radiación sincrotrón, un tipo de radiación de rayos X generados en un acelerador de partículas. Esta medición se lleva a cabo en Alemania, Austria actualmente no tiene el equipo necesario para hacerlo. Hofstätter dice: "Los resultados muestran que la concentración de hierro y zinc en el tejido tumoral es varias veces mayor que en el tejido sano. Por consiguiente, el tejido tumoral parece crear un entorno en el que los elementos traza son capaces de formar enlaces más fácilmente. Estamos dispuestos, sin embargo, para investigar el papel de los oligoelementos en más detalle en futuros estudios ".
El éxito de la colaboración interdisciplinaria
Dice Hofstätter: "En comparación con otros métodos, esta investigación es la más difícil técnicamente, pero también el más preciso. Los resultados que hemos logrado, que son posibles sólo a través de la cooperación de las tres instituciones, demuestran la importancia de la colaboración interdisciplinaria e incluso cruz-institución es para una investigación exitosa ".
Los nuevos enfoques de la terapia
Reinhard Windhager, Jefe del Departamento de Ortopedia de la Universidad en el MedUni Viena y el Hospital General de Viena y miembro del grupo de estudio, dice: "En el campo de la terapia basada en fármacos para el osteosarcoma, todavía hay muchas preguntas sin respuesta: algunos tumores responden a quimioterapia, otros no. Estos nuevos resultados podrían ofrecer un enfoque de nuevas formas, específicas y personalizadas de tratamiento ".
Service: 
“Differential distribution of trace elements in human osteosarcoma - A Synchrotron Radiation induced confocal micro x-ray fluorescence analysis (SR µ-XRF)”, J.G. Hofstaetter, B. Pemmer, C. Weixelbaumer, M. Foelser, A. Roschger, P. Wobrauschek, R.  Simon, S. Lang,
M. Dominkus, R. Windhager, P. Roschger, K. Klaushofer, C. Streli.

miércoles, 26 de noviembre de 2014

Papel que juegan los osteoblastos y el Notch1 en la iniciación del cáncer de hueso

Este artículo es publicado originalmente en:

https://www.bcm.edu/news/cancer/notch1-osteoblasts-play-role-in-bone-cancer



Notch1 and osteoblasts play role in bone cancer initiation

A new mouse model of osteogenic sarcoma, a potentially deadly form of bone cancer, shows that high levels of Notch1, a gene that helps determine cell fate, can drive osteoblasts (cells that normally lead to bone formation) to become cancerous, said researchers from Baylor College of Medicine in a report in the journal Cancer Cell.
“This is the first example of Notch1 driving this type of cancer,” said Dr. Brendan Lee, professor and interim chair of molecular and human genetics at Baylor and corresponding author of the report. “Our study supports the hypothesis that Notch activating mutations can act as a common triggering mechanism in cells of mesenchymal origin such as committed osteoblasts.” (Cells of mesenchymal origin are precursors of bone, cartilage and other skeletal cells.)
“This is an unusual cancer that affects mainly the young and adults over 40,” said Lee. Treatment, once the disease has metastasized (spread beyond the primary tumor in bone), is only about 50 percent successful, said Lee, who is also the director of the Rolanette and Berdon Lawrence Bone Disease Program of Texas and a Howard Hughes Medical Institute investigator.
Determining what drives the disease at the molecular level can help identify targets that could improve treatment, he said.
In their studies with the mouse model of the disease, in which tumors display important features of human osteogenic sarcoma, Lee and his colleagues found that when Notch is activated and a tumor suppressor called p53 is lost, the development of the bone cancer is speeded up.
Their studies in the mouse found that osteoblasts, the precursors to the formation of bone and other bone-related cells, can be cells in which osteogenic sarcoma starts, said Lee.
Lee holds the Robert and Janice McNair Endowed Chair in Molecular and Human Genetics at Baylor.
Others who took part in this work include: Jianning Tao, Ming-Ming Jiang, Lichun Jiang, Jason S. Salvo, Huan-Chang Zeng, Brian Dawson, Terry K. Bertin, Pulivarthi H. Rao, Rui Chen, Lawrence A. Donehower and Francis Gannon, all of Baylor.
Funding for this work came from the National Institutes of Health (Grants AR061565 to J.T.; HD022657 and DE016990 to B.H.L.) and the Cancer Prevention and Research Institute of Texas (Grant RP101017 to B.H.L.). This work was also supported by the BCM Intellectual and Developmental Disabilities Research Center (Grant HD024064 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development); the BCM Advanced Technology Cores (Grants AI036211, P30 CA125123, and RR024574); the Rolanette and Berdon Lawrence Bone Disease Program of Texas and the Cancer Fighters of Houston.

Endoprótesis tumoral modular en la paliación quirúrgica de las metástasis de huesos largos: una reducción de la carga tumoral y una reconstrucción duradera

De:
Marcel-Philipp HenrichsJuliane KrebsGeorg GoshegerArne StreitbuergerMarkus NottrottTim SauerSteffen HoellGurpal Singh and Jendrik Hardes

World Journal of Surgical Oncology 2014, 12:330  doi:10.1186/1477-7819-12-330
Published: 7 November 2014



Modular tumor endoprostheses in surgical palliation of long-bone metastases: a reduction in tumor burden and a durable reconstruction

Endoprótesis tumoral modular en la paliación quirúrgica de las metástasis de huesos largos: una reducción de la carga tumoral y una reconstrucción duradera

Puede leer un resumen en:
http://www.ncbi.nlm.nih.gov/pubmed/25376274
http://www.wjso.com/content/12/1/330/abstract

Abstract
Background
Surgical treatment of bone metastases has become increasingly important as patients live
longer with metastatic cancer and one of the main aims is a long-lasting reconstruction which
survives the patient. Conventional osteosynthesis may not be able to achieve this objective in
the context of modern day cancer care.

Resumen
Entorno
El tratamiento quirúrgico de las metástasis óseas se ha convertido cada vez más importante como viven los pacientes ya con cáncer metastásico y uno de los principales objetivos es una reconstrucción de larga duración que sobrevive el paciente. Osteosíntesis convencional puede no ser capaz de alcanzar este objetivo en el contexto de la atención del cáncer de hoy en día.

Leer el artículo completo aquì

Los suplementos dietéticos no mejoran la osteoartritis de rodilla / Dietary Supplements Don’t Improve Knee Osteoarthritis

http://blog.anklefootmd.com/2014/11/26/dietary-supplements-dont-improve-knee-osteoarthritis/


Dietary Supplements Don't Improve Knee Osteoarthritis

Knee osteoarthritis

Knee osteoarthritis studies have been making waves lately, and the most recent research suggests that dietary supplements don’t improve the condition.
Researchers reporting in Arthritis and Rheumatology wrote that common dietary supplements like glucosamine and chondroitin don’t significantly improve symptoms or modify arthritis progression.
For their study, researchers accessed patient data from the Osteoarthritis Initiative from 2004 to 2006. Dietary supplement use was self-reported by people enrolled in the program. Patients were regularly tested to assess arthritic progression through physical tests and X-ray exams. Patients also reported their levels of pain, stiffness and physical function using the WOMAC scale.
After analyzing the data, researchers concluded that those who took dietary supplements did not show significant improvement or decreased symptoms compared to those who didn’t take supplements.
“After adjustment for potential confounders with marginal structural models, we found that treatment with glucosamine/chondroitin for 3 years did not appear to bring about relief in symptoms or retardation of disease progression,” the authors wrote “Our data join a growing body of evidence suggesting that glucosamine/chondroitin has no impact on relieving OA symptoms.”
The authors stressed that it’s important healthcare professionals continue to seek out treatment strategies for those affected by osteoarthritis, as it is the most common type of arthritis and leading cause of pain among seniors.

Dr. Silverman comments

This is a very interesting study.
I have always told people with arthritis that ask about these supplements the following two pieces of information:
1. It isn’t clear that they are going to make a difference. They can give it a try and see how their knees respond. If they don’t notice a difference after a month or so, supplement use should be discontinued.
2. I tell them the story of my sister’s 20-year-old horse who was lame until she put this supplement into his feed. Then he began to act like a little pony again.
After looking at the study, I believe there are too many variables and inconsistent factors to conclusively say these supplements don’t work. Instead, I’ll stick to a pattern of belief that has worked throughout my years of practice. If your knee feels better after taking these medications, continue with it, as there’s very little harm that can come from them. If it doesn’t, there’s no need to continue with the pills. I don’t personally sell these medications in my office for a number of reasons, but most importantly because the data that demonstrates that it definitely shows improvement isn’t there.

martes, 25 de noviembre de 2014

Prótesis de rodilla para la artrosis avanzada

El artículo fue originalmente publicado en :
http://www.lasprovincias.es/sociedad/salud/investigacion/201407/22/protesis-rodilla-para-artrosis-20140722134620-rc.html



Prótesis de rodilla para la artrosis avanzada

La artrosis de rodilla, como todas las artrosis, es un proceso crónico normalmente ligado al envejecimiento y se caracteriza por el deterioro paulatino del cartílago de la articulación. La artrosis es una enfermedad de elevada prevalencia, propia de personas mayores de 50 años, si bien son múltiples las causas y circunstancias que están relacionadas con su aparición.
Cuando la causa es de origen desconocido, la artrosis se denomina primaria. «Este tipo afecta normalmente a varias articulaciones y con mayor frecuencia a mujeres», apunta el doctor Andrés Valentí Azcárate, especialista en Cirugía Ortopédica y Traumatología de la Clínica Universidad de Navarra. «Su aparición se intuye que puede estar ligada a alteraciones enzimáticas o metabólicas del cartílago articular, debidas a una variabilidad genética aún no aclarada que provoca que algunas personas desarrollen una artrosis», explica el facultativo.

lunes, 24 de noviembre de 2014

Salud ôsea en Niños y Adolescentes

sábado, 22 de noviembre de 2014

Discusiòn entre pares / 70 yrs female on ecospirin operated after 72hrs after stopping tablet





70 yrs female on ecospirin operated after 72hrs after stopping tablet