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  1. Article ; Online: A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

    Ricardo Maciel / Rodrigo Castilho / Daniel Baumfeld / Tiago Baumfeld

    Journal of the Foot & Ankle, Vol 15, Iss 1, Pp 8-

    2021  Volume 13

    Abstract: Objective: This retrospective study compared the clinical and functional results of single- and double-row surgical techniques for insertional Achilles tendinopathy in the postoperative period. Methods: In this case series, 29 patients who underwent ... ...

    Abstract Objective: This retrospective study compared the clinical and functional results of single- and double-row surgical techniques for insertional Achilles tendinopathy in the postoperative period. Methods: In this case series, 29 patients who underwent surgery with one of the two techniques were followed up for one year postoperatively. Data were collected from medical records, imaging exams, and visual analog scale (VAS), Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire, 12-item Short Form Health Survey (SF-12), and Foot and Ankle Ability Measure (FAAM) scores. Results: The following mean values (5% significance level) were found for single- and double-row techniques, respectively: postoperative VAS (2.9/2.2), FAAM-ADL (71.9/74.4), FAAM-Sports (28.3/29.8), SF-12 physical component (45.2/47.0), SF-12 mental component (44.9/48.2), and VISA-A (72.1/75.9). The complication rate did not differ significantly between the techniques. Conclusion: No significant differences were found in any of the scores between the two surgical techniques. Level of Evidence III; Therapeutic Studies, Comparative Retrospective Study.
    Keywords achilles tendon/surgery ; tendinopathy/surgery ; suture anchors ; suture technique ; orthopedic procedures/methods ; treatment outcome ; Medicine ; R ; Orthopedic surgery ; RD701-811
    Subject code 796
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Minimally invasive Chevron-Akin osteotomy

    Gustavo Nunes / João Magalhães / Tiago Baumfeld / Roberto Pinto

    Journal of the Foot & Ankle, Vol 14, Iss

    2020  Volume 3

    Abstract: Objective: To present the clinical and radiographic results of surgical treatment of patients with moderate to severe hallux valgus (HV) by minimally invasive Chevron - Akin osteotomy (MICA). Methods: The case series comprises 25 patients (30 feet) with ... ...

    Abstract Objective: To present the clinical and radiographic results of surgical treatment of patients with moderate to severe hallux valgus (HV) by minimally invasive Chevron - Akin osteotomy (MICA). Methods: The case series comprises 25 patients (30 feet) with diagnoses of moderate to severe HV treated surgically with the MICA technique. All patients answered the American Orthopedic Foot and Ankle Score (AOFAS) and rated pain on visual analogue scale (VAS) at preoperative assessment and at the last follow-up consultation. Radiological assessment included measurement of the valgus angles of the hallux (HVA) and the 1st and 2nd ray intermetatarsal angle (IMA). Complications and satisfaction ratings were also documented. Results: Mean follow-up was 14.6 months. Mean AOFAS increased from 42.8 to 90 and VAS reduced from 8.6 to 1.7. Mean HVA reduced from 31.7o to 8.4o and IMA from 14o to 5o. All these improvements were statistically significant (p<0.001). The most common complication observed was discomfort caused by hardware, affecting five feet (16.6%). Two patients (6.6%) had transitory neurapraxia and one patient (3.3%) developed reflex sympathetic dystrophy. There were no cases of infection, relapse, pseudarthrosis, or malunion of osteotomies. Subjective satisfaction ratings classified 93.3% of results as good or excellent. Conclusion: Minimally invasive Chevron-Akin osteotomy is a safe and reproducible technique that achieves good clinical and radiographic results for treatment of moderate to severe hallux valgus. Level of Evidence IV; Therapeutic Studies; Case Series.
    Keywords Hallux valgus ; Minimally invasive surgical procedures ; Metatarsal bones/surgery ; Osteotomy/methods ; Forefoot ; human/surgery ; Medicine ; R ; Orthopedic surgery ; RD701-811
    Subject code 616
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Planejamento pré-operatório de correção de deformidades supramaleolares através de impressão 3D

    Tiago Baumfeld / Ricardo Fernandes Rezende / Luiza Helena Oliveira e Araújo / Marco Antonio Percope de Andrade / Daniel Baumfeld / Rudolf Huebner

    Medicina, Vol 54, Iss

    2021  Volume 3

    Abstract: Modelos impressos em 3D têm sido explorados profundamente no campo médico, destacando-se como importante ferramenta de auxílio para planejamento cirúrgico. Os autores apresentam relato de caso de um paciente, com artrose pós-traumática do tornozelo ... ...

    Abstract Modelos impressos em 3D têm sido explorados profundamente no campo médico, destacando-se como importante ferramenta de auxílio para planejamento cirúrgico. Os autores apresentam relato de caso de um paciente, com artrose pós-traumática do tornozelo direito, submetido a osteotomia supramaleolar, em cunha de fechamento medial. Esta cirurgia foi realizada após planejamento operatório por impressão 3D, o que pode demonstrar reprodutibilidade deste método.
    Keywords Traumatismos do tornozelo ; Impressão tridimensional ; Procedimentos cirúrgicos operatórios ; Osteotomia ; Medicine ; R
    Language Portuguese
    Publishing date 2021-12-01T00:00:00Z
    Publisher Universidade de São Paulo
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: FACTORS RELATED TO AMPUTATION LEVEL AND WOUND HEALING IN DIABETIC PATIENTS

    Daniel Baumfeld / Tiago Baumfeld / Benjamim Macedo / Roberto Zambelli / Fernando Lopes / Caio Nery

    Acta Ortopédica Brasileira, Vol 26, Iss 5, Pp 342-

    2018  Volume 345

    Abstract: ABSTRACT Objective: There are no specific criteria that define the level of amputation in diabetic patients. The objective of this study was to assess the influence of clinical and laboratory parameters in determining the level of amputation and the ... ...

    Abstract ABSTRACT Objective: There are no specific criteria that define the level of amputation in diabetic patients. The objective of this study was to assess the influence of clinical and laboratory parameters in determining the level of amputation and the wound healing time. Methods: One hundred and thirty-nine diabetic patients were retrospectively assessed. They underwent surgical procedures due to infection and/or ischemic necrosis. Type of surgery, antibiotic use, laboratory parameters and length of hospital stay were evaluated in this study. Results: The most common amputation level was transmetatarsal, occurring in 26 patients (28.9%). The wound healing time increased with statistical significance in individuals undergoing debridement, who did not receive preoperative antibiotics and did not undergo vascular intervention. Higher levels of amputation were statistically related to limb ischemia, previous amputation and non-use of preoperative antibiotics. Conclusion: Patients with minor amputations undergo stump revision surgery more often, but the act of always targeting the most distal stump possible decreases energy expenditure while walking, allowing patients to achieve better quality of life. Risk factors for major amputations were ischemia and previous amputations. A protective factor was preoperative antibiotic therapy. Level of Evidence III, Retrospective Study.
    Keywords Diabetic foot ; Amputation ; Antibiotics ; Wound healing ; Risk factors ; Protective factors ; Medicine ; R ; Orthopedic surgery ; RD701-811
    Subject code 610 ; 616
    Language English
    Publishing date 2018-10-01T00:00:00Z
    Publisher Sociedade Brasileira de Ortopedia e Traumatologia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Reliability of Baropodometry on the Evaluation of Plantar Load Distribution

    Daniel Baumfeld / Tiago Baumfeld / Romário Lopes da Rocha / Benjamim Macedo / Fernando Raduan / Roberto Zambelli / Thiago Alexandre Alves Silva / Caio Nery

    BioMed Research International, Vol

    A Transversal Study

    2017  Volume 2017

    Abstract: Introduction. Baropodometry is used to measure the load distribution on feet during rest and walking. The aim of this study was to evaluate changes in plantar foot pressures distribution due to period of working and due to stretching exercises of the ... ...

    Abstract Introduction. Baropodometry is used to measure the load distribution on feet during rest and walking. The aim of this study was to evaluate changes in plantar foot pressures distribution due to period of working and due to stretching exercises of the posterior muscular chain. Methods. In this transversal study, all participants were submitted to baropodometric evaluation at two different times: before and after the working period and before and after stretching the muscles of the posterior chain. Results. We analyzed a total of 54 feet of 27 participants. After the working period, there was an average increase in the forefoot pressure of 0.16 Kgf/cm2 and an average decrease in the hindfoot pressure of 0.17 Kgf/cm2. After stretching the posterior muscular chain, the average increase in the forefoot pressure was 0.56 Kgf/cm2 and the hindfoot average pressure decrease was 0.56 Kgf/cm2. These changes were not statistically significant. Discussion. It was reported that the strength of the Achilles tendon generates greater forefoot load transferred from the hindfoot. In our study, no significant variation in the distribution of plantar pressure was observed. It can be inferred that baropodometry was a reliable instrument to determine the plantar pressure, regardless of the tension of the posterior chain muscles.
    Keywords Medicine ; R
    Subject code 796
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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