EMYGDIO JOSE LEOMIL DE PAULA (original) (raw)

Papers by EMYGDIO JOSE LEOMIL DE PAULA

Research paper thumbnail of Nova técnica cirúrgica para o tratamento da artrite trapezometacarpiana

Nova, 1998

... ROST, ISANIO VASCONCELOS MESQUITA, EMYGDIO JL DE PAULA, LUIZ K. KIMURA, SÉRGIO OKANE, RAPHAEL... more ... ROST, ISANIO VASCONCELOS MESQUITA, EMYGDIO JL DE PAULA, LUIZ K. KIMURA, SÉRGIO OKANE, RAPHAEL MARTUS MARCON ... Pieron(12), em estudo anatômico, identifica quatro ligamentos como estabilizadores dessa articulação: os ligamentos oblíquo anterior e ...

Research paper thumbnail of Mão torta radial: análise preliminar do tratamento em 11 pacientes

Research paper thumbnail of Reconstrucao ligamentar na dissociacao escafo-semilunar cronica: experiencia em seis pacientes

Acta Ortopedica Brasileira, 1995

Research paper thumbnail of Mapeamento fascicular de nervos perifericos por metodo histoquimico da acetilcolinesterase

Revista Brasileira De Ortopedia, 1996

... Page 2. LK KIMURA, CJ RODRIGUES, AJ RODRIGUES JR., R. MATTAR JR., EJL PAULA, SY OKANE, MR REZ... more ... Page 2. LK KIMURA, CJ RODRIGUES, AJ RODRIGUES JR., R. MATTAR JR., EJL PAULA, SY OKANE, MR REZENDE & RJ AZZE 204 ... As leitu-ras das lâminas foram realizadas através de microscópio óp-tico Nikon, com aumento de 1.000 vezes em imersão. ...

Research paper thumbnail of Tratamento das grandes perdas segmentares ósseas do membro superior com transplante ósseo vascularizado de fíbula

Research paper thumbnail of Ressecção do escafóide associada a artrodese dos quatro cantos no tratamento de artrose da borda radial do carpo

Revista Brasileira De Ortopedia, 1998

Research paper thumbnail of Classifying radius fractures with X-ray and tomography imaging

Todos os autores declaram não haver nenhum potencial conflito de interesses referente a este artigo.

Research paper thumbnail of Uso do enxerto ósseo vascularizado do rádio distal em cirurgia da mão: análise preliminar

Anais, 1998

Existem várias situações clínicas cujos tratamentos constituem um desafio em cirurgia da mão. Den... more Existem várias situações clínicas cujos tratamentos constituem um desafio em cirurgia da mão. Dentre essas, podemos destacar as pseudartroses do escafóide, particularmente as localizadas na sua extremidade proximal e as relacionadas com sofrimento vascular dos fragmentos. ...

Research paper thumbnail of Osteotomia com adição de cunha trapezoidal no tratamento das consolidações viciosas do rádio dista

Research paper thumbnail of Comparative Study Between Traditional Tenolyses and with Intraoperative Awakening Performed on the Flexor Osteofibrous Tunnel Region of the Hands (Zone 2)

Revista Brasileira De Ortopedia, 2009

Objetivo: As tenólises dos tendões flexores na zona 2 são procedimentos difíceis e um verdadeiro ... more Objetivo: As tenólises dos tendões flexores na zona 2 são procedimentos difíceis e um verdadeiro desafio na cirurgia da mão. Com o objetivo de comparar os resultados obtidos entre as tenólises com despertar intraoperatório, realizadas sob anestesia locorregional (grupo 1), daqueles obtidos com as tenólises convencionais, realizadas sob anestesia geral ou bloqueio total do plexo braquial (grupo 2), os autores realizam um estudo prospectivo e controlado. Métodos: Foram avaliados 22 pacientes com 39 dedos portadores de lesão de tendão flexor na zona 2 que evoluíram para aderências. Todos os pacientes foram operados após três meses e antes de um ano da sutura tendinosa primária. Todos apresentavam limitação da movimentação ativa sem melhora com a reabilitação. Os grupos 1 e 2 mostraram-se homogêneos em relação à idade dos pacientes, sexo, comprometimento pré-operatório e ausência de lesões ou patologias associadas. Todos os pacientes foram avaliados de acordo com a movimentação ativa (TAMs) no período pré-operatório e com seis meses de pós-operatório. Resultados: A análise estatística dos dados obtidos nos grupos 1 e 2 demonstra que as tenólises realizadas pelas duas técnicas proporcionam bons resultados. Ao comparar os resultados da movimentação ativa total após seis meses da tenólise, observa-se que os pacientes do grupo 1, tratados pela técnica do despertar intraoperatório, apresentavam melhores resultados. Conclusões: As tenólises dos flexores na zona 2 proporcionam bons resultados em termos de ganho de amplitude articular. A técnica de despertar intraoperatório com anestesia locorregional proporciona resultados mais satisfatórios que a técnica convencional.

Research paper thumbnail of Avaliação do ganho funcional do cotovelo com a cirurgia de Steindler na lesão do plexo braquial

Acta Ortopedica Brasileira, 2011

Todos os autores declaram não haver nenhum potencial conflito de interesses referente a este artigo.

Research paper thumbnail of Rizartrose do polegar: resultados da artroplastia de resseccao e estabilizacao ativa

Revista Brasileira De Ortopedia, 1996

Research paper thumbnail of Reconstrucao dos tendones flexores com o metodo de Indiana

Revista Brasileira De Ortopedia, 1997

Research paper thumbnail of Radiocarpal Fracture Dislocations: A New Classification and Treatment Proposal

Acta Ortopédica Brasileira, 2022

Introduction The radiographic and surgical findings, and treatment of radiocarpal fracture disloc... more 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. Results From 1995 to 2018, 40 patients with radiocarpal fracture dislocation underwent surgery. Thirty-six were males and four were females. The mean age was twenty-four years (range: 18-45). Three dislocations were volar dislocations and 37 were displaced dorsally. Initially, 8 (20%) patients were classified as group I, 29 (72.5%) as group II, and 3 (7.5%) remained unclassified. The main variations occurred in group II. Seven fractures were stable after radial styloid fixation and 6 remained unstable. Sixteen fractures presented articular fragments or an interposed capsule, which prevented anatomical reduction using con...

Research paper thumbnail of Madelung’s deformity: treatment with osteotomy of the radius and insertion of a trapezoidal wedge

Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion... more Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion of a trapezoidal wedge and present our clinical experience with this method. Methods: Eight female patients in the 12to 22-year age range (mean age 15.6 years) with bilateral Madelung’s deformity underwent surgery between 1997 and 2008, with a total of 12 operated wrists. The postoperative period varied between 3 and 83 months, with an average of 40.3 months. Results: An improvement was noticed in all parameters analyzed, with an average increase in the degree of amplitude of the joint in terms of flexion, extension, pronation and supination. Conclusion: All patients had improvement in gain of motion and reported being satisfied with the improvement in the appearance of their deformities.

Research paper thumbnail of Reimplantes de polegar nas amputaçöes provocadas por mecanismo de avulsäo

Revista Brasileira De Ortopedia, 1995

Os autores analisam casuistica de 11 pacientes vitimas de amputacoes ao nivel do polegar provocad... more Os autores analisam casuistica de 11 pacientes vitimas de amputacoes ao nivel do polegar provocadas por mecanismo de avulsao. Relatam as tecnicas das reconstrucoes realizadas e referem os resultados obtidos, imediatamente e tardios. A maioria das amputacoes ocorreu ao nivel da articulacao metacarpofalangiana. O indice de sucesso em termos de sobrevida e resultado funcional satisfatorio foi de 64 por cento. Concluem que, mesmo nestas situacoes de alta complexidade, os reimplantes do polegar sempre devem ser realizados (AU)

Research paper thumbnail of Avaliação preliminar dos resultados do tratamento comparativo entre placa volar versus placas ortogonais com estabilidades angular nas fraturas do rádio distal em pacientes com mais de 60 anos

Research paper thumbnail of Artroscopia de punho em atletas

Revista Brasileira de Ortopedia, 2018

Arthroscopy is a surgical technique whose indication for wrist injuries has grown in recent years... more 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. The authors present indications of sports-related injuries to the wrist that can be treated by arthroscopy. A literature review is also presented.

Research paper thumbnail of Reconstrucao da mao na epidermolise bolhosa

Revista Brasileira De Ortopedia, 2002

Hand reconstruction in epidermolysis bullosa Digital contractures and pseudosyndactyly are freque... more Hand reconstruction in epidermolysis bullosa Digital contractures and pseudosyndactyly are frequently found in patients with epidermolysis bullosa, leading to a severe functional hand impairment. Due to permanent blistering, such deformities, if left untreated, become worse with time. Surgical treatment associated with postoperative splitting may minimize the progression of the finger contractures and pseudosyndactyly formation. The technique of surgery and immediate postoperative splitting differs from those previously reported. The authors present the results of treatment in 20 patients, in a total of 30 operated hands. Mean follow-up was 20 months (range, seven to thirty months). Partial recurrence of the deformities was observed in two patients.

Research paper thumbnail of Madelung’s deformity: treatment with osteotomy of the radius and insertion of a trapezoidal wedge

Journal of Hand Surgery (European Volume), 2011

Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion... more Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion of a trapezoidal wedge and present our clinical experience with this method. Methods: Eight female patients in the 12to 22-year age range (mean age 15.6 years) with bilateral Madelung’s deformity underwent surgery between 1997 and 2008, with a total of 12 operated wrists. The postoperative period varied between 3 and 83 months, with an average of 40.3 months. Results: An improvement was noticed in all parameters analyzed, with an average increase in the degree of amplitude of the joint in terms of flexion, extension, pronation and supination. Conclusion: All patients had improvement in gain of motion and reported being satisfied with the improvement in the appearance of their deformities.

Research paper thumbnail of Nova técnica cirúrgica para o tratamento da artrite trapezometacarpiana

Nova, 1998

... ROST, ISANIO VASCONCELOS MESQUITA, EMYGDIO JL DE PAULA, LUIZ K. KIMURA, SÉRGIO OKANE, RAPHAEL... more ... ROST, ISANIO VASCONCELOS MESQUITA, EMYGDIO JL DE PAULA, LUIZ K. KIMURA, SÉRGIO OKANE, RAPHAEL MARTUS MARCON ... Pieron(12), em estudo anatômico, identifica quatro ligamentos como estabilizadores dessa articulação: os ligamentos oblíquo anterior e ...

Research paper thumbnail of Mão torta radial: análise preliminar do tratamento em 11 pacientes

Research paper thumbnail of Reconstrucao ligamentar na dissociacao escafo-semilunar cronica: experiencia em seis pacientes

Acta Ortopedica Brasileira, 1995

Research paper thumbnail of Mapeamento fascicular de nervos perifericos por metodo histoquimico da acetilcolinesterase

Revista Brasileira De Ortopedia, 1996

... Page 2. LK KIMURA, CJ RODRIGUES, AJ RODRIGUES JR., R. MATTAR JR., EJL PAULA, SY OKANE, MR REZ... more ... Page 2. LK KIMURA, CJ RODRIGUES, AJ RODRIGUES JR., R. MATTAR JR., EJL PAULA, SY OKANE, MR REZENDE & RJ AZZE 204 ... As leitu-ras das lâminas foram realizadas através de microscópio óp-tico Nikon, com aumento de 1.000 vezes em imersão. ...

Research paper thumbnail of Tratamento das grandes perdas segmentares ósseas do membro superior com transplante ósseo vascularizado de fíbula

Research paper thumbnail of Ressecção do escafóide associada a artrodese dos quatro cantos no tratamento de artrose da borda radial do carpo

Revista Brasileira De Ortopedia, 1998

Research paper thumbnail of Classifying radius fractures with X-ray and tomography imaging

Todos os autores declaram não haver nenhum potencial conflito de interesses referente a este artigo.

Research paper thumbnail of Uso do enxerto ósseo vascularizado do rádio distal em cirurgia da mão: análise preliminar

Anais, 1998

Existem várias situações clínicas cujos tratamentos constituem um desafio em cirurgia da mão. Den... more Existem várias situações clínicas cujos tratamentos constituem um desafio em cirurgia da mão. Dentre essas, podemos destacar as pseudartroses do escafóide, particularmente as localizadas na sua extremidade proximal e as relacionadas com sofrimento vascular dos fragmentos. ...

Research paper thumbnail of Osteotomia com adição de cunha trapezoidal no tratamento das consolidações viciosas do rádio dista

Research paper thumbnail of Comparative Study Between Traditional Tenolyses and with Intraoperative Awakening Performed on the Flexor Osteofibrous Tunnel Region of the Hands (Zone 2)

Revista Brasileira De Ortopedia, 2009

Objetivo: As tenólises dos tendões flexores na zona 2 são procedimentos difíceis e um verdadeiro ... more Objetivo: As tenólises dos tendões flexores na zona 2 são procedimentos difíceis e um verdadeiro desafio na cirurgia da mão. Com o objetivo de comparar os resultados obtidos entre as tenólises com despertar intraoperatório, realizadas sob anestesia locorregional (grupo 1), daqueles obtidos com as tenólises convencionais, realizadas sob anestesia geral ou bloqueio total do plexo braquial (grupo 2), os autores realizam um estudo prospectivo e controlado. Métodos: Foram avaliados 22 pacientes com 39 dedos portadores de lesão de tendão flexor na zona 2 que evoluíram para aderências. Todos os pacientes foram operados após três meses e antes de um ano da sutura tendinosa primária. Todos apresentavam limitação da movimentação ativa sem melhora com a reabilitação. Os grupos 1 e 2 mostraram-se homogêneos em relação à idade dos pacientes, sexo, comprometimento pré-operatório e ausência de lesões ou patologias associadas. Todos os pacientes foram avaliados de acordo com a movimentação ativa (TAMs) no período pré-operatório e com seis meses de pós-operatório. Resultados: A análise estatística dos dados obtidos nos grupos 1 e 2 demonstra que as tenólises realizadas pelas duas técnicas proporcionam bons resultados. Ao comparar os resultados da movimentação ativa total após seis meses da tenólise, observa-se que os pacientes do grupo 1, tratados pela técnica do despertar intraoperatório, apresentavam melhores resultados. Conclusões: As tenólises dos flexores na zona 2 proporcionam bons resultados em termos de ganho de amplitude articular. A técnica de despertar intraoperatório com anestesia locorregional proporciona resultados mais satisfatórios que a técnica convencional.

Research paper thumbnail of Avaliação do ganho funcional do cotovelo com a cirurgia de Steindler na lesão do plexo braquial

Acta Ortopedica Brasileira, 2011

Todos os autores declaram não haver nenhum potencial conflito de interesses referente a este artigo.

Research paper thumbnail of Rizartrose do polegar: resultados da artroplastia de resseccao e estabilizacao ativa

Revista Brasileira De Ortopedia, 1996

Research paper thumbnail of Reconstrucao dos tendones flexores com o metodo de Indiana

Revista Brasileira De Ortopedia, 1997

Research paper thumbnail of Radiocarpal Fracture Dislocations: A New Classification and Treatment Proposal

Acta Ortopédica Brasileira, 2022

Introduction The radiographic and surgical findings, and treatment of radiocarpal fracture disloc... more 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. Results From 1995 to 2018, 40 patients with radiocarpal fracture dislocation underwent surgery. Thirty-six were males and four were females. The mean age was twenty-four years (range: 18-45). Three dislocations were volar dislocations and 37 were displaced dorsally. Initially, 8 (20%) patients were classified as group I, 29 (72.5%) as group II, and 3 (7.5%) remained unclassified. The main variations occurred in group II. Seven fractures were stable after radial styloid fixation and 6 remained unstable. Sixteen fractures presented articular fragments or an interposed capsule, which prevented anatomical reduction using con...

Research paper thumbnail of Madelung’s deformity: treatment with osteotomy of the radius and insertion of a trapezoidal wedge

Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion... more Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion of a trapezoidal wedge and present our clinical experience with this method. Methods: Eight female patients in the 12to 22-year age range (mean age 15.6 years) with bilateral Madelung’s deformity underwent surgery between 1997 and 2008, with a total of 12 operated wrists. The postoperative period varied between 3 and 83 months, with an average of 40.3 months. Results: An improvement was noticed in all parameters analyzed, with an average increase in the degree of amplitude of the joint in terms of flexion, extension, pronation and supination. Conclusion: All patients had improvement in gain of motion and reported being satisfied with the improvement in the appearance of their deformities.

Research paper thumbnail of Reimplantes de polegar nas amputaçöes provocadas por mecanismo de avulsäo

Revista Brasileira De Ortopedia, 1995

Os autores analisam casuistica de 11 pacientes vitimas de amputacoes ao nivel do polegar provocad... more Os autores analisam casuistica de 11 pacientes vitimas de amputacoes ao nivel do polegar provocadas por mecanismo de avulsao. Relatam as tecnicas das reconstrucoes realizadas e referem os resultados obtidos, imediatamente e tardios. A maioria das amputacoes ocorreu ao nivel da articulacao metacarpofalangiana. O indice de sucesso em termos de sobrevida e resultado funcional satisfatorio foi de 64 por cento. Concluem que, mesmo nestas situacoes de alta complexidade, os reimplantes do polegar sempre devem ser realizados (AU)

Research paper thumbnail of Avaliação preliminar dos resultados do tratamento comparativo entre placa volar versus placas ortogonais com estabilidades angular nas fraturas do rádio distal em pacientes com mais de 60 anos

Research paper thumbnail of Artroscopia de punho em atletas

Revista Brasileira de Ortopedia, 2018

Arthroscopy is a surgical technique whose indication for wrist injuries has grown in recent years... more 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. The authors present indications of sports-related injuries to the wrist that can be treated by arthroscopy. A literature review is also presented.

Research paper thumbnail of Reconstrucao da mao na epidermolise bolhosa

Revista Brasileira De Ortopedia, 2002

Hand reconstruction in epidermolysis bullosa Digital contractures and pseudosyndactyly are freque... more Hand reconstruction in epidermolysis bullosa Digital contractures and pseudosyndactyly are frequently found in patients with epidermolysis bullosa, leading to a severe functional hand impairment. Due to permanent blistering, such deformities, if left untreated, become worse with time. Surgical treatment associated with postoperative splitting may minimize the progression of the finger contractures and pseudosyndactyly formation. The technique of surgery and immediate postoperative splitting differs from those previously reported. The authors present the results of treatment in 20 patients, in a total of 30 operated hands. Mean follow-up was 20 months (range, seven to thirty months). Partial recurrence of the deformities was observed in two patients.

Research paper thumbnail of Madelung’s deformity: treatment with osteotomy of the radius and insertion of a trapezoidal wedge

Journal of Hand Surgery (European Volume), 2011

Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion... more Purpose: The purpose of this study is describe a osteotomy technique of the radius with insertion of a trapezoidal wedge and present our clinical experience with this method. Methods: Eight female patients in the 12to 22-year age range (mean age 15.6 years) with bilateral Madelung’s deformity underwent surgery between 1997 and 2008, with a total of 12 operated wrists. The postoperative period varied between 3 and 83 months, with an average of 40.3 months. Results: An improvement was noticed in all parameters analyzed, with an average increase in the degree of amplitude of the joint in terms of flexion, extension, pronation and supination. Conclusion: All patients had improvement in gain of motion and reported being satisfied with the improvement in the appearance of their deformities.