Este artículo presenta los resultados de un estudio sobre la utilización que hacen los jóvenes andaluces de las redes sociales. Los objetivos fundamentales son: conocer los usos preferentes de las redes sociales, su frecuencia y los motivos que les impulsan a su utilización. Además se estudia si existen diferencias de sexo tanto en la frecuencia como en las motivaciones de uso. Se aplica un cuestionario para la recogida de datos. La muestra es de 1.487 adolescentes de Andalucía. Los resultados muestran que los jóvenes en su mayoría usan de manera habitual las redes sociales y se identifican dos vertientes motivacionales en su uso: una social y otra psicológica. No se hallan diferencias significativas entre sexos en cuanto a frecuencia de uso, pero sí en las motivaciones para su acceso. Las de los chicos son de tipo emocional, mientras que en las chicas predomina la motivación de carácter relacional. Los resultados obtenidos muestran coincidencias con investigaciones internacionales realizadas en contextos muy diferentes al presente estudio. En la discusión de resultados se plantean futuras líneas de trabajo, a la vez que se identifican implicaciones que los usos de las redes sociales tienen para la formación e integración social de una ciudadanía activa y participativa, así como para el enriquecimiento de dimensiones como el desarrollo del capital social y la educaciónThis article presents the results of a study on the use of social networks among young Andalusians. The main objectives are to know the uses of social networks, their frequency and the motives behind their use. A questionnaire was used to collect the data. The sample includes 1487 adolescents in Andalusia. The results show that young people, for the most part, consistently used social networks. We identified two motivational aspects in this use: one social and the other psychological. There are not significant gender differences in frequency of use, but rather in the motivations for access. Boys tend to be the more emotional type, while girls were dominated by a more relational motivation. The results show similarities with international researches in environments that vary greatly from the present work. The conclusions suggest the need for future lines of work. This study also identifies the implications of social network uses for active citizenship and participatory training and social integration. These results are also important for the enrichment of dimensions such as social capital development and education

Growth modulation (GM) with tension-band plates (TBPs) by tethering part of the growth plate is an established technique for the correction of angular deformities in children, and it has increasingly supplanted more invasive osteotomies. Growth modulation with TBPs is a safe and effective method to correct a variety of deformities in skeletally immature patients with idiopathic and pathological physes. The most common indication is a persistent deformity in the coronal plane of the knee exceeding 10°, with anterior and/or lateral joint pain, patellofemoral instability, gait disturbance, or cosmetic concerns. GM has also shown good results in patients with fixed flexion deformity of the knee and ankle valgus. This paper reviews the history of the procedure, current indications, and recent advances underlying physeal manipulation with TBPs. Cite this article: EFORT Open Rev 2021;6:658-668. DOI: 10.1302/2058-5241.6.200098

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Little is known about the origin and natural history of Blount disease. Treatment is always surgical and, given their complexity, should be preceded by a thorough analysis and planning regarding all deformities. Treatment principles are to correct the three-dimensional deformity and avoid recurrence. The choice of technique mainly depends on patient maturity and severity. Guided growth is a good choice for more immature patients with moderate deformities. Progressive correction using osteotomy or physeal distraction is indicated for patients with severe deformities and low remaining growth. The Taylor spatial frame is currently the most popular progressive correction device.

A series of 44 patients with complete section of the ulnar nerve was reviewed on average 2 years after secondary repair. The procedures applied were fascicular grafting in 33 cases, epineural suture in 7, and suture in 4. Useful ulnar motor function was restored in 22 cases of fascicular grafting, in all 4 of fascicular suture and in 3 of epineural suture. Sensibility recovered in 23 patients operated on by fascicular grafts and in 10 of 11 treated by epineural or fascicular suture. Cases with unsatisfactory results had other associated severe lesions, i.e., median nerve section, vascular damage or tendon injuries. Early repair of clean-cut nerve sections by fascicular or epineural suture gives a good chance for recovery. Grafting should be performed within 3 months and no later than 1 year after the injury.

The outcome of 53 patients operated on either for posttraumatic ulnar neuropathy (PUN) or non-traumatic cubital tunnel syndrome (CTS) was reviewed after 3 years follow-up. Results were analyzed and compared considering the surgical technique used (neurolysis versus anterior transposition or combined) and a variety of clinical features that could influence outcome after nerve release. In the whole series, excellent outcome was obtained in 39 patients (73%). No major differences were found with the different surgical procedures. Slightly better results, but no statistically significant, were found in cases with CTS. As to clinical parameters, patients with CTS had a higher mean age, a shorter duration of symptoms and most were men. The presence of symptoms for more than one year before operation significantly diminished the chance of satisfactory recovery in cases with CTS, but not in those with PUN. For both CTS- and PUN-cases with symptoms for more than one year, neurolysis plus anterior transposition was the more useful technique. Our study shows that CTS and PUN differ to a certain extent in their clinical profile, electrophysiological findings and response to different surgical approaches and hence can be considered as two different clinical entities.

We compared delayed distraction (DD) with immediate distraction (ID) in bone-lengthening. Open femoral diaphyseal osteotomy was performed on 24 three-month-old lambs, and external distractor fixators were applied. In the ID group (n 12), distraction commenced on the first postoperative day; in the DD group (n 12), distraction was delayed until the tenth day after surgery. In all the animals, the femur was lengthened by 2 cm at the rate of 1 mm/day. The animals were killed 1, 2, and 3 months postoperatively. Radiography and densitometry of the lengthened callus showed that DD, compared with ID, improved the quality of the callus with quicker, denser, and more homogeneous bone formation.