Avascular necrosis (AVN) is characterized by compromised blood supply to bone tissue, often resulting in significant pain and functional impairment. Conservative treatment options for early-stage AVN of the talus are scarce, with non-weight-bearing protocols and hyperbaric oxygen therapy showing limited efficacy. This report presents a potential novel approach to managing non-traumatic AVN of the talus using a ...
Background: Nonprimary osteochondral lesions of the talus (OLT) pose a significant challenge in orthopaedics, with no definitive consensus on optimal surgical treatment. Purpose: To consolidate the most recent evidence on operative treatments for nonprimary OLT by assessing patient-reported outcomes (PROs), postoperative complications, and clinical failures. Study design: Systematic review; Level of evidence, 4...
Despite being the most frequent sports injury worldwide, ankle instabilitry has received very little attention over the years from evidence-based medicine, a trnd that has only been contered in recent years. Several papers have been published that might change the paradigm of the treatment patients in with ankle instability, so it is paramount important that surgeons keep up to date with the best high quality a...
OBJECTIVES: The treatment of severe post-traumatic ankle arthritis remains a challenge nowadays. Since patients suffering from this pathology are mainly young and active people, a correct reconstruction, if possible, of the articular cartilage defects of the tibiotalar joint is very important to achieve a good result. Fresh bipolar osteochondral allograft (FBOA) is a promising operative technique, as an alterna...
A abordagem cirúrgica da pancreatite aguda grave está fundamentalmente centrada na complicação séptica da necrose. No doente com pancreatite aguda necrosante em sepsis severa ou shock séptico com síndrome de disfunção multiorgânica/falência multiorgânica (MODS/MOF) o objectivo principal é o controlo de foco séptico. Se possível deve proceder-se a drenagem percutânea com controlo imagiológico por Tomografia Comp...
A doença hipertensiva está entre as complicações mais comuns na gravidez e é uma das causas principais de morbilidade e mortalidade materna e perinatal em todo o mundo. Avaliar a importância prognóstica duma melhor caracterização da pressão arterial (PA) através da MAPA nas grávidas com hipertensão arterial (HTA). Estudo retrospectivo com 29 grávidas vigiadas na consulta de HTA da Maternidade Dr. Alfredo da Cos...