Base de dados : MEDLINE
Pesquisa : A02.835.232.043.300.492 [Categoria DeCS]
Referências encontradas : 3069 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 307 ir para página                         

  1 / 3069 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29308853
[Au] Autor:Bobrov DS; Slinjakov LJ; Rigin NV
[Ti] Título:The Primary Metatarsalgia: Pathogenesis, Biomechanics and Surgical Treatment.
[So] Source:Vestn Ross Akad Med Nauk;72(1):53-8, 2017.
[Is] ISSN:0869-6047
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:This paper presents a comprehensive review on the current concept of the diagnosis and treatment of central metatarsalgia on the basis of medical literature analyses. Metatarsalgia is the term for pain in the forefoot. This is a set of symptoms corresponding to a wide range of diseases. Central metatarsalgia is a kind of metatarsalgia which arises from structural-functional changes that lead to excessive pressure in the area of metatarsal heads. The data analysis demonstrated that presently various types of osteotomies of metatarsal bones are the main surgical treatment options with the chance of complication ranging from 6 to 50%. Weil-osteotomy is known to be the most popular type of osteotomy for treatment of central metatarsalgia. The most common complication of Weil-osteotomy is floating toe, the one that doesn't contact with the supporting surface. In case Weil-osteotomy and intraphalangeal arthrodesis with trans acticular fixation are both performed, the complication of floating toe increases up to 50%. When Weil osteotomy, plantar plate repair, extensor digitorum longum tendon lengthening and triple Weil-osteotomy are performed simultaneously, the complication rate is 15% approximately which is much lower. Using combined osteotomy techniques as well as taking into account structural-functional pathologic changes of the forefoot and ligaments repair of metatarsalphalangeal joint will ensure the most successful development of surgical treatment techniques for central metatarsalgia.
[Mh] Termos MeSH primário: Artrodese/métodos
Metatarsalgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Ossos do Metatarso/diagnóstico por imagem
Ossos do Metatarso/cirurgia
Metatarsalgia/diagnóstico
Metatarsalgia/cirurgia
Articulação Metatarsofalângica/diagnóstico por imagem
Articulação Metatarsofalângica/cirurgia
Radiografia/métodos
Articulações Tarsianas/diagnóstico por imagem
Articulações Tarsianas/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180109
[St] Status:MEDLINE
[do] DOI:10.15690/vramn756


  2 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29201305
[Au] Autor:Kim JS; Cho HK; Young KW; Kim JS; Lee KT
[Ad] Endereço:Surgery of Foot and Ankle, Department of Orthopedic Surgery, CM Chungmu General Hospital, Seoul, Korea.
[Ti] Título:Biomechanical Comparison Study of Three Fixation Methods for Proximal Chevron Osteotomy of the First Metatarsal in Hallux Valgus.
[So] Source:Clin Orthop Surg;9(4):514-520, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background: Fixation of proximal chevron metatarsal osteotomy has been accomplished using K-wires traditionally and with a locking plate recently. However, both methods have many disadvantages. Hence, we developed an intramedullary fixation technique using headless cannulated screws and conducted a biomechanical study to evaluate the superiority of the technique to K-wire and locking plate fixations. Methods: Proximal chevron metatarsal osteotomy was performed on 30 synthetic metatarsal models using three fixation techniques. Specimens in group I were fixated with K-wires (1.6 mm × 2) and in group II with headless cannulated screws (3.0 mm × 2) distally through the intramedullary canal. Specimens in group III were fixated with a locking X-shaped plate (1.3-mm thick) and screws (2.5 mm × 4). Eight metatarsal specimens were selected from each group for walking fatigue test. Bending stiffness and dorsal angulation were measured by 1,000 repetitions of a cantilever bending protocol in a plantar to dorsal direction. The remaining two samples from each group were subjected to 5 mm per minute axial loading to assess the maximal loading tolerance. Results: All samples in group I failed walking fatigue test while group II and group III tolerated the walking fatigue test. Group II showed greater resistance to bending force and smaller dorsal angulation than group III ( = 0.001). On the axial loading test, group I and group II demonstrated superior maximum tolerance to group III (54.8 N vs. 47.2 N vs. 28.3 N). Conclusions: Authors have demonstrated proximal chevron metatarsal osteotomy with intramedullary screw fixation provides superior biomechanical stability to locking plate and K-wire fixations. The new technique using intramedullary screw fixation can offer robust fixation and may lead to better outcomes in surgical treatment of hallux valgus.
[Mh] Termos MeSH primário: Fixação Intramedular de Fraturas/métodos
Hallux Valgus/cirurgia
Fixadores Internos
Ossos do Metatarso/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Fenômenos Biomecânicos
Placas Ósseas
Parafusos Ósseos
Fios Ortopédicos
Fixação Intramedular de Fraturas/instrumentação
Seres Humanos
Teste de Materiais
Modelos Anatômicos
Falha de Prótese
Estresse Mecânico
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.4055/cios.2017.9.4.514


  3 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29209416
[Au] Autor:Pritchard NS; Smoliga JM; Nguyen AD; Branscomb MC; Sinacore DR; Taylor JB; Ford KR
[Ad] Endereço:Department of Physical Therapy, High Point University, High Point, NC USA.
[Ti] Título:Reliability of analysis of the bone mineral density of the second and fifth metatarsals using dual-energy x-ray absorptiometry (DXA).
[So] Source:J Foot Ankle Res;10:52, 2017.
[Is] ISSN:1757-1146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: Metatarsal fractures, especially of the fifth metatarsal, are common injuries of the foot in a young athletic population, but the risk factors for this injury are not well understood. Dual-energy x-ray absorptiometry (DXA) provides reliable measures of regional bone mineral density to predict fracture risk in the hip and lumbar spine. Recently, sub-regional metatarsal reliability was established in fresh cadaveric specimens and associated with ultimate fracture force. The purpose of this study was to assess the reliability of DXA bone mineral density measurements of sub-regions of the second and fifth metatarsals in a young, active population. Methods: Thirty two recreationally active individuals participated in the study, and the bone density of the second (2MT) and fifth (5MT) metatarsals of each subject was measured using a Hologic QDR x-ray bone densitometer. Scans were analyzed separately by two raters, and regional bone mineral density, bone mineral content, and area measurements were calculated for the proximal, shaft, and distal regions of the bone. Intra-rater, inter-rater, and scan-rescan reliability were then determined for each region. Results: Proximal and shaft bone mineral density measurements of the second and fifth metatarsal were reliable. ICC's were variable across regions and metatarsals, with the distal region being the poorest. Conclusions: Bone mineral density measurements of the metatarsals may be a better indicator of fracture risk of the metatarsals than whole body measurements. A reliable method for measuring the regional bone mineral densities of the metatarsals was found. However, inter-rater reliability and scan-rescan reliability for the distal regions were poor. Future research should examine the relationship between DXA bone mineral density measurements and fracture risk at the metatarsals.
[Mh] Termos MeSH primário: Absorciometria de Fóton/métodos
Densidade Óssea/fisiologia
/diagnóstico por imagem
Ossos do Metatarso/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
/patologia
Traumatismos do Pé/diagnóstico por imagem
Fraturas Ósseas/diagnóstico por imagem
Fraturas de Estresse
Seres Humanos
Masculino
Ossos do Metatarso/metabolismo
Ossos do Metatarso/patologia
Reprodutibilidade dos Testes
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1186/s13047-017-0234-1


  4 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28865595
[Au] Autor:Giotis D; Paschos NK; Mantellos G
[Ad] Endereço:Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece.
[Ti] Título:Modified Chevron osteotomy for hallux valgus deformity in female athletes. A 2-year follow-up study.
[So] Source:Foot Ankle Surg;23(3):212-213, 2017 09.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Mh] Termos MeSH primário: Atletas
Hallux Valgus/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Seres Humanos
Ossos do Metatarso/cirurgia
Osteotomia
Resultado do Tratamento
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170904
[St] Status:MEDLINE


  5 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28865594
[Au] Autor:Peters A; Lobo J; Homan S
[Ad] Endereço:OCON Centre for Orthopedie Surgery and Sports Medicine, Hengelo, The Netherlands. Electronic address: a.peters@ocon.nl.
[Ti] Título:Modified Chevron osteotomy for hallux valgus deformity in female athletes. A 2-year follow-up study.
[So] Source:Foot Ankle Surg;23(3):211, 2017 09.
[Is] ISSN:1460-9584
[Cp] País de publicação:France
[La] Idioma:eng
[Mh] Termos MeSH primário: Atletas
Hallux Valgus/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Seres Humanos
Ossos do Metatarso/cirurgia
Osteotomia
Resultado do Tratamento
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170904
[St] Status:MEDLINE


  6 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28724849
[Au] Autor:Kataoka T; Kodera N; Takai S
[Ad] Endereço:Department of Orthopaedics, Nippon Medical School.
[Ti] Título:The Ilizarov Mini-External Fixator for the Treatment of First Metatarsal Fracture: A Case Report.
[So] Source:J Nippon Med Sch;84(3):144-147, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Forefoot fractures are frequently accompanied by severe soft tissue damage. Therefore, treatment should focus not only on fractures but also on soft tissue damage, for which external fixation can be used as a surgical option. A 63-year-old woman presented to the emergency clinic of our hospital with forefoot pain after a motorcycle accident. Comminuted fracture of the proximal part of the metatarsal was diagnosed. Because of the swollen foot and fracture comminution, an operation using the Ilizarov mini external fixator was performed to prevent further damage to the soft tissue. Weight-bearing was permitted seven weeks after the operation, and the extraction of the apparatus was performed nine weeks postoperatively. One year later, the patient had no pain and had returned to ballroom dancing, a hobby which she performed five days a week, with no difficulties. Our results suggest that the Ilizarov mini external fixator should be considered not only for temporary treatment, but also for the entire duration of treatment of first metatarsal fractures associated with severe soft tissue damage.
[Mh] Termos MeSH primário: Fixação de Fratura/instrumentação
Fraturas Ósseas/cirurgia
Ossos do Metatarso/lesões
[Mh] Termos MeSH secundário: Acidentes de Trânsito
Feminino
Fraturas Ósseas/complicações
Seres Humanos
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos
Treinamento de Resistência
Lesões dos Tecidos Moles/etiologia
Lesões dos Tecidos Moles/prevenção & controle
Lesões dos Tecidos Moles/terapia
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.144


  7 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28538416
[Au] Autor:Kurata A; Nishida J; Koyama T; Miki T; Hashimoto H; Yamamoto K; Kuroda M
[Ad] Endereço:aDepartment of Molecular Pathology bDepartment of Orthopedics cDepartment of Safe Management, Tokyo Medical University dDepartment of Diagnostic Pathology, NTT Medical Center, Tokyo, Japan.
[Ti] Título:Case report of 2 sudden deaths after surgery for bone fracture: Usefulness of immunohistochemical analysis of coronary artery for identifying acute myocardial infarction.
[So] Source:Medicine (Baltimore);96(21):e7006, 2017 May.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Death following orthopedic surgery has become rare, but does occur. Acute myocardial infarction (AMI) can be a cause of such death, but diagnosis of AMI is often challenging, even by autopsy. PATIENT CONCERNS: We have recently experienced 2 cases of sudden death after bone fracture surgery, in which AMI and pulmonary thromboembolism were clinically suspected as causes of death. Case 1 was a 60-year-old male with a history of diabetes mellitus who died 7 days after surgery for Lisfranc dislocation fracture. Case 2 was a 75-year-old female who died several hours after surgery for proximal femur fracture. DIAGNOSES: At autopsy, slight myocardial change suggestive of AMI, severe coronary stenosis, and pulmonary congestion were noted in case 1. No signs for AMI were observed, but diffuse fat emboli were identified in the pulmonary vasculature in Case 2. Thus, postmortem pathological diagnosis was AMI in case 1 and it was suggestive of fat emboli in case 2. INTERVENTIONS: Immunohistochemical analysis of smooth muscle markers in the coronary artery was performed in both cases. OUTCOMES: The positivity ratio of h-caldesmon to α-smooth muscle actin indicative of maturity of neointimal smooth muscle cells was preserved in case 2 but diminished in case 1, where coronary occlusion may have been caused via plaque rupture. LESSONS: Immunostaining of smooth muscle markers in the coronary artery may serve as a supporting tool in establishing or disregarding AMI at autopsy.
[Mh] Termos MeSH primário: Morte Súbita
Fraturas do Fêmur/cirurgia
Ossos do Metatarso/lesões
Ossos do Metatarso/cirurgia
Infarto do Miocárdio/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Autopsia
Biomarcadores/análise
Vasos Coronários/química
Vasos Coronários/patologia
Complicações do Diabetes
Embolia Gordurosa/diagnóstico
Embolia Gordurosa/imunologia
Embolia Gordurosa/patologia
Evolução Fatal
Feminino
Fraturas do Fêmur/complicações
Seres Humanos
Imuno-Histoquímica
Masculino
Meia-Idade
Músculo Liso Vascular/química
Músculo Liso Vascular/patologia
Infarto do Miocárdio/imunologia
Infarto do Miocárdio/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170629
[Lr] Data última revisão:
170629
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007006


  8 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28508917
[Au] Autor:Kornmayer M; Matis U
[Ad] Endereço:Dr. Matthias Kornmayer, Chirurgische und Gynäkologische Kleintierklinik, Zentrum für Klinische Tiermedizin, Ludwig-Maximilians-Universität München, Veterinärstraße 13, 80539 München, E-Mail: Matthias.Kornmayer@gmx.de.
[Ti] Título:[Dowel pinning for metacarpal and metatarsal fractures in dogs].
[Ti] Título:Markraumbolzung bei Metakarpal- und Metatarsalfrakturen des Hundes..
[So] Source:Tierarztl Prax Ausg K Kleintiere Heimtiere;45(3):154-162, 2017 Jun 20.
[Is] ISSN:1434-1239
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:OBJECTIVE: To evaluate a dowel pinning technique for metacarpal and metatarsal fractures in dogs. MATERIAL AND METHODS: Medical records of 13 dogs with complete clinical and radiographic follow-up examinations after a median observation time of 5 months were evaluated retrospectively. Assessment included fracture data, number of stabilized bones versus number of fractured bones and parameters of internal fixation including postoperative axial alignment and position of implants assessed on serial radiographs. Complications during the healing period and the final radiographic and functional outcome were analysed in relation to the details of fracture fixation. RESULTS: Most dogs in this study (mean age: 2.9 years, mean weight: 9.9 kg) had fractures of three or four bones, and fractures were closed in all but one dog. All fractures involved the metacarpal/metatarsal body, and all but five were transverse. The size of Kirschner wires used for dowel pinning ranged from 0.8 to 2.0 mm, and the length in relation to bone length ranged from 39 to 91%. Axial alignment of internal fixation was and remained anatomically correct and the dowel pins remained in place in all but one dog. This dog had open metatarsal fractures and dowel pinning was contraindicated. Additionally, the Kirschner wires perforated the cortex of the proximal segments, which resulted in implant migration, malunion and residual lameness. The other dogs achieved complete functional union even though seven of 13 dogs developed radiographic signs of synostosis. CLINICAL SIGNIFICANCE: Although the number of dogs in this study was small, dowel pinning was shown to be technically straightforward, inexpensive and effective for surgical repair of canine metacarpal and metatarsal bone fractures. Further studies should focus on the need for and duration of additional external coaptation.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Fixação Interna de Fraturas/veterinária
Fraturas Ósseas/veterinária
Ossos Metacarpais/cirurgia
Ossos do Metatarso/cirurgia
[Mh] Termos MeSH secundário: Animais
Doenças do Cão/diagnóstico por imagem
Cães
Fixação Interna de Fraturas/instrumentação
Fixação Interna de Fraturas/métodos
Fraturas Ósseas/diagnóstico por imagem
Fraturas Ósseas/cirurgia
Ossos Metacarpais/diagnóstico por imagem
Ossos do Metatarso/diagnóstico por imagem
Radiografia/veterinária
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170517
[St] Status:MEDLINE
[do] DOI:10.15654/TPK-160948


  9 / 3069 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28482680
[Au] Autor:Watson GI; Karnovsky SC; Konin G; Drakos MC
[Ad] Endereço:1 Vanderbilt University Medical Center, Franklin, TN, USA.
[Ti] Título:Optimal Starting Point for Fifth Metatarsal Zone II Fractures: A Cadaveric Study.
[So] Source:Foot Ankle Int;38(7):802-807, 2017 Jul.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally accepted starting point for the fifth metatarsal is "high and inside" to accommodate the fifth metatarsal's dorsal apex and medial curvature. We used a retrograde technique to identify the optimal starting position for intramedullary fixation of fifth metatarsal fractures. METHODS: Five matched cadaveric lower extremity pairs were dissected to the fifth metatarsal neck. An osteotomy was made to access the intramedullary canal. A retrograde reamer was passed to the base of the fifth metatarsal to ascertain the ideal entry point. Distances from each major structure on the lateral aspect of the foot were measured. Computed tomography scans helped assess base edge measurements. RESULTS: In 6 of 10 specimens, the retrograde reamer hit the cuboid with a cuboid invasion averaging 0.7 mm. The peroneus brevis and longus were closest to the starting position with an average distance of 5.1 mm and 5.7 mm, respectively. Distances from the entry point to the dorsal, plantar, medial, and lateral edges of the metatarsal base were 8.3 mm, 6.9 mm, 9.7 mm, and 9.7 mm, respectively. CONCLUSION: Optimal starting position was found to be essentially at the center of the base of the fifth metatarsal at the lateral margin of the cartilage. Osteoplasty of the cuboid or forefoot adduction may be required to gain access to this site. CLINICAL RELEVANCE: This study evaluated the ideal starting position for screw placement of zone II base of the fifth metatarsal fractures, which should be considered when performing internal fixation for these fractures.
[Mh] Termos MeSH primário: Traumatismos do Pé/cirurgia
Fraturas Ósseas/cirurgia
Ossos do Metatarso/cirurgia
Tíbia/fisiologia
[Mh] Termos MeSH secundário: Traumatismos do Tornozelo/complicações
Parafusos Ósseos/efeitos adversos
Fixação Interna de Fraturas/efeitos adversos
Seres Humanos
Músculo Esquelético/fisiologia
Ossos do Tarso/fisiologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1177/1071100717702688


  10 / 3069 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28481627
[Au] Autor:Vosbikian M; O'Neil JT; Piper C; Huang R; Raikin SM
[Ad] Endereço:1 Department of Orthopaedic Surgery, Rutgers-New Jersey Medical School, Newark, NJ, USA.
[Ti] Título:Outcomes After Percutaneous Reduction and Fixation of Low-Energy Lisfranc Injuries.
[So] Source:Foot Ankle Int;38(7):710-715, 2017 Jul.
[Is] ISSN:1944-7876
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Lisfranc injuries are often missed initially or not anatomically reduced, leading to midfoot collapse, arthrosis, and pain. Operative management of these injuries is also fraught with complications, particularly with respect to the soft tissues. Wound dehiscence and infection are not uncommon. The goal of this study was to analyze the outcomes of a minimally invasive technique in reduction and percutaneous fixation of low-energy minimally displaced Lisfranc injuries and determine if it is a safe alternative to more traditional, open approaches. METHODS: A retrospective review was performed for all patients who underwent minimally invasive Lisfranc treatment at a single institution over a 6-year period. Thirty-eight patients were identified in this series. All patients were skeletally mature and had a minimum follow-up of 3 years. Patients were assessed clinically and radiographically, in addition to undertaking patient-centric outcome scoring using the Foot and Ankle Ability Measure (FAAM) activities of daily living (ADL) and sports subscales at a mean follow-up of 66 months (range, 36-100). Patients were also asked to subjectively rate their percentage return to preinjury functional level at the time of final follow-up. There were 20 males and 18 females. Seventeen patients were injured participating in sports-related activities, 19 during falls, and 2 as a result of motor vehicle accidents. The average age at the time of surgery was 34.2 (range, 16-69) years. At final follow-up, 31 patients were available for assessment (81.6%). RESULTS: The mean FAAM-ADL score was 94.2 (range, 40.5-100), and sports score was 90.4 (range, 0-100). Percentage recovery compared to their preinjury functional level averaged 91.4% (range, 40%-100%). There were no complications in this series. Twenty-two patients underwent screw removal electively at an average of 6.9 months following the index procedure. No patients had undergone any additional operative procedures, or had any objective evidence of midfoot collapse or arthritis at the time of final follow-up. CONCLUSION: Minimally invasive methods of treating low-energy Lisfranc injuries with less soft tissue stripping and disruption, as described in this series, were a valuable tool to optimize outcomes while minimizing the potential morbidity of more traditional, open techniques. LEVEL OF EVIDENCE: Level IV, retrospective case series.
[Mh] Termos MeSH primário: Artrodese/métodos
Fixação Interna de Fraturas/métodos
Fraturas Ósseas/fisiopatologia
Luxações Articulares/fisiopatologia
Osteoartrite/cirurgia
[Mh] Termos MeSH secundário: Atividades Cotidianas
Parafusos Ósseos
Feminino
Seres Humanos
Masculino
Ossos do Metatarso
Osteoartrite/fisiopatologia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1177/1071100717706154



página 1 de 307 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde