Introdução: A hipovitaminose D é um problema global que associado a distúrbios ósseos como osteopenia e osteomalácia. Sua influência na cicatrização óssea pode impactar procedimentos ortopédicos, incluindo artrodese de tornozelo, utilizada no tratamento da osteoartrose avançada. O objetivo deste estudo foi analisar relação entre os desfechos pseudoartrose soltura do implante após tornozelo. Metodologia: Estudo retrospectivo observacional utilizando dados extraídos plataforma internacional...

Objective: Amputating a limb during childhood is rare yet significant event often perceived as catastrophe by families and subsequently the child. A multidisciplinary team, including wound care, rehabilitation, prosthesis fitting specialists, plays crucial role in managing these patients. The objective of this study to retrospectively evaluate transtibial amputations performed on children aiming assess percentage individuals who developed symptomatic spurs after initial amputation procedure....

Early detection of Lisfranc instability is critical for improving clinical outcomes, but diagnosing subtle injury can be challenging. Magnetic Resonance imaging associated with weight-bearing computed tomography (WBCT) allows evaluation such injuries in 3 dimensions (3D) under physiologic load. This WBCT technical tip aimed to assess the utility 3D measurements between medial cuneiform and base second metatarsal (C1-M2), intermediate cuneiforms (C1-C2), first metatarsals (M1-M2) diagnose...

To introduce a new model of telescopic intramedullary rod (TIR), evaluate its effects on treating patients presenting with moderate and severe osteogenesis imperfecta (OI) to compare the findings those other rods.A total 21 (nine girls 12 boys; mean age at first operation, 6.6 years, 1.52 13.18) who underwent 52 femoral operations were monitored during 9.96 years (3.39 14.54). Patient characteristics, telescoping capability complications examined.According Sillence classification, we...

Tibiotalocalcaneal arthrodesis is a well-established procedure to treat some hindfoot diseases. Currently, the most used implants are retrograde intramedullary nails and locking plates combined with lag screws, but there few articles comparing differences regarding complications.We have retrospectively analyzed medical records radiographs of patients older than 18 years who underwent this in our service between 2005 2019 through or lateral compression screws at least 12 months follow-up no...

Hallux valgus (HV) is a common cause of pain and deformity the forefoot. Minimally invasive chevron Akin (MICA) bunionectomy method for HV correction associated with less swelling, early return to weightbearing in regular shoe. The purpose this study was determine how MICA procedure affects forefoot width.Twenty-eight patients (26 female, 2 male; 9 left, 19 right) at single institution who underwent primary by 3 treating surgeons were retrospectively reviewed. Pre- postoperative hallux angle...

Introdução: as medidas radiográficas são utilizadas para indicar e programar procedimentos ortopédicos no antepé, bem como seguimento pós-operatório. Com isso, muitas vezes é necessário avaliar se houve alteração alinhamento sagital do primeiro metatarso (1M). O objetivo desse estudo foi analisar a confiabilidade inter intraobservador das angulares avaliação 1M. Secundariamente, o tipo anatômico pé interfere na medições. Métodos: foram todas aquelas encontradas literatura, tais como: ângulo...

Adult tendons are highly differentiated. In mature individuals, tendon healing after an injury occurs through fibrotic tissue formation. Understanding the intrinsic reparative properties of fetal would help to understand maturation process and repair. The present study evaluated evolution histoarchitecture, cellularity distribution collagens I, III V in posterior tibial human fetuses at different gestational ages. Morphological profiles were assessed nine fresh spontaneously aborted (Group...

A hemofilia do tipo B afeta normalmente pacientes com história familiar positiva para a doença e se apresenta quadro clínico típico. No presente caso, no entanto, o diagnóstico deu em um paciente fora da idade típica, sem histórico de doenças hematológicas diferente habitual. Type hemophilia usually affects patients with family history of this disease and has typical clinical picture. However, in the present case it appeared patient outside age hematologic malignancies an unusual

The distal leg joint fractures are among the most common in humans across all age groups, and 50% of them require surgical treatment. Few studies discuss epidemiology costs this fracture global national literature.To evaluate annual incidence reimbursement value requiring treatment from 2008 to 2021.A retrospective study was conducted analyze complex structured data high volume variability (Big Data), publicly available on TabNet platform (DATASUS), via software with artificial intelligence....

The number of total ankle arthroplasties has increased in recent years with the improvement implants and advanced attempts to maintain movement. However, this technique presents complications, such as aseptic loosening infection, requiring revision surgery. In scenario, conversion by tibiotalar or tibiotalocalcaneal arthrodesis is highly accepted can be performed external fixators, intramedullary rods, screws, locking plates. This article shows resolution a case fixed plate associated bone...

The treatment of severe lesions peroneus longus and brevis tendons is a challenge for orthopedists, little described in theliterature about the epidemiology. Most articles focus on single lesion one tendons, rarely describing what to do whenboth are severely ill. This case report will show discuss surgical technique when both injured. Level Evidence III; Case Report Literature Review.

The use of minimally invasive techniques in the treatment primary Achilles rupture has become more popular past few decades as they have been associated with a lower wound complication rate. Most demand procedure-specific instruments and are designed mainly for midsubstance lesions. This article aims to present novel technique tendon repair that can be used both insertional ruptures, using mini-incision no special required. Level Evidence: Diagnostic V.

Type B hemophilia usually affects patients with a family history of this disease and has typical clinical picture. However, in the present case it appeared patient outside age no hematologic malignancies an unusual picture.A hemofilia do tipo afeta normalmente pacientes com história familiar positiva para doença e se apresenta quadro clínico típico. No presente caso, entanto, o diagnóstico deu em um paciente fora da idade típica, sem histórico de doenças hematológicas diferente habitual.

Objective: Evaluate the effect of SARS-CoV-2 pandemic in two years since it started. Methods: Retrospective study to analyze complex structured data set high volume and variability (Big Data) publicly available on TabNet platform (DATASUS) through artificial intelligence software. The results foot ankle fractures, all lower limb body fractures were analyzed comparatively from 2018-2019 2020-2021. Result: isolated fibula fracture suffered greatest decrease 2020, malleolar presented highest...

Objective: To determine the microbiological profile and antimicrobial susceptibility patterns of organisms isolated from chronic osteomyelitis secondary to neuropathic foot ulcers; secondarily, describe clinical outcomes 52 patients admitted a referral center. Methods: Retrospectively chart review with clinically infected ulcers our service for treatment between 2005 2013. Tissue samples were collected culture at operating room after extensive debridement in order infectious agents their...