Publications by authors named "Ricardo Gomes Gobbi"
Bacteria drug resistance profile affects knee and hip periprosthetic joint infection outcome with debridement, antibiotics and implant retention.
BMC Musculoskelet Disord
August 2020
Article Synopsis
- - The study evaluated how the resistance profiles of bacteria affect the success of treating early acute periprosthetic infections in hip and knee arthroplasties using debridement, antibiotics, and implant retention (DAIR) from 2011 to 2015.
- - It analyzed the treatment failure rates in three groups: multidrug-sensitive bacteria (8.3% failure), methicillin-resistant Staphylococcus aureus (MRSA) (18.2% failure), and multidrug-resistant Gram-negative bacteria (MRB) (55.6% failure), revealing significant differences among these groups.
- - The findings indicated that DAIR works well for infections caused by multidrug-sensitive bacteria, but higher failure rates with multidrug
Objectives: Healing is an event that is fundamental to the success of total knee arthroplasty. The aims of the present study were to compare the rates of complications related to wound healing between two groups of volunteers submitted to total knee arthroplasty and to evaluate the effects of postoperative oxygen supplementation by means of a nasal catheter.
Method: A total of 109 patients who underwent total knee arthroplasty were randomized into two groups, namely, groups that did and did not receive postoperative oxygen supplementation via a nasal catheter.
The considerable increase of the life expectancy of HIV-infected patients in the age of highly-powerful antiretroviral treatment results in important metabolic and bone-joint changes resulting from a long-lasting viral infection time and from this treatment. The most common orthopaedic complications are bone mineralization changes, osteonecrosis, carpal tunnel syndrome and gleno-humeral adhesive capsulitis, with different clinical presentation features, natural disease progression and therapeutic response compared to the overall population. Literature reports are initial, and the experience of the multidisciplinary service of the University of Sao Paulo's Institute of Orthopaedics and Traumatology enables us a more indepth knowledge about the various pathologies involved and the development of treatment protocols that are appropriate to these diagnoses.
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