Navegando por Palavras-chave "Achilles Tendon"

Agora exibindo 1 - 2 de 2
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Avaliação transversal dos métodos terapêuticos do pé torto congênito equinovaro idiopático: controvérsias sobre a tenotomia do tendão calcâneo
    (Sociedade Brasileira de Ortopedia e Traumatologia, 2010-12-01) Chaim, Renan Moukbel [UNIFESP]; Silva, Fabio Assunção e [UNIFESP]; Angelini, Felipe Bertelli [UNIFESP]; Dobashi, Eiffel Tsuyoshi [UNIFESP]; Andrade Júnior, Luiz Carlos de [UNIFESP]; Blumetti, Francesco Camara [UNIFESP]; Pinto, Jose Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: There has been a lot of discussion regarding the treatment of congenital clubfoot (talipes equinovarus,) and Posenti's methodology currently seems to be the most rational, offering high rates of satisfactory results when compared to Kite's approach that prevailed in orthopedics until the end of the 90s. With the recent change of concepts, this study purports to analyze the profile of orthopedists treating this infirmity in Brazil, through a questionnaire used at the 39th Brazilian Congress of Orthopaedics and Traumatology, since such data is unknown in the Brazilian literature. METHODS: An investigative questionnaire was prepared to ascertain the treatment method used, the characteristics of the population studied, the results acquired with treatment and, particularly, how they approached the Achilles tendon. RESULTS: Of the 5,329 registered orthopedists, we acquired 539 spontaneous participations. Of these, only 88 (16.30%) orthopedists perform the treatment for congenital clubfoot; 78 (88.60%) use the Ponseti method and 9 (10.20%) use Kite's; for 47.70%, conservative treatment is performed between 4 and 6 months and for 35.30%, between 1 and 3 months; 58 (66.00%) interviewees perform the Achilles tendon tenotomy in 80% to 100% of their patients and 59 (67.05%) perform it at a surgical center due to safety conditions, sterilized environment, anesthesia, ease of access, and patient monitoring; 32 (36.36%) orthopedists present 80% of good results or more, 54 (61.36%) present 50% to 80% good results and 46 (52.27%) present a 10% relapse rate. CONCLUSIONS: Although the Ponseti Method defines that the Achilles tendon tenotomy should be performed in an outpatient setting, most of the orthopedists (59 - 67.05%) perform it in the operating room.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Resultados clínicos e funcionais de pacientes submetidos à reconstrução cirúrgica minimamente invasiva para o tratamento das rupturas crônicas do tendão calcâneo.
    (Universidade Federal de São Paulo (UNIFESP), 2019-03-29) Silveira, Juliana Doering Xavier Da [UNIFESP]; Pochini, Alberto De Castro [UNIFESP]; Mansur, Nacime Salomão Barbachan; http://lattes.cnpq.br/2476659894036430; http://lattes.cnpq.br/5286610387997973; http://lattes.cnpq.br/2476659894036430; http://lattes.cnpq.br/9862279413112623; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Achilles tendon chronic ruptures most often need surgical treatment to achieve the best possible functional outcomes. The minimally invasive approach described in this study aims at establishing a reliable and robust construction with minimal skin and wound complication rates. Objective: the present primary transversal study aims to assess the functional and clinical results after undergoing minimally invasive surgical approach as measured by the Single Heel Rise Test, anthropometric measures and two validated scores. Method: thirteen patients who had undergone the described surgical treatment during the period encompassed between 2013 and 2017 were evaluated after a minimal 12-month post-operative period. All patients performed the Single Heel Rise Test to assess muscle endurance. Their calf circumference and weight-bearing ankle dorsiflexion angle were measured for this very purpose. The patients were additionally assessed with the Achilles Tendon Total Rupture Score and Visual Analogic Scale to determine subjective clinical results. Results: a complication rate of 15.4% (2 patients) was established. A difference between both legs for the dorsiflexion angle (p<0.05) and calf circumference measurement (p<0.05) was found. A variation of 36% of muscle endurance for the functional heel rise test (p<0.05) was also observed. ATRS score (mean 82.8) was high despite the muscle endurance measures. Conclusion: the limbs operated according to the purposed technique showed less resistance strength when compared to the non-operated side. No correlation was established between this finding and the test scores obtained from the assessment of the subjective functional results. As such the minimally invasive approach performed in the patients in this study has robustly demonstrated to provide both satisfaction and good functional results.