Publications by authors named "Emygdio Jose Leomil De Paula"

Introduction: The radiographic and surgical findings, and treatment of radiocarpal fracture dislocations, were analyzed retrospectively in 40 patients.

Materials And Methods: All patients were classified according to Dumontier´s radiological classification and compared with the surgical findings. Based on this analysis, a new classification and treatment are proposed.

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Arthroscopy is a surgical technique whose indication for wrist injuries has grown in recent years. Athletes are subject to traumatic injury to the wrist due to training overload or the intensity of the activity during competition. The need of a quick return to sports practice makes arthroscopy a very useful minimally invasive technique in these situations.

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Objective: To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury.

Methods: 19 patients, with 18 men and 1 woman, mean age 28.7 years.

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Article Synopsis
  • - Brachial plexus injuries have evolved significantly in diagnosis and treatment since the aggressive approaches started in the 1950s, leading to better recovery options for patients.
  • - Recent advancements in microsurgical techniques, such as neurolysis and neurotization, have drastically improved surgical outcomes for those with these injuries.
  • - Enhanced imaging tools and electrical studies allow for quicker decision-making in treatment, contributing to better overall recovery and hope for patients suffering from brachial plexus injuries.
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  • - The study aimed to compare the outcomes of two surgical methods, carpectomy and four-corner fusion, for treating wrist arthritis resulting from previous carpal injury.
  • - Involving 20 patients, the research found that both procedures effectively reduced pain but resulted in a decreased range of motion; however, the differences between the two methods were not statistically significant.
  • - The conclusion indicates that both surgical options yielded similar functional improvements for patients with specific types of wrist arthritis, showing that they can manage pain effectively despite causing some loss of motion.
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Objective: To compare the results from surgical treatment between volar plates with angular stability and orthogonal plates in unstable distal radius fractures, in patients aged over 60 years.

Methods: The patients were divided into two groups that were treated with volar plates or orthogonal plates. Clinical and radiographic results were analyzed prospectively.

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Article Synopsis
  • The study aims to compare the effectiveness of flexor tendon tenolysis in zone 2 between two groups: one receiving intraoperative awakening with locoregional anesthesia and the other undergoing traditional general anesthesia.
  • A total of 22 patients with 39 affected fingers, who did not improve from rehabilitation, were assessed for active motion preoperatively and at 6 months post-surgery.
  • Results showed that while both methods yielded good outcomes, patients treated with the intraoperative awakening technique had significantly better total active motion after six months compared to those who underwent traditional anesthesia.
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