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...
A instabilidade subtalar continua a ser um tópico controverso e a sua causa está ainda por conhecer. O mecanismo de lesão e os sintomas clínicos da instabilidade do tornozelo e da instabilidade subtalar sobrepõem-se, resultando muitas vezes em casos de instabilidade subtalar, isolada ou combinada, que não são corretamente diagnosticados. Negligenciar a instabilidade subtalar associada à instabilidade do tornoze...
We performed a systematic review with meta-analysis of randomized controlled trials (RCTs) to assess the effects of strength training (ST), as compared to alternative multimodal or unimodal exercise programs, on the number of falls in older adults (=60 years). Ten databases were consulted (CINAHL, Cochrane Library, EBSCO, EMBASE, PEDro, PubMed, Scielo, Scopus, SPORTDiscus and Web of Science), without limitation...
Complete access to the posterior medial compartment of the knee may represent a technical challenge during arthroscopy in patients with a tight tibiofemoral joint space.Medial collateral release reduces direct iatrogenic cartilage damage in the medial compartment of the knee through manipulation with instruments.We recommend performing medial collateral release in surgeries that access the posteromedial compart...
Objective: To investigate whether glycated albumin, fructosamine, and hemoglobin A1c (HbA1c) are associated with neonatal complications in newborns of pregnant women with gestational diabetes mellitus (GDM). Methods: Between November 2016 and September 2017, women with a singleton pregnancy and GDM were enrolled in a prospective study in an obstetric Portuguese referral center. Glycemic markers were compared be...
Patellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been described in the scientif...
Doente 69 anos, sexo masculino com patologia respiratória restritiva e com o diagnóstico de hérnia discal lombar L3-L4 recidivada submetido a laminectomia bilateral de L3, foraminectomia bilateral de L3-L4, discectomia L3-L4 e artrodese com sistema transpedicular de barras e parafusos, sob bloqueio subaracnoideu ao nível de L2-L3 com 10 mg de levobupivacaína e sedação com midazolam e propofol em bólus (grau 4/5...