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[PMID]:29191846
[Au] Autor:David M; Rangaraju M; Raine A
[Ad] Endereço:The Royal Orthopaedic Hospital, Birmingham, UK michaeldavid@nhs.net.
[Ti] Título:Acquired triggering of the fingers and thumb in adults.
[So] Source:BMJ;359:j5285, 2017 11 30.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Deformidades Adquiridas da Mão/patologia
Deformidades Articulares Adquiridas/patologia
Tenossinovite/patologia
Polegar/patologia
Dedo em Gatilho/patologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Inglaterra/epidemiologia
Feminino
Deformidades Adquiridas da Mão/etiologia
Deformidades Adquiridas da Mão/cirurgia
Seres Humanos
Injeções Subcutâneas
Liberação da Cápsula Articular/métodos
Deformidades Articulares Adquiridas/etiologia
Deformidades Articulares Adquiridas/cirurgia
Masculino
Meia-Idade
Estudos Observacionais como Assunto
Prevalência
Atenção Primária à Saúde/estatística & dados numéricos
Esteroides/administração & dosagem
Esteroides/uso terapêutico
Tenossinovite/etiologia
Polegar/cirurgia
Dedo em Gatilho/tratamento farmacológico
Dedo em Gatilho/etiologia
Dedo em Gatilho/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Steroids)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5285


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[PMID]:29201306
[Au] Autor:Kim HT; Can LV; Ahn TY; Kim IH
[Ad] Endereço:Department of Orthopaedic Surgery and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
[Ti] Título:Analysis of Radiographic Parameters of the Forearm in Traumatic Radial Head Dislocation.
[So] Source:Clin Orthop Surg;9(4):521-528, 2017 Dec.
[Is] ISSN:2005-4408
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Background: Various deformities can occur in the forearm bones when the traumatically dislocated radial head is untreated for a long period. Without correction of all deformities, reduction of the dislocated radial head is difficult to maintain, and forearm and elbow motion will deteriorate after reduction. We evaluated radiographic parameters of forearms with traumatically dislocated radial heads (and of the normal sides) to understand the resulting deformities and the effectiveness of surgical treatment. Methods: We analyzed pre- and postoperative anteroposterior and lateral radiographs of 22 forearms (22 patients) with traumatic radial head dislocation. We divided the forearm into three equal parts and measured various morphological parameters. All patients underwent surgical treatment and evaluation of radial head reduction and range of motion pre- and postoperatively. Results: Before treatment, the middle of the ulna was significantly different from the unaffected side in both anteroposterior and lateral views. After surgery, the proximal ulna was significantly different from the unaffected side and the abnormal proximal radial neck angle persisted. The radial head was successfully reduced in 20 of 22 cases. Overall, the mean range of motion decreased after surgery, except for increased flexion-extension. Conclusions: Complicated deformities developing during long-term remodeling after injury indicate that stable reduction is difficult to achieve with conventional one-bone osteotomy. Even after successful reduction, secondary deformity in the proximal ulna and/or remaining deformity in the proximal radius can hinder forearm rotation.
[Mh] Termos MeSH primário: Articulação do Cotovelo/diagnóstico por imagem
Articulação do Cotovelo/lesões
Deformidades Articulares Adquiridas/diagnóstico por imagem
Luxações Articulares/diagnóstico por imagem
Rádio (Anatomia)/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Articulação do Cotovelo/fisiopatologia
Feminino
Antebraço/fisiopatologia
Seres Humanos
Deformidades Articulares Adquiridas/etiologia
Deformidades Articulares Adquiridas/fisiopatologia
Deformidades Articulares Adquiridas/cirurgia
Luxações Articulares/complicações
Luxações Articulares/cirurgia
Masculino
Período Pós-Operatório
Período Pré-Operatório
Pronação
Radiografia
Rádio (Anatomia)/cirurgia
Amplitude de Movimento Articular
Estudos Retrospectivos
Supinação
Ulna/diagnóstico por imagem
[Pt] Tipo de publicação: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.2017.9.4.521


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[PMID]:28963155
[Au] Autor:Joo SD; Lee KB
[Ad] Endereço:Chonnam National University Hospital - Orthopaedics, Jebongro 42, Donggu Gwangju 501-757, Republic of Korea.
[Ti] Título:Comparison of the outcome of total ankle arthroplasty for osteoarthritis with moderate and severe varus malalignment and that with neutral alignment.
[So] Source:Bone Joint J;99-B(10):1335-1342, 2017 Oct.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The purpose of this study was to compare the clinical and radiographic outcomes of total ankle arthroplasty (TAA) in patients with pre-operatively moderate and severe arthritic varus ankles to those achieved for patients with neutral ankles. PATIENTS AND METHODS: A total of 105 patients (105 ankles), matched for age, gender, body mass index, and follow-up duration, were divided into three groups by pre-operative coronal plane tibiotalar angle; neutral (< 5°), moderate (5° to 15°) and severe (> 15°) varus deformity. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, a visual analogue scale (VAS), and Short Form (SF)-36 score were used to compare the clinical outcomes after a mean follow-up period of 51 months (24 to 147). RESULTS: The post-operative AOFAS, VAS scores, range of movement and complication rates did not significantly differ among three groups. However, there was less improvement in the SF-36 score of the severe varus group (p = 0.008). The mean post-operative tibiotalar alignment was 2.6° (0.1° to 8.9°), 3.1° (0.1° to 6.5°) and 4.6° (1.0° to 10.6°) in the neutral, moderate and severe groups respectively. Although the severe varus group showed less corrected alignment than the neutral group, the mean tibiotalar angles of the three groups were within neutral alignment. CONCLUSION: TAA for moderate and severe varus arthritic deformity showed similar satisfactory clinical and radiographic outcomes as those obtained by patients in the neutral group when post-operative neutral alignment was achieved. Cite this article: 2017;99-B:1335-42.
[Mh] Termos MeSH primário: Articulação do Tornozelo/cirurgia
Artroplastia de Substituição do Tornozelo/métodos
Deformidades Articulares Adquiridas/cirurgia
Osteoartrite/cirurgia
Amplitude de Movimento Articular
[Mh] Termos MeSH secundário: Idoso
Articulação do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/fisiopatologia
Feminino
Seguimentos
Seres Humanos
Deformidades Articulares Adquiridas/diagnóstico
Deformidades Articulares Adquiridas/etiologia
Masculino
Meia-Idade
Osteoartrite/complicações
Osteoartrite/diagnóstico
Radiografia
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171001
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B10.BJJ-2016-1275.R1


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[PMID]:28371500
[Au] Autor:Chen G; Hu M; Xu Y; Zhen YH; Hong Y; Xu XY
[Ad] Endereço:Department of Orthopaedic Surgery, North Ruijin Hospital, Shanghai, China.
[Ti] Título:Joint-Preserving Surgery for Talar Malunions or Nonuions.
[So] Source:Orthop Surg;9(1):34-41, 2017 Feb.
[Is] ISSN:1757-7861
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe the technique and analyze the outcomes of joint-preserving surgical treatments which included anatomical reconstruction or alignment correction for talar malunions or nonunions, and avoid development of degenerative changes in the adjacent joints. METHODS: Eight patients who had painful talar malunions or nonunions treated between 2009 and 2015 were included in this retrospective study. The mean age of the patients was 35.6 years, with patients aged from 18 to 58 years. Two patients had talar neck fractures and six had talar body fractures. According to a classification of post-traumatic talar deformities, five patients were classified as type I (malunion and/or residual joint displacement), two as type II (nonunion with displacement), and one as type III (malunion with partial avascular necrosis [AVN]). Of these patients, six cases were treated with an osteotomy through the malunited fracture or removal of the pseudarthrosis, and two cases were corrected by supramalleolar or calcaneal osteotomies owing to complete disappearance of the former fracture lines. The follow-up evaluation methods included the 36-Item Short Form Health Survey (SF-36) score, the American Orthopaedic Foot and Ankle Society (AOFAS) score, range of motion (ROM), and radiological analysis. The differences between postoperative scores and preoperative scores were evaluated statistically with the paired Student's t-test. Significance was assumed at P < 0.05. RESULTS: The mean follow-up time was 25.6 months. No wound healing problems or infections were observed. Solid union was obtained without redislocation in all cases, and with no signs of development or progression of AVN. At a mean of 25.6 months (range, 16-36 months) after reconstruction, all patients were satisfied with the result. The mean AOFAS score increased from 30.0 ± 7.0 pre-operatively to 86.5 ± 7.8 post-operatively (P < 0.001), the mean SF-36 score increased from 38.8 ± 4.1 to 81.4 ± 7.7 (P < 0.001), and the average ROM (tibiotalar joint) increased from 40.5° ± 8.7° to 43.9° ± 7.2° (P < 0.05). DISCUSSION: Joint-preserving procedures for talar malunions or nonunions can bring about satisfactory outcomes, and the appropriate procedure should be adopted according to different types of post-traumatic deformities.
[Mh] Termos MeSH primário: Fraturas Mal-Unidas/cirurgia
Fraturas não Consolidadas/cirurgia
Tálus/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Articulação do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/fisiopatologia
Articulação do Tornozelo/cirurgia
Calcâneo/diagnóstico por imagem
Calcâneo/cirurgia
Feminino
Seguimentos
Fraturas Mal-Unidas/diagnóstico por imagem
Fraturas não Consolidadas/diagnóstico por imagem
Seres Humanos
Deformidades Articulares Adquiridas/diagnóstico por imagem
Deformidades Articulares Adquiridas/cirurgia
Masculino
Meia-Idade
Osteotomia/efeitos adversos
Osteotomia/métodos
Cuidados Pós-Operatórios/métodos
Radiografia
Amplitude de Movimento Articular
Estudos Retrospectivos
Tálus/diagnóstico por imagem
Tálus/lesões
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1111/os.12301


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[PMID]:28331961
[Au] Autor:Nowotny J; Thielemann F; Biewener A; Schaser KD
[Ad] Endereço:UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland. joerg.nowotny@uniklinikum-dresden.de.
[Ti] Título:[Corrective osteotomies for posttraumatic elbow deformities].
[Ti] Título:Korrekturosteotomien bei posttraumatischen Fehlstellungen des Ellenbogengelenks..
[So] Source:Oper Orthop Traumatol;29(2):138-148, 2017 Apr.
[Is] ISSN:1439-0981
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:OBJECTIVES: Correcion of elbow joint deformities that usually develop secondary to direct or indirect trauma of the arm or elbow with subsequent inadequate healing and consecutive axial/rotational malalignment and may be associated with cosmetic or functional deficits of the arm. INDICATIONS: Relevant malalignment of the arm axis with corresponding cosmetic or functional deficits for the patient. CONTRAINDICATIONS: Pre-existing degenerative and chronic inflammatory changes. SURGICAL TECHNIQUE: Generally, two-dimensional supracondylar open or closed wedge osteotomies are used. In the presence of a three-dimensional deformity (with rotational component), an additional derotational correction is necessary. Extra-articular deformities following extension fractures should be treated preferably with an open wedge osteotomy, extra-articular deformities of flexion fractures with a closed wedge osteotomy. Valgus/varus deformities may also require a closed/open wedge osteotomy primarily through a dorsal or alternatively radial approach. POSTOPERATIVE MANAGEMENT: The arm should be immobilized with a brachial cast splint for 2-3 weeks, with passive exercises of the elbow starting on postoperative day 7. RESULTS: In general, the results for a three-dimensional osteotomy of the distal humerus are expected to be good to very good. Only in rare cases (2.5%) is a mostly transient irritation of the ulnar nerve observed.
[Mh] Termos MeSH primário: Articulação do Cotovelo/anormalidades
Articulação do Cotovelo/cirurgia
Deformidades Articulares Adquiridas/cirurgia
Osteotomia/métodos
Osteotomia/reabilitação
Procedimentos Cirúrgicos Reconstrutivos/métodos
Procedimentos Cirúrgicos Reconstrutivos/reabilitação
[Mh] Termos MeSH secundário: Articulação do Cotovelo/lesões
Medicina Baseada em Evidências
Seres Humanos
Deformidades Articulares Adquiridas/reabilitação
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1007/s00064-017-0487-7


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[PMID]:28299387
[Au] Autor:Amis AA
[Ad] Endereço:Biomechanics Group, Mechanical Engineering Department, Imperial College London, London, SW7 2AZ, UK. a.amis@imperial.ac.uk.
[Ti] Título:Anterolateral knee biomechanics.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(4):1015-1023, 2017 Apr.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:This article reviews the evidence for the roles of the anterolateral soft-tissue structures in rotatory stability of the knee, including their structural properties, isometry, and contributions to resisting tibial internal rotation. These data then lead to a biomechanical demonstration that the ilio-tibial band is the most important structure for the restraint of anterolateral rotatory instability. Level of evidence V.
[Mh] Termos MeSH primário: Ligamento Cruzado Anterior/fisiologia
Articulação do Joelho/fisiologia
Ligamentos Articulares/fisiologia
[Mh] Termos MeSH secundário: Ligamento Cruzado Anterior/anatomia & histologia
Lesões do Ligamento Cruzado Anterior
Fenômenos Biomecânicos/fisiologia
Seres Humanos
Deformidades Articulares Adquiridas
Instabilidade Articular/fisiopatologia
Articulação do Joelho/anatomia & histologia
Ligamentos Articulares/anatomia & histologia
Ligamentos Articulares/lesões
Rotação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-017-4494-x


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[PMID]:28276958
[Au] Autor:Lindqvist U; Gudbjornsson B; Iversen L; Laasonen L; Ejstrup L; Ternowitz T; Ståhle M
[Ad] Endereço:a Department of Medical Sciences , Uppsala University , Uppsala , Sweden.
[Ti] Título:Disease activity in and quality of life of patients with psoriatic arthritis mutilans: the Nordic PAM Study.
[So] Source:Scand J Rheumatol;46(6):454-460, 2017 Nov.
[Is] ISSN:1502-7732
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe the social status and health-related quality of life of patients with psoriatic arthritis mutilans (PAM) in the Nordic countries. METHOD: Patients with at least one mutilated joint confirmed by radiology were studied. Disease activity involving joints and skin, physician-assessed disease activity, and patient's education and work status were recorded. Data from the 36-item Short Form Health Survey, Health Assessment Questionnaire and Dermatology Life Quality Index questionnaire were gathered and correlated with disease duration, pain, and general well-being (visual analogue scale). The controls were 58 Swedish patients with long-standing psoriatic arthritis sine PAM. RESULTS: Sixty-seven patients were included. Patients with PAM had a protracted disease history (33 ± 14 years) and disease onset at a relatively early age (30 ± 12 years). Overall inflammatory activity at inclusion was mild to moderate. The mean number of mutilated joints was 8.2 and gross deformity was found in 16% of patients. Forty per cent were treated with biological and 32% with conventional synthetic disease-modifying anti-rheumatic drugs. Forty-two per cent had retired early or were on sick leave. Impaired functional capacity with little or no ability to perform self-care or everyday tasks was reported by 21% of the patients. Patients between 45 and 60 years of age reported the most impaired quality of life in comparison to the control group. CONCLUSION: PAM seriously affects social functioning. Whether early recognition of PAM and new forms of therapy can improve disease outcome and quality of life remains to be studied.
[Mh] Termos MeSH primário: Atividades Cotidianas
Artrite Psoriásica/fisiopatologia
Deformidades Articulares Adquiridas/fisiopatologia
Qualidade de Vida
[Mh] Termos MeSH secundário: Adulto
Idoso
Antirreumáticos/uso terapêutico
Artrite Psoriásica/complicações
Artrite Psoriásica/tratamento farmacológico
Artrite Psoriásica/psicologia
Estudos de Casos e Controles
Feminino
Seres Humanos
Deformidades Articulares Adquiridas/etiologia
Deformidades Articulares Adquiridas/psicologia
Modelos Logísticos
Masculino
Meia-Idade
Aposentadoria
Países Escandinavos e Nórdicos
Autocuidado
Índice de Gravidade de Doença
Licença Médica
Participação Social
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antirheumatic Agents)
[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:170310
[St] Status:MEDLINE
[do] DOI:10.1080/03009742.2017.1278787


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[PMID]:28276651
[Au] Autor:Guo CJ; Li XC; Hu M; Xu Y; Xu XY
[Ad] Endereço:Department of Orthopaedics, Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
[Ti] Título:Realignment Surgery for Malunited Ankle Fracture.
[So] Source:Orthop Surg;9(1):49-53, 2017 Feb.
[Is] ISSN:1757-7861
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the characteristics and the results of realignment surgery for the treatment of malunited ankle fracture. METHODS: Thirty-three patients with malunited fractures of the ankle who underwent reconstructive surgery at our hospital from January 2010 to January 2014 were reviewed. The tibial anterior surface angle (TAS), the tibiotalar tilt angle (TTA), the malleolar angle (MA), and the tibial lateral surface angle (TLS) were measured. Clinical assessment was performed with use of the American Orthopaedic Foot and Ankle Society (AOFAS) scale and visual analogue scale (VAS) scores, and the osteoarthritis stage was determined radiographically with the modified Takakura classification system. The Wilcoxon matched-pairs test was used to analyze the difference between the preoperative and the postoperative data. RESULTS: The mean follow-up was 36 months (range, 20-60 months). The mean age at the time of realignment surgery was 37.1 years (range, 18-62 years). Compared with preoperation, the TAS at the last follow-up showed a significant increase (88.50° ± 4.47° vs. 90.80° ± 3.49°, P = 0.0035); similar results were observed in TTA (1.62° ± 1.66° vs. 0.83° ± 0.90°, P < 0.01) and MA (82.30° ± 8.03° vs. 78.70° ± 4.76°, P = 0.005). At the last follow-up, the mean AOFAS score was significantly increased compared with the score at preoperation (44.5 ± 13.7 vs. 78.0 ± 8.9, P < 0.01). Significant differences in VAS scores were found at the last follow-up (6.76 ± 1.03 vs. 2.03 ± 1.21, P < 0.01). There was no significant difference in the Takakura grade between the preoperation and the last follow-up. One patient had increased talar tilt postsurgery; the postoperative talar tilt angle of this patient was 20°. One patient had progressive ankle osteoarthritis, and was treated by ankle joint distraction. CONCLUSIONS: Realignment surgery for a malunited ankle fracture can reduce pain, improve function, and delay ankle arthrodesis or total ankle replacement. Postoperative large talar tilt and advanced stages of ankle arthritis are the risk factors for the surgery.
[Mh] Termos MeSH primário: Fraturas do Tornozelo/cirurgia
Articulação do Tornozelo/cirurgia
Fraturas Mal-Unidas/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fraturas do Tornozelo/diagnóstico por imagem
Articulação do Tornozelo/diagnóstico por imagem
Feminino
Seguimentos
Fraturas Mal-Unidas/diagnóstico por imagem
Seres Humanos
Deformidades Articulares Adquiridas/diagnóstico por imagem
Deformidades Articulares Adquiridas/cirurgia
Masculino
Meia-Idade
Osteotomia/métodos
Radiografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1111/os.12312


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[PMID]:28148662
[Au] Autor:Xu J; Jia Y; Kang Q; Chai Y
[Ad] Endereço:Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
[Ti] Título:Intra-articular corrective osteotomies combined with the Ilizarov technique for the treatment of deformities of the knee.
[So] Source:Bone Joint J;99-B(2):204-210, 2017 Feb.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: To present our experience of using a combination of intra-articular osteotomy and external fixation to treat different deformities of the knee. PATIENTS AND METHODS: A total of six patients with a mean age of 26.5 years (15 to 50) with an abnormal hemi-joint line convergence angle (HJLCA) and mechanical axis deviation (MAD) were included. Elevation of a tibial hemiplateau or femoral condylar advancement was performed and limb lengthening with correction of residual deformity using a circular or monolateral Ilizarov frame. RESULTS: At a mean follow-up of 2.8 years (1.5 to 4.1), the mean HJLCA improved from 15.6° (10° to 23°) pre-operatively to 0.4° (0° to 2°). The mean MAD improved from 70.0 mm (20.1 to 118.5) pre-operatively to 9.1 mm (3 to 15). The mean tibiofemoral angle improved from 31.0° (8° to 54°) pre-operatively to 4.9° (2° to 8°). The mean limb-length discrepancy decreased from 6.3 cm (2.9 to 13.6) pre-operatively to 1.1 cm (0 to 5). All osteotomies and distraction zones healed without complications. CONCLUSION: The use of intra-articular corrective osteotomies combined with the Ilizarov technique allowed correction of deformities of the knee joint with satisfactory HJLCA and overall mechanical axis in six patients with a good functional and cosmetic outcome in the short term. Cite this article: Bone Joint J 2017;99-B:204-10.
[Mh] Termos MeSH primário: Técnica de Ilizarov
Deformidades Articulares Adquiridas/cirurgia
Articulação do Joelho/cirurgia
Deformidades Congênitas das Extremidades Inferiores/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B2.BJJ-2016-0736.R2


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[PMID]:28042120
[Au] Autor:Lange J; Haas SB
[Ad] Endereço:Hospital for Special Surgery, Department of Orthopaedic Surgery, 535 East 70th Street, New York, NY 10021, USA.
[Ti] Título:Correcting severe valgus deformity: taking out the knock.
[So] Source:Bone Joint J;99-B(1 Supple A):60-64, 2017 Jan.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Valgus knee deformity can present a number of unique surgical challenges for the total knee arthroplasty (TKA) surgeon. Understanding the typical patterns of bone and soft-tissue pathology in the valgus arthritic knee is critical for appropriate surgical planning. This review aims to provide the knee arthroplasty surgeon with an understanding of surgical management strategies for the treatment of valgus knee arthritis. Lateral femoral and tibial deficiencies, contracted lateral soft tissues, attenuated medial soft tissues, and multiplanar deformities may all be present in the valgus arthritic knee. A number of classifications have been reported in order to guide surgical management, and a variety of surgical strategies have been described with satisfactory clinical results. Depending on the severity of the deformity, a variety of TKA implant designs may be appropriate for use. Regardless of an operating surgeon's preferred surgical strategy, adherence to a step-wise approach to deformity correction is advised. Cite this article: Bone Joint J 2017;99-B(1 Supple A):60-4.
[Mh] Termos MeSH primário: Artroplastia do Joelho/métodos
Deformidades Articulares Adquiridas/cirurgia
Articulação do Joelho/cirurgia
Osteoartrite do Joelho/cirurgia
[Mh] Termos MeSH secundário: Fêmur/cirurgia
Seres Humanos
Prótese do Joelho
Osteotomia/métodos
Desenho de Prótese
Falha de Prótese/etiologia
Tíbia/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170206
[Lr] Data última revisão:
170206
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170103
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.99B1.BJJ-2016-0340.R1



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