Outcomes and Risk Factors for Polymicrobial Posttraumatic Osteomyelitis.

We hypothesized that polymicrobial posttraumatic osteomyelitis (PTO) may be associated with worse outcomes when compared to monomicrobial PTO. We therefore attempted to show the outcomes and predisposing factors associated with polymicrobial PTO. A single-center case-control study was carried out from 2007 to 2012.

Predisposing factors for recurrence of chronic posttraumatic osteomyelitis: a retrospective observational cohort study from a tertiary referral center in Brazil.

Background: The incidence of posttraumatic osteomyelitis (PTO) is increasing despite new treatment strategies. Assessment of patients' outcomes following PTO is challenging due to multiple variables. The study goals are to determine the frequency of recurrence following PTO treatment and identify factors predisposing patients to treatment failure.

Efficacy of the Use of Templating in Total Hip Arthroplasty.

Objective: The aim was to evaluate the effectiveness of traditional preoperative planning with the use of templating.

Method: Forty-three anteroposterior X-rays were analyzed by three experienced surgeons (A, B, C) and compared. Cohen's Kappa concordance test and weighted Kappa indexes using quadratic weighting were used for statistical analysis with a confidence interval of 95%.

Loss of Consciousness in Injuries of the Extremities is an Alert to a Higher Probability of Death.

Background: There are many published studies about loss of consciousness related to general trauma however works on loss of consciousness in respect to orthopedic injuries are scarce.

Aim: The aim of this study was to investigate whether loss of consciousness worsens the prognosis of patients with orthopedic injuries.

Method: A retrospective cohort study of orthopedic traumas was performed in the university Hospital of Base in São José do Rio Preto.

Mortality associated with extremity injuries compared with other types of trauma.

Background: The aim of this study was to evaluate one-month hospital mortality in victims with injuries of the extremities.

Methods: All accident victims admitted to the Hospital de Base in São José do Rio Preto, Brazil, during the period from July 2004 to June 2005, were evaluated in an observational study. Patients were classified using the Abbreviated Injury Scale (AIS).

Osteomyelitis: a current challenge.

Over the last 30 years, the pathogenesis of osteomyelitis has almost been totally elucidated, and many factors responsible for the persistence of this infection have been identified. Numerous antimicrobial agents with distinct spectrums of action, pharmacokinetics, and pharmacodynamics have been used in its treatment. Surgical techniques, including muscle grafts, the Ilizarov technique, and antibiotic bone cements, have been applied.

Microscopic evidences that bone marrow mononuclear cell treatment improves sciatic nerve regeneration after neurorrhaphy.

Cell therapy constitutes a possibility for improving nerve regeneration, increasing the success of nerve repair. We evaluate the use of mononuclear cells in the regeneration of the sciatic nerve after axotomy followed by end-to-end neurorrhaphy. Forty adult male Wistar rats (250-300 g) were divided into four groups: (1) sham, (2) neurorrhaphy: the sciatic nerve was sectioned and repaired using epineural sutures, (3) culture medium: after the suture, received an injection of 10 μL of culture medium into the nerve, and (4) mononuclear cell: after the suture, a concentration of 3 × 10(6) of mononuclear cell was injected in epineurium region.

Analysis of joint mobility patterns among preschool children.

Context And Objective: Standardization of normal joint mobility criteria is complex, especially for preschool children, for whom differentiation from hypermobility (JH) is even more difficult. This study aimed to investigate joint mobility of the fifth finger, wrist, elbow, knee and trunk among preschool children, estimate the incidence of JH and evaluate the effect of gender and age and the applicability of standard criteria for identifying JH among preschool children.

Design And Setting: Cross-sectional descriptive and quantitative study, at São José do Rio Preto medical school.