To compare the outcomes of patients with stage II SNAC submitted to surgical treatment by proximal row carpectomy (PRC) or four-corner fusion (FCF).Twenty-seven aged 18-59 years (mean 37.52 years) were included. Thirteen underwent PRC in Group A, and 14 FCF wrist B. Evaluations made before after surgery follow-up between 45 73 months. Range motion (ROM); pain assessment a visual analog scale (VAS); grip strength; disability arm, shoulder, hand (DASH); return work evaluated.Group A had 68.5%...

Abstract Background: Since the first experiments with fibrin glue application in microvascular anastomoses 1977, several studies have reported its benefits on suture reduction and anastomosis decreased time. In spite of that, clinical experience has been limited to two neurosurgical replantation case series, all them good results. This study was conducted evaluate feasibility potential free flaps. Methods: We performed 24 flaps patients, from March 2005 June 2006. Twenty were included this...

We present 20 patients, who had a four corner arthrodesis, from July 2006 to March 2008, using dorsal circular plate, treat scaphoid nonunion and scapholunate dissociation with advanced collapse (SNAC, SLAC). The surgical technique was fusion restricted the central area filled one piece of cancellous bone graft taken excised scaphoid. Wrist motion, grip strength, Disabilities Arm Shoulder Hand (DASH) score improved after surgery at mean follow-up 20.2 months. Fusion occurred in 19/20...

An anomalous presentation of flexor carpi radialis brevis (FCRB) is reported in six patients. These findings occurred a consecutive series 172 distal radius fracture fixations using volar approach between 2002 and 2007. This the first report this muscle from clinical series.

Comparar os resultados clínicos e funcionais dos pacientes com diagnóstico de Scaphoid Non Union Advanced Colapse (SNAC), no estágio II, submetidos à ressecção da fileira proximal do carpo ou artrodese quatro cantos. Foram incluídos estudo 27 pacientes, média 37,52 anos (18‐59). Treze foram carpectomia Grupo A 14 cantos B. O seguimento médio foi 45 a 73 meses. avaliados arcos movimento, dor, força preensão palmar, o Disability Arm Shoulder Hand (DASH) escore retorno ao trabalho. No...

To measure the quality of life and clinical outcomes patients treated with interosseous membrane (IOM) ligament reconstruction forearm, using brachioradialis (BR), describe a new surgical technique for treatment joint instability distal radioulnar (DRUJ).From January 2013 to September 2016, 24 longitudinal injury DRUJ were submitted procedure portion or oblique band (DOB). The clinical-functional radiographic parameters analyzed complications time return work described.The follow-up was 20...

We present a case report describing the surgical technique for reconstruction of proximal interphalangeal (PIP) joint collateral ligament using autograft palmaris longus tendon graft. accomplished this successfully in high performance professional athlete presenting with chronic instability PIP joint. Our reconstructive recreated anatomic position, while correcting multidirectional without disruption other dynamic structures results demonstrated excellent clinical and functional results, we...

Analisar os parâmetros clínico‐funcionais e a qualidade de vida pacientes submetidos ao tratamento cirúrgico minimamente invasivo das fraturas extra‐articulares da falange proximal com uso do parafuso intramedular (Acutrak®). Um estudo prospectivo foi feito janeiro 2011 setembro 2014 incluiu 41 48 dedos acometidos fratura extra‐ articular instável Esses foram avaliados 12 meses após cirurgia por meio questionário DASH vida, escala dor VAS, arco movimento (adm em graus) avaliação...

To analyze the clinical-functional parameters and quality of life patients undergoing minimally invasive surgical treatment for extra-articular fractures proximal phalanx, using an intramedullary screw (Acutrak(®)).Between January 2011 September 2014, a prospective study was conducted on 41 (48 fingers) with unstable who underwent (Acutrak(®)). These were evaluated 12 months after surgery by means DASH quality-of-life questionnaire, VAS pain scale, measurement range motion (ROM, in degrees)...

Background Despite the high prevalence of unstable distal radius fractures (DRFs), there is no consensus regarding optimal method and treatment timing, especially for elderly patients with multiple associated injuries. Purpose This study aimed to compare grip strength achieved two different methods definitive dynamic external fixation DRFs in polytrauma operated on within first 24 hours. Methods In this prospective randomized trial, 35 were assigned undergo using nonbridging (group A) or...

Mensurar a qualidade de vida e os resultados clínico‐funcionais dos pacientes submetidos à reconstrução ligamentar membrana interóssea (MIO) do antebraço com o uso braquioestilorradial (BR) descrever uma nova técnica cirúrgica. De janeiro 2013 setembro 2016, 24 lesão longitudinal da articulação radioulnar distal (ARUD) foram ao tratamento cirúrgico porção ou oblique band (DOB). Foram analisados parâmetros radiográficos descritos as complicações tempo retorno trabalho. O seguimento foi 20...

the purpose of this study was to compare postoperative radiological and clinical outcomes with minimally invasive percutaneous osteosynthesis using three implants: volar locking plate, intramedullary nail system nonbridging external fixator for distal radius fractures.forty-eight patients (A group, 16; B group C 16) underwent reductible unstable displaced (Type IIB by Rayhack Classification) fractures. In used, in A were treated plate from January 2011 December 2012. The mean follow-up...

Resumo Objetivo Descrever a técnica e os resultados da artroscopia no tratamento cirúrgico dos cistos sinoviais volares punho. Materiais Métodos Foram incluídos analisados neste trabalho 21 pacientes submetidos para o de cisto sinovial volar punho, período entre janeiro 2015 maio 2017, com avaliação completa mínima 6 meses. A descrita foi indicada dor incapacidade funcional duração mais quatro meses, sem melhora conservador, ou aqueles queixas estéticas que apresentavam havia três Resultados...

To compare the mechanical parameters between two methods for stabilization through compression: 1.5 mm axial compression plate versus conical screw used as an intramedullary tutor.Polyurethane models (Sawbone(®)) that simulated transverse fractures of proximal phalanx were used. The divided into three groups: lateral plate, and no implant.Greater force was needed to result in fatigue synthesis using plate. Thus, this model proven be mechanically superior with plate.Stabilization Acutrak(®)...

Background This article measures the life quality, clinical, and functional outcomes of a patient who had undergone reconstruction radioscaphocapitate ligament (RSL), using brachioradialis tendon in treatment ulnar translation carpus. Case Description We present 36-year-old man with his left, nondominant wrist, after fall accident. Reconstruction RSL was performed. One year later, experienced good evaluation. Wrist flexion 70 degrees, extension 60 radial deviation 20 30 degrees. Forearm...

Comparar os parâmetros mecânicos entre dois métodos de estabilização por compressão: placa compressão axial 1,5 mm com o parafuso cônico usado como tutor intramedular. Foram usados modelos poliuretano (Sawbone®) que simulam a fratura da falange proximal transversa, divididos em três grupos (placa lateral, cônico, sem implante). Há necessidade uma maior força para resultar na fadiga síntese Comprova‐se, assim, supremacia mecânica desse sobre modelo lateral. A Acutrak®, no tratamento das...

To present the clinical and functional results, including measurement of quality life, patients undergoing trapeziometacarpal arthroplasty. This was a prospective evaluation on 45 (53 thumbs) with diagnosis idiopathic rhizarthrosis who underwent resection arthroplasty interposition an uncemented Ascension® implant, made pyrocarbon. The results were analyzed through radiography, range motion (ROM) in degrees (°), visual analog scale (VAS) for pain disability arm, shoulder hand (DASH)...

comparar o resultado clínico funcional dos pacientes com diagnóstico de fratura desvio, redutível e instável da extremidade distal do rádio submetidos ao tratamento cirúrgico pela técnica osteossíntese percutânea minimamente invasiva uso três tipos implante: placa volar bloqueada, haste intramedular bloqueada fixador externo. Comparar os resultados quanto à melhoria qualidade vida pelo questionário Dash tempo retorno trabalho. divididos em grupos (A, – 16; B, C, externo 16), 48 foram rádio,...

To measure the quality of life and clinical–functional results from patients diagnosed with osteoarthrosis distal radioulnar joint who underwent surgical treatment using technique total arthroplasty ulna, a or partial Ascension® prosthesis ulna. Ten were evaluated after 12 months follow-up subsequent to All them presented post-traumatic and/or chronic symptomatic instability joint. The study was prospective. Seven had previously undergone wrist procedures (two cases Darrach, three...

Most of the literature about sural flap deals with soft tissue defects at lower leg and foot based on classical description Masquelet et al. Nevertheless, some authors have shown that lesser saphenous vein its accompanying artery play an important role in vascularization posterior skin leg. This finding allowed a more proximal design flap, increasing arc rotation. Thirteen cases distally flaps were performed divided two groups according to level where harvested. In group A, entire was...

Abstract Background Arthroscopy nowadays has become a widespread technique for the treatment of orthopaedic pathologies. Small-joint arthroscopy evolved and, through direct visualization, enables diagnosis and immediate intra-articular lesions. The arthroscopic resection minimally invasive alternative open technique. We intend to describe technique, literature review, results surgical wrist volar synovial cysts. Methods Thirty-nine patients submitted cyst were included assessed in this...

Abstract Background We aim to measure the quality of life and clinical functional outcomes a patient who had undergone ligament reconstruction forearm interosseous membrane, using brachioradialis tendon more ulna distraction osteogenesis in treatment with multiple cartilaginous exostosis. Case Description present 11-year-old boy congenital deformity his right, dominant forearm,Type IIb by Masada classification. Distraction ulna, resection exostosis, distal part membrane was performed. One...

Apresentar os resultados clínico‐funcionais e a mensuração da qualidade de vida dos pacientes submetidos à artroplastia trapézio‐metacárpica. Avaliação prospectiva 45 53 polegares acometidos, com diagnóstico rizartrose idiopática ressecção interposição, o implante Ascension®, não cimentado, pirocarbono. Foram analisados clínico‐funcionais: análise radiográfica, arco movimento (ADM) em graus (°), dor (VAS: visual analogue score), (Dash: disability shoulder, arm, and hand questionnaire). No...