Os aparelhos gessados são dispositivos rígidos de imobilização externa que envolvem uma região do corpo, de forma a mantê-la numa posição adequada. Estudo mecânico comparativo entre aparelhos gessados clássicos e de material sintético. JDMBA Rossi, FAS Caffali, TP Leivas, LA Menezes Filho, AA Quintela. Avaliação do aparelho gessado cruro-podálico articulado como complementação do tratamento cirúrgico do “genu valgum.” Front Cover. Hélio Lúcio de Souza.
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Clin Orthop Relat Res.
Treatment of heterotopic ossification of the hip with use of a plaster cast: A wedge was made in the cast 5 days later, and the patient was discharged on July 17, Exercises are recommended to maintain joint mobility. Leite NM, Faloppa F. Risk factors of heterotopic ossification in traumatic spinal cord injury. A year-old male patient was treated in at the orthopedic outpatient apatelhos of a public university hospital, complaining of pain and progressive limitation of movement in the hips, as well as loss of gesssados lower limb RLL muscle strength after suffering physical aggression approximately 8 months earlier.
This pathology usually has a benign course, but it can cause a reduction in the range of joint movement and hamper the rehabilitation process. The etiology of HO is still uncertain. Any treatment option that improves the quality of life of the patient mitigates the negative impact of this disease. In patients with spinal cord injury, early HO diagnosis is of utmost importance so that adequate treatment can be initiated and the chance of progression to ankylosis of the joint reduced.
Appearance 2 years after treatment.
Jorge Joanfer Email & Phone# | técnico de aparelho gessado @ hospital semiu – ContactOut
On physical examination, he was in good general condition and was afebrile. It is believed that recurrence is associated with the presence of osteoblastic activity at the HO site at the time aparelho resection. After the aggression, he evolved with TBI gessados was bedridden due to a bilateral hip contracture Fig. The cast was used for 9 months. Naproxen in prevention of heterotopic ossification after total hip replacement.
Heterotopic ossification can be defined as the formation of bone in tissues that have no ossification properties, such as in muscles and connective tissue of a periarticular region, without invasion of the joint capsule. Shortly after its removal, the patient began walking with crutches for short distances and later, after several aparelyos therapy sessions, without crutches.
However, surgical HO resection is usually not indicated for patients classified as Brooker grade I and II, and sometimes as grade III lesions, because of the low functional impact since they do not present active movement of the lower limbs, with risk of complications and relapses. Still, the best treatment is prevention. The objective of this report is to describe a case of heterotopic ossification in the hip after traumatic brain injury, presenting the clinical manifestations and discussing the treatment instituted with a long leg plaster cast.
Immediately after the manipulation, in the operation room, the right hip’s range of motion ROM was measured: The right and left hips presented, respectively, flexion: Hip ROM improvement was observed in general and mainly in flexion, abduction, and internal rotation movements Figs. Thus, surgical excision must be carefully and individually considered and reserved for fully matured HO cases in patients with severe functional joint impairment.
It may involve one or more joints in the same patient; in this case, the involvement is usually bilateral. It usually occurs in the large joints.
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Computed tomography CT can also be used. Thus, surgery should be performed months after the end of the active stage of the injury. Bisphosphonates can be used prophylactically to prevent recurrence of surgically excised heterotopic bones.
Heterotopic ossification HO is a process of abnormal osteogenesis in non-skeletal tissues, due to an initial metaplastic and inflammatory process, through bone neoformation in soft tissues; it is not considered a neoplasia.
In this case, the full leg plaster cast allowed the patient to walk, despite the ROM limitation.
The patient was able to improve the movements of extension, abduction, and adduction of the right hip, which allowed gait without the risks of resection surgery. Rev Col Bras Cir.