Objectiveto evaluate the clinical and radiographic medium‐term results from surgical treatment of developmental dysplasia through open reduction, Salter et al.’s osteotomy and capsuloplasty.Methods13 patients were evaluated, 13 hips treated surgically by the proposed technique between 2004 and 2011. A clinical and radiographic evaluation was conducted by Dutoit et al. and Severin et al. criteria, respectively.Resultsthe acetabular preoperative index for the 13 surgically treated hips ranged from 27° to 50° (average of 36), and after surgical correction to 18.5° (10–28°), so that the evaluations of preoperative and postoperative acetabular indexes showed up significant statistic reduction (p < 0.05). Regarding the postoperative clinical evaluation, it was found: nine excellent hips (69.2%), three good ones (23.1%), no fair hips (0%) and a poor one (7.7%). In radiographic evaluation, it was found: six excellent hips (46.1%), three good ones (23.1%), no fair hips (0%) and four poor ones (30.8%). Therefore, favorable results were obtained (92.3%), with grouped hips with excellent and good ratings as satisfactory and with fair and bad ratings as unsatisfactory. It is also important to notice that there was no significance among occurrence of complications, the patient's age, the time of surgery and the preoperative acetabular index (p > 0.05). As complications occurred, it was found that three subluxations and a subluxation associated with avascular necrosis of the femoral head.Conclusionopen reduction, Salter et al.’s osteotomy and capsuloplasty are seen to be a viable option for the treatment of developmental dysplasia of the hip, according to clinical and radiological medium‐term evaluations.
Este estudo disserta sobre os cuidados de enfermagem aos pacientes portadores de câncer colorretal. Tem como objetivo destacar os cuidados de enfermagem em pacientes portadores de câncer colorretal. Para isso, foi utilizada a seguinte questão norteadora: Quais são os principais cuidados de enfermagem necessários aos pacientes portadores de câncer colorretal? Como critérios de inclusão foram utilizados artigos científicos entre os anos de 2016 a 2020, nas bases de dados, LILACS, BVS, SCIELO e PUBMED, em língua Inglesa, Francesa e Espanhola. Como critérios de exclusão foram excluídos artigos fora do espaço temporal de pesquisa e que não abordavam a temática. Os resultados obtidos através dos 20 artigos científicos selecionados, trouxeram efetivação a elaboração de três categorias temáticas: Os principais cuidados de enfermagem ao paciente com câncer colorretal; Qualidade de vida dos pacientes ostomizados portadores de câncer colorretal; A importância da educação em saúde nos pacientes com câncer colorretal. Como conclusão, foi ressaltada a importância do enfermeiro como educador em saúde e da Sistematização da Assistência de Enfermagem no acompanhamento ao paciente portador de câncer colorretal desde o diagnóstico, até a alta hospitalar. Também foi destacada a importância da criação de redes de apoio para as pessoas acometidas com esta doença e de como os profissionais de saúde precisam estar capacitados e atualizados para suprir as necessidades destes pacientes em todos os âmbitos de suas vidas.
The objective here was to report two rare cases of anterior avulsion fracture of the tibial tuberosity in adolescents. Case 1 was a 15-year-old male who became injured through landing on his left knee and presented limited extension. Case 2 was a 16-year-old basketball player who presented sudden pain in the right knee and functional incapacity, after a jump. Imaging examinations (radiographs and computed tomography) showed anterior avulsion fractures of the tibial tuberosity. Surgical fixation was performed using screws and anchors, while avoiding growth plate injury. The cases evolved without lower-limb deformities.
Myositis ossificans progressiva is a rare autosomal dominant disease with less than 1,000 case reports. Such patients present edema, caused by inflammatory processes that progressively calcify, and with loss of mobility in the region affected. The objective of
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