- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Sports injuries and prevention
- Pelvic and Acetabular Injuries
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Orthopaedic implants and arthroplasty
- Musculoskeletal synovial abnormalities and treatments
- Orthopedic Surgery and Rehabilitation
- Trauma Management and Diagnosis
- Tendon Structure and Treatment
- Knee injuries and reconstruction techniques
- Lower Extremity Biomechanics and Pathologies
- Musculoskeletal pain and rehabilitation
- Total Knee Arthroplasty Outcomes
- Sarcoma Diagnosis and Treatment
- Injury Epidemiology and Prevention
- Orthopedic Infections and Treatments
- Vascular Procedures and Complications
- Cervical and Thoracic Myelopathy
- Esophageal and GI Pathology
- Bone and Joint Diseases
- Bone Tumor Diagnosis and Treatments
- Hip disorders and treatments
- Stoma care and complications
University of Coimbra
2015-2024
Hospitais da Universidade de Coimbra
2015-2024
United Spinal Association
2024
Hospital da Luz
2023
Grant Medical Center
2018-2023
Universitat de Barcelona
2023
The Spine Institute
2022
Hospital do Divino Espírito Santo
2022
Instituto Federal do Piauí
2021
Centro Hospitalar do Porto
2021
It has increasingly been recognized that electrical currents play a pivotal role in cell migration and tissue repair, process named "galvanotaxis". In this review, we summarize the current evidence supporting potential benefits of electric stimulation (ES) physiology peripheral nerve repair (PNR). Moreover, discuss piezoelectric materials context. The use these deserved great attention, as movement body or external environment can be used to power internally properties devices for providing...
To present a retrospective study of 16 patients submitted to hip disarticulation. During the period years, who underwent disarticulation were identified. All them studied based on clinical records regarding gender, age at surgery, cause, postoperative complications, mortality rates and functional status after Hip was performed electively in most cases urgently only three cases. The indications had following origins: infection (n = 6), tumor trauma 3), ischemia 2). mean post-surgery survival...
Carcinomatous degeneration is a rare and late complication developing decades after the diagnosis of chronic osteomyelitis.To present results from retrospective study six cases squamous cell carcinoma arising osteomyelitis.Six osteomyelitis related to cutaneous were identified. The cause characteristics analyzed, as well time up malignancy, suspicion signs for localization histological type cancer, result treatment.The mean between onset malignant was 49.17 years (range: 32-65). resulted...
Apresentar um estudo retrospectivo em 16 pacientes submetidos a desarticulação da anca. Foram identificados anca ao longo de anos. Todos foram estudados por meio dos registos clínicos quanto sexo, idade na cirurgia, causa desarticulação, complicações no pós‐operatório, índices mortalidade e grau funcionalidade após A foi feita eletivamente maioria das situações apenas forma urgente três casos. As indicações tiveram as seguintes origens: infecção (n = 6), tumor 5), traumatismo 3) isquemia 2)....
A young soccer player was diagnosed with myositis ossificans 6 weeks after a muscle strain in the right thigh. Radiographic and sonographic investigations initially helped to confirm diagnosis later supported clinical improvement. We present our approach case discuss pathophysiology, prevention treatment of this rare condition.
Chondrosarcoma is a malignant cartilage-forming neoplasm. It difficult to treat because of resistance both chemotherapy and radiation, making wide local excision the only treatment. This report presents an active, 43 year-old man who was diagnosed with recurrent clear cell chondrosarcoma proximal left femur, previously reconstructed total hip prosthesis, extending weight-bearing dome acetabulum. Cancer staging study revealed no signs tumor dissemination at distance. Given excellent...
Objective This was a retrospective observational study in patients submitted to intramedullary nail fixation after established or impeding pathological humerus-shaft tumoral fracture the context of disseminated disease along 22 years experience at same institution. Methods Sample with 82 and 86 humeral fixations unreamed rigid interlocking static by antegrade retrograde approaches. Results The most prevalent primary tumors were breast carcinoma (30.49%), multiple myeloma (24.39%), lung...
Degeneração carcinomatosa é uma complicação rara e tardia que se desenvolve décadas após o diagnóstico de osteomielite crônica. Apresentar os resultados um estudo retrospectivo seis casos carcinoma espino‐celular em contexto Identificamos relacionados à A causa as características da foram analisadas, bem como tempo decorrido até transformação maligna, sinais suspeita malignização, a localização tipo histológico do câncer tratamento. O médio entre maligna foi 49,17 anos (intervalo: 32 65)....
Retrospective case-control study of authors experience in the modified Bristow-Latarjet procedure for treatment recurrent traumatic anterior glenohumeral dislocation with glenoid bone injury.Sample 102 cases submitted to procedure. Indications included situations instability more than two episodes and attritional or fragmentary injuries, without possibility reconstruction. Mean follow-up time was 5.33 ± 2.74 years (minimum 1; range 1-13).The mean Walch-Duplay Score at last evaluation 91.23...
Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and tendinopathy. The authors report case of 34-year-old man simultaneous bilateral the caused by minor trauma. patient retired basketball player no past complaints chronic knee pain history steroid use. Surgical management consisted in primary end-to-end repair protected temporarily cerclage wiring, followed short immobilization period intensive rehabilitation program. Five months after surgery, was...
ABSTRACT Current scientific evidence enhances the importance of anatomic restauration vertebral bodies with compression fractures aiming, as other human body joints, to obtain a biomechanic and functional spine close one prior fracture possible. We consider that reduction these is only completely possible using intravertebral expandable implants, restoring endplate morphology, enabling more adequate intervertebral disc healing. This enables avoiding osteodegenerative changes segment its...
Resumo Objetivo Estudo prospectivo controlado em pacientes com discopatia degenerativa submetidos a artrodese intersomática lombar anterior instrumentada combinada estabilização posterior. Métodos Amostra 64 consecutivos operados pelos mesmos cirurgiões ao longo de quatro anos. Metade das artrodeses foi efetuada dois níveis, 43,8% três níveis e 6,25% um nível. Foram usadas caixas intersomáticas parafusos integrados preenchidas matriz óssea proteína morfogenética 2. Resultados da amostra...
A epidemia de Coronavirus Disease 2019 disseminou-se globalmente em poucos meses, conduzindo a pandemia.Múltiplas medidas saúde pública foram implementadas nos países afetados para conter e mitigar disseminação da doença.A necessidade distanciamento social leva que esta pandemia tenha um impacto importante na sociedade particularmente no desporto, provocando cancelamento adiamento treinos, competições eventos.Neste artigo revemos as atualidades sobre COVID-19, descrevemos brevemente o...
This was a retrospective case-control study on total ruptures of the extensor apparatus knee, aimed to compare patella fractures with tendinous ruptures.The sample included 190 patients and 198 knee apparatus. All were evaluated by same examiner after minimum one-year follow-up.Tendinous occurred most frequently in men, younger patients, had better clinical functional outcomes when compared fractures; however, former presented higher levels thigh atrophy. Patella women older caused residual...
As rupturas bilaterais dos tendões patelares são uma entidade rara, muitas vezes associadas com doenças sistêmicas e tendinopatia patelar. Apresentamos um caso raro de homem 34 anos rotura bilateral simultânea causada por trauma leve. O paciente é jogador basquetebol aposentado, sem queixas dor crônica do joelho história consumo esteroides. tratamento cirúrgico consistiu na reparação tendinosa primária ponta a ponta, protegida temporariamente banda cerclage, seguida curto tempo imobilização...
Minimally invasive techniques used to augment the fractured vertebral body have acquired popularity thanks their capacity stabilize anterior spine via percutaneous posterior pathway.We present a clinical case of 50-year-old male patient with traumatic complete burst fracture L1 treated by laminectomy, pedicle instrumentation D11-D12-L2-L3 and indirect reduction, followed direct reduction armed kyphoplasty stents filled bone graft. We describe details surgical technique, as well imaging...
This study aims to describe the surgical approach such injuries and present clinical functional outcomes obtained in a cohort of patients.This is an observational retrospective that included 153 patients with acute acromioclavicular joint dislocation, operated between 1999 2015. Clinical evaluation following outcomes: Constant scale, development complications, time return previous work/sport activities, satisfaction index. The contra-lateral (uninjured) shoulder was used as control...
As rupturas bilaterais do tendão extensor joelho são raras e só foram publicadas na forma de relatos casos ou pequenas séries. Sete pacientes (14 joelho) avaliados pelo mesmo examinador após um período mínimo ano pós‐operatório. Foram feitas avaliações clínicas radiográficas. Para a análise estatística, o nível significância foi fixado em 0,05. A lesão mais comum ruptura patelar (n = 9; 64,29%) seguida quadríceps 5, 35,71%). intrassubstância localização acometida (57,15%), pela junção...
Estudo retrospectivo sobre a experiência dos autores na operação de Bristow‐Latarjet modificada como tratamento da luxação glenoumeral anterior traumática recidivante com lesão óssea glenoidea. Amostra 102 casos luxações glenoumerais submetidos à cirurgia modificada. As indicações foram situações instabilidade número episódios superior dois e glenoide erosiva ou fragmentária, sem possibilidade reconstrução. O tempo seguimento médio foi 5,33 ± 2,74 anos (mínimo 1; intervalo 1‐13). escore...
As luxações unilaterais tibiofemurais do joelho são incomuns, o que torna as bilaterais ainda mais raras. A luxação é considerada um dos ferimentos graves nessa articulação. complicações associadas, tais como a lesão da artéria poplítea, responsáveis pela importante morbidade observada nesses pacientes. Os autores relatam caso de homem 52 anos com traumática bilateral associada políptea. O estudo descreve apresentação clínica e os achados radiográficos angiográficos. tratamentos cirúrgico...
Bilateral extensor tendon ruptures of the knee are rare and have only been published in form case reports or small series. Seven patients corresponding to 14 were evaluated by same examiner after a minimum one year post-surgery. Clinical radiographic evaluations performed; for statistical analysis, level significance was set at 0.05. The most common injury patellar rupture (n = 9; 64.29%) followed quadriceps 5, 35.71%). intrasubstance affected location (57.15%), myotendinous junction...
Estudo retrospectivo sobre roturas totais do aparelho extensor joelho que compara as fraturas da patela com tendinosas. Amostra 190 pacientes e 198 joelho. O tempo mínimo de seguimento após a cirurgia foi um ano todos os foram avaliados clínica radiologicamente pelo mesmo médico. As tendinosas ocorrem mais frequentemente em homens, novos estão associadas níveis clínico‐funcionais superiores relação às patela. No entanto, atrofia coxa frequente. patelares mulheres idade avançada provocam dor...
Tibiofemoral unilateral knee dislocations are uncommon, making bilateral even rarer injuries. Knee dislocation is considered one of the most serious injuries that can affect this joint. Associated complications such as popliteal artery injury responsible for important morbidity in these patients. The authors report case a 52-year-old man with traumatic associated arterial injury. His clinical presentation along radiographic and angiographic findings described. Surgical non-surgical treatment...