- Foot and Ankle Surgery
- Diabetic Foot Ulcer Assessment and Management
- Orthopedic Surgery and Rehabilitation
- Lower Extremity Biomechanics and Pathologies
- Tendon Structure and Treatment
- Wound Healing and Treatments
- Bone fractures and treatments
- Musculoskeletal synovial abnormalities and treatments
- Nail Diseases and Treatments
- Botulinum Toxin and Related Neurological Disorders
- Reconstructive Surgery and Microvascular Techniques
- Elbow and Forearm Trauma Treatment
- Shoulder Injury and Treatment
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Youth, Drugs, and Violence
- Myofascial pain diagnosis and treatment
- Prosthetics and Rehabilitation Robotics
- Dupuytren's Contracture and Treatments
- Knee injuries and reconstruction techniques
- Neurogenetic and Muscular Disorders Research
- Tribology and Wear Analysis
- Facial Rejuvenation and Surgery Techniques
- Healthcare Regulation
- Orthopedic Infections and Treatments
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2009-2024
Universidade de São Paulo
2013-2023
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...
One of the most common gold standards for treatment Charcot neuroarthropathy (CN) in early Eichenholtz stages I and II is immobilization with total contact casting lower limb offloading. However, amount offloading still debatable.This study evaluates clinical radiographic findings CN (Eichenholtz II) a walker boot immediate weight-bearing status.Twenty-two patients type 2 diabetes mellitus (DM) were selected non-operative treatment. All educated about their condition, full weight bearing was...
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...
INTRODUÇÃO: A articulação atlantoaxial possui mecanismos estabilizadores C1-C2, ligamentares, ósseos e capsulares, mantendo a relação anatômica adequada entre C1 C2. falha, traumática ou atraumática, isolada um conjunto destes leva à instabilidade atlantoaxial, podendo culminar em alterações neurológicas, dor limitação da mobilidade cervical. Casos com déficit neurológico de moderada grave, são passíveis tratamento cirúrgico. Desde 1910 inúmeras técnicas estabilização cirúrgica C1-C2...
Flexible cavovarus deformity is prevalent and the Coleman block test frequently used to assess first ray plantarflexion malpositioning in overall as well flexibility of hindfoot. The objective was compare weightbearing computed tomography (WBCT) 3-dimensional (3D) changes clinical bone alignment flexible patients when performing compared normal standing position controls.
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...
Objective: Compare the real need for rest of chronic plantar fasciitis patients with leave absence time and criteria used by national international technical medical expert examination manuals. Methods: We conducted a review literature from 2013 to 2018, selecting only randomized controlled clinical trials on treatment fasciitis. National manuals were also selected. The was then compared recommended Results: Of six articles selected, we ascertained that three evaluating second-line managed...
Tarsal coalition is an abnormal connection between tarsal bones, caused by embryogenic failure. Its most common forms are calcaneonavicular and talocalcaneal coalition, which present in 53% 37% of the cases, respectively. The onset symptoms related to bone ossification, mean age for this event estimated at 16 years coalition. Surgical treatment indicated patients who did not improve with conservative treatment. aim study a surgical technique as option resection associated cuboid-navicular...
To describe and quantify the complications arising in consecutive neuropathic patients undergoing partial longitudinal amputations of foot.A retrospective study was conducted with data collected from medical records monitored at Insensitive Foot Clinic Ankle Group our institution who underwent amputation foot rays 2000 to 2016.A total 28 met inclusion criteria, a 31 amputated/partially amputated feet. Of these, 18 (58.1%) feet were due diabetes, seven (22.6%) leprosy, two (6.5%) alcoholic...
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.
Category: Ankle; Sports Introduction/Purpose: A ligament-centered analysis is currently incorporated in the assessment of joint stability malleolar fractures. Although several imaging tests are available, setting acute isolated non-displaced posterior fractures Bartoníček/Rammelt types II and IV diagnosing syndesmotic instability remains challenging. The objective this multi-center cross- sectional study was to evaluate fracture using conventional ankle CT with external rotation dorsiflexion...
Objective: The main objective of this study is to describe the preliminary results modified osteotomy with elevation first metatarsal repair cavovarus foot deformities. Methods: In a five-case series, radiographic findings related ray were analysed.Results: Five patients who underwent followed up for minimum six months. One hundred percent consolidation rates observed, no complications materials, such as screw breakage, loosening and/or pseudoarthrosis (0% cases), regardless age and gender....