17 documents found, page 1 of 2
Chylothorax in the neonate-A stepwise approach algorithm
Rocha, G; Arnet, V; Soares, P; Gomes, AC; Costa, S; Guerra, P; Casanova, J; Azevedo, IBackground: Chylothorax in neonates results from leakage of lymph from thoracic lymphatic ducts and is mainly congenital or posttraumatic. The clinical course of the effusion is heterogeneous, and consensus on treatment, timing, and modalities of measures has not yet been established. This review aims to present, along with levels of evidence and recommendation grades, all current therapeutic possibilities for ...
Treatment of Pathological Humerus-Shaft Tumoral Fractures with Rigid Static Int...
Moura, DL; Alves, F; Fonseca, R; Freitas, J; Casanova, JObjective This was a retrospective observational study in patients submitted to intramedullary nail fixation after established or impeding pathological humerus-shaft tumoral fracture in the context of disseminated tumoral disease along 22 years of experience at the same institution. Methods Sample with 82 patients and 86 humeral fixations with unreamed rigid interlocking static intramedullary nail by the ante...
Limb salvage surgery in extreme situations of prosthetic complications
Freitas, J; Moura, DL; Fonseca, R; Ferreira, R; Casanova, J; Judas, F; Fonseca, FThe treatment of periprosthetic hip and knee infection associated with loss of bone substance, as well as the treatment of the infection of large structural allografts used in tumoral reconstructive surgery, are a major challenge to the orthopaedic surgeon. Indeed, these are chronic conditions which are submitted to multiple surgeries and prolonged antibiotic therapy in socially and professionally vulnerable pa...
Sinovite vilonodular pigmentada do joelho. Tratamento da recidiva
Farinha-Martins, P; Moura, DL; Freitas, JP; Casanova, JOs autores apresentam um raro caso de Sinovite Vilonodular Pigmentada do joelho, difusa, recidivada numa paciente jovem, com grave repercussão nas suas atividades diárias. Houve a necessidade de efetuar um tratamento localmente agressivo, com substituição total da articulação do joelho utilizando componentes de revisão. O tratamento revelou-se eficaz sob ponto de vista clínico e funcional
Extraskeletal osteosarcoma: A European Musculoskeletal Oncology Society study o...
Longhi, A; Bielack, SS; Grimer, R; Whelan, J; Windhager, R; Leithner, A; Gronchi, A; Biau, D; Jutte, P; Krieg, AH; Klenke, FM; Grignani, G; Donati, DMPURPOSE: Prognosis of extraskeletal osteosarcoma (ESOS) is reported to be poorer than that of skeletal osteosarcoma. This multicenter retrospective study aimed to evaluate factors influencing ESOS prognosis. PATIENTS AND METHODS: Members of the European Musculoskeletal Oncology Society (EMSOS) submitted institutional data on patients with ESOS. RESULTS: Data from 274 patients treated from 1981 to 2014 were coll...
Horrendoplastias
Freitas, J; Casanova, J; Moura, DL; Ferreira, R; Judas, F; Fonseca, FA infeção e reações alérgicas associadas a grandes perdas de tecido ósseo em artroplastias protéticas da anca e joelho ou a infeção em reconstruções ósseas com aloenxertos estruturais de grandes dimensões pós resseções ósseas por patologia tumoral, correspondem a grandes desafios cirúrgicos de salvamento de membros. São casos clínicos submetidos a múltiplas cirurgias, anos de evolução, fistulas profusamente pro...
Mesenchymal chondrosarcoma: prognostic factors and outcome in 113 patients. A E...
Frezza, AM; Cesari, M; Baumhoer, D; Biau, D; Bielack, S; Campanacci, DA; Casanova, J; Esler, C; Ferrari, S; Funovics, PT; Gerrand, C; Grimer, RBACKGROUND: Mesenchymal chondrosarcoma (MCS) is a distinct, very rare sarcoma with little evidence supporting treatment recommendations. PATIENTS AND METHODS: Specialist centres collaborated to report prognostic factors and outcome for 113 patients. RESULTS: Median age was 30 years (range: 11-80), male/female ratio 1.1. Primary sites were extremities (40%), trunk (47%) and head and neck (13%), 41 arising primar...
Are Complications Associated With the Repiphysis(®) Expandable Distal Femoral P...
Staals, EL; Colangeli, M; Ali, N; Casanova, J; Donati, DM; Manfrini, MBACKGROUND: Reconstruction of the distal femur after resection for malignant bone tumors in skeletally immature children is challenging. The use of megaprostheses has become increasingly popular in this patient group since the introduction of custom-made, expandable devices that do not require surgery for lengthening, such as the Repiphysis(®) Limb Salvage System. Early reports on the device were positive but m...
Doença Tumoral Acetabular E Reconstrução Com Prótese De Pedestal LUMiC® - Análi...
Freitas, J; Moura, DL; Casanova, JAs resseções peri-acetabulares e reconstrução subsequente estão entre os procedimentos mais desafiantes na Ortopedia Oncológica. Os autores apresentam 2 casos em que foram aplicadas endopróteses modulares tripolares de reconstrução peri-acetabular com pedestal do ilíaco e os seus resultados clínico-funcionais. Apresenta-se uma mulher de 70 anos com metastização óssea única ao nível do acetábulo esquerdo, com or...
Tumors of the Foot and Ankle: A Single-institution Experience
Azevedo, CP; Casanova, J; Guerra, MG; Santos, AL; Portela, MI; Tavares, PFTumors of the foot and ankle are rare, and the particular clinicopathologic features, therapeutic approach, and outcomes in this setting are not well established. From January 2000 to December 2010, 72 patients with primary musculoskeletal tumors of the foot and ankle, both benign and malignant, were treated at a single institution. Of the 72 patients, 56% were female. The median age was 52 years. Of the 72 tum...