Navegando por Palavras-chave "tibia"

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    Estudo radiográfico da reconstrução do ligamento cruzado anterior pela via transtibial
    (Soc Brasileira Med Esporte, 2014-07-01) Fernandes, Rafael de Souza Campos; Franciozi, Carlos Eduardo da Silveira [UNIFESP]; Campos Fernandes, Ricardo de Souza; Subtil de Oliveira, Marlon Alves; Nascimento, Laura; McNeill Ingham, Sheila Jean [UNIFESP]; Daher, Samir Salim; Waisberg, Jaques; Abdalla, Rene Jorge [UNIFESP]; Hosp Coracao HCor; Inst Assistencia Med Servidor Publ Estadual IAMSP; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the rupture of the anterior cruciate ligament (ACL) is often due to sports activities and its reconstruction methods have undergone constant changes due to improvements in the surgical techniques. Objective: To evaluate the radiological placement of the tibial and femoral tunnels using the transtibial technique assisted by the femoral pre-drilling. Method: Radiological analysis (AP and lateral), at 4 weeks postoperatively in 98 patients, totaling 100 cases of ACL reconstruction. Three examiners evaluated the placement of the tibial and femoral tunnels. Methods for assessing the positioning of the tunnels were: Scanlan, Staubli and Rauschning and Bernard. Results: the a angle (AP) was 64.13 degrees (+/- 4.29 degrees) and the beta angle (lateral) was 57.28 degrees (+/- 4.41 degrees). the mean tibial positioning was 41.99% (+/- 5.14%). the ACL graft was inserted into the lateral condyle of the femur and the average percentage of radiographic positioning in the green quadrant was 62%, the yellow quadrant, 37% and 1% in the red quadrant. Conclusions: the transtibial technique for ACL reconstruction, assisted by the femoral pre-drilling provides the anatomical position of the graft in the majority of the cases, as radiological evidence.
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    A visão do ortopedista brasileiro sobre a descarga parcial de peso em ortostase nas fraturas expostas da diáfise da tíbia após osteossíntese
    (Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, 2009-12-01) Sella, Valéria Regina Gonzalez [UNIFESP]; Machado, Paula Carolina Dias [UNIFESP]; Fernandes, Hélio Jorge Alvachian [UNIFESP]; Limonge, William Ricardo [UNIFESP]; Reis, Fernando Baldy dos [UNIFESP]; Faloppa, Flávio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: Tibial shaft fractures are the most frequent among long bone fractures. They are described in the literature according to the device and method of treatment, with recommendations that range from full weight bearing to non-weight bearing restrictions. There are studies comparing osteosynthesis devices and surgical aspects, but no references were found on how or when to allow weight bearing on the affected limb in the standing position. OBJECTIVES: The present study learned from Brazilian orthopedists which methods of osteosynthesis they use to treat open tibial fractures, whether they refer patients to physical therapy, when and why they allow partial weight bearing for both physical activity and therapy. METHODS: Two hundred and thirty-five orthopedists answered a questionnaire during the 14th Brazilian Conference of Orthopedic Trauma. Results: The results showed that, in Brazil, the most widely used osteosynthesis device is the external fixator, but earlier weight bearing while standing occurs when intramedullary nails are used. Most orthopedists refer patients to physical therapy and allow partial weight bearing in the standing position according to the material used for synthesis. CONCLUSIONS: It was concluded that there is a preference for external fixation, that most orthopedists refer patients to physical therapy and that the synthesis material influences restrictions on partial weight bearing.