- Foot and Ankle Surgery
- Tendon Structure and Treatment
- Orthopedic Surgery and Rehabilitation
- Lower Extremity Biomechanics and Pathologies
- Sports injuries and prevention
- Diabetic Foot Ulcer Assessment and Management
- Shoulder Injury and Treatment
- Bone fractures and treatments
- Nail Diseases and Treatments
- Musculoskeletal synovial abnormalities and treatments
- Muscle and Compartmental Disorders
- Wound Healing and Treatments
- Trauma and Emergency Care Studies
- Peripheral Artery Disease Management
- Knee injuries and reconstruction techniques
- Pelvic and Acetabular Injuries
- Pressure Ulcer Prevention and Management
- Bone and Joint Diseases
- Hip and Femur Fractures
- Public Health in Brazil
- Trauma Management and Diagnosis
- Surgical Sutures and Adhesives
- Orthopaedic implants and arthroplasty
- Bone Tumor Diagnosis and Treatments
- Orthodontics and Dentofacial Orthopedics
Universidade Federal de Minas Gerais
2016-2025
Hospital Felício Rocho
2013-2024
Hospital das Clínicas da Universidade Federal de Minas Gerais
2017-2022
Universidade Federal de São Paulo
2011-2020
Ordem dos Médicos
2020
Universidade Cruzeiro do Sul
2017-2018
Hospital Madre Teresa
2011-2017
Hospital de Base
2017
Universidade Federal de Ouro Preto
2013
Background: Anatomical dissection of the second metatarsophalangeal (MTP) joint suggests that plantar plate is major stabilizing structure due to its central location and multiple important attachments. Many surgical procedures have been recommended when conservative treatment has failed, but some had limited clinical success. The aim our prospective study was show results obtained in a group patients with tears by direct repair through dorsal approach combined Weil metatarsal osteotomy...
Instability of the lesser metatarsophalangeal (MTP) joints is a common cause deformity and pain. The purpose this study was to prospectively evaluate surgical outcomes for different grades plantar plate tears propose treatment protocol.Sixty-eight patients (100 MTP joints) were enrolled graded according anatomical grade system tears. Based on classification, appropriate procedure chosen as follows: 0 I, thermal shrinkage with radiofrequency; II III, direct reinsertion plate; IV,...
Introduction. Baropodometry is used to measure the load distribution on feet during rest and walking. The aim of this study was evaluate changes in plantar foot pressures due period working stretching exercises posterior muscular chain. Methods. In transversal study, all participants were submitted baropodometric evaluation at two different times: before after muscles Results. We analyzed a total 54 27 participants. After period, there an average increase forefoot pressure 0.16 Kgf/cm2...
Adult acquired flatfoot deformity (AAFD) is a complex 3-dimensional pathology characterized by peritalar subluxation (PTS) of the hindfoot. For many years, PTS was measured at posterior facet subtalar joint. More recently, middle has been proposed as more accurate and reliable marker symptomatic AAFD, enabling earlier detection. The objective this study to compare amount between medial facets in patients with AAFD.In institutional review board-approved retrospective comparative study, total...
The Achilles tendon (AT) is the toughest and most robust in human body. However, it frequently injured. Several surgical techniques are described literature for treating chronic or complex injuries. Some of them use transfers peroneus brevis, flexor digitorum longus hallucis (FHL). FHL transfer can be performed endoscopically (minimally invasive), a reliable method AT ruptures. objective this study was to describe technical tip allow surgeons harvest longer graft using stripper without need...
Adult-acquired flatfoot deformity (AAFD) is usually due to a combination of mechanical failure the osteoligamentous complex that maintains medial longitudinal arch foot and attenuation or complete tear posterior tibial tendon. Magnetic resonance imaging studies in patients with deformities have reported tendon be pathologic up 100% patients, spring ligament 87%, deltoid 33%. Many literature describe reconstruction associated AAFD, but there no study which both (spring deltoid) ligaments are...
The high frequency of hallux valgus deformities in females is well known and has been widely reported the literature. This finding tends to obscure importance characteristic details males. severity deformity, its onset at an earlier age, inheritability seem be more frequent males, but there are no reports literature substantiate these concepts. purpose this study was analyze questions regard males with valgus.The records plain radiographs 31 (53 feet) a diagnosis that were treated over...
The objective of our study was to assess the diagnostic performance and associations direct indirect MRI features metatarsophalangeal (MTP) joint that are thought be related tears plantar plate (PP) using surgical findings as reference standard.We retrospectively included 23 patients with symptomatic instability lesser MTP joints who had undergone preoperative 1.5-T assessment. examinations were independently assessed by two musculoskeletal radiologists. Using data standard, we calculated...
Background: Instability of the lesser metatarsophalangeal (MTP) joints has been widely reported and plantar plate insufficiency is a key part this pathologic process. The diagnosis made clinically but can be aided by imaging studies, particularly magnetic resonance (MRI); however, sensitivity accuracy method compared to direct visualization these lesions not yet established, nor interobserver MRI assessed for evaluation pathology. In study, our goals were identify in describing tears when...
To the present day, literature has only discussed how to treat extensive plantar plate and collateral ligament lesions, with gross joint subluxation obvious clinical instability. The treatment options for early stages of disease minor injuries subtle instabilities have not been described. main purpose this prospective study is evaluate efficacy combination arthroscopic radiofrequency shrinkage distal Weil osteotomy in metatarsophalangeal Prospective data (clinical, radiological, findings) 19...
ABSTRACT Objective: There are no specific criteria that define the level of amputation in diabetic patients. The objective this study was to assess influence clinical and laboratory parameters determining wound healing time. Methods: One hundred thirty-nine patients were retrospectively assessed. They underwent surgical procedures due infection and/or ischemic necrosis. Type surgery, antibiotic use, length hospital stay evaluated study. Results: most common transmetatarsal, occurring 26...
Repair of the deltoid ligaments is suggested in patients with medial ankle instability after a ligamentous injury or lateral malleolar fracture fixation. Arthroscopy can be definitive mode determining whether there and, therefore, help to determine need repair ligaments. The authors describe technique for arthroscopic ligaments, using suture passer and anchors. Cadaveric analysis was utilized establish safe zones indicate that relatively wide zone between posterior tibialis tendon saphenous...
Lateral overload in progressive collapsing foot deformity (PCFD) takes place as hindfoot valgus, peritalar subluxation, and valgus instability of the ankle increase. Fibular strain due to chronic lateral impingement may lead distraction forces over distal tibiofibular syndesmosis (DTFS). This study aimed assess correlate severity offset (FAO) a marker PCFD with amount DTFS widening compare it controls.In this case-control study, 62 symptomatic patients 29 controls who underwent standing...
Complications of diabetes mellitus constitute the most common indications for hospitalization and non-traumatic amputations in USA. The important risk factors development diabetic foot ulcerations include presence peripheral neuropathy, vasculopathy, limited joint mobility, pre-existing deformities. In our study, 500 patients treated plantar forefoot were enrolled a prospective study from 2000 to 2008 at Federal University São Paulo, Brazil. Fifty-two met criteria underwent surgical...
Minimally Invasive Chevron Akin (MICA) can be used to treat hallux valgus (HV) associated with a hypermobility of the first metatarsal-cuneiform joint (1MTCJ). The aim this study was perform radiographic analysis MICA, focused on evaluating 1MTCJ.