RESUMOObjetivos: Analisar e documentar as vantagens da transferência do tendão tibial posterior nos casos de pé caído, assim como avaliar o grau de restauração biomecânica do pé e a melhora na qualidade de vida do paciente. Métodos: Sete pacientes com diagnóstico de pé caído foram submetidos ao tratamento cirúrgico através da técnica de transferência do tendão tibial posterior via membrana sindesmótica e fixação do mesmo na cunha lateral, utilizando parafuso de interferência. Resultados: Os pacientes foram submetidos ao questionário de Stanmore no pré e pós-operatório, evidenciando melhora em todos os critérios do questionário. Conclusão: Através do trabalho foi possível evidenciar que a técnica cirúrgica adotada é um eficaz método de correção da patologia, com melhora da dor, uso de sapatos, extinção da órtese de uso regular, ganho de força muscular e melhora da capacidade funcional. Nível de Evidência IV; Estudos Terapêuticos; Série de Casos.Descritores: Pé equino; Transferência tendinosa; Deformidades do pé. ABSTRACTObjectives: To analyse and report the advantages of posterior tibial tendon transfer amongst patients with drop-foot as well as evaluate the degrees of foot biomechanical restoration and patient quality of life improvement. Methods: Seven patients diagnosed with drop-foot received surgery in which the posterior tibial tendon was transferred via the syndesmotic membrane, and the tendon was fixed to the lateral cuneiform bone using an interference screw. Results: The patients completed the Stanmore questionnaire before and after surgery to report their improvements with regard to all of the questionnaire criteria. Conclusion: The adopted surgical technique is an effective method of disease correction, with associated pain improvement, resumption of wearing shoes, elimination of the regular use of an ankle-foot orthosis (AFO), muscle strength gain, and functional capacity improvement. Level of Evidence IV; Therapeutic Study; Case Series. Keywords: Equinus deformity; Tendon transfer; Foot deformities.Como citar esse artigo: Vieira LMX, Fleury RBC, Nunes BS, Martins JS. Costa EN. Análise pós-cirúrgica da transferência do tendão tibial posterior: uma alternativa para casos de pé caído. Sci J Foot Ankle. 2018;12(2):145-9.
ObjectiveTo evaluate clinically and functionally the pos-operative results of patients submitted to tibiotalocalcaneal arthrodesis for the treatment of traumatic arthropathy and neuropathy.MethodsRetrospective study of 29 patients undergoing ankle arthrodesis with intramedullary retrograde nail. All patients were evaluated for fusion time, AOFAS and VAS scores, satisfaction, and complications of surgery. The mean follow-up was 36 months (range 6–60 months).ResultsThe union rate was 82%, and the consolidation occurred on average at 16 weeks (10–24 weeks). The pos-operative AOFAS score improved in 65.5% (average of 57.7 on neurological cases and 75.7 on cases pos-traumatic) and VAS score improved 94.1% (average of 2.3 on neurological cases and 4,2 on post-traumatic cases), and 86% of patients were satisfied with the procedure performed. Complications occurred in 11 patients (38%), including pseudoarthrosis (17.24%), infection (17.24%), material failure (13.8%) and fracture (13.8%).ConclusionTibiotalocalcaneal arthrodesis with retrograde intramedullary nail proved to be a good option for saving the ankle joint, with improvement of clinical and functional scores (AOFAS = 65.5% and VAS = 94.1%).
Objective: To perform a functional evaluation of peroneus brevis tendon transfer using an interference screw fixation in chronic Achilles tendon injuries. Methods: This was a cross-sectional, retrospective and observational study with medical record reviews and a convenience sample of ten (10) patients who underwent surgery between January 2013 and June 2017. The following clinical aspects were evaluated: sex, age group, race, affected side, injury time, distal stump size, gap between stumps, AOFAS questionnaire (pre- and 3 and 6 months postoperatively), patient satisfaction with treatment and complications. Results: The mean subject age was 38.1 years; subjects were predominantly male (80%), and with respect to laterality, the right side was predominant. The paratendinous posterolateral incision technique was used, with the identification and use of the peroneus brevis associated with bone tunnel fixation onto the Achilles using an interference screw. Surgical planning of the technique followed the same procedure in all cases. Two complications occurred during evolution when considering the early and late postoperative periods. Conclusion: The treatment of Achilles tendon injuries with this technique proved to be a good option for chronic injuries with satisfactory results in terms of maintenance of functionality and patient satisfaction postoperatively. Level of Evidence III; Prognostic Studies; Retrospective Study.
A calcinose intersticial é uma afecção incomum, na qual existe deposição de cálcio localizada ou disseminada na pele, tecido celular subcutâneo, músculos e tendões. Freqüentemente a calcinose está associada com doenças do tecido conjuntivo, como esclerodermia e dermatomiosite. Os autores relatam um caso de calcinose intersticial associada a dermatomiosite, estudada com radiografia convencional, ultra-sonografia, ressonância magnética, e com correlação com a macroscopia cirúrgica. Unitermos: Calcinose; Calcinose intersticial; Dermatomiosite; Radiografia convencional; Ultra-sonografia; Ressonância magnética.Peritendinous calcinosis of calcaneus tendon associated with dermatomyositis: correlation between conventional radiograph, ultrasound, magnetic resonance imaging and gross surgical pathology. Interstitial calcinosis is an uncommon condition in which there is either localized or widely disseminated deposition of calcium in the skin, subcutaneous tissues, muscles, and tendons. Calcinosis is often associated with collagen diseases, scleroderma and dermatomyositis. The authors report a case of interstitial calcinosis associated with dermatomyositis studied with conventional radiograph, ultrasound and magnetic resonance imaging, and correlate the imaging findings with the results of surgical pathology gross examination.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.