HVFX - Ortopedia
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- Ainda Existe Espaço para o Tratamento Conservador nas Fraturas Complexas da Diáfise do Úmero?Publication . Durão, C; Ramos, JAs fraturas da diáfise do úmero representam cerca de 1 a 3% de todas as fraturas, e cerca de 20% das fraturas umerais. A maioria das fraturas da diáfise do úmero, nomeadamente as oblíquas longas e as cominutivas, pode ser tratada conservadoramente, porém a tendência atual vai no sentido do tratamento cirúrgico, mesmo nas fraturas que se obtinham bons resultados com o tratamento não cirúrgico. O presente trabalho descreve o bom resultado diante de um tratamento conservador numa fratura diafisária complexa do úmero, demonstrando ainda existir espaço para o tratamento não cirúrgico, e discute a importância da relação médico-doente diante diversas opções terapêuticas.
- Aplicações Forenses da Impressão em 3DPublication . Marques, J; Durão, C; Miamoto, P; Oliveira, J; Cunha, E
- Arthroscopic-Assisted Acromioclavicular Joint Dislocation Repair: A Modified Technique for Horizontal Stabilization Using Suture AnchorsPublication . Teixeira Ramos, Jorge; Silva Gomes, Diogo; Quinaz Neto, Pedro; Sarmento, Marco; Moura, Nuno; Cartucho, AntónioAcromioclavicular (AC) dislocation is a common lesion often resulting from a sports injury. Nowadays, treatment is still controversial mainly in grade III lesions according to the Rockwood classification. For most surgically treated AC acute dislocations, treatment is performed with an arthroscopic procedure that anatomically reconstructs the coracoclavicular ligaments. Increasing knowledge about AC joint biomechanics has underlined the importance of its horizontal stability through the superior and inferior AC ligaments. Moreover, the pattern of lesion tends to repeat itself, with the superior AC ligament being torn most frequently from the clavicular side in a peeling fashion. Therefore, the purpose of this note is to describe the technical aspects of additional horizontal stability through superior AC ligament repair using suture anchors.
- Aspectos forenses das lesões ortopédicas nos atropelamentosPublication . Durão, C; Lucas, FM; Vieira, DN
- Atletas transgénero: com a palavra, o Comitê Olímpico Internacional!Publication . Lamarca, BR; Durão, C
- Avaliação do Dano Corporal em Direito CivilPublication . Durão, C
- Conflitos médico legais em artroplastias da ancaPublication . Durão, C; Oliveira, J; Lucas, F
- "Death by a thread" - Peritonitis due to visceral perforation by a guide wire, during proximal femur osteosynthesis with DHS: A fatal case and legal implications.Publication . Durão, C; Barros, A; Guerreiro, R; Pedrosa, FIatrogenic intestinal perforations in orthopaedic surgery are very rare. Reports of iatrogenic lesions caused by a guide wire during femur fracture osteosynthesis are even scarcer. There are no similar reports in recent literature. As opposed to what is normally described the lesion documented in this case report was not identified on time resulting in death by peritonitis. The forensic autopsy allowed the identification of an intestinal perforation with faecal leakage to peritoneal space in association with a vesical perforation enabling the reproduction of the guide wire path. In view of the increasing number of osteosynthesis it is essential for the surgeon to be aware of possible complications due to guide wire perforations. Cases like this go unnoticed if the forensic pathologist is not familiarized with the surgical technique which may explain the rarity of such descriptions in literature.
- Death by chumbinho: aldicarb intoxication—regarding a corpse in decompositionPublication . Durão, C; Machado, MPChumbinho is the popular name given to carbamate aldicarb (Temik), an insecticide commonly used in agriculture and highly toxic (LD50 = 0.9 mg/kg oral in rats) that has been sold clandestinely in several regions of Brazil. Chumbinho is sold illegally as raticide and is available in a formulation of small black granules which are easily mixed with food for criminal purposes, its use often being attributed to accidents and suicides, hence the importance of its inclusion in the toxicology studies of suspicious deaths. With the corpse putrefaction, many pathological and toxicological anatomical parameters are damaged or lost. This study emphasizes the importance of the gastric content observation, which in this case has, despite the advanced putrefaction, recognized the presence of chumbinho and guide its toxicological confirmation.
- Death in the ‘‘microwave oven’’: A form of execution by carbonizationPublication . Durão, C; Machado, MP; Daruge Júnior, E