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Marina Angulo Tabernero, Enrique Suñén Sánchez, Diego Peña Jiménez, Antonio Loste Ramos, Antonio Tabuenca Sánchez, Alfredo Chárlez Marco, Javier Rodríguez Vela
Las lesiones traumáticas de la columna cervical son infrecuentes en los niños, representando el 1% de las fracturas pediátricas y el 2% de todas las lesiones raquídeas.Es importante conocer que la columna cervical en la infancia presenta variaciones anatómicas que en ocasiones pueden interpretarse como patológicas ya que en los niños una adecuada exploración física muchas veces puede ser complicada.El objetivo de este caso clínico es mostrar un hallazgo radiológico fisiológico de la columna cervical infantil que tiende a ser malinterpretado como patológico: la pseudosubluxación C2-C3...
February 20, 2018: Revista de la Facultad de Ciencias Médicas
Leandro Ejnisman, Moin Khan, Olufemi Rolland Ayeni, Mohit Bhandari, Helder de Souza Miyahara, Jose Ricardo Negreiros Vicente
OBJECTIVE: To assess the opinion of Brazilian orthopedists surgeons on the diagnosis and treatment of femoroacetabular impingement (FAI). METHODS: A questionnaire was sent to several orthopedic societies around the world, including the Sociedade Brasileira de Ortopedia e Traumatologia (SBOT). This questionnaire was sent electronically and included questions on many topics related to FAI. RESULTS: 253 Brazilian orthopedists responded the questionnaire...
November 2016: Acta Ortopedica Brasileira
Marcel Faraco Sobrado, Guilherme Honda Saito, Marcos Hideyo Sakaki, Pedro Augusto Pontin, Alexandre Leme Godoy Dos Santos, Túlio Diniz Fernandes
OBJECTIVE: To analyze the characteristics of patients with Lisfranc injuries and their associated fractures . METHODS: This is a retrospective analysis on 42 patients with Lisfranc injuries hospitalized at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, between 2006 and 2010. Parameters on patient profile, risk factors, fracture characteristics, data on treatment and acute complications were analyzed ...
January 2017: Acta Ortopedica Brasileira
João Mamede, Sandro Castro Adeodato, Rafael Aquino Leal
BACKGROUND: Four-corner fusion has been shown to be a reliable option of treatment of wrist arthritis, but there is no consensus about which implant and surgical procedure should be used in the arthrodesis. The present study aimed to describe a surgical technique using 2 crossed screws as implants, inserted in a retrograde manner, and to demonstrate preliminary results of the use of the technique. METHODS: A retrospective study was conducted using medical records and imaging tests (radiographs and computed tomography) of all 15 patients who underwent a standardized 4-corner fusion technique, between December 2011 and July 2015, in the Department of Hand Surgery of Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, Brazil...
March 2018: Hand: Official Journal of the American Association for Hand Surgery
(no author information available yet)
Adolescent idiopathic scoliosis is a 3D spinal deformity in frontal, sagittal and axial planes, with high relevance in the pediatric population especially in adolescents and females between 10 years of age and the end of growth spurt and skeletal maturity. The radiographic manifestation is a curve greater than 10° measured by Cobb method associated with vertebral rotation. "Idiopathic" diagnosis has to be done after neuroanatomical anomalies of the posterior cerebral fosa and spinal canal have been ruled out...
December 1, 2016: Archivos Argentinos de Pediatría
Ángel Jesús Ojeda-Reyes, Rodolfo Gregorio Barragán-Hervella, Hernán Vallecillo-Velázquez, Iván Alvarado-Ortega, María Socorro Romero-Figueroa, Álvaro José Montiel-Jarquín
BACKGROUND: Functional and radiographic evaluation at midshaft clavicle fractures is better with surgical than conservative management. The aim of this paper is to describe the functional and radiological evaluation of patients with midshaft clavicle fracture surgery at the Hospital de Traumatología y Ortopedia of the Instituto Mexicano del Seguro Social. METHODS: Descriptive studies, conducted during the period June 2014 to June 2015, patients undergoing surgical treatment for midshaft clavicle fracture were included...
2016: Revista Médica del Instituto Mexicano del Seguro Social
María Francisca Vázquez-Alonso, Alberto Viñas-Silva
Scapholunate advance collapse (SLAC) and Scaphoid nonunion advance collapse (SNAC), are the two most common patterns of postraumatic wrist arthritis. SLAC wrist develops after attenuation, either traumatically or atraumatically, of the scapholunate ligament. Atraumatic causes of SLAC wrist include calcium pyrophosphate dehydrate deposition disease, reumathoid arthritis, neuropathic diseases, and b2-microglobulin asociated amyloid deposition diseases. On the other hand, SNAC wrist develops following a scahpoid fracture that has progressed to a nonunion...
2016: Revista Médica del Instituto Mexicano del Seguro Social
Cid Manso de Mello Vianna, Marcelo Kropf Santos Fermam, Marcus Paulo da Silva Rodrigues, Gabriela Bittencourt Gonzalez Mosegui
This article has two parts. The first discusses the relationship between industry and health interests based on three different but non-mutually exclusive "logics": (a) independent; (b) divergent; and (c) convergent. The second part describes the experience at the Brazilian National Institute of Traumatology and Orthopedics (INTO) with a technology management model. The accumulated expertise in orthopedics at INTO can favor Brazil's domestic medical equipment industry without jeopardizing the country's social health needs...
November 3, 2016: Cadernos de Saúde Pública
André Mathias Baptista, Sylvio Cesar Sargentini, Juan Pablo Zumárraga, André Ferrari De França Camargo, Olavo Pires De Camargo
OBJECTIVE: To obtain epidemiological data from the tumors of the patella diagnosed and treated at the Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo (IOT-HC-FMUSP) between 1998 and 2015. METHODS: Series of cases with retrospective evaluation of patients diagnosed with tumors located in the patella. The data was obtained from the records and patients' charts at the Department of Pathology of IOT-HC-FMUSP. RESULTS: A total of 2220 medical records from patients with anatomopathological reports were included in the study...
May 2016: Acta Ortopedica Brasileira
Priscila Rosalba Oliveira, Cassia da Silva Felix, Vladimir Cordeiro de Carvalho, Arlete Mazzini Giovani, Rosangela Suarti Dos Reis, Marisa Beraldo, Edmir Peralta Albuquerque, Walter Cintra Ferreira, Jorge Dos Santos Silva, Ana Lucia Lei Lima
Treatment of orthopedic infections usually requires prolonged antimicrobial therapy, ranging from 14 days up to 6 months. Nowadays, rising levels of antimicrobial resistance demands parenteral therapy for many patients. Outpatient parenteral antimicrobial therapy (OPAT) is a modality that allows treatment out of hospital in these situations. In Brazil, where a public universal healthcare system allows full coverage for all citizens, implantation and dissemination of OPAT programs would be beneficial for patients and for the system, because it would allow a better allocation of health resources...
May 2016: Brazilian Journal of Infectious Diseases
Gilberto Luis Camanho
No abstract text is available yet for this article.
September 2015: Revista Brasileira de Ortopedia
André Mathias Baptista, André Ferrari De França Camargo, Renée Zon Filippi, Cláudia Regina Gomes Cardim Mendes De Oliveira, Raymundo Soares De Azevedo Neto, Olavo Pires De Camargo
OBJECTIVE: To present a series of 50 consecutive patients with non-metastatic extremity osteosarcoma, and attempt to correlate expression of the vascular endothelial growth factor (VEGF) protein in biopsy tissue to their prognosis regarding overall survival, disease-free survival and local recurrence. METHODS: Fifty cases of non-metastatic osteosarcoma of the extremities treated between 1986 and 2006 at Instituto de Ortopedia e Traumatologia da Universidade de São Paulo, São Paulo, Brasil, were evaluated regarding expression of the VEGF protein...
2014: Acta Ortopedica Brasileira
(no author information available yet)
No abstract text is available yet for this article.
August 2014: Archivos Argentinos de Pediatría
Marcos Hideyo Sakaki, Bruno Akio Rodrigues Matsumura, Thiago De Angelis Guerra Dotta, Pedro Augusto Pontin, Alexandre Leme Godoy Dos Santos, Tulio Diniz Fernandes
OBJECTIVES: To evaluate the epidemiology of ankle fractures surgically treated at the Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo. METHODS: Medical records of patients admitted with foot and ankle fractures between 2006 and 2011 were revised. Seventy three ankle fractures that underwent surgical treatment were identified. The parameters analyzed included age, gender, injured side, AO and Gustilo & Anderson classification, associated injuries, exposure, need to urgent treatment, time to definitive treatment and early post-operative complications...
2014: Acta Ortopedica Brasileira
(no author information available yet)
No abstract text is available yet for this article.
May 2013: Acta Ortopédica Mexicana
V A Orihuela-Fuchs, S Fuentes-Figueroa
UNLABELLED: Every year 50,000 open fractures occur in Mexico; the complication rate is 20%, and infection is the number one complication. The infection rate at the global level is 3%. The infection rate reported in Mexico is 4.4% (1999) overall for open fractures, with infection rates ranging from 0.8 to 15.6% according to the degree of exposure; however, no updated data are available. METHODS: A retrospective, longitudinal, descriptive, observational study was designed, that included a total of 273 cases...
September 2013: Acta Ortopédica Mexicana
Gilberto Eduardo Meza Reyes, Ricardo Esquivel Gómez, Antonio Martínez del Campo Sánchez, Francisco Espinosa-Larrañaga, Miguel Ángel Enrique Martínez Guzmán, Rubén Torres González, Juan Carlos de la Fuente Zuno, Juan Vicente Méndez Huerta, Enrique Villalobos Garduño, José Cymet Ramírez, Efrén Ibarra Hirales, Efraín Díaz Borjón, José Manuel Aguilera Zepeda, Juan Francisco Valles Figueroa, Abraham Majluf-Cruz
Venous thromboembolism (VTE) is a worldwide public health problem, with an annual incidence of 1-2 cases/1,000 individuals in the general population and a 1-5% associated mortality. Orthopedic surgery is a major surgical risk factor for VTE, but the problem is more important for patients with hip and knee joint replacement, multiple traumatisms, severe damage to the spine, or large fractures. Thromboprophylaxis is defined as the strategy and actions necessary to diminish the risk of VTE in high-risk orthopedic surgery...
March 2012: Gaceta Médica de México
G E Meza-Reyes, J Cymet-Ramírez, R Esquivel-Gómez, Martínez A del Campo-Sánchez, M A E Martínez-Guzmán, F Espinosa-Larrañaga, A Majluf-Cruz, R Torres-González, J C De la Fuente-Zuno, E Villalobos-Garduño, J V Méndez-Huerta, E Ibarra-Hirales, J F Valles-Figueroa, J M Aguilera-Zepeda, E Díaz-Borjón
Venous thromboembolic disease (VTED) is a public health problem worldwide. In the United States it causes 2 million annual cases. Its annual incidence is 1-2 cases per 1,000 individuals in the general population. It is a disease frequently associated with life threatening complications and its mortality rate is 1-5% of cases. Due to its high complication rate, its slow recovery, and the need for prolonged disability, it is considered as a high-cost disease. VTED may occur in both surgical and medical patients; the known associated risk factors include prolonged rest, active cancer, congestive heart failure, atrial fibrillation, and stroke, among the major medical conditions...
July 2011: Acta Ortopédica Mexicana
Ronald Villafán-Quiroga, Ricardo Cienfuegos-Monroy, Eduardo Sierra-Martínez
BACKGROUND: treatment of frontal sinus fractures remains controversial. If the posterior wall is fractured and there is cerebrospinal fluid leak, treatment seeks to restore the integrity of the dura and isolate the intracranial contents through the obliteration of the nasofrontal duct and cranialization. Another group supports nonoperative management CSF leakage is produced. The purpose is to avoid complications of meningitis, fistula and late sequelae. The difficulty lies in predicting which patients will develop complications...
September 2010: Cirugia y Cirujanos
O Vlach, O Václavek
The authors evaluate the results of surgery of fresh injuries of the thoracolumbar spine achieved by transpedicular fixation, using ridged plates. At the orthopaedic clinic in Brno-Bohunice this technique was systematically introduced in 1989; in 1991 they started to use a better principle of stabilization by an internal fixation device. The authors used plates fixed in a transpedicular way in 58 injured subjects. Most frequently fractures of L1, T12 and L2 were involved, usually of a burst type. In more than half the patients they recorded a nervous deficit of varying degree...
1992: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
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