28 documents found, page 1 of 3
Articular reconstruction of the humeral head with autogenous allograft in the t...
Miyazaki,Alberto Naoki; Silva,Luciana Andrade; Sella,Guilherme do Val; Checchia,Caio Santos; Simionato,Marcos Cazer; Checchia,Sergio LuizABSTRACT The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when compared to hemiarthroplasty or total shoulder arthroplasty. The technique consists of the fixation of a frozen auto...
Hill–Sachs lesion measurement with tridimensional models in anterior shoulder i...
Miyazaki,Alberto Naoki; Silva,Luciana Andrade; Santos,Pedro Doneux; Sella,Guilherme do Val; Nagaya,Leonardo Hideto; Checchia,Sergio LuizABSTRACT Objective To evaluate the reproducibility and repeatability of Hill–Sachs lesion measurement from computed tomography images, with computer software and tridimensional prototype. Methods Three-dimensional models were made from computed tomography images from 14 patients with anterior shoulder instability, using InVesalius 3.0® software. Hill–Sachs lesions were measured with Rhinocerus 5.0® software wit...
Clinical evaluation of arthroscopic treatment of shoulder adhesive capsulitis
Miyazaki,Alberto Naoki; Santos,Pedro Doneux; Silva,Luciana Andrade; Sella,Guilherme do Val; Carrenho,Leonardo; Checchia,Sergio LuizABSTRACT OBJECTIVE: To evaluate the results of arthroscopic releases performed in patients with adhesive capsulitis refractory to conservative treatment. METHODS: This was a retrospective study, conducted between 1996 and 2012, which included 56 shoulders (52 patients) that underwent surgery; 38 were female, and 28 had the dominant side affected. The mean age was 51 (29-73) years. The mean follow-up was 65 (12-...
Evaluation of the functional results after rotator cuff arthroscopic repair wit...
Miyazaki,Alberto Naoki; Santos,Pedro Doneux; Sella,Guilherme do Val; Checchia,Caio Santos; Salata,Thiago Roncoletta; Checchia,Sergio LuizABSTRACT OBJECTIVE: To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI) that involved the supra and infraspinatus muscles using the suture bridge (SB) technique. METHODS: Between July 2010 and November 2014, 37 patients with RCI who were treated with SB technique were evaluated. The study included all patients with a minimum follow-up of 12 months who underwent p...
Infections after shoulder arthroplasty are correlated with higher anesthetic ri...
Nagaya,Leonardo Hideto; Salles,Mauro José Costa; Takikawa,Lucas Sadawo Chagas; Fregoneze,Marcelo; Doneux,Pedro; Silva,Luciana Andrade daABSTRACT Purposes: Shoulder arthroplasty (SA) has been performed by many years for the treatment of several conditions, including osteoarthritis and proximal humeral fractures following trauma. Surgical site infection (SSI) following Shoulder arthroplasty remains a challenge, contributing to increased morbidity and costs. Identification of risk factors may help implementing adequate strategies to prevent infect...
Brachial artery injury due to closed posterior elbow dislocation: case report☆
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux; Sella,Guilherme do Val; Checchia,Caio Santos; Checchia,Sergio LuizAn association between closed posterior elbow dislocation and traumatic brachial artery injury is rare. Absence of radial pulse on palpation is an important warning sign and arteriography is the gold-standard diagnostic test. Early diagnosis is essential for appropriate treatment to be provided. This consists of joint reduction and immobilization, along with urgent surgical restoration of arterial flow. Here, a...
Obstetric paralysis: anterior arthroscopic release of the shoulder and transfer...
Miyazaki,Alberto Naoki; Checchia,Caio Santos; Checchia,Sergio Luiz; Fregoneze,Marcelo; Santos,Pedro Doneux; Sella,Guilherme do ValABSTRACT OBJECTIVE: Description of a new surgical technique for treating the shoulders of patients with sequelae of obstetric paralysis. Preliminary analysis on the results obtained from this technique. METHODS: Five consecutive patients underwent the proposed surgical procedure, consisting of arthroscopic anterior joint release followed by transfer of the latissimus dorsi tendon (elongated and reinforced with ...
Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures
Miyazaki,Alberto Naoki; Santos,Pedro Doneux; Sella,Guilherme do Val; Duarte,Denis Cabral; Di Giunta,Giovanni; Checchia,Sergio LuizABSTRACT OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated with primary arthroplasty and/or those who had less than two years follow-up were excluded. A total of 34 shoulders o...
Axillary artery lesion secondary to fracturing of the proximal third of the hum...
Miyazaki,Alberto Naoki; Fregoneze,Marcelo; Santos,Pedro Doneux dos; Silva,Luciana Andrade da; Sella,Guilherme do Val; Checchia,Sergio LuizLesions of the axillary artery are rare in patients with fracturing of the proximal third of the humerus and may have greatly varying clinical manifestations. They are responsible for 15% and 20% of upper-limb artery injuries and the commonest mechanism is a fall to the ground, which accounts for 79% of such injuries. In some cases, the signs only appear later on. It is important to bear this association in min...
Evaluation of the results from surgical treatment of fractures of the lateral e...
Miyazaki,Alberto Naoki; Silva,Luciana Andrade da; Sella,Guilhermel do Val; Checchia,Sergio Luiz; Santos,Sílvia Helena Cavadinha Cândido dosOBJECTIVE: To evaluate the incidence of consolidation in surgical treatment of fractures of the lateral extremity of the clavicle using the double subcoracoid ligature technique, with nonabsorbable No. 5 thread.METHODS: Between May 1993 and June 2013, the Shoulder and Elbow Group of our service surgically treated 116 patients (116 shoulders) with fractures of the lateral extremity of the clavicle. Among these, ...