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Pelvic Reconstruction after Chronic Pubic Symphysis Diastasis and Bladder Herniation

Open Journal of Orthopedics 2020年第8期10卷 161-165页

作者： Carlos Roberto Schwartsmann Renan Castanho de Campos Leite henrique marquardt lammerhirt Leandro de Freitas Spinelli Ary da Silva Ungaretti Neto Federal University of Health Sciences of Porto Alegre/RS Porto Alegre Brazil Orthopedics and Traumatology Service of the Santa Casa de Porto Alegre Hospitalar Complex Porto Alegre Brazil Department of Surgery Federal University of Health Sciences of Porto Alegre/RS Porto Alegre Brazil Laboratory of Bioengineering Biomechanics and Biomaterials Department of Mechanical Engineering University of Passo Fundo Passo Fundo Brazil

The research proposes a surgical technique for patients with chronic pubic symphysis diastasis and bladder herniation by means of a pelvic reconstruction technique. Three patients were treated initially in other hospitals and referred to us. All presented with pubic symphysis diastasis greater than 7 cm and bladder herniation. Two patients were initially treated with external fixation, and in one patient, the symphysis diastasis had been completely neglected. All cases presented good evolution with the proposed technique, which is described in details in the paper.

关键词： Pelvic Reconstruction Pelvic Disruption Pelvic Diastasis

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Total Knee Arthroplasty:Patellar Replacement’s Influence in Patient Quality of Life Postoperatively

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Open Journal of Orthopedics 2017年第8期7卷 228-234页

作者： Carlos Roberto Schwartsmann Gabriel Severo da Silva Ivan Fadanelli Simionato Flavia Magalhaes Nunes henrique lammerhirt Joao Pedro Farina Brunelli Leandro de Freitas Spinelli Federal University of Medical Sciences Porto AlegreBrazil Department of Orthopedics and Traumatology Irmandade Santa Casa de Misericordia de Porto AlegrePorto AlegreBrazil

Objective: To study the influence of patellar resurfacing on quality of life under a standardised score. The chosen score was the Knee Society Score (KSS), which considers range of motion, pain, contractors, alignment and stability. Methods: Retrospective review of 60 patients submitted to total knee arthroplasty (TKA) was divided into two groups: with patellar resurfacing (PR) and without patellar resurfacing (NPR). We reviewed data from these patients containing the KSS, which are routinely used in our service. Data were analysed from 2013 to 2014, with a minimal patient follow-up of 18 months. Results: There were no unsatisfactory scores in our study. Total scores (KSS) were similar between the groups (mean KSS: PR = 88.36 ± 9.64;NPR = 84.26 ± 9.44 [p = 0.1]). While stratifying into groups (poor, fair, good, excellent), we found excellent results in 84.8% of PR versus 59.3% NPR (p = 0.056). These data did not reach statistical significance and can therefore be considered a coincidental result. Conclusion: Although these results did not show statistical significance (p = 0.056), patellar resurfacing patients tend to get more “excellent” results after 18 months of follow-up in quality of life when evaluated by KSS. Perhaps a larger amount of patients would suffice to acquire statistical significance in a future study.

关键词： Knee Arthroplasty Patella Joint Instability Quality of Life

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