Background: Isolated reconstruction of the anterior cruciate ligament (ACL) does not reestablish normal knee biomechanics in cases associated injuries to anterolateral structures. Studies evaluating potential clinical effect (ALL) injury on treatment ACL are necessary validate findings biomechanical studies. Purpose: To evaluate outcomes and failure rate patients with without ALL diagnosed using magnetic resonance imaging. Study Design: Cohort study; Level evidence, 2. Methods: A prospective...

Background: Tibial tubercle osteotomy with concomitant distalization for the treatment of patellar instability remains controversial, as it may cause anterior knee pain and chondral degeneration. Purpose: To evaluate radiographic, clinical, functional outcomes in patients who had patella alta underwent tibial (TTO-d) well medial patellofemoral ligament reconstruction. Study Design: Case series; Level evidence, 4. Methods: Included this study were 25 (31 cases) (mean age at surgery, 28.7...

Smoking has been associated, among other factors, with musculoskeletal disorders. Although there is no consensus about the effects of smoking on osteoarthritis (OA), increase in TNF-alpha smokers considered an important factor OA induction or progression. However, studies chondrocytes are lacking. Here we aimed to study cigarette smoke extract (CSE) associated a inhibitor cell death primary human derived from osteoarthritic patients. CSE at 10% led by apoptosis after 48 h incubation,...

Avaliar o uso da técnica de subcondroplastia no tratamento das lesões medulares ósseas em série inicial cinco casos. O estudo incluiu pacientes entre 40 e 75 anos, com dor joelho pelo menos seis meses duração, associada à ressonância magnética lesão hipercaptante ponderação T2 na tíbia ou fêmur. Os foram avaliados segundo a escala visual analógica (EVA) Knee Injury and Osteoarthritis Outcome Score (KOOS), uma semana antes cirurgia uma, três, seis, 12 24 semanas após. A foi feita desenvolvida...

To evaluate the use of subchondroplasty in treatment bone marrow lesions an initial series five cases. The study included patients aged between 40 and 75 years old, with pain knee for at least six months, associated high-signal MRI lesion on T2 sequences, tibia or femur. Patients were assessed using visual analog scale KOOS score, one week before surgery one, three, six, 12, 24 weeks after procedure. Subchondroplasty was performed a technique developed filling area calcium phosphate...

This study aims to evaluate the sensitivity and specificity of lever sign test in patients with without chronic Anterior Cruciate Ligament (ACL) injuries an outpatient setting inter-examiner agreement surgeons different levels experience.72 consecutive a history previous knee sprains were included. The Lachman, anterior drawer, Lever Sign tests performed for all subjects randomized order by three blinded raters experience. Sensitivity, specificity, positive predictive value, negative...

Background: The degree of knee hyperextension in isolation has not been studied detail as a risk factor that could lead to increased looseness or graft failure after anterior cruciate ligament (ACL) reconstruction. Purpose: To analyze whether more than 5° passive is associated with worse functional outcomes and greater primary ACL reconstruction hamstring tendon autograft. Study Design: Cohort study; Level evidence, 3. Methods: A cohort patients who had autografts was divided into 2 groups...

Abstract Background Wound healing complications are causal factors of prosthesis infection and poor postoperative evolution patients after total knee arthroplasty (TKA). Negative-pressure wound therapy (NPWT) can be an option to minimize these complications. The aim this study is compare the undergoing TKA who used a portable NPWT device in immediate period with those control group. Methods A 296 were evaluated. Patients divided into two groups: for seven days (Group 1 – prospective...

To report outcomes and re-dislocation rates of medial patellar stabilizers reconstruction without bone procedures for correction anatomical risk factors instability in skeletally immature patients; to compare isolated patellofemoral ligament (MPFL) combined MPFL patellotibial (MPTL) this population.

The main etiology of ankle osteoarthrosis is post-traumatic and its prevalence highest among young individuals. Thus, this disease has a great socioeconomic impact gives rise to significant losses patients' quality life. objective treatment eliminate pain keep patients active. Therefore, the should be staged according degree degenerative evolution, etiology, joint location, systemic condition, bone quality, lower-limb alignment, ligament stability age. algorithm divided into non-surgical...

Abstract Background Evaluate the effect of bacteria drug resistance profile on success rates debridement, antibiotics and implant retention. Methods All early acute periprosthetic infections in hip knee arthroplasties treated with DAIR at our institution over period from 2011 to 2015 were retrospectively analyzed. The rate was evaluated according type organism identified culture: multidrug-sensitive (MSB), methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant Gram-negative...

A principal etiologia da osteoartrose (OA) do tornozelo é pós‐traumática e sua maior prevalência está entre indivíduos jovens; assim, essa doença apresenta grande impacto socioeconômico significativo prejuízo na qualidade de vida dos pacientes. O objetivo tratamento eliminar a dor manter os pacientes ativos. Dessa forma, o deve ser estagiado acordo com grau evolução degeneração, etiologia, localização articular, condição sistêmica, óssea, alinhamento membro inferior, estabilidade ligamentar...

ABSTRACT Objective: To present an experience with negative-pressure wound therapy (NPWT) in the treatment of surgical wounds patients treated for infections after total knee arthroplasty (TKA) or without dehiscence and prophylaxis considered at risk healing problems. Methods: We prospectively evaluated TKA infection factors complications Pico(r) device NPWT addition to standard our institution. as initial favorable outcome resolution infectious process closure dehiscences cases good...

0 -0 , I,II Marcelo Batista Bonadio I Marcel Faraco Sobrado I,II, * Pedro Nogueira Giglio Jose ´Ricardo Pe ´cora -

We compared the prevalence of risk factors between young and old individuals with significant carotid atherosclerosis. retrospectively reviewed records patients aged 39 to 55 years (group I) ≥60 II) atherosclerotic stenosis at bifurcation. Group I had significantly higher values for following factors: weight, height, body mass index, diastolic pressure, current smoking, total low-density lipoprotein cholesterol lower systolic creatinine, coronary artery disease. were more symptomatic showed...

With the aging of population, more patients have complained pain due to knee Osteoarthritis (OA), and number arthroplasties has also increased. The objective this study is evaluate prevalence neuropathic component in candidates for Total Knee Replacement effects on their quality life. In cross-sectional study, with OA arthroplasty present institution were evaluated using detection questionnaire Visual Analog Pain (VAS) scale measure index presence associated pain. addition, evaluation life...