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The authors studied 22 patients who had 32 feet with symptomatic talocalcaneal coalition. All feet were treated with excision of the bar and interposition of an autogenous free fat graft. These cases were assessed clinically and radiographically before and after the operation. They conclude that this technique is a good surgery with gratifying results. In the final outcome, 78.1% of feet became completely painless and 21.8% achieved relief of pain. There was improvement of the deformity in 68.7% and of range of motion in 75%.

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The authors present an epidemiologic study concerning the spinal cord injuries treated at the Department of Orthopaedics and Traumatology of the School of Medicine of the University of São Paulo from 1982 to 1987. Out of 428 patients 94.3% were male, their age being mainly between 21 and 30 years. The segment more frequently affected was the cervical spine. The more frequent causes were the gunshot wounds and the traffic accidents. The incidence of death was 21%, caused mostly by respiratory failure.

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The treatment of herniated lumbar disc by non-surgical procedures, through automated percutaneous discectomy, was introduced in Brazil by the authors in 1988. In this preliminary report the results obtained with this method in three patients are presented. Existing literature mentions a rate of 80% successful results in selected cases submitted to this treatment.

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Of 66 cases of corrective lumbar osteotomy for ankylosing spondylitis, 59 were men and seven were women with a follow-up period of two to 30 years after surgery. Their ages ranged from 19 to 55 years. The deformity was corrected by a one-stage posterior osteotomy and decompression of the posterior elements of the spine. Postoperative ileus, nausea, vomiting, and urinary retention were the most common surgical complications. There were no cases of permanent neurological deficit. The one fatality occurred on the ninth postoperative day because of a ruptured aorta. The results were gratifying in the 65 remaining cases. These patients were pleased with the cosmetic results, improved gait, and ability to look straight ahead. In addition to the expanded field of vision, there was general improvement in the cardiorespiratory and gastrointestinal functions plus a better mental attitude. Patients over 55 years of age, patients with aortic calcification, poor medical risks, and patients with ankylosed hips (untreated with total hip arthroplasties) are contraindications for this operation.

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Os autores relatam um caso de lordoescoliose cicatricial na regiao lombar.Abordam as dificuldades de tratamento pela via posterior. O presente caso foi tratado por osteotomia anterior, com resseccao de cunha ao nivel de L3-L4 e tracao tipo 90 graus 90 graus

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Os autores apresentam 3 casos de osteoma osteoide vertebral localizados pela tomografia axial computadorizada. Abordam as dificuldades de diagnostico quando a lesao se localiza na coluna vertebral. Chamam a atencao para a necessidade da precisa localizacao do osteoma osteoide vertebral, para seu correto tratamento cirurgico

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Os AA. estudaram 100 pares de radiografias de pes adultos, na faixa etaria de 20 a 40 anos. As radiografias padronizadas foram realizadas na posicao de perfil com carga.Foram determinados os valores dos angulos tuberoarticular de Bohler e o talo-calcaneo posterior. Determinaram-se os valores destes angulos e foram pesquisadas as possiveis correlacoes com sexo, idade, raca, lado e tambem dos angulos entre si. Algumas conclusoes foram possiveis quanto aos elementos acima e suas influencias reciprocas

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Os AA. estudaram 100 pares de radiografias de pes de pacientes adultos, na faixa etaria de 20 a 40 anos. As radiografias padronizadas foram realizadas na posicao de frente, com carga. Foram determinados varios parametros - comprimento do 1o metatarsiano, o angulo entre o 1o e o 2o metatarsiano, o angulo entre os eixos do 1o metatarsiano e da falange proximal do halux, alem da distancia entre o apice da cabeca do 2o metatarsiano e o eixo dos ossos sesamoides prolongado perpendicularmente sobre o eixo diafisario do 2o metatarsiano. Esses parametros foram correlacionados e algumas conclusoes foram possiveis

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No Ano Internacional dos Deficientes Fisicos (1981) os autores fazem uma avaliacao critica das discutidas causas do pe torto congenito de Lorde Byron. Comentam tambem algumas consequencias e repercussoes do estigma do pe torto na personalidade e na obra do poeta ingles

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