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Osteosynthesis of bilateral Vancouver B2 periprosthetic femoral fracture after ...

Ferreira, ID; Cura Mariano, J; Lucas, FM; Judas, F

INTRODUCTION: The management of periprosthetic femoral fractures following hip arthroplasty is challenging, and the choice between osteosynthesis of the fracture and the revision of the prosthesis is still matter of discussion. CASE REPORT: In a 81-year-old male patient, a bilateral Vancouver type-B2 periprosthetic femoral fracture with stem loosening occurred after an accidental fall. The patient had severe me...


Simultaneous bilateral patellar tendon rupture

Moura, DL; Marques, JP; Lucas, FM; Fonseca, FP

Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and patellar tendinopathy. The authors report a rare case of a 34-year-old man with simultaneous bilateral rupture of the patellar tendon caused by minor trauma. The patient is a retired basketball player with no past complaints of chronic knee pain and a history of steroid use. Surgical management consisted in primary e...


InterInterpretação das lesões ortopédicas dos ocupantes dos veículos na reconst...

Durão, C; Lucas, FM

Road Traffic accidents are the leading cause of violent death and a major cause of death and sequelae in young and economically active population in developed and developing countries. Numbers that can only be compared to wars, which exemplifies the consequences of these lesions in economic and social terms. In 2002, about 1.2 million people died in traffic accidents, and in 2020, it is estimated that this numb...


A technique to remove a stable all-polyethylene cemented acetabular liner in re...

Judas, F; Lucas, FM; Fonseca, RL

INTRODUCTION: The removal of a well-fixed acetabular component in a total hip arthroplasty can cause bone fractures, excessive bleeding, as well as extended bone loss. The reimplantation of a new acetabular component may be compromised. PRESENTATION OF CASE:We report a technique using 2 cork-screws for removal a stable cemented acetabular component for the treatment of a recurrent dislocation of a cemented tota...


Stable fixation of a madreporic Lord femoral prosthesis at 31-year follow-up in...

Judas, F; Ferreira, JF; Dias, RF; Lucas, FM

INTRODUCTION: Lord total hip prosthesis was discontinued due to high revision rates of the smooth threaded acetabular component and negative effects of stress shielding in the proximal femur. PRESENTATION OF CASE: We report the outcome of a Lord cementless femoral stem, in a 55-year-old woman. In 1984, the patient underwent a Lord total hip arthroplasty for the treatment of advanced dysplastic osteoarthritis of...


Técnica de colheita de autoenxerto ósseo no decurso de uma artroplastia primári...

Moura, DL; Judas, F; Lucas, FM; Santos, S

Durante a implantação de uma prótese primária da anca para o tratamento de uma coxartrose, pode haver necessidade de se recorrer à aplicação de enxertos ósseos, na condição de medida terapêutica complementar. Para isso, os autoenxertos ósseos provenientes da cabeça femoral excisada sob diversas formas, dimensões e tipos encontram a melhor indicação. Descreve-se uma técnica simples e eficaz para a colheita de au...



Cemented total hip arthroplasty with retention of some existing hardware

Judas, F; Rodrigues, JB; Lucas, FM; Freitas, JP

We report a case of a 63-year-old man who presented an end stage hip osteoarthritis 42 years after a proximal femoral osteotomy performed for the treatment of an intracapsular femoral neck fracture. A cemented total hip arthroplasty was implanted using a standard posterior approach. The osteotomy hardware was totally covered with a new cortical bone formation. A layer of bone tissue was removed, the screw heads...


A technique to remove a well-fixed titanium-coated RM acetabular cup in revisio...

Judas, F; Dias, RF; Lucas, FM

A major concern during revision hip arthroplasty is acetabular bone loss and bleeding during the extraction of well-fixed cementless acetabular cup, because no interface exists between the host bone and the cup. Forceful removal of such component using curved gouges and osteotomes often leads to extended bone loss and compromises reimplantation of a new socket. In the following case report, we removed a well-fi...



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