About Dr. Luís
Henrique Barros
Learn more about Dr. Luís Henrique Barros' career, training, publications and successful clinical cases.
Learn more about Dr. Luís Henrique Barros' career, training, publications and successful clinical cases.
10+
Anos de Experiência
50+
Formações e Palestras
30+
Estudos e Publicações
200+
Casos de Sucesso
About me
Find out more about the career of Dr. Luís Henrique Barros, Specialist in Orthopedics, in shoulder and elbow pathology.
With numerous publications and extensive experience in clinical treatments, I believe I can help you.
Academic Background
- Master in Medicine from the Faculty of Medicine of the University of Porto in 2012, which he completed with a final grade of 16 out of 20
- He enrolled in the Postgraduate Course in Sports Medicine at the Faculty of Medicine of the University of Porto, which he completed in the academic year 2014/2015.
Clinical Activity and Professional Experience
- Assistant Orthopedist at the Orthopedics and Traumatology Service of the Porto University Hospital Center – Hospital de Santo António since 2020
- Orthopedist Coordinator of the Shoulder Consultation at Generali/Tranquilidade Norte Insurance Company, since 2020
- Orthopedist at the Shoulder and Elbow Unit of Trofa Saúde Hospital, 2020
- Orthopedic Coordinator of the Shoulder and Elbow Unit at the Espregueira Clinic, 2021-2022
- Orthopedic Surgeon Co-Coordinator of the Shoulder and Elbow Unit at Hospital Cuf Trindade, 2022-Present
- In 2014, he took up the position of Medical Internship in Specific Training in Orthopedics and Traumatology at the Centro Hospitalar Universitário do Porto (CHUP) – Hospital de Santo António. He completed the Specific Training Internship on December 31, 2019 with a grade of 19.51. Final specialty exam grade of 19.73.
- Completed the Advanced Trauma Life Support (ATLS), a trauma course from the American College of Surgeons and the Portuguese Society of Surgery, in May 2014
- In 2013, he completed his Common Year internship at the Tâmega e Sousa Hospital Center, which he successfully completed.
- Participated in 37 congresses, conferences and scientific meetings, 45 courses and 3 extracurricular internships
- Collaboration with the Portuguese Volleyball Federation
- Orthopedist and Official Doctor of the European Qualifying Pool for the Volleyball World Championship for Men and Women U17, which took place in Matosinhos, from 6 to 8 June 2014
- Orthopedist and official doctor of the 7th World University Beach Volleyball Championship, held on the beaches of Porto and Matosinhos, from 23 to 27 July 2014
- Collaboration with the Academic Federation of University Sports
- Orthopedist and Doctor of the 22nd World University Handball Championship, which took place in Guimarães, from August 3 to 10, 2014
- Orthopedist and doctor responsible for the event at the AMB Volleyball tournament in Espinho
Extracurricular Training and Internships
Service de Chirurgie Orthopédique et Chirurgie du Sport, Hôpital Pasteur, Nice, France with Professor Pascal Boileau, held in July 2018
Professor Pascal Boileau’s name is unavoidable when it comes to shoulder surgery worldwide. With so many published works, lectures, courses, prostheses and techniques developed by him, it became obvious the need to learn closely from this “great master” who is leaving his mark on the new generation of Shoulder Surgeons.Professor Boileau graduated in Medicine in 1989. He completed his specialization in Orthopedics and Traumatology in 1993. Throughout his medical career, he has received numerous awards for his roles and scientific work. He is currently the Director of the Orthopedic Surgery and Sports Surgery Department at the Pasteur 2 Hospital in Nice (since 1999), Director of the University Institute of Locomotion and Sport (since 2008) and Head of Outpatient Surgery at the Nice University Hospital Centre. He specializes in treating athletes with shoulder instability and degenerative pathologies.
The objective of this internship was to improve the clinical evaluation of patients with shoulder pathology, understand other forms of diagnosis and therapeutic decision-making, learn new surgical approaches to the shoulder, assimilate the steps of Arthroscopic Laterjet and understand the concept of BIO-RSA, both techniques developed by Professor Boileau.
Roth McFarlane Hand and Upper Limb Centre, London, Canada, with Professor George Athwal, held in April 2019
Roth-McFarlane Hand and Upper Limb Centre is a world-renowned and respected centre with a level of excellence in education, research, diagnosis and treatment. They are the largest upper limb centre in Canada, with patients coming from all over the world, treating over 40,000 patients per year. Those who follow and attend courses and conferences on shoulder pathology will realise that Professor George Athwal represents a new generation of shoulder surgeons who make research and scientific knowledge their trademark. He has been known for his captivating lectures but, above all, for his knowledge of prosthetics and prosthetic revisions, and is currently one of the world’s leading references in this area.
The Hon. Professor George Athwal graduated in Medicine from the University of British Columbia. After completing his internship in Orthopaedics at Queen’s University, he spent 2 years subspecializing in upper limb surgery, 1 year at the Hospital for Special Surgery in New York and 1 year at the Mayo Clinic. In 2005, he joined the team at the Roth-McFarlane Hand and Upper Limb Centre. He is actively involved in clinical and biomechanical research projects, both in the shoulder and elbow areas. He has published extensively (more than 200 articles), is a speaker at many conferences and courses and has received several awards throughout his not-so-long career.
The aim of the internship was to improve and diversify theoretical and practical knowledge of prosthetic shoulder surgery, both in primary and secondary arthroplasties. A second objective was to be able to contact the biomechanics laboratory of this centre.
Fortius Clinic, London, England, with Drs. Andy Williams and James Calder, held in October 2019
Internship in Orthopedics and Sports Traumatology, allowing the student to learn from renowned professionals linked to sports, who treat football and rugby players from the best leagues in the world, being the greatest references in this area.
Professor James Calder is an internationally recognized foot and ankle surgeon in the treatment of sports injuries. He works with athletes and sports professionals from the main English, Spanish and French football clubs, as well as the main English rugby clubs and also British athletes linked to gymnastics, ballet and hockey, among others. He maintains a research project in the Bioengineering department of Imperial College, London. He is currently the president of the European Society of Sports Traumatology, Knee Surgery & Arthroscopy – Ankle & Foot Associates (ESSKA-AFAS). Professor James Calder is a foot and ankle surgeon internationally recognized in the treatment of sports injuries
. Dr. Andy Williams is one of the most renowned knee surgeons in the world, both for the many famous football players he has operated on and for his lectures and published scientific articles. He is a world reference in the reconstruction of the anterior cruciate ligament, posterior cruciate ligament and multi-ligament injuries.
The objectives of this internship were to enrich theoretical and practical knowledge in the area of sports traumatology, improve the clinical assessment of these patients and the ability to interpret imaging studies, as well as learn different arthroscopic and open techniques for their treatment.
Roth McFarlane Hand and Upper Limb Center, London, Canadá, com o Professor George Athwal, realizado em Abril de 2019
Roth-McFarlane Hand and Upper Limb Centre é um centro reconhecido e respeitado mundialmente, com nível de excelência na educação, investigação, diagnóstico e tratamento. São o maior centro de membro superior do Canadá, sendo que os doentes são provenientes de todo o mundo, tratando mais de 40 000 doentes por ano. Quem acompanha e frequenta cursos e congressos sobre patologia do ombro, percebe que o Professor George Athwal representa uma nova geração de cirurgiões de ombro que fazem da investigação e conhecimento científico a sua imagem de marca. Tem-se notabilizado pelas suas palestras cativantes mas, principalmente, pelo seu conhecimento a nível de próteses e revisões de próteses, sendo atualmente uma das principais referências a nível mundial nesta área.
O Exmo. Sr. Professor George Athwal licenciou-se em Medicina na Universidade de British Columbia. Após completar o internato de Ortopedia na Universidade Queen, realizou 2 anos de subespecialização em cirurgia de membro superior, 1 ano no Hospital for Special Surgery, em Nova Iorque, e 1 ano na Clínica Mayo. Em 2005, passou a integrar a equipa do Roth-McFarlane Hand and Upper Limb Centre. Está ativamente envolvido em projetos de investigação clínicos e biomecânicos, tanto na área do ombro como do cotovelo. Tem inúmeras publicações (mais de 200 artigos), é palestrante em muitos congressos e cursos e recebeu vários prémios ao longo da sua, ainda não muito longa, carreira.
O objetivo do estágio consistiu no aperfeiçoamento e diversificação do conhecimento teórico e prático da cirurgia protésica do ombro, tanto nas artroplastias primárias como secundárias. Um segundo objetivo foi poder contactar com o laboratório de biomecânica deste centro.
Fortius Clinic, Londres, Inglaterra, com os Drs. Andy Williams e James Calder, realizado em Outubro de 2019
Estágio realizado em Ortopedia e Traumatologia Desportiva, permitindo aprender com profissionais de renome ligados ao desporto, que tratam os jogadores de futebol e de rugby das melhores ligas do mundo, sendo as maiores referências nesta área.
O Exmo. Professor James Calder é um cirurgião de pé e tornozelo internacionalmente reconhecido no tratamento de lesões desportivas. Trabalha com atletas e profissionais desportivos dos principais clubes ingleses, espanhóis e franceses de futebol, assim como dos principais clubes ingleses de rubby e ainda atletas britânicos ligados à ginástica, ballet e hóquei, entre outros. Mantém um projeto de investigação no departamento de Bioengenharia do Imperial College, em Londres. É atualmente o presidente da European Society of Sports Traumatology, Knee Surgery & Arthroscopy – Ankle & Foot Associates (ESSKA-AFAS).
O Exmo. Sr. Dr. Andy Williams é um dos cirurgiões de joelho mais conhecidos em todo o mundo, tanto pelos inúmeros jogadores de futebol conhecidos que já operou como pelas suas palestras e artigos científicos publicados. É uma referência mundial na reconstrução do ligamento cruzado anterior, cruzado posterior e em lesões multiligamentares.
Os objetivos deste estágio consistiram em enriquecer os conhecimentos teóricos e práticos na área de traumatologia desportiva, melhorar a avaliação clínica destes doentes e a capacidade de interpretação dos estudos imagiológicos, bem como, aprender diferentes técnicas artroscópicas e abertas para o seu tratamento.
Awards and Distinctions
- Dr. Vieira Braga Award from the Portuguese Shoulder and Elbow Society (SPOC) and respective scholarship for the orthopedist with the best curriculum in the shoulder and elbow area in 2018
- Best poster award at the National Congress of the Portuguese Society of Orthopedics and Traumatology (SPOT), in October 2017 with the work “Crouzon Syndrome. A rare cervical spine kyphotic abnormality”
- Honorable mention in oral communication of which he was co-author at the national congress of the Portuguese Society of Pediatric Orthopedics, in March 2018
- Award for the Best Clinical Case in which he was a co-author at the National Foot and Ankle Congress, in May 2016 with the work “Gigantism of the Foot”
- Best Free Communication Award at the 40th National Congress of the Portuguese Society of Orthopedics and Traumatology (SPOT) for having been co-author of the work “Glenoid notching after reversed shoulder arthroplasty: influence of the cervico-diaphyseal angle of the humeral component”, in October 2021.
Educational and Pedagogical Activities
- Invited Assistant Professor of the Medicine Course at the Abel Salazar Institute of Biomedical Sciences (ICBAS), since 2020
- Teacher / Monitor in several Update Courses in the area of Orthopedics and Shoulder and Elbow
- Continuous training of Orthopedic interns and Interns in other specialties, namely Physical Medicine and Rehabilitation, General and Family Medicine, Common Year Interns
- “Plasters and Fractures” included in the SOS Vida program – III Medical Emergency Conference
- Participated as a teacher in the workshop “Sports Medicine Workshop” included in the III AEICBAS Biomedical Congress program
- Participated as a teacher in the workshop “Fractures & Plasters” included in the III AEICBAS Biomedical Congress program
- He participated as a teacher in the Secondary School Physical Education Teacher Training Course, having been responsible for the topic “Sports Injuries in the School Environment”.
- Jury for master’s theses of the Medicine Course at the Abel Salazar Institute of Biomedical Sciences (ICBAS)
Congresses and Scientific Meetings
International
- ANTANDER ALL JOINT ARTHROSCOPY AND ARTHOPLASTY
Organizing entity: Santander Orthop Meeting
Location: Santander, Spain
Date: February 26th and 27th, 2015 - 28TH ANNUAL MEETING OF THE EUROPEAN MUSCULO-SKELETAL ONCOLOGY SOCIETY (EMSOS)
Organizing entity: European Musculo-Skeletal Oncology Society (EMSOS)
Location: Athens, Greece
Date: April 29 to May 1, 2015 - 16TH EUROPEAN FEDERATION OF NATIONAL ASSOCIATIONS OF ORTHOPAEDICS AND TRAUMATOLOGY (EFORT) ANNUAL CONGRESS
Organizing entity: EFORT
Location: Prague, Czech Republic
Date: 27-29 May 2015 - 17TH EFORT ANNUAL CONGRESS [Vol. II Doc. 28]
Organizing entity: EFORT
Location: Geneva, Switzerland
Date: June 1st to 3rd, 2016 - 35TH ANNUAL MEETING OF THE EUROPEAN BONE AND JOINT INFECTION SOCIETY (EBJIS)
Organizing entity: EBJIS
Venue: Oxford, United Kingdom
Date: 1-3 September 2016 - IBERIAN SHOULDER CONFERENCES
Organizing entity: Orthopedics Service of the Guarda
Local Health Unit Location: Guarda, Portugal
Date: September 30, 2017 - WORLD SPINE 8 CONGRESS
Organizing entity: World Spinal Column Society and Portuguese Society of Neurosurgery
Location: Porto, Portugal
Date: April 15-18, 2018 - 29th SECEC-ESSSE Congress
Organizing Entity: SECEC-ESSE
Location: Poznan, Poland
Date: September 2021 - 30th SECEC-ESSSE Congress
Organizing Entity: SECEC-ESSE
Location: Dublin, Republic of Ireland
Date: September 2022
Nationals
- CLINICAL MEETING OF THE NORTHERN ORTHOPEDIC GROUP (GON)
Organizing entity: Orthopedics Service of the Alto Minho Local Health Unit
Location: Viana do Castelo, Portugal
Date: May 24, 2014 - SYMPOSIUM: 100 MALIGNANT BONE TUMORS
Organizing entity: Pediatric Orthopedics Service of the Pediatric Hospital – CHUC
Location: Coimbra, Portugal
Date: September 16, 2014 - GON CLINICAL MEETING
Organizing entity: Orthopedics Service of the Tâmega e Sousa Hospital Center (CHTS)
Location: Penafiel, Portugal
Date: September 27, 2014 - 34th NATIONAL CONGRESS OF ORTHOPEDICS AND TRAUMATOLOGY
Organizing entity: Portuguese Society of Orthopedics and Traumatology (SPOT)
Location: Algarve, Portugal
Date: October 23-25, 2014 - 1st ORTHOPEDIC MEETING ON BODILY DAMAGE ASSESSMENT
Organizing entity: SPOT Medical-Legal Study Group and CHUC Orthopedics Service
Location: Coimbra, Portugal
Date: January 17, 2015 - 2ND RIO AVE FOOTBALL CLUB SPORTS MEDICINE CONFERENCE
Organizing entity: Rio Ave Futebol Clube
Location: Vila do Conde, Portugal
Date: June 6, 2015 - PORTO HIP MEETING 2015 – III CONFERENCE OF THE ORTHOPEDICS SERVICE OF THE HOSPITAL CENTRE BETWEEN DOURO AND VOUGA (CHEDV)
Organizing entity: Orthopedics Service of CHEDV
Location: Porto, Portugal
Date: July 3 and 4, 2015 - XII CONGRESS OF THE PORTUGUESE SOCIETY OF ARTHROSCOPY AND SPORTS TRAUMATOLOGY (SPAT)
Organizing entity: SPAT
Location: Guimarães, Portugal
Date: September 24th and 25th, 2015 - 35th NATIONAL CONGRESS OF ORTHOPEDICS AND TRAUMATOLOGY
Organizing entity: SPOT
Location: Porto, Portugal
Date: October 29-31, 2015 - SCIENTIFIC MEETING “A DAY WITH YOUR FOOT IN CASCAIS”
Organizing entity: Functional Orthopedics Unit of the Cascais Hospital
Location: Cascais, Portugal
Date: November 28, 2015 - 1st EDITION OF MINHO KNEE MEETING
Organizing entity: Portuguese Knee Society and Orthopedics Service of Braga Hospital
Location: Braga, Portugal
Date: December 5, 2015 - GON CLINICAL MEETING
Organizing entity: CHUP Orthopedics Service
Location: Porto, Portugal
Date: February 13, 2016 - CONFERENCE “DEGENERATIVE KNEE PATHOLOGY”
Organizing entity: Portuguese Society of Sports Medicine
Location: Porto, Portugal
Date: March 2, 2016 - MEETING OF THE LOCOMOTOR SYSTEM TUMOR SECTION – HIP RECONSTRUCTIONS
Organizing entity: SPOT Locomotor System Tumor Section
Location: Porto, Portugal
Date: March 5, 2016 - XI SHOULDER AND ELBOW CONFERENCES
Organizing entity: Shoulder and Elbow Section of SPOT
Location: Braga, Portugal
Date: May 14, 2016 - GON CLINICAL MEETING
Organizing entity: Orthopedics Service of the Alto Minho Local Health Unit
Location: Viana do Castelo, Portugal
Date: May 28, 2016 - 17. PORTO HIP MEETING 2016
Organizing entity: CHEDV Orthopedics Department
Location: Porto, Portugal
Date: July 2, 2016 - 36th NATIONAL CONGRESS OF ORTHOPEDICS AND TRAUMATOLOGY
Organizing entity: SPOT
Location: Porto, Portugal
Date: October 27-29, 2016 - GON CLINICAL MEETING
Organizing entity: CHTS Orthopedics Service
Location: Amarante, Portugal
Date: March 4, 2017 - XXV AOP ORTHOPEDICS CONFERENCES – PORTO ORTHOPEDIC ASSOCIATION
Organizing entity: Porto Orthopedic Association (AOP)
Location: Porto, Portugal
Date: April 7th and 8th, 2017 - XII SPOT SHOULDER AND ELBOW CONFERENCES
Organizing entity: SPOT Shoulder and Elbow Section
Location: Lisbon, Portugal
Date: May 19 and 20, 2017 - 37th NATIONAL CONGRESS OF ORTHOPEDICS AND TRAUMATOLOGY
Organizing entity: SPOT
Location: Coimbra, Portugal
Date: October 26-28, 2017 - SCIENTIFIC MEETING “PROPHYLAXIS, DIAGNOSIS AND TREATMENT OF PROSTHETIC INFECTIONS”
Organizing entity: Trofa Saúde Hospital de Alfena
Location: Alfena, Portugal
Date: November 11, 2017 - 1st SPOT SPINE SECTION CLINICAL CASE MEETING
Organizing entity: SPOT Spine Section
Location: Unhais da Serra, Portugal
Date: January 27, 2018 - XIII SHOULDER AND ELBOW CONFERENCES – CURRENT AFFAIRS IN ARTHROPLASTY
Organizing entity: Shoulder and Elbow Section of SPOT
Location: Porto, Portugal
Date: May 4th and 5th, 2018 - 38th NATIONAL CONGRESS OF ORTHOPEDICS AND TRAUMATOLOGY
Organizing entity: SPOT
Location: Viseu, Portugal
Date: October 25-27, 2018 - 39th NATIONAL CONGRESS OF ORTHOPEDICS AND TRAUMATOLOGY
Organizing entity: SPOT
Location: Tróia, Portugal
Date: October 24-26, 2019 - National Congress of the Portuguese Shoulder and Elbow Society
Organizing Entity: Portuguese Shoulder and Elbow Society
Location: Tomar, Portugal
Date: September 2021
- CLINICAL MEETING OF THE NORTHERN ORTHOPEDIC GROUP (GON)
Courses
Internacional
- ADVANCED TRAUMA LIFE SUPPORT (ATLS)
Organizing entity: American College of Surgeons and Portuguese Society of Surgery
Location: Porto, Portugal
Date: May 31, 2014 - XXVIII COURSE ON MUSCULOSKELETAL PATHOLOGY
Organizing entity: Instituto Ortopedico Rizzoli di Bologna
Location: Bologna, Portugal
Date: January 26 to 30, 2015 - 7TH EDITION BASIC AND ADVANCE INSTRUCTIONAL COURSE UPDATE
Organizing entity: Santander Orthop Meeting
Location: Santander, Spain
Date: February 26th and 27th, 2015 - COMPREHENSIVE REVIEW COURSE (CRC)
Organizing entity: EFORT
Location: Prague, Czech Republic
Date: May 28, 2015 - ESSKA-AFAS STATE OF ART ON ANKLE PATHOLOGY & SPORTS TRAUMA COURSE
Organizing entity: European Society of Sports Traumatology, Knee Surgery and Arthroscopy Ankle and Foot Associates (ESSKA-AFAS)
Location: Barcelona, Spain
Date: January 28th and 29th, 2016 - 4TH EPOS-EFORT BAT INSTRUCTIONAL COURSE TRILOGY PART I: PAEDIATRIC ORTHOPAEDICS BASIC I
Organizing entity: European Paediatric Orthopaedic Society (EPOS)
Location: Vienna, Austria
Date: March 16-18, 2016 - AO TRAUMA COURSE – BASIC PRINCIPLES OF FRACTURE MANAGEMENT
Organizing entity: AO Foundation
Location: Peniche, Portugal
Date: May 19-22, 2016 - MADRID SHOULDER COURSE
Organizing entity: Madrid Shoulder Course
Location: Madrid, Spain
Date: October 20-22, 2016 - IV THEORETICAL-PRACTICAL COURSE ON HAND PROSTHETIC SURGERY
Organizing entity: MBA institute
Location: Seville, Spain
Date: March 31, 2017 - AO TRAUMA COURSE – ADVANCED PRINCIPLES OF FRACTURE MANAGEMENT
Organizing entity: AO Foundation
Location: Tomar, Portugal
Date: May 25-28, 2017 - SHOULDER MASTER COURSE
Organizing entity: International Wright Medical Education and Training
Location: Madrid, Spain
Date: October 20 and 21, 2017 - 1st OPORTO SHOULDER COURSE
Organizing entity: CHUP Orthopedics Department
Location: Watford, United Kingdom
Date: February 26th and 27th, 2018 - 5TH EPOS-EFORT BAT INSTRUCTIONAL COURSE TRILOGY PART II: PAEDIATRIC TRAUMA COURSE
Organizing entity: EPOS
Location: Vienna, Austria
Date: March 14 to 16, 2018 - WORLD SPINE PRE-MEETING CADAVER COURSE
Organizing entity: World Spine Column Society and Portuguese Society of Neurosurgery
Location: Lisbon, Portugal
Date: April 13 and 14, 2018 - NICE SHOULDER COURSE
Organizing entity: Service de Chirurgie Orthopédique et Chirurgie du Sport, Hôpital Pasteur
Location: Nice, France
Date: May 31 to June 2, 2018 - 5TH EPOS-EFORT BAT INSTRUCTIONAL COURSE TRILOGY PART III: PAEDIATRICS BASIC II
Organizing entity: EPOS
Location: Vienna, Austria
Date: October 17-19, 2018 - EUROPEAN TRAUMA COURSE
Organizing entity: Reanima
Location: Porto, Portugal
Date: December 14-16, 2018 - AOSPINE ADVANCED LEVEL LIVE-TISSUE TRAINING COURSE – PREVIOUS APPROACHES TO THE SPINE: PREVENTION AND MANAGEMENT OF COMPLICATIONS
Organizing entity: AO Foundation
Location: Vila do Conde, Portugal
Date: March 15th and 16th, 2019 - IACES 2019 – MADRID I INTERNATIONAL ADVANCED COURSE ON ELBOW SURGERY
Organizing entity: European Society for Surgery Shoulder and the Elbow
Location: Madrid, Spain
Date: May 23-25, 2019 - 2nd OPORTO SHOULDER COURSE
Organizing entity: CHUP Orthopedics Service
Location: Madrid, Spain
Date: July 4th and 5th, 2019 - WRIGHT MEDICAL EDUCATION: SHOULDER MASTERS
Organizing entity: International Wright Medical Education and Training
Location: Lisbon, Portugal
Date: October 4th and 5th, 2019 - PRACTICAL UP-TO-DATE COURSE ON ORTHOPEDIC INFECTION
Organizing entity: Osteoarticular Infections Group of the Porto Hospital Center (GRIP)
Location: Porto, Portugal
Date: November 15th and 16th, 2019 - NICE SHOULDER COURSE
Organizing entity: Service de Chirurgie Orthopédique et Chirurgie du Sport, Hôpital Pasteur
Location: Nice, France
Date: June 2020 - BERLIN SHOULDER COURSE
Organizing entity: Markus Scheibel, Switzerland/Germany
Location: Virtual
Date: January 2021 - THE SHOULDER EXPERTS
Organizing entity: Prof. Stefano Gumina
Location: Virtual
Date: December 2021 - 3rd OPORTO SHOULDER COURSE
Organizing entity: Orthopedics Department of CHUP
Location: Porto, Portugal
Date: January 11, 2022 - NICE SHOULDER COURSE
Organizing entity: Service de Chirurgie Orthopédique et Chirurgie du Sport, Hôpital Pasteur
Location: Nice, France
Date: June 2022 - PRACTICAL COURSE ON ARTHROSCOPIC SHOULDER SURGERY
Organizing entity: Arthrex
Location: Munich, Germany
Date: June 2022
- ADVANCED TRAUMA LIFE SUPPORT (ATLS)
National
- 4th INTRODUCTION TO ORTHOPEDICS
COURSE Organizing entity: SPOT
Location: Porto, Portugal
Date: February 22, 2014 - TRAINING MODULE “HOW TO MAKE A GOOD ORAL PRESENTATION AND A GOOD POSTER”
Organizing entity: Unidade Local de Saúde do Alto Minho
Location: Viana do Castelo, Portugal
Date: May 24, 2014 - WORKSHOP “PAIN EDUCATION”
Organizing entity: Grünenthal Foundation
Location: Porto, Portugal
Date: November 8, 2014 - XIV BASIC COURSE IN CHILDREN’S ORTHOPEDICS
Organizing entity: Orthopedics Department of the Coimbra Pediatric Hospital
Location: Coimbra, Portugal
Date: December 12, 2014 - A DAY IN THE PLASTER ROOM
Organizing entity: SPOT
Location: Viseu, Portugal
Date: January 24, 2015 - WORKSHOP “PRINCIPLES OF FIXING WITH PLATES AND SCREWS”
Organizing entity: AO Foundation
Location: Porto, Portugal
Date: July 8, 2015 - MINI COURSE ON CARDIAC AUSCULTATION
Organizing entity: FMUP
Location: Porto, Portugal
Date: July 31, 2015 - MINI COURSE ON ELECTROCARDIOGRAPHY
Organizing entity: FMUP
Location: Porto, Portugal
Date: July 31, 2015 - THEORETICAL AND PRACTICAL COURSE ON TOTAL HIP REVISION ARTHROPLASTY
Organizing entity: Hospital Escola Fernando Pessoa
Location: Porto, Portugal
Date: November 6, 2015 - HUMAN CADÁVER DISSECTION COURSE UPPER LIMB – TRAUMA
Organizing entity: Orthopedics Service of CHUSJ
Location: Porto, Portugal
Date: November 19, 2016 - XI SPOT SHOULDER AND ELBOW CONFERENCES 2016
Organizing entity: SPOT Shoulder and Elbow Section
Location: Braga, Portugal
Date: May 14, 2016 - WORKSHOP “ARTHROSCOPY OF THE SHOULDER”
Organizing entity: Orthopedics Department of CHUP
Location: Porto, Portugal
Date: January 28, 2017 - SPINE UPDATE
COURSE Organizing entity: Anatomy Unit of FMUP
Location: Porto, Portugal
Date: May 18 and 19, 2017 - SEPSIS AND SERIOUS INFECTION COURSE FOR DOCTORS
Organizing entity: Reanima
Location: Porto, Portugal
Date: November 4, 2017 - OPORTO SHOULDER COURSE
Organizing entity: CHUP Orthopedics Department
Location: Watford, United Kingdom
Date: February 26th and 27th, 2018 - THEORETICAL-PRACTICAL COURSE – PEDIATRIC SPINE DEFORMITIES
Organizing entity: FMUP
Location: Porto, Portugal
Date: March 23 and 24, 2018 - CORPSE COURSE “SHOULDER ARTHROPLASTY”
Organizing entity: Shoulder and Elbow Section of SPOT
Location: Porto, Portugal
Date: May 4th and 5th, 2018 - NATIONAL SUPPORT PROGRAM FOR COMPLEMENTARY INTERNSHIP IN ORTHOPEDICS (PNAICO)
9th PNAICO SESSION – “AGING OF THE MUSCULOSKELETAL SYSTEM”
Workshop: Anesthesia
Location: Hospital de Braga, Portugal
Date: March 8, 2014
1st PNAICO SESSION – “SURGICAL ANATOMY OF THE SPINE”
Workshop: Cadaver Dissection
Location: Instituto de Medicina Legal de Lisboa, Portugal
Date: February 21, 2015
4th PNAICO SESSION – “MUSCULOSKELETAL IMAGING”
Workshop: Fracture classification – Spinal immobilization techniques
Location: CHUP, Portugal
Date: September 14, 2015
5th PNAICO SESSION – “DETACHMENT AND WEAR OF “IMPLANTS IN ORTHOPEDICS”
Workshop: Knee Prosthesis
Location: CHUC, Portugal
Date: February 6, 2016
- He was the author of 5 published articles, one in a national journal and four in international journals. He was co-author of 4 articles published in international journals and 1 chapter in an international book.
- He was the author of 21 oral communications (8 at international congresses, conferences or meetings and 13 at national congresses, conferences or meetings). He was the co-author of 41 oral communications (17 at international congresses, conferences or meetings and 24 at national congresses, conferences or meetings).
- He was the author of 3 posters (1 at international congresses, conferences or meetings and 2 at national congresses, conferences or meetings). He was the co-author of 29 posters (21 at international congresses, conferences or meetings and 8 at national congresses, conferences or meetings).
- 4th INTRODUCTION TO ORTHOPEDICS
Educational and Pedagogical Activities
Author
- uprascapular Neuropathy In A Young Male Handball Player: Case Report, published in the International Journal of Shoulder Surgery
Abstract: Background: Suprascapular neuropathy is an uncommon but a very disabling condition. If not diagnosed early, it can lead to irreversible changes. Their prevalence is higher among illnesses and active population, mainly in overhead athletes. Methods: A 22-year-old male, who is a handball player, reported right shoulder pain, fatigue and discomfort after one month holding a backpack during hiking on his vacations. He did not remember any trauma to the right shoulder. Clinically, he had normal active and passive range of motion but moderate weakness of the right shoulder external rotator muscles. At inspection he had marked atrophy of supraspinatus and infraspinatus muscles. MRI demonstrated a superior labrum from anterior to posterior lesion with large multiloculated paralabral cyst and electromyography was consistent with compression of suprascapular nerve. Results: The patient was submitted to arthroscopic labral repair and decompression of suprascapular nerve. Six months after surgery he has no pain and limitation and is recovering strength. Conclusions: Paralabral cysts are described in the literature as causing compression on spinoglenoid notch and thus coursing with infraspinatus atrophy. This case demonstrates an unusual presentation with both supra and infraspinatus muscles atrophy. Early recognition of these injuries is crucial because complication and morbidity rates are high with delayed diagnosis, especially in athlete population. - Tuberosity Consolidation in Reverse Shoulder Arthroplasty After Proximal Humerus Fracture: Is There an Improvement in Functional Outcomes?, published in the Brazilian Journal of Orthopedics
Abstract: Objective: To compare the functional outcomes between patients with complex proximal humerus fractures undergoing reverse arthroplasty with consolidated tuberosities and non-consolidated tuberosities. The secondary objective was to determine the rate of tuberosity consolidation with this type of prosthesis. Methods: Cohort study, retrospective, with prospective data collection. Twenty-eight patients met the inclusion criteria: age over 65 years, undergoing reverse shoulder prosthesis for complex proximal humerus fracture (3 or 4 parts, according to Neer), minimum follow-up time of 24 months. At six months, all patients were radiographically evaluated for tuberosity consolidation and divided into 2 groups: group with consolidated tuberosities and group with non-consolidated tuberosities. Functional assessment was performed according to the Constant scoring system, active mobility and Visual Analogue Scale (VAS) at the date of the last consultation. All complications were recorded. Results: Tuberosity consolidation occurred in 21 patients (76.3%). Statistically significant differences were observed in the Constant scoring system (p<0.001), anterior elevation (p=0.020), internal rotation (p=0.001) and external rotation (p=0.003) when comparing the group with consolidated tuberosities with the group with non-consolidated tuberosities. There were no significant differences in VAS between the 2 groups. Conclusion: Tuberosity consolidation results in improved functional results in patients undergoing reverse shoulder arthroplasty as treatment for complex proximal humerus fractures in the elderly.
- Early Debridement, Antibiotics And Implant Retention (Dair) In Patients With Suspected Acute Infection After Hip Or Knee Arthroplasty – Safe, Effective And Without Negative Functional Impact, published in the Journal of Bone and Joint Infection
Abstract: Introduction: Debridement, antibiotics and implant retention (DAIR) is known to be effective in treating acute periprosthetic joint infection (PJI). However, deciding to perform additional surgery in the early postoperative period may be challenging as there is the concern of adding morbidity and clinical presentation is often subtle. We mean to assess the impact of early DAIR on final functional outcome. Methods: A case-control comparison was performed between patients who underwent DAIR for suspected PJI between 2010-2016 and controls randomly selected (1:2 ratio) from a list of primary joint replacements. Patients were matched for 93anatomic site, age, gender, American Society of Anesthesiologists (ASA) classification, body mass index and follow-up time. The outcome of surgical treatment and complications were assessed and Hip disability and Osteoarthritis Outcome Score (HOOS) or Knee injury and Osteoarthritis Outcome Score (KOOS) were performed. Results: Thirty-eight cases were included at a mean follow-up of 42 months. Infection was not confirmed in one patient. There was one infection-related death and three other cases of treatment failure that required a two-stage revision. Overall success rate was 89.2%. There were no significant patient reported differences regarding final functional outcome between both groups: pain 91±6 vs. 87±13; other symptoms 90±8 vs. 90±9; activities of day living 86±8 vs. 85±14; sport 63±13 vs. 57±16; quality of life 78±17 vs. 76±16. Discussion: These findings support that DAIR for suspected acute PJI is safe, effective and causes no impact on final functional results. Thus, a low threshold for assuming infection and subsequent DAIR may be safely adopted in the early postoperative period.
- First Carpometacarpal Joint Osteoarthritis: Trapeziectomy With Ligament Reconstruction And Tendon Interposition Versus Ball-And-Socket Arthroplasty, published in Acta Orthopaedica Belgica
Abstract: Background: The objective of this study was to compare trapeziectomy with ligament reconstruction and tendon interposition versus ball-and-socket arthroplasty for first carpometacarpal joint osteoarthritis treatment. Methods: In this retrospective study, a total of 98 patients were included between January 2011 and December 2015: 27 patients were submitted to ligament reconstruction and tendon interposition technique (group A) (mean age of 62.01 years-old) and 71 patients to prosthesis replacement (group B) (mean age of 62.14 years-old). Clinical assessment was employed at the last appointment before discharge. Results: Groups did not significantly differ regarding VAS (group A: 1.04; group B: 1.03; p=0.486) and QuickDASH (group A: 13.72; group B: 11.76; p=0.290). First carpometacarpal joint osteoarthritis arthroplasty was associated with greater strength when performing key-pinch (group A: 4.44KgF; group B: 5.20KgF; p=0.031) and grip (group A: 19.25KgF; group B: 22.35; p<0.001). There were no significant differences between groups concerning complications (p=0.502, Fisher’s exact test). Conclusion: There were no differences in terms of clinical outcome and complication rate between the two groups for patients with first carpometacarpal joint osteoarthritis Eaton stage II and III. However, patients with prosthesis have greater key-pinch and grip-strength.
- Metatarsophalangeal Arthroplasty for the Treatment of Hallux Rigidus, published in the Portuguese Journal of Orthopedics and Traumatology
Abstract: Objective: To prospectively evaluate, clinically and radiologically, patients undergoing MTP-1 arthroplasty with the same prosthesis for the treatment of hallux rigidus . Material and Methods: Prospective study conducted between 2009 and 2015, in which we included all MTP-1 arthroplasties performed for the treatment of patients with hallux rigidus in stages III and IV. Patients were clinically evaluated using the visual analogue pain scale and the American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS-HMI) scale, both performed prior to surgery and at the last consultation before discharge. Patients were also asked whether they returned to their previous active life and whether they would undergo the same intervention again. A radiological evaluation was also performed to look for signs of detachment, the survival rate was calculated and all complications were recorded. Results: During this period, 26 arthroplasties were performed in 25 patients, with a mean follow-up time of 80.7 (26-110) months. All patients reported a significant improvement in pain and functional results after surgery compared to the preoperative period, both on the AOFAS-HMI scale (89.7% vs. 43.2 points; p<0.001) and on the VAS (1.6 vs. 8.0 points; p<0.001). The survival rate was 100%, all patients returned to their previous active life and responded that they underwent the same surgery again. There was only one complication: an early infection. Conclusion: MTF-1 arthroplasty is a safe and effective technique in the treatment of hallux rigidus in stages III and IV with good functional results and low complication rates.
- uprascapular Neuropathy In A Young Male Handball Player: Case Report, published in the International Journal of Shoulder Surgery
Co-author
- Isolated Fracture Of Lesser Tuberosity Of The Humerus: A Rare Condition, published in the magazine of the Brazilian College of Surgeons – Surgical Case Reports
Abstract: Abstract: Isolated lesser tuberosity fractures are rare, misdiagnosed, and their treatment remains controversial. This case reports the diagnosis, therapeutic options and clinical and functional outcomes of a 30-year-old male with a lesser tuberosity fracture, submitted to osteosynthesis with screws. The case presents an excellent clinical, functional and radiological outcome. - Arthrodesis Versus Arthroplasty Of The First Metatarsophalangeal Joint In The Treatment Of Hallux Rigidus: Comparative Study Of Appropriately Selected Patients, published in Revista Brasileira de Ortopedia
Abstract: Abstract: Historical results of arthroplasty of the first metatarsophalangeal joint (1MTP) are relatively poor; However, improvements in the understanding of the normal foot biomechanics, implant materials and design currently make arthroplasty a reasonable option in appropriately selected patients. This study aimed to compare the clinical and radiographic results of 1MTP arthrodesis and arthroplasty in the treatment of hallux rigidus and to present a rationale for patient selection for arthroplasty. Methods: 36 patients (38 feet) with hallux rigidus submitted to surgery (12 arthrodesis and 26 arthroplasties) were prospectively included in the study. Pain was assessed using visual analogue scale (VAS) and functional status using the AOFAS-HMI (American Orthopedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal) scale. Complications and radiographic results were also analyzed and survival rates were calculated for both procedures Results: All patients reported significant improvement in pain and functional status after surgery. Patients submitted to arthroplasty had better functional results on the AOFAS-HMI scale (89.7 vs. 65.7 points; p<0.001) and better pain relief (VAS 1.6 vs. 3.9 points; p=0.002) when compared to the group submitted to arthrodesis. There was one case of infection in the arthroplasty group and 2 cases of pseudoarthrosis in the arthrodesis group. Conclusion: Arthrodesis provides pain relief and satisfactory results but alters the biomechanics of gait. Like arthrodesis, arthroplasty improves pain significantly, being a more physiological alternative to preserve foot biomechanics. While the two surgical methods yielded good clinical results, selected patients submitted to arthroplasty had better clinical scores and lower revision rates.
- Horner Syndrome After Anterior Revision Surgery For Cervical Spondylotic Myelopathy: A Very Rare Complication – A Case Report, published in The Journal of Bone and Joint Surgery
Summary: Case: We report a case of postoperative left-sided Horner syndrome (blepharoptosis, miosis, and anhidrosis) after revision surgery for cervical spondylotic myelopathy. A C4 corpectomy and an anterior cervical fusion from C3 to C5 were performed through a left longitudinal approach in a patient with a surgical history of an anterior discectomy and a fusion from C5 to C6. One year after the revision surgery, the patient had recovered from the anhidrosis and the miosis, but the blepharoptosis was not fully resolved. Conclusion: Horner syndrome resulting from surgical injury to the ipsilateral cervical sympathetic chain is a very rare complication of anterior spine surgery that has been reported when the lower cervical levels have been addressed. Awareness of this important cervical structure may help to avoid this complication
- How To Repair An Immediately Post-Operative Anterior Cruciate Ligament Reconstruction Failure? About A Clinical Case, published in the International Journal of Research in Orthopedics
Abstract: We present a 23-year-old male with an early anterior cruciate ligament (ACL) reconstruction failure due to lateral wall blow-out, diagnosed on day one post-op. We were able to perform the revision using the original graft, and maintaining the initial tibial fixation, revising only the femoral fixation. At 1-year follow-up the patient is asymptomatic. In the early ACL reconstruction failures due to femoral wall blowout, it is possible to perform the revision surgery using the same graft and maintaining the same tibial fixation. This avoids morbidity of a new graft harvest and the need for a new tibial tunnel
- Chapter in International Book, “Work-Up And Management Of Infection In Shoulder Arthroplasty”, published in the book “Massive and Irreparable Rotator Cuff Tears From Basic Science to Advanced Treatments”
Summary: Prosthetic Joint Infection (PJI) is an important complication after shoulder arthroplasty and is often associated with significant morbidity. However, clear signs and symptoms of infection are not always present. As such, it is mandatory to consider each painful shoulder arthroplasty as potentially infected until proven otherwise and to perform a systematic diagnostic investigation. However, the exact diagnostic and therapeutic strategies are still a matter of open debate. The authors present a critical review of the management of infection in shoulder arthroplasty considering their own experience.
- Shoulder Arthroplasty Options for Glenohumeral Osteoarthritis in Young and Active Patients (< 60 Years Old): a Systematic Review, published in “The Journal of Shoulder and Elbow Arthroplasty”
Abstract: Aim: This study aims to describe the shoulder arthroplasty options for young and active patients (<60 years old) with glenohumeral osteoarthritis. Methods: A systematic review of the literature was conducted by searching on Pubmed database. Studies that reported outcomes of patients with glenohumeral arthritis, younger than 60 years, who underwent shoulder arthroplasty [(Hemiarthroplasty (HA), Hemiarthroplasty with biological resurfacing (HABR), Total shoulder arthroplasty (TSA), Reversed total shoulder arthroplasty (RSA)] were included. Data include patient characteristics, surgical technique, range of motion, pain relief, outcome scores, functional improvement, complications, need for and time to revision. Results: A total of 1591 shoulders met the inclusion criteria. Shoulder arthroplasty provided improvements in terms of ROM on the 3 planes, forward flexion (FF), abduction (Abd) and external rotation (ER), in different proportions for each type of implant. ER postoperative values (vsRSA p = 0.049). Pain scores improved in all groups but no difference between them (p = 0.642). TSA and RSA groups had the best CS Δ (p = 0.012). HA group had higher complication rates (21.7%), RSA (19.4%, p = 0.034) and TSA (19.4%, p = 0.629) groups the lowest, and HABR had the highest rate of revisions (34.5%). Conclusions: HA had the highest rate of complications and HABR unacceptable rates of revision. These implants have been replaced by modern TSAs, with RSA reserved for complex cases. Surgeons should be aware of the common pitfalls of each option.
- Surgical treatment for acute and displaced proximal humerus fractures in elderly patients: hemiarthroplasty vs. reverse shoulder arthroplasty, published in the Journal of Shoulder and Elbow Surgery
Abstract: Background: Proximal humerus fractures (PHFs) are the third most common fractures in elderly patients. The best treatment option on this population is still a topic of discussion. Reverse shoulder arthroplasty (RSA) has increased popularity as a viable treatment option for these fractures. Yet, few studies demonstrate the risk factors for mortality after this procedure. Methods: The authors present a retrospective study including patients older than 75 y with acute and displaced PHFs primarily treated with RSA or hemiarthroplasty in a public hospital between January 2004 and January 2020. The exclusion criteria were pathologic fractures and more than 6 weeks to surgery. Survival curves were obtained using the Kaplan-Meier method and the log-rank test was performed to compare survival rates. Results: A total of 73 patients met the inclusion criteria. The mean age at the time of fracture and surgery was 78 y old, 10 males and 63 females, with a median clinical follow-up of 64 months (standard deviation 34). Forty-one patients (56%) had an American Society of Anesthesiologists score of 2. Twenty-eight patients were submitted to hemiarthroplasty and 45 to RSA. Regarding hemiarthroplasty, only one patient with hemiarthroplasty died within a year, and the 5 y survival rate was 70%. Concerning the RSA group, five patients died within a year, and the survival rate at 5 y was 66.2 %. The American Society of Anesthesiologists score ( P < .001) was the only risk factor identified for mortality at 5 y. Hemiarthroplasties had more prosthetic loosening compared with RSA ( P = .024). Three hemiarthroplasties were converted to RSA, and we verified 1 RSA infection. In the group of hemiarthroplasties, 56% returned to their normal daily living activities, while in the RSA 92% did that, representing a significant difference ( P = .007). Conclusion: RSA as a primary treatment for displaced PHFs had a high survival rate (88.9% at 1 year and 66.2% at 5 y) and better functional results comparing to patients treated with hemiarthroplasty. With proper patient selection, RSA is a safe procedure for the treatment of PHF, especially in an elderly population.
- Isolated Fracture Of Lesser Tuberosity Of The Humerus: A Rare Condition, published in the magazine of the Brazilian College of Surgeons – Surgical Case Reports
Oral Communications
International
- TOTAL VERTEBRECTOMY IN THE TREATMENT OF SPINAL TUMORS
Authors: Luís Henrique Barros, Ricardo Rodrigues-Pinto, Pedro Cardoso, Seabra Lopes, António Oliveira ; Congress: 28th EMSOS 2015 Meeting Place and Date: Athens, 29-30 April & 1 May 2015
Abstract: Five patients with spinal tumors were presented: 3 with malignant tumors (chordoma, angiosarcoma and high-grade epithelioid sarcoma), 1 with an aggressive benign tumor (giant cell tumor) and 1 with a single metastatic vertebral lesion. All patients underwent single-level vertebrectomy: in 3 cases a posterior technique alone was used and in the other 2 cases a combined anterior and posterior approach. Complete tumor resection was achieved in 4 cases and at the time of last follow-up these patients were disease-free. Radiographic fusion was achieved in all cases. It was concluded that, despite being a very demanding technique in technical terms, total vertebrectomies allow complete recession of tumors involving the spine.
- TOTAL VERTEBRECTOMY IN THE TREATMENT OF SPINAL TUMORS
- GIANT CELL TUMOR OF BONE: THE INFLUENCE OF DENOSUMAB IN SURGICAL TREATMENT
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Manuel Serrano, Pedro Santos Leite, Pedro Cardoso ; Congress: 16th EFORT Congress 2015 ; Place and Date: Prague, 27th to 29th May 2015 ; Congress: 34th National Congress of Orthopedics and Traumatology ; Place and Date: Albufeira – Portugal, 23rd to 25th October 2014
Abstract: Retrospective study of 3 patients with GCT treated with denosumab: 2 cases in which surgery would involve high functional morbidity, even without complete tumor excision, and 1 case that was an unresectable recurrence. The 3 cases described underwent treatment with denosumab, with clear clinical and imaging improvement. The sclerosis resulting from the treatment appears to be beneficial, with a consequent reduction in surgical morbidity. It was concluded that denosumab has an important role in the treatment of unresectable or recurrent GCTs, since in addition to reducing symptoms in non-surgical cases, it can be used to reduce surgical morbidity in resectable cases. It remains to be clarified in which cases there is an unequivocal benefit of treatment with denosumab before surgery and the duration of treatment.
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- GIANT CELL TUMOR OF BONE: THE INFLUENCE OF DENOSUMAB IN SURGICAL TREATMENT
- DISTAL FEMUR FRACTURES: DIFFERENT TREATMENT OPTIONS
Authors: Luís Henrique Barros, Ricardo Sousa ; Course: AO Trauma Course – Basic Principles of Fracture Management ; Location and DatePeniche – Portugal, May 19 to 22, 2016
Abstract: The clinical case of an elderly patient with a distal femur fracture in which reduction and osteosynthesis with plate and screws was performed using a minimally invasive approach is presented.
- DISTAL FEMUR FRACTURES: DIFFERENT TREATMENT OPTIONS
- RADIOLOGICAL PREDICTORS OF SURGICALLY TREATED PATELLAR FRACTURES
Authors: Luís Henrique Barros, Sérgio Figueiredo, João Esteves, Marta Santos Silva, Pedro Serrano, Pedro Neves, Ricardo Rodrigues-Pinto, Adélio Vilaça ; Congress: 17th EFORT Congress ; Place and Date: Geneva – Switzerland, June 1 to 3, 2016
Abstract: Study that included 34 patients undergoing osteosynthesis of isolated patellar fracture. The objective of the study was to understand the relationship of the indices of assessment of the height of the patella and their relationship with the onset of complications. It was concluded that of the different parameters measured, only the lower Caton-Deschamps index has a direct correlation with potential complications.
- RADIOLOGICAL PREDICTORS OF SURGICALLY TREATED PATELLAR FRACTURES
- EARLY SURGICAL DEBRIDEMENT IN PATIENTS WITH SUSPECTED ACUTE INFECTION AFTER HIP OR KNEE ARTHROPLASTY – SAFE, EFFECTIVE AND WITHOUT NEGATIVE FUNCTIONAL IMPACT
Authors: Luís Henrique Barros, Marta Santos Silva, Hélder Fonte, Nunes Esteves, Ricardo Sousa ; Congress: 35th Annual Meeting of the EBJIS ; Place and Date: Oxford – United Kingdom, 1 to 3 September 2016 ; Congress: 36th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, 27 to 29 October 2016
Abstract: Study of 29 patients with suspected acute infection of hip or knee arthroplasty undergoing surgical debridement with prosthesis preservation and replacement of mobile parts, who completed targeted antibiotic therapy. The results of this study demonstrated that early surgical debridement is an effective alternative without significant implications for the long-term functional outcome of arthroplasty. The authors argue that, given the complicated evolution of the wound in the early postoperative period, a low threshold for assuming a diagnosis of possible infection is beneficial. When in doubt, appropriate treatment should include aggressive surgical debridement, collection of samples for microbiological study and appropriate antibiotic therapy.
- EARLY SURGICAL DEBRIDEMENT IN PATIENTS WITH SUSPECTED ACUTE INFECTION AFTER HIP OR KNEE ARTHROPLASTY – SAFE, EFFECTIVE AND WITHOUT NEGATIVE FUNCTIONAL IMPACT
- COMPLEX FRACTURES OF THE PROXIMAL HUMERUS: DIFFERENT TREATMENT OPTIONS
Authors: Luís Henrique Barros, Rui Claro ; Course: AO Trauma Course – Advanced Principles of Fracture Management ; Place and Date: Tomar – Portugal, May 25 to 28, 2017
Abstract: The clinical case of a woman with a complex fracture of the humerus who underwent osteosynthesis with 2 plates is presented. Treatment strategies and options were discussed.
- COMPLEX FRACTURES OF THE PROXIMAL HUMERUS: DIFFERENT TREATMENT OPTIONS
- TUBEROSITY CONSOLIDATION IN INVERTED SHOULDER ARTHROPLASTY AFTER PROXIMAL HUMERUS FRACTURE: IS THERE AN IMPROVEMENT IN FUNCTIONAL OUTCOMES?
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Cláudia Rodrigues, Hélder Fonte, Joaquim Ramos, Rui Claro ; Congress: Jornadas Ibéricas do Ombro 2017 ; Place and Date: Guarda – Portugal, September 30, 2017 ; Congress: 37th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26-28, 2017
Abstract: Study of 28 patients with complex fracture of the proximal humerus, undergoing inverted total shoulder arthroplasty. Radiological consolidation of the tuberosities was observed in 76% of patients. There was a statistically significant difference in the Constant score between the group with consolidation and the group without consolidation of the tuberosities. There was a statistically significant improvement in external rotation and anterior elevation of the shoulder.
- TUBEROSITY CONSOLIDATION IN INVERTED SHOULDER ARTHROPLASTY AFTER PROXIMAL HUMERUS FRACTURE: IS THERE AN IMPROVEMENT IN FUNCTIONAL OUTCOMES?
- EPIDEMIOLOGY OF SPINAL FRACTURES IN A PORTUGUESE REFERRAL CENTRAL HOSPITAL OVER THE COURSE OF 10 YEARS
Authors: Luís Henrique Barros, Bruno Pombo, Ana Ribau, Tiago Barbosa, Cláudia Rodrigues, Ricardo Rodrigues-Pinto ; Congress: World Spine 8 ; Place and Date: Porto – Portugal, April 13 to 18, 2018 ; Congress: 50th Brazilian Congress of Orthopedics and Traumatology ; Place and Date: Rio de Janeiro – Brazil, November 15 to 17, 2018 ; Congress: 37th Congress of the Portuguese Society of Orthopedics and Traumatology ; Coimbra – Portugal, October 26 to 28, 2017
Abstract: Study of the epidemiology of spinal fractures observed in the emergency department of the Porto Hospital Center. Demographic data, fracture level, injury mechanism, type of treatment (conservative/surgical) and follow-up time were analyzed. This study highlights the existence of two major groups of spinal trauma: older female patients with type A1 osteoporotic fractures associated with minor trauma, without the need for surgery, and younger male patients, workers, victims of accidents, of greater violence, with fractures involving recession of the posterior wall and often associated with neurological deficits, requiring surgical intervention.
- EPIDEMIOLOGY OF SPINAL FRACTURES IN A PORTUGUESE REFERRAL CENTRAL HOSPITAL OVER THE COURSE OF 10 YEARS
- “THE PATIENT WITH UNSTABLE PELVIC RING INJURY AND HEMODYNAMIC INSTABILITY – WHAT IS THE INITIAL APPROACH? WHEN TO PERFORM DEFINITIVE SURGERY?”
Authors: Pedro Leite, Pedro Neves, Pedro Barreira, Pedro Serrano, Marta Santos Silva, João Esteves, Luís Henrique Barros, José Costa e Castro ; Congress: III International Congress of Intensive Care and Intermediate Care Units of the Porto Hospital Center and XIII Ibero-Atlantic Arc Congress ; Place and Date: Porto, Portugal – February 1-2, 2016
Abstract: The approach to polytrauma patients with hemodynamic instability and unstable pelvic ring fracture is challenging. Despite advances in recent decades, mortality remains high. This study aimed to answer two points that are under ongoing debate: what is the best sequence of strategies to restore hemodynamic stability and when is it appropriate to perform definitive reconstructive surgery.
- “THE PATIENT WITH UNSTABLE PELVIC RING INJURY AND HEMODYNAMIC INSTABILITY – WHAT IS THE INITIAL APPROACH? WHEN TO PERFORM DEFINITIVE SURGERY?”
- THE REPERCUSSION OF REHABILITATION CENTRES IN THE SURVIVAL OF PATIENTS AFTER PROXIMAL FEMUR FRACTURES
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Carmen Queirós, Pedro Neves, Pedro Cardoso ; Congress: 17th EFORT Congress ; Place and Date: Geneva – Switzerland, 1 to 3 June 2016 Congress: III International Congress of Intensive Care and Intermediate Care Units of the Porto Hospital Center and XIII. Congress of the Ibero-Atlantic Arc ; Place and Date: Porto, Portugal – 1 to 2 February 2016
Abstract: A study was presented whose objective was to understand the potential benefits of referral to a rehabilitation unit in patients suffering from proximal femur fracture. A total of 322 patients were included and divided into 2 groups: the group of patients referred to the Continuing Care Unit and those not referred. Despite the theoretical advantage of referral, this work demonstrated that survival, whether early or late, does not improve with entry into the network.
- AUDITING TO THE BLOOD TRANSFUSION MANAGEMENT AFTER TOTAL HIP REPLACEMENT
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Serrano, Rui Lemos ; Congress: 17th EFORT Congress ; Place and Date: Geneva – Switzerland, 1 to 3 June 2016 ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, 29 to 31 October 2015
Abstract: Study that included 154 patients undergoing primary hip arthroplasty. The aim of the study was to evaluate the variation of hemoglobin and consequent need for transfusion after surgery and to try to find variables that contribute to its reduction. It was concluded that preoperative hemoglobin assessment and compliance with transfusion protocols are important variables, which are potentially controllable and prevent the need for transfusion.
- AUDITING TO THE BLOOD TRANSFUSION MANAGEMENT AFTER TOTAL HIP REPLACEMENT
- THERMOABLATION IN SPINAL OSTEOID OSTEOMAS – OUR EXPERIENCE
Authors: Pedro Serrano, João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Barreira, Ricardo Rodrigues-Pinto, Vânia Oliveira, Pedro Cardoso ; Congress: 17th EFORT Congress ; Place and Date: Geneva – Switzerland, June 1-3, 2016
Abstract: The authors present a literature review based on 5 cases of osteoid osteomas of the spine treated by radiofrequency or surgical ablation. It was concluded that although conventional treatment with resection of the lesion has good results, a less invasive technique, equally effective and safe, can be chosen, even in the proximity of neurological structures.
- THERMOABLATION IN SPINAL OSTEOID OSTEOMAS – OUR EXPERIENCE
- TOTAL HIP ARTHROPLASTY IN A PATIENT WITH SYSTEMIC MASTOCYTOSIS
Authors: Pedro Leite, Pedro Neves, Pedro Barreira, Pedro Serrano, Marta Silva, Luís Henrique Barros, João Esteves, Pedro Cardoso ; Congress: 12th Congress of the European Hip Society ; Place and Date: Munich – Germany, 6th to 9th September 2016
Abstract: Systemic mastocytosis is a rare malignant disease involving mast cells and their CD34+ progenitor cells. Signs and symptoms are caused by the release of biological mediators from mast cells and by the infiltration of these cells into different organs. The skin and bone marrow are predominantly involved. There are only two cases reported in the literature of patients with systemic mastocytosis undergoing hip arthroplasty. The authors present a case from their experience, highlighting critical points, namely the choice of implant and the technical execution.
- RESULTS OF ARTHROSCOPIC TREATMENT FOR POSTERIOR ANKLE IMPINGEMENT
Authors: Pedro Serrano, Hélder Fonte, Luís Coutinho, Luís Henrique Barros, João Esteves, Marta Santos Silva, Marta Massada ; Congress: 37th SICOT Orthopaedic World Congress ; Place and Date: Rome – Italy, September 8th to 10th, 2016
Abstract: Study of the clinical results of posterior ankle arthroscopy in 21 patients with pain related to impingement. The following procedures were performed: os trigonum excision, decompression of prominent talar process, tenolysis of the flexor hallucis, removal of loose bodies and debridement of osteochondral lesions. An improvement in the AOFAS score was recorded. Despite the small sample size, the results of this technique are promising. The authors argue that it is a simple, reproducible and safe technique in the treatment of posterior ankle impingement.
- ROUNDATION OF PATLEAUTHE MEASUREMENTS. CORRELATION ANALYSIS.
Authors: Sérgio Figueiredo, Luís Henrique Barros, Luís Coutinho, Adélio Vilaça ; Congress: SOFCOT ; Place and Date: Paris – France, November 7th to 10th, 2016
Abstract: Retrospective study that evaluated 150 patients followed at our institution for traumatic knee injury who presented radiography of the healthy contralateral knee in 30° flexion. The objective was to evaluate the 3 most commonly used methods of measuring patellar height (Insall-Salvati index, Caton-Deschamps index and Blackburne-Peel index) and compare them with a new measurement method introduced more recently that is based on different anatomical references, the patellar angle. It was concluded that there is great inter- and intra-observer variability in the measurement of these indices and that there is only a correlation between the Caton-Deschamps index and the patellar angle. Thus, these 2 indices appear to be those that best correlate with the height of the patella.
- TREATMENT OF PROSTHETIC INFECTIONS WITH SURGICAL DEBRIDEMENT AND PRESERVATION OF THE PROSTHESIS – RESULTS AND SUCCESS DETERMINANT FACTORS
Authors: Marta Santos Silva, Pedro Serrano, Cláudia Rodrigues, Pedro Neves, Arnaldo Sousa, João Esteves, Luís Henrique Barros, Luís Coutinho, Ricardo Sousa ; Congress: 18th EFORT Congress ; Place and Date: Vienna – Austria, May 31 to June 2, 2017
Abstract: Study of 50 patients whose objective was to demonstrate that, with adequate selection of patients with prosthetic infection and a structured protocolized treatment regimen, it is possible to obtain excellent results. Patients with acute hip or knee prosthesis infection undergoing surgical treatment with debridement, without prosthesis extraction, were included. It was concluded that this procedure is an effective treatment as long as the assumptions in patient selection are met and some recommendations for surgical and medical treatment are followed.
- TIBIAL PLAFOND FRACTURE: EVALUATION OF SURGICAL TREATMENT
Authors: Marta Santos Silva, Pedro Serrano, Luís Henrique Barros, João Esteves, Cláudia Rodrigues, Manuel Marques, Luís Costa, José Muras Geada ; Congress: 38th SICOT Orthopaedic World Congress ; Place and Date: Cape Town – South Africa, November 30 to December 2, 2017
Abstract: Study of 39 patients that aimed to evaluate the main complications and the final result of surgical treatment of tibial pilon fractures. The study revealed that skin conditions determine the initial treatment strategy. The progression to osteoarthritis depends more on the severity of the fracture than on the surgical strategy. The clinical result is satisfactory, with most patients returning to daily life without significant limitations.
- LONG TERM BEHAVIOR OF SINGLE-LEVEL THORACIC AND LUMBAR FRACTURE TREATED WITH PEDICLE SCREW FIXATION
Authors: Cláudia Rodrigues, Luís Henrique Barros, Arnaldo Sousa, Pedro Manuel Serrano, José Figueiredo, Ricardo Rodrigues-Pinto ; Congress: World Spine 8 ; Place and Date: Porto – Portugal, April 15 to 18, 2018 ; Congress: 37th National Congress of Orthopedics and Traumatology ; Coimbra – Portugal, October 26 to 28, 2017
Abstract: Instrumentation of fractures of the thoracic and lumbar spine with pedicle instrumentation systems allows their stabilization, correction of kyphotic deformity and restoration of vertebral height. The “load sharing” classification allows to identify fractures that require complementary anterior instrumentation. The objectives of this study were: to analyze the reduction capacity of these fractures with the isolated use of pedicle fixation systems; understand its behavior over time; identify patient or fracture factors that influence the reduction capacity, and its maintenance over time. It was possible to understand the effectiveness of these systems in the treatment of these fractures. An adequate reduction of the deformity of the fractured vertebra and its segment was observed, which is partially lost in the first 6 weeks. The gains achieved and the losses of correction are independent of the characteristics of the patient (except for age) or the fracture, suggesting that complementary instrumentation via the anterior route may be unnecessary in this type of fracture.
- EARLY VERSUS LATE SPINE SURGERY IN SEVERELY INJURED PATIENTS – WHICH IS THE APPROPRIATE TIMING FOR SURGERY?
Authors: João Maia Rosa, Luís Henrique Barros, Cláudia Rodrigues, Pedro Manuel Serrano, José Figueiredo, Ricardo Rodrigues-Pinto ; Congress: World Spine 8 ; Place and Date: Porto – Portugal, 15 to 18 April 2018 ; Congress: 37th National Congress of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, 26 to 28 October 2017 ; Congress: 19th EFORT Congress ; Place and Date: Barcelona, Spain, May 30 to June 1, 2018
Abstract: This study demonstrates that early stabilization of spinal fractures (less than 72 hours) in severe polytrauma patients is beneficial and shortens intubation time, intensive care unit stay, and overall hospital stay. No differences were observed in terms of mortality rate. Although some patients may require deferred treatment due to the necessary medical stabilization, all reasonable efforts should be made to perform surgery as early as possible.
- TUBERCULOSIS OF THE WRIST PRESENTED AS CARPAL TUNNEL SYNDROME
Authors: Luís Coutinho, Pedro Serrano, Marta Santos Silva, Luís Henrique Barros, Arnaldo Sousa, Alexandre Pereira ; Congress: 19th EFORT Congress ; Place and Date: Barcelona – Spain, May 30 to June 1, 2018 ; Congress: 37th National Congress of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26 to 28, 2017
Abstract: The clinical case of a woman who underwent surgical treatment for carpal tunnel syndrome is presented. In the postoperative period, she remained clinically healthy, and a diagnosis of bone tuberculosis was made involving the wrist, carpus and metacarpals. She completed a therapeutic regimen with tuberculostatics and will be proposed for wrist arthrodesis.
- ARTHROPLASTY VERSUS ARTHRODESIS IN THE TREATMENT OF ANKLE OSTEOARTHRITIS – MEDIUM TERM RESULTS
Authors: Marta Santos Silva, Luís Henrique Barros, João Esteves, Pedro Serrano, Arnaldo Sousa, Luís Costa, André Gomes ; Congress: 19th EFORT Congress ; Place and Date: Barcelona – Spain, May 30th to June 1st, 2018 ; Congress: 37th National Congress of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26th to 28th, 2017
Abstract: Study of 41 patients with ankle osteoarthritis. The aim of this study was to compare the results of arthrodesis versus ankle arthroplasty. Patients undergoing arthroplasty reported better functional results and better pain control. It was concluded that both surgical methods used had satisfactory results. Arthrodesis alters the biomechanics of gait. Arthroplasty will be a more physiological alternative, with the disadvantage of higher costs and failure.
- KYPHO-SCOLIOTIC DEFORMITY OF THE SPINE SEQUEL TO SPONDYLODISCITIS – A 360O APPROACH OF THE DORSO-LUMBAR SPINE
Authors: Manuel Fernandes Marques, Pedro Manuel Marques, Luís Henrique Barros, Bruno Correia, Eurico Lopes da Silva, Ricardo Rodrigues-Pinto, José Figueiredo ; Congress: 50th Brazilian Congress of Orthopedics and Traumatology ; Place and Date: Rio de Janeiro – Brazil, November 15-17, 2018
Abstract: A clinical case is presented in which it was concluded that the treatment of kyphoscoliotic deformity due to postoperative infection can allow an acceptable clinical and radiographic result even after multiple reinterventions.
- NATURAL HISTORY OF DEGENERATIVE ROTATOR CUFF TEARS – CLINICAL AND ULTRASOUND EVALUATION OF 164 SHOULDERS WITH A FOLLOW- UP OF 10 YEARS
Authors: Hélder Fonte, Luís Henrique Barros, André Carvalho, Francisco Leite, José Carlos Vasconcelos, José Manuel Lourenço, Rui Claro ; Congress: 20th EFORT Congress ; Place and Date: Lisbon – Portugal, June 5th to 7th, 2019 ; Congress: ICSES 2019 ; Place and Date: Buenos Aires – Argentina, September 17th to 20th, 2019 ; Congress: 38th National Congress of Orthopedics and Traumatology ; Place and Date: Viseu – Portugal, October 25-27, 2018
Abstract: A retrospective study with 10 years of follow-up with a total of 150 patients with unilateral or bilateral olalgia in whom a bilateral ultrasound study was performed was presented. Shoulders with cuff rupture were recorded and divided into 2 groups: shoulders with symptomatic ruptures and shoulders with non-symptomatic ruptures. The same radiologist performed a new ultrasound study and it was found that there was greater progression of symptomatic and asymptomatic ruptures above 60 years of age. Overall, 64.29% of ruptures progressed after 10 years. Symptomatic ruptures show a greater increase in size compared to asymptomatic ones, and total ruptures are more likely to progress compared to partial ruptures. Surgical treatment of ruptures has proven to be effective with a low recurrence rate.
- 16. TRAUMATIC SUBAXIAL CERVICAL FACET JOINT DISLOCATION: PREDICTORS OF SPINAL CORD INJURY AND SURGICAL FAILURE
Authors: Arnaldo Sousa, Luís Henrique Barros, Cláudia Rodrigues, Tiago Barbosa, Ana Ribau, José Figueiredo, Ricardo Rodrigues-Pinto ; Congress: 20th EFORT Congress ; Place and Date: Lisbon – Portugal, June 5th to 7th, 2019 ; Congress: 38th National Congress of Orthopedics and Traumatology ; Place and Date: Viseu – Portugal, October 25th to 27th, 2018
Abstract: Seventy-one patients operated on for subaxial cervical fracture-dislocation over a 10-year period were retrospectively analyzed. The following parameters were evaluated: age, sex, injury characteristics (dislocation or subluxation, unilateral or bilateral, level of injury and presence of associated facet fracture), trauma mechanism, presence of spinal cord injury (American Spinal Injury Association Impairment Scale [ASIA]), surgical data and follow-up records. It was concluded that rigid spines and bilateral facet dislocations have a higher risk of spinal cord injury. After successful closed reduction, isolated anterior cervical fusion offers an excellent surgical option in the treatment of many cervical fracture-dislocations. Failure occurs most frequently at the C7-T1 level, suggesting that, here, a 360° fusion may be necessary.
- TREATMENT STRATEGY FOR PROXIMAL HUMERUS FRACTURES – A RETROSPECTIVE COMPARATIVE STUDY
Authors: Francisco Xará-Leite, João Vale, Cláudia Rodrigues, Luís Henrique Barros, Rui Claro ; Congress: 20th EFORT Congress ; Place and Date: Lisbon – Portugal, June 5th to 7th, 2019 Place and Date: Viseu – Portugal, October 25th to 27th, 2018
Abstract: A study was presented including all proximal humerus fractures in elderly patients diagnosed over an 18-month period, dividing the patients into 2 groups: a group undergoing osteosynthesis and a group undergoing conservative treatment. When functionally evaluating these patients, it was concluded that there is scientific evidence to support the current trend of not treating these patients with osteosynthesis, favoring conservative treatment or reversed total shoulder arthroplasty.
- TOTAL HIP ARTHROPLASTY IN A PATIENT WITH SYSTEMIC MASTOCYTOSIS
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- OSTEOSARCOMAS – THE EXPERIENCE OF A SERVICE
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Neves, Sérgio Figueiredo, Vânia Oliveira, Pedro Cardoso ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29-31, 2015
Abstract: Study of 32 patients diagnosed with osteosarcoma that aimed to reflect on survival, complications and functional results. It was concluded that a multidisciplinary approach in both diagnosis and treatment is essential. Surgery is crucial and should be performed with curative intent, trying to preserve the limb and function, to allow a better quality of life for the patient.
- ISOLATED KNEE TAPULA FRACTURES: DETERMINATION OF THE OPTIMAL RADIOLOGICAL CUT-OFF POINT FOR PREDICTING COMPLICATIONS
Authors: Luís Henrique Barros, Sérgio Figueiredo, João Cardoso Esteves, Marta Santos Silva, Pedro Neves, Pedro Santos Leite, Adélio Vilaça ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29-31, 2015
Abstract: Study that included 34 patients undergoing osteosynthesis of isolated patella fracture. The objective of the study was to understand the relationship between the indices of assessment of the height of the patella and their relationship with the onset of complications. It was concluded that of the different parameters measured, only the lower Caton-Deschamps index has a direct correlation with potential complications.
- THE USEFULNESS OF THIN NEEDLE ASPIRATION BIOPSY IN CONFIRMING THE DIAGNOSIS AND IDENTIFYING THE ETIOLOGIC AGENT OF SPONDYLODISCITIS
Authors: Luís Henrique Barros, Ricardo Rodrigues-Pinto, João Cardoso Esteves, Luciana Leite, Diogo Santos Robles, Pedro Cardoso ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29th to 31st, 2015 ; Congress: 16th EFORT Congress 2015 (POSTER) ; Place and Date: Prague – Czech Republic, May 27th to 29th, 2015
Abstract: This study included 34 patients undergoing osteosynthesis of isolated patellar fracture. The aim of this study was to understand the relationship between the indices for assessing patella height and their relationship with the onset of complications. It was concluded that of the different parameters measured, only the lower Caton-Deschamps index has a direct correlation with potential complications.
- THE USEFULNESS OF THIN NEEDLE ASPIRATION BIOPSY IN CONFIRMING THE DIAGNOSIS AND IDENTIFYING THE ETIOLOGIC AGENT OF SPONDYLODISCITIS
Authors: Luís Henrique Barros, Ricardo Rodrigues-Pinto, João Cardoso Esteves, Luciana Leite, Diogo Santos Robles, Pedro Cardoso ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29 to 31, 2015 ; Congress: 16th EFORT Congress 2015 (POSTER) ; Place and Date: Prague – Czech Republic, May 27-29, 2015
Abstract: This retrospective study was conducted between 2004 and 2014 and included all patients with an ICD-9 diagnosis of spondylodiscitis and those who underwent CT-guided needle aspiration biopsy for suspected spondylodiscitis with positive culture and/or pathological anatomy. The results of this study demonstrated that performing a biopsy before starting antibiotic therapy improves the possibility of identifying the agent involved. Needle biopsy should be part of the diagnostic tools for all patients with suspected spondylodiscitis, since the identification of the microorganism allows for more effective targeted treatment.
- CHONDROSARCOMAS – THE EXPERIENCE OF A SERVICE
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Daniel Soares, Sérgio Figueiredo, Vânia Oliveira, Pedro Cardoso ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29-31, 2015
Abstract: Retrospective study of 21 patients diagnosed with chondrosarcomas that aimed to evaluate treatment, survival, complications and functional results. Tumor resection remains the only effective curative treatment for all chondrosarcomas. However, in low-grade chondrosarcomas, intralesional or marginal resections may be adequate. This study presents 4 cases in which, to avoid the high morbidity of resection and improve functional results, it was possible to perform aggressive curettage, without causing tumor recurrence. The role of the orthopedic surgeon in the treatment of chondrosarcomas is crucial as he must perform surgery that is both curative and with the least possible functional impairment.
- 5. EQUINO-CAVO-VARU FOOT
Authors: Luís Henrique Barros, Marta Santos Silva, Hélder Fonte, Nunes Esteves, José Muras ; Congress: Clinical Meeting “A Day with the Foot” ; Place and Date: Cascais – Portugal, November 28, 2015
Abstract: The clinical case of a 26-year-old patient with rigid equino-cavo-varus foot caused by sciatic nerve injury in childhood is presented. In this case, a superoexternal osteotomy of the tarsus, a valgization osteotomy of the calcaneus, lengthening of the Achilles tendon and arthrodesis of the MF of the hallux were performed, preserving the ankle. At 6 months, the osteotomies were consolidated, the mechanical axis of the ankle was aligned and the patient was able to wear normal shoes.
- TWO STAGE REVISION OF AN INFECTED TOTAL KNEE ARTHROPLASTY TUMOR PROSTHESIS WITH A CUSTOM-MADE MOBILE “TUMOR” SPACER – A CASE REPORT
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Serrano, Ricardo Sousa, Pedro Cardoso ; Congress: Meeting of the Section of Tumors of the Locomotor System – SPOT ; Place and Date: Porto – Portugal, March 5, 2016 ; Congress: 29th EMSOS Annual Meeting (POSTER) ; Place and Date: La Baule – France, May 25 to 27, 2016 ; Congress: 36th National Congress of Orthopedics and Traumatology (POSTER) ; Place and Date: Cascais – Portugal, November 28, 2015
Abstract: This paper reports on a difficult case that required several interventions and debridements that culminated in a 2-stage revision with a tumor megaprosthesis due to chronic infection. The impact that infection can have on limb preservation surgery, the importance of early diagnosis, adequate treatment strategy, accurate identification of the infecting pathogens and the appropriate antibiotic regimen are highlighted. Debridement and irrigation with preservation of the prosthesis are often the first attempt in these difficult cases, but their success depends on the short duration of symptoms, knowledge of the infecting microorganisms and the correct antibiotic therapy with anti-biofilm properties.
- METATARSOPHALANGEAL ARTHROPLASTY IN THE TREATMENT OF HALLUX RIGIDUS: MEDIUM-LONG-TERM RESULTS. PROSPECTIVE ANALYSIS OF 26 CASES.
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Manuel Serrano, Ricardo Rodrigues-Pinto, José Muras ; Congress: 36th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 27th to 29th, 2016
Abstract: Study with 25 patients who underwent 26 consecutive metatarsophalangeal arthroplasties in the treatment of hallux rigidus. It was found that the medium- and long-term results of this new generation of prostheses seem to surpass the complications observed with the previous ones. The low rate of complications identified, associated with the preservation of foot mobility and biomechanics, seem to be related to patient satisfaction.
- SURGICAL TREATMENT OF RHIZARTHROSIS: TRAPEZECTOMY WITH LIGAMENTOPLASTY VERSUS ARTHROPLASTY – MEDIUM-LONG-TERM RESULTS
Authors: Luís Henrique Barros, Sérgio Figueiredo, João Esteves, Marta Santos Silva, Alexandre Pereira, Miguel Trigueiros, César Silva ; Congress: 36th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 27th to 29th, 2016
Abstract: Study of 100 patients diagnosed with rhizarthrosis, which aimed to compare the clinical results between trapezectomy with ligamentoplasty, according to the Sigfuson-Lundborg technique, and trapeziometacarpal arthroplasty. It was found that there was no functional superiority of one technique over the other. It was concluded that the great advantage of arthroplasty with implant was the earlier return to daily activities. However, this technique is associated with higher costs and a higher risk of complications.
- CROUZON SYNDROME – A RARE CERVICAL KYPHOTIC DEFORMITY
Authors: Luís Henrique Barros, Bruno Correia, Manuel Marques, Cláudia Rodrigues, Arnaldo Sousa, Ricardo Rodrigues-Pinto ; Congress: IV Symposium of the Portuguese Society of Spinal Pathology 2017 ; Place and Date: Leiria – Portugal, November 3rd and 4th, 2017 ; Congress: World Spine 8 (POSTER) ; Place and Date: Porto – Portugal, April 15th to 18th, 2018 ; BEST POSTER AWARD – SPINE ; Congress: 37th National Congress of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26-28, 2017
Abstract: We present a rare case of progressive cervical kyphosis C4-C5 in a patient with Crouzon Syndrome, seen in the emergency department due to insidious onset of ASIA D neurological deficits in the context of a cervical kyphotic deformity. This deformity, documented and progressive for at least 5 years, was neglected by the attending physician. The patient was placed under cervical traction on a Stryker bed, and evolved with complete neurological recovery. Three days later, he underwent circumferential cervical arthrodesis: posterior compression with wire from C5-C6 and corporectomy of C5 and anterior arthrodesis C4-C6 with interposition of an autologous iliac crest graft and plate fixation. To our knowledge, this is the first case described of a progressive cervical kyphotic malformation in a patient with Crouzon Syndrome.
- LUMBAR SPONDYLODISCITIS
Authors: Luís Henrique Barros, Ricardo Rodrigues-Pinto, José Figueiredo ; Congress: GON Clinical Meeting ; Place and Date: Amarante – Portugal, March 4, 2017
Abstract: The case of a patient with spondylodiscitis after multiple interventions to the lumbar spine that led to marked deformity of the spine is presented. The therapeutic approach performed is described, from curative medical treatment of spondylodiscitis to surgical stabilization.
- ARTHROSCOPIC BRISTOW-LATARJET. THE FIRST 10 CASES
Authors: Luís Henrique Barros, João Esteves, Marta Santos Silva, Manuel Marques, Luís Coutinho, André Carvalho, Rui Claro ; Congress: 37th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26th to 28th, 2017
Abstract: Study of 10 patients diagnosed with chronic post-traumatic anterior glenohumeral instability, with several episodes of dislocation, submitted to the arthroscopic Bristow-Latarjet procedure, by the same surgeon. In this work, a statistically significant improvement in the Constant and WOSI scores was observed, with no cases of recurrence. After 1 year, all patients returned to their professional lives without restrictions and the 6 athletes returned to competition.
- REVISION SURGERY OF THE LUMBAR SPINE WITH PEDICULAR SUBTRACTION OSTEOTOMY
Authors: Luís Henrique Barros, Manuel Fernandes Marques, Seabra Lopes, Paulo Costa ; Congress: 1st Meeting of Clinical Cases of the Spine Section of SPOT ; Place and Date: Unhais da Serra – Portugal, January 27, 2018
Abstract: The clinical and imaging results of a patient submitted to pedicle subtraction osteotomy of L3 and D9-iliac instrumentation due to loss of sagittal balance are presented. It is shown that the sagittal balance was restored after surgery, allowing the recovery of normal lordosis of the lumbar spine and correction of compensatory mechanisms.
- THE FIRST 20 INVERTED SHOULDER ARTHROPLASTY WITH UNEMENTED SHORT-STEM PROSTHESIS: PRELIMINARY RESULTS
Authors: Luís Henrique Barros, João Esteves, Cláudia Rodrigues, Francisco Leite, Manuel Marques, Rui Claro ; Congress: 38th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and date: Viseu – Portugal, October 27, 2018
Abstract: Prospective study of 20 patients undergoing reversed shoulder arthroplasty with uncemented short-stem prosthesis. It was found that these new prostheses are associated with better functional results, without increased complications compared to conventional ones, allowing preservation of metaphyseal bone and reducing scapular notching.
- DISTAL AMPUTATION OF THE FOUR LIMBS – A CLINICAL CASE
Authors: Marta Santos Silva, Pedro Neves, Pedro Barreira, Luís Henrique Barros, Adélio Vilaça, Miguel Trigueiros ; Congress: 34th National Congress of Orthopedics and Traumatology ; Place and Date: Albufeira – Portugal, October 23 to 25, 2014
Abstract: The clinical case of a previously healthy woman with urosepsis who developed peripheral symmetrical gangrene of the four limbs, requiring amputation, is presented. Gangrene of the limbs has devastating consequences. However, amputation should never be postponed since it puts the patient’s life at risk.
- TREATMENT OF OSTEOBLASTOMA, EXPERIENCE OF A SERVICE
Authors: João Esteves, Luís Henrique Barros, Pedro Leite, Filipa Moreno, Pedro Cardoso ; Congress: 34th National Congress of Orthopedics and Traumatology ; Place and Date: Albufeira – Portugal, October 23rd to 25th, 2014 ; Congress: 28th EMSOS Annual Meeting (POSTER) ; Place and Date: Athens – Greece, April 29th to May 1st, 2015
Abstract: Seven patients followed in our service, aged between 12 and 42 years at the time of diagnosis, were reviewed, of which 3 represented axial lesions (one lumbar, one cervical and one iliac), and 4 limb lesions (one humerus, one fibula, one tibia and one talus), and in all of them the main complaint was continuous pain with no special nocturnal predominance. It was concluded that, despite being histologically a benign lesion, without cellular atypia, the inflammatory reaction caused by the lesion may suggest local invasion. The therapeutic option depends mainly on the extent and location of the lesion. In the cases reviewed, the main treatment was curettage, which has the advantage of being less traumatic and less invasive than wide excision. In more extensive osteoblastomas, and especially when they occur in the hand, foot, ribs, fibula or diaphysis of a long bone, wide excision may be preferable and more appropriate. Lastly, a prior biopsy allows us to rule out a malignant lesion and to adapt the treatment, which ideally will involve curettage with phenolization.
- CURETTAGE AND PHENOLIZATION IN LOW-GRADE CHONDROSARCOMAS – MORE FUNCTION, LESS COMPLICATIONS, THE SAME ONCOLOGICAL RESULTS!
Authors: João Esteves, Luís Henrique Barros, Pedro Leite, André Coelho, Pedro Cardoso ; Congress: 34th National Congress of Orthopedics and Traumatology ; Place and Date: Albufeira – Portugal, October 23 to 25, 2014
Abstract: Two patients with chondrosarcomas were presented: 1 patient presented an osteolytic lesion of the middle third of the femur, with thickening and bulging of the cortex, and the other a cartilaginous lesion of the proximal humerus, with cortical invasion but without surpassing it. Curettage, phenolization and filling with cement were performed in both patients. This study aimed to demonstrate that this form of treatment has results, in terms of recurrence, that are similar to those of the classical approach, but presents better functional results and lower complication rates.
- CHONDROSARCOMA OF THE ILIOPUBIC BRANCH – A CASE REPORT
Authors: João Esteves, Luís Henrique Barros, Luciana Leite, Pedro Cardoso ; Congress: 34th National Congress of Orthopedics and Traumatology ; Place and Date: Albufeira – Portugal, October 23 to 25, 2014
Abstract: Presentation of a case of a 41-year-old woman who presented a palpable mass in the suprapubic region corresponding to a pelvic chondrosarcoma originating in the iliopubic branch in which an extensive resection of the lesion was performed requiring partial cystectomy. It was demonstrated that collaboration between different specialties is essential in the approach to oncological disease and only then is it possible to correctly plan and guide the treatment of these diseases.
- OSTEOID OSTEOMAS IN PEDIATRIC AGE – HOW TO TREAT AND HOW TO FOLLOW UP
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Neves, Pedro Cardoso ; Congress: III National Congress and XX Conference on Pediatric Orthopedics ; Place and Date: Aveiro – Portugal, March 5-7, 2015
Abstract: Study of 19 children with osteoid osteoma. All underwent radiofrequency thermoablation guided by computed tomography, on an outpatient basis. It was concluded that radiofrequency treatment is an effective and minimally invasive treatment and that short and clinical follow-up only allows to reduce the exposure of patients to radiation.
- RESULTS OF RADIOFREQUENCY THERMAL MICRODEBRIDEMENT IN THE TREATMENT OF ACHILLES TENDINOPATHY
Authors: Marta Santos Silva, Pedro Neves, Pedro Serrano, Luís Henrique Barros, Daniel Soares, Ricardo Rodrigues-Pinto, José Muras Geada ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29-31, 2015
Abstract: Description of a series of 6 patients with chronic Achilles tendinopathy, submitted to radiofrequency thermal microdebridement. It was concluded that radiofrequency thermal microdebridement is a simple, minimally invasive procedure with very satisfactory clinical and functional results.
- PELVIC RING TUMORS – RESECTION AND RECONSTRUCTION
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Neves, Vânia Oliveira, Pedro Cardoso ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29th to 31st, 2015Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29th to 31st, 2015
Abstract: Description of a series of 6 patients with chronic Achilles tendinopathy who underwent radiofrequency thermal microdebridement. It was concluded that radiofrequency thermal microdebridement is a simple, minimally invasive procedure with very satisfactory clinical and functional results.
- PSEUDOTUMORS AFTER TOTAL HIP ARTHROPLASTY
Authors: Pedro Serrano, João Esteves, Luís Henrique Barros, Marta Santos Silva, Luciana Leite, Daniel Soares, Rui Lemos ; Congress: 35th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 29-31, 2015 ; Congress: 37th SICOT Orthopaedic World Congress (POSTER) ; Place and Date: Rome – Italy, September 8-10, 2016
Abstract: The authors presented a review on pseudotumors in 2 cases. They concluded that the interval between arthroplasty and radiological signs of pseudotumor is variable and all implant combinations may be involved. Patients undergoing total hip arthroplasty should be followed up regularly for early treatment of detachments and pseudotumor-like situations.
- FOOT GIGANTISM – CLINICAL CASE
HONORABLE MENTION FOR BEST CLINICAL CASE ; Authors: Cláudia Rodrigues, Luís Coutinho, Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Serrano, Pedro Neves, Pedro Barreira, José Muras Geada, Isabel Gonçalves ; Congress: National Foot and Ankle Congress 2016 ; Place and Date: Funchal – Portugal, May 27th to 28th, 2016
Abstract: The clinical case of a woman with foot gigantism associated with claw toes and metatarsalgia was presented, who underwent muscle excision and correction of claw toes. This procedure allowed an aesthetic improvement, maintaining normal walking and the use of shoes of the same size on both feet.
- ARTHRODESIS VERSUS ARTHROPLASTY OF THE 1ST METATARSOPHALANGEAL JOINT IN THE TREATMENT OF HALLUX RIGIDUS – COMPARATIVE STUDY
Authors: Marta Santos Silva, Arnaldo Sousa, Luís Henrique Barros, Pedro Serrano, Ricardo Rodrigues-Pinto, José Muras Geada ; Congress: 36th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 27th to 29th, 2016 ; Congress: 38th SICOT Orthopaedic World Congress (POSTER) ; Place and Date: Cape Town – South Africa, November 30th to December 2nd, 2017
Abstract: Study of 30 patients with hallux rigidus stage III and IV (Coughlin and Shurnas Classification), which aimed to compare the results of arthrodesis versus arthroplasty of the 1st metatarsophalangeal joint. It was concluded that arthrodesis provides pain relief and satisfactory results, but alters the biomechanics of gait, whereas arthroplasty improves pain and is a more physiological alternative by maintaining the foot mechanics preserved. It has the disadvantage of higher costs and wear/failure over time.
- LIPOSARCOMA – THE EXPERIENCE OF A REFERENCE CENTER
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Neves, Vânia Oliveira, Pedro Cardoso ; Congress: 36th National Congress of Orthopedics and Traumatology ; Place and Date: Porto – Portugal, October 27-29, 2016
Abstract: Retrospective analysis of 55 patients undergoing treatment for liposarcomas of the extremities in a reference center and review of best practices in the approach to these lesions. The treatment is still not very specific, and the general principles of treatment for soft tissue sarcomas are adopted. Neoadjuvant radiotherapy is controversial. The emergence of new, more targeted and specific therapies may allow the treatment of those patients who can currently only be offered palliative therapies.
- CHRONIC FLEXOR TENDON INJURY – RECONSTRUCTION USING THE HUNTER TECHNIQUE
Authors: Marta Santos Silva, Pedro Serrano, Luís Henrique Barros, Luís Costa, Alexandre Pereira, Miguel Trigueiros, César Silva ; Congress: 37th National Congress of Orthopedics and Traumatology ; Coimbra – Portugal, October 26th to 28th, 2017 ; Congress: 38th SICOT Orthopaedic World Congress (POSTER) ; Place and Date: Cape Town – South Africa, November 30th to December 2nd, 2017
Abstract: Study of 38 patients with chronic flexor tendon injury in zone II, undergoing tendon reconstruction in two stages according to the Hunter reconstruction technique. It was concluded that with the correct indication and technique, this procedure appears to be effective in restoring digital function in tendon injuries in the area of the digital flexor sheath. It is a demanding procedure for the patient, who must be motivated to have the ability to complete a long rehabilitation program.
- TIKHOFF-LINBERG PROCEDURE – ON 3 CASES
Authors: Pedro Serrano, Luís Coutinho, João Esteves, Luís Henrique Barros, Marta Santos Silva, Vânia Oliveira, Pedro Cardoso ; Congress: 37th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26 to 28, 2017 ; Congress: 38th SICOT Orthopaedic World Congress (POSTER) ; Place and Date: Cape Town – South Africa, November 30 to December 2, 2017
Abstract: For tumors of the shoulder or shoulder girdle, interscapulothoracic amputation is sometimes the only possible radical surgical treatment. In selected cases, in which the tumor does not involve the neurovascular bundle, an alternative to preserve the limb is the Tikhoff-Linberg procedure. Despite a high overall complication rate, this procedure has proven to be a valuable surgical weapon, with the advantage of a superior functional outcome to amputation.
- TIKHOFF-LINBERG PROCEDURE – ON 3 CASES
Authors: Pedro Serrano, Luís Coutinho, João Esteves, Luís Henrique Barros, Marta Santos Silva, Vânia Oliveira, Pedro Cardoso ; Congress: 37th Congress of the Portuguese Society of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26 to 28, 2017 ; Congress: 38th SICOT Orthopaedic World Congress (POSTER) ; Place and Date: Cape Town – South Africa, November 30 to December 2, 2017
Abstract: For tumors of the shoulder or shoulder girdle, interscapulothoracic amputation is sometimes the only possible radical surgical treatment. In selected cases, in which the tumor does not involve the neurovascular bundle, an alternative to preserve the limb is the Tikhoff-Linberg procedure. Despite a high overall complication rate, this procedure has proven to be a valuable surgical weapon, with the advantage of a superior functional outcome to amputation.
- ROTATIONAL DISORDERS OF THE LOWER LIMB. DEVELOPMENT OF A NEW SURGICAL PLANNING TOOL.
Authors: João Esteves, João Rosa, Luís Henrique Barros, Marta Silva, Paulo Pereira, Adélio Vilaça ; Congress: 37th National Congress of Orthopedics and Traumatology ; Place and Date: Coimbra – Portugal, October 26-28, 2017
Abstract: This work developed a new surgical planning tool that allows the evaluation of rotational disorders of the lower limb by reproducing the patients’ deformities in a three-dimensional model. This may allow the surgeon to obtain a new perspective on the deformities, allow a better understanding of the specific variables for each case, as well as evaluate the best way to correct them.
PSEUDARTHROSIS AFTER PEDICLE SUBTRACTION OSTEOTOMY: A CASE REPORT
Authors: Manuel Fernandes Marques, Luís Henrique Barros, Pedro Neves, Seabra Lopes, Paulo Costa ; Congress: 1st Meeting of Clinical Cases of the Spine Section of SPOT ; Place and Date: Unhais da Serra – Portugal, January 27, 2018
Abstract: The clinical case of a 51-year-old patient with sagittal imbalance who underwent pedicle subtraction osteotomy at L3 and posterior pedicle instrumentation at D10-sacroiliac joints requiring 2 subsequent revision surgeries due to pseudarthrosis and stress fracture of the bars is presented. In the first surgery, the titanium bars were replaced by cobalt-chromium bars and, in the second, transforaminal interbody fusion was performed, superiorly and inferiorly to the level where the osteotomy was performed, and the number of bars was increased to 4. Pseudarthrosis is one of the possible complications after a pedicle subtraction osteotomy, generally leading to the need for revision surgery, which can be performed with clinical and imaging success.
LIMB LENGTHENING NAIL SYSTEM – IMPROVEMENT IN THE TREATMENT OF LOWER LIMB DYSMETRIA? HONORABLE MENTION FOR ORAL COMMUNICATION
Authors: Filipe Medeiros, Pedro Mota, Marta Silva, Luís Henrique Barros, Frederico Paiva, João Moura, Armando Campos ; Congress: 6th National Congress and XXIII Pediatric Orthopedics Conference ; Place and Date: Coimbra – Portugal, March 23rd to 24th, 2018
Abstract: This study aimed to evaluate and report our experience with the magnetic nailing and lengthening system in lower limb dysmetria. It was concluded that despite the higher cost of this surgery, the magnetic lengthening system achieved excellent functional results with unequivocal benefits in terms of pain, reduction in the number of subsequent surgeries, reduction in complications and greater comfort when dressing and performing daily tasks.
TREATMENT OF BRACHYMETATARSIA BY DISTRACTION OSTEOGENESIS – EXPERIENCE OF A SERVICE
Authors: Marta Santos Silva, Filipe Medeiros, Luís Henrique Barros, Pedro Mota, João Moura, Frederico Paiva, Bruno Santos, Armando Campos ; Congress: 6th National Congress and XXIII Pediatric Orthopedics Conference ; Place and Date: Coimbra – Portugal, March 23rd and 24th, 2018
Abstract: The authors described the clinical and radiological results of 13 patients undergoing surgical treatment of congenital brachymetatarsia with De Bastiani distraction osteogenesis. It was concluded that this technique is a good option, since it involves a relatively simple and safe surgery with good clinical and functional results.
TARSAL BAR AS A CAUSE OF CHRONIC ANKLE INSTABILITY IN ADOLESCENTS
Authors: Tiago Amorim Barbosa, Luís Henrique Barros, João Esteves, André Gomes, Luís Costa ; Congress: National Foot and Ankle Congress 2018 ; Place and Date: Tomar – Portugal, May 4-5, 2018
Abstract: A rigorous physical examination associated with detailed diagnostic tests should be performed in the case of chronic ankle instability in order to diagnose causes other than ligament instability, such as tarsal bar. Early diagnosis is extremely important to prevent complications. This clinical case of a 20-year-old patient with chronic ankle instability and talo-calcaneal tarsal bar demonstrates the need to treat both pathologies together in order to obtain good clinical results.
SURGERY AS A LAST RESORT IN SEVERE DEFORMITY OF CHARCOT DIABETIC ARTHROPATHY
Authors: Tiago Amorim Barbosa, Luís Henrique Barros, João Esteves, André Gomes, Luís Costa ; Congress: National Foot and Ankle Congress 2018 ; Place and Date: Tomar – Portugal, May 4th to 5th, 2018
Abstract: A clinical case of a 62-year-old female patient with Charcot arthropathy with destruction of the tibiotarsal and Chopart joints, with subluxation and necrosis of the talus is presented. Prioritizing the recovery of skin conditions for future reconstruction of the foot and ankle, the patient underwent a long period of immobilization and unloading of the limb, with weekly evaluation and treatments by the multidisciplinary team. Eight months later, the patient underwent excision of the talus and tibiocalcaneal arthrodesis with a retrograde nail, with good clinical and radiological progress. This case shows that in the case of severe deformities, a differentiated multidisciplinary approach is necessary to enable the definition of the most appropriate strategy, which should only involve amputation as a last resort.
RESCUE SURGERY AFTER HEEL FRACTURE: CLINICAL AND RADIOGRAPHIC EVALUATION
Authors: Tiago Amorim Barbosa, Luís Henrique Barros, João Esteves, André Gomes, Luís Costa ; Congress: National Foot and Ankle Congress 2018 ; Tomar – Portugal, May 4-5, 2018
Abstract: The treatment of calcaneal fractures is controversial, and there is no consensus on which ones may benefit from surgical treatment. For this reason, it is common to have fractures with malunion and/or with evolving subtalar arthrosis, which are symptomatic and disabling, requiring salvage surgical treatment, with subtalar arthrodesis being the gold standard for the treatment of these complications. This study included a total of 12 patients who underwent surgery to treat complications of intra-articular calcaneal fractures, demonstrating functional improvement in these patients through improvement in pain and realignment of the axis, as well as radiographic parameters.
RESCUE SURGERY AFTER HEEL FRACTURE: CLINICAL AND RADIOGRAPHIC EVALUATION
Authors: Tiago Amorim Barbosa, Luís Henrique Barros, João Esteves, André Gomes, Luís Costa ; Congress: National Foot and Ankle Congress 2018 ; Tomar – Portugal, May 4-5, 2018
Abstract: The treatment of calcaneal fractures is controversial, and there is no consensus on which ones may benefit from surgical treatment. For this reason, it is common to have fractures with malunion and/or with evolving subtalar arthrosis, which are symptomatic and disabling, requiring salvage surgical treatment, with subtalar arthrodesis being the gold standard for the treatment of these complications. This study included a total of 12 patients who underwent surgery to treat complications of intra-articular calcaneal fractures, demonstrating functional improvement in these patients through improvement in pain and realignment of the axis, as well as radiographic parameters.
CLINICAL OUTCOMES OF ARTHROSCOPIC TREATMENT OF SYMPTOMATIC UNIDIRECTIONAL POSTERIOR GLENOHUMERAL INSTABILITY IN PATIENTS UNDER THE AGE OF 18
Work selected as one of the best posters and presented in physical poster format. ; Authors: Manuel Fernandes Marques, Hélder Fonte, Luís Henrique Barros, Marta Silva, Rui Claro ; Congress: 38th National Congress of Orthopedics and Traumatology ; Place and Date: Viseu – Portugal, October 25th to 27th, 2018 ; Congress: 19th EFORT Congress (POSTER) ; Place and Date: Barcelona – Spain, May 30th to June 01st, 2018
Abstract: A prospective study was developed to evaluate the arthroscopic treatment (Bankart repair and/or capsulorrhaphy) of posterior shoulder instability in children. Of the 6 patients who underwent surgery, all showed improvements in functional results, with no recurrence of instability and a return to daily and sporting activities without limitations. Thus, the efficacy and safety of arthroscopic procedures in the treatment of this pathology were demonstrated, even in patients under 18 years of age.
THE INFLUENCE OF SCREW AND PLATE POSITIONING ON ANTERIOR CERVICAL FUSION
Authors: Joao Esteves, Ana Ribau, Luís Henrique Barros, Arnaldo Sousa, Eurico Silva, Jose Figueiredo, Ricardo Rodrigues-Pinto ; Congress: 39th National Congress of Orthopedics and Traumatology ; Place and Date: Tróia – Portugal, October 24th to 26th, 2019
Abstract: Study developed with the objective of evaluating whether the positioning of the screws and plate interferes with the development of ossification of the adjacent disc. It was concluded that the increase in the distance between the plate and the adjacent platform and the tip of the screws and the adjacent platform is related to the decreased risk of progression of ossification of the adjacent disc.
- PREDICTORS OF MORBIDITY AND MORTALITY IN PATIENTS UNDERGOING SURGICAL TREATMENT OF PERIPROSTHETIC HIP AND KNEE FRACTURES
Authors: Ana Ribau, Manuel Carrapatoso, Tiago Barbosa, Sara Diniz, Luís Henrique Barros, Ricardo Rodrigues- Pinto ; Congress: 39th National Congress of Orthopedics and Traumatology ; Place and Date: Tróia – Portugal, October 24-26, 2019
Abstract: The authors retrospectively evaluated the clinical and radiographic records of all patients undergoing surgery for periprosthetic hip and knee fractures in a 4-year period, with the aim of identifying predictors of morbidity and mortality after surgical treatment of these fractures. It was concluded that recovery of walking ability, patient age and ASA classification were identified as factors associated with lower mortality per year.
EARLY DEBRIDEMENT, ANTIBIOTHERAPY AND IMPLANT RETENTION (DAIR) IN THE TREATMENT OF COMPLICATED SURGICAL WOUNDS AFTER TOTAL ARTHROPLASTY – ARE BLOOD CRP VALUES AND SYNOVIAL FLUID LEUKOCYTE COUNTS VALID TO DIFFERENTIATE SUPERFICIAL FROM DEEP INFECTIONS? Authors: Tiago Amorim Barbosa, André Carvalho, Ana Ribau, Luís Henrique Barros, Daniel Soares, Miguel Abreu, Ricardo Sousa ; Congress: 39th National Congress of Orthopedics and Traumatology ; Place and Date: Tróia – Portugal, October 24-26, 2019
Abstract: Early diagnosis of acute periprosthetic infection is often hampered by its very subtle clinical presentation. This study confirms that deep infection is most often present in cases of complicated surgical wound healing after total joint arthroplasty, supporting our “aggressive” institutional protocol.
- OSTEOSARCOMAS – THE EXPERIENCE OF A SERVICE
- FRATURAS ISOLADAS DA RÓTULA: DETERMINAÇÃO DE PONTO DE CORTE RADIOLÓGICO ÓTIMO PARA A PREMONIÇÃO DE COMPLICAÇÕES
Autores: Luís Henrique Barros, Sérgio Figueiredo, João Cardoso Esteves, Marta Santos Silva, Pedro Neves, Pedro Santos Leite, Adélio Vilaça ; Congresso: 35º Congresso Nacional de Ortopedia e Traumatologia ; Local e Data: Porto – Portugal, 29 a 31 de outubro de 2015
Resumo: Estudo que incluiu 34 doentes submetidos a osteossíntese de fratura isolada da rótula. O objetivo do trabalho foi compreender a relação entre os índices de avaliação da altura da rótula e a sua relação com o aparecimento de complicações. Concluiu-se que dos diferentes parâmetros medidos, apenas o índice Caton-Deschamps inferior tem correlação direta com potenciais complicações.
- THE USEFULNESS OF THIN NEEDLE ASPIRATION BIOPSY IN CONFIRMING THE DIAGNOSIS AND IDENTIFYING THE ETIOLOGIC AGENT OF SPONDYLODISCITIS
Autores: Luís Henrique Barros, Ricardo Rodrigues-Pinto, João Cardoso Esteves, Luciana Leite, Diogo Santos Robles, Pedro Cardoso ; Congresso: 35º Congresso Nacional de Ortopedia e Traumatologia ; Local e Data: Porto – Portugal, 29 a 31 de outubro de 2015 ; Congresso: 16th EFORT Congress 2015 (POSTER) ; Local e Data: Praga – República Checa, 27 a 29 de maio de 2015
Resumo: Estudo que incluiu 34 doentes submetidos a osteossíntese de fratura isolada da rótula. O objetivo do trabalho foi compreender a relação entre os índices de avaliação da altura da rótula e a sua relação com o aparecimento de complicações. Concluiu-se que dos diferentes parâmetros medidos, apenas o índice Caton-Deschamps inferior tem correlação direta com potenciais complicações.
- THE USEFULNESS OF THIN NEEDLE ASPIRATION BIOPSY IN CONFIRMING THE DIAGNOSIS AND IDENTIFYING THE ETIOLOGIC AGENT OF SPONDYLODISCITIS
Autores: Luís Henrique Barros, Ricardo Rodrigues-Pinto, João Cardoso Esteves, Luciana Leite, Diogo Santos Robles, Pedro Cardoso ; Congresso: 35º Congresso Nacional de Ortopedia e Traumatologia ; Local e Data: Porto – Portugal, 29 a 31 de outubro de 2015 ; Congresso: 16th EFORT Congress 2015 (POSTER) ; Local e Data: Praga – República Checa, 27 a 29 de maio de 2015
Resumo: Estudo retrospetivo desenvolvido entre 2004 e 2014 em que se incluíram todos os doentes com o diagnóstico ICD-9 de espondilodiscite e aqueles doentes que foram submetidos a biópsia aspirativa guiada por TC por suspeita de espondilodiscite com cultura e/ou anatomia patológica positiva. Os resultados deste trabalho demonstraram que a realização de biópsia antes de iniciar antibioterapia melhora a possibilidade de identificação do agente envolvido. A biópsia por agulha deve fazer parte das ferramentas diagnósticas de todos os doentes com suspeita de espondilodiscite, na medida em que a identificação do microrganismo permite um tratamento dirigido mais eficaz.
- CONDROSSARCOMAS – A EXPERIÊNCIA DE UM SERVIÇO
Autores: Luís Henrique Barros, João Esteves, Marta Santos Silva, Daniel Soares, Sérgio Figueiredo, Vânia Oliveira, Pedro Cardoso ; Congresso: 35º Congresso Nacional de Ortopedia e Traumatologia ; Local e Data: Porto – Portugal, 29 a 31 de outubro de 2015
Resumo: Estudo retrospetivo de 21 doentes com o diagnóstico de condrossarcomas que pretendeu avaliar o tratamento, sobrevida, complicações e resultados funcionais. A resseção tumoral permanece como o único tratamento curativo eficaz no tratamento de todos os condrossarcomas. Contudo, nos condrossarcomas de baixo grau, as resseções intralesionais ou marginais podem ser adequadas. Este trabalho apresenta 4 casos em que, para evitar a grande morbilidade de uma resseção e melhorar os resultados funcionais, foi possível fazer uma curetagem agressiva, sem condicionar recidiva tumoral. O papel do cirurgião ortopédico no tratamento dos condrossarcomas é crucial pois tem de realizar uma cirurgia que seja ao mesmo tempo curativa e com o menor compromisso funcional possível.
- 5. PÉ EQUINO-CAVO-VARO
Autores: Luís Henrique Barros, Marta Santos Silva, Hélder Fonte, Nunes Esteves, José Muras ; Congresso: Reunião Clínica “Um Dia com o Pé” ; Local e Data: Cascais – Portugal, 28 de novembro de 2015
Resumo: Apresentado o caso clínico de um doente de 26 anos com pé equino-cavo-varo rígido causado por lesão do nervo ciático na infância, em que se realizou osteotomia superoexterna do tarso, uma osteotomia de valgização do calcâneo, alongamento do tendão de Aquilles e artrodese da MF do hallux, preservando o tornozelo. Aos 6 meses, as osteotomias estavam consolidadas, o eixo mecânico do tornozelo estava alinhado e o doente era capaz de calçar sapatos normais.
- TWO STAGE REVISION OF AN INFECTED TOTAL KNEE ARTHROPLASTY TUMOR PROSTHESIS WITH A CUSTOM-MADE MOBILE “TUMOR” SPACER – A CASE REPORT
Autores: Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Serrano, Ricardo Sousa, Pedro Cardoso ; Congresso: Reunião da Secção de Tumores do Aparelho Locomotor – SPOT ; Local e Data: Porto – Portugal, 5 de março de 2016 ; Congresso: 29th EMSOS Annual Meeting (POSTER) ; Local e Data: La Baule – França, 25 a 27 de maio de 2016 ; Congresso: 36º Congresso Nacional de Ortopedia e Traumatologia (POSTER) ; Local e Data: Cascais – Portugal, 28 de novembro de 2015
Resumo: Este trabalho refere-se a um caso difícil, que necessitou de várias intervenções e desbridamentos que culminaram numa revisão a 2 tempos com uma megaprotese tumoral devido a infeção crónica. Realça-se o impacto que a infecção pode ter na cirurgia da preservação do membro, a importância do diagnóstico precoce, a estratégia de tratamento adequada, a identificação exata dos agentes patogénicos infectados e o regime antibiótico adequado. O desbridamento e a irrigação com a preservação da prótese são muitas vezes a primeira tentativa nestes casos difíceis, mas o seu sucesso depende da curta duração dos sintomas, do conhecimento dos microrganismos infectados e da terapêutica antibiótica correta com propriedades anti-biofilm.
- ARTROPLASTIA METATARSOFALÂNGICA NO TRATAMENTO DE HALLUX RIGIDUS: RESULTADOS A MÉDIO-LONGO PRAZO. ANÁLISE PROSPECTIVA DE 26 CASOS.
Autores: Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Manuel Serrano, Ricardo Rodrigues- Pinto, José Muras ; Congresso: 36º Congresso da Sociedade Portuguesa de Ortopedia e Traumatologia ; Local e Data: Porto – Portugal, 27 a 29 de outubro de 2016
Resumo: Estudo com 25 doentes submetidos a 26 artroplastias metatarsofalângicas consecutivas no tratamento de hallux rigidus. Verificou-se que os resultados a médio e longo prazo desta nova geração de próteses parecem superar as complicações verificadas com as anteriores. A baixa taxa de complicações identificadas, associadas à preservação da mobilidade e biomecânica do pé, parecem estar relacionadas com a satisfação dos doentes.
- TRATAMENTO CIRÚRGICO DA RIZARTROSE: TRAPEZECTOMIA COM LIGAMENTOPLASTIA VERSUS ARTROPLASTIA – RESULTADOS A MÉDIO-LONGO PRAZO
Autores: Luís Henrique Barros, Sérgio Figueiredo, João Esteves, Marta Santos Silva, Alexandre Pereira, Miguel Trigueiros, César Silva ; Congresso: 36º Congresso da Sociedade Portuguesa de Ortopedia e Traumatologia ; Local e Data: Porto – Portugal, 27 a 29 de outubro de 2016
Resumo: Estudo de 100 doentes com o diagnóstico de rizartrose, que teve como objetivo a comparação dos resultados clínicos entre a trapezectomia com ligamentoplastia, segundo a técnica de Sigfuson-Lundborg, e a artroplastia trapézio-metacarpiana. Verificou-se que não houve superioridade funcional de uma técnica relativamente à outra. Concluiu-se que a grande vantagem da artroplastia com implante foi o retorno mais precoce às atividades de vida diária. Contudo, esta técnica está associada a maior custo e maior risco de complicações.
- SÍNDROME DE CROUZON – UMA DEFORMIDADE CIFÓTICA CERVICAL RARA
Autores: Luís Henrique Barros, Bruno Correia, Manuel Marques, Cláudia Rodrigues, Arnaldo Sousa, Ricardo Rodrigues-Pinto ; Congresso: IV Simpósio da Sociedade Portuguesa de Patologia da Coluna Vertebral 2017 ; Local e Data: Leiria – Portugal, 3 e 4 de novembro de 2017 ; Congresso: World Spine 8 (POSTER) ; Local e Data: Porto – Portugal, 15 a 18 de abril de 2018 ; PRÉMIO MELHOR PÓSTER – COLUNA ; Congresso: 37º Congresso Nacional de Ortopedia e Traumatologia ; Local e Data: Coimbra – Portugal, 26 a 28 de outubro de 2017
Resumo: Apresentado um caso raro de cifose cervical progressiva C4-C5 num doente com Síndrome de Crouzon, observado em contexto de serviço de urgência por défices neurológicos ASIA D de início insidioso no contexto de uma deformidade cifótica cervical. Esta deformidade, documentada e em progressão há pelo menos 5 anos, foi negligenciada pelo médico assistente. O doente foi colocado sob tração cervical em cama de Stryker, tendo evoluído com recuperação neurológica completa. Três dias depois, foi submetido a artrodese cervical circunferencial: compressão posterior com aramagem de C5-C6 e corporectomia de C5 e artrodese anterior C4-C6 com interposição de enxerto autólogo de crista ilíaca e fixação com placa. Até onde sabemos, este é o primeiro caso descrito de uma malformação cifótica cervical progressiva num doente com Síndrome de Crouzon.
- ESPONDILODISCITE LOMBAR
Autores: Luís Henrique Barros, Ricardo Rodrigues-Pinto, José Figueiredo ; Congresso: Reunião Clínica do GON ; Local e Data: Amarante – Portugal, 4 de março de 2017
Resumo: Apresentado o caso de uma doente com espondilodiscite após múltiplas intervenções à coluna lombar que levou a deformidade marcada da coluna. Foi descrita a abordagem terapêutica realizada, desde o tratamento médico curativo da espondilodiscite até à estabilização cirúrgica.
- BRISTOW-LATARJET ARTROSCÓPICO. OS PRIMEIROS 10 CASOS
Autores: Luís Henrique Barros, João Esteves, Marta Santos Silva, Manuel Marques, Luís Coutinho, André Carvalho, Rui Claro ; Congresso: 37º Congresso da Sociedade Portuguesa de Ortopedia e Traumatologia ; Local e Data: Coimbra – Portugal, 26 a 28 de outubro de 2017
Resumo: Estudo de 10 doentes com diagnóstico de instabilidade glenoumeral anterior pós-traumática crónica, com vários episódios de luxação, submetidos ao procedimento de Bristow-Latarjet artroscópico, pelo mesmo cirurgião. Neste trabalho, verificou-se uma melhoria estatisticamente significativa nos scores de Constant e WOSI, sem casos de recidiva. Ao final de 1 ano, todos os doentes voltaram à sua vida profissional sem restrições e os 6 atletas voltaram a competir.
- REVISION SURGERY OF THE LUMBAR SPINE WITH PEDICULAR SUBTRACTION OSTEOTOMY
Autores: Luís Henrique Barros, Manuel Fernandes Marques, Seabra Lopes, Paulo Costa ; Congresso: 1º Meeting de Casos Clínicos da Secção da Coluna da SPOT ; Local e Data: Unhais da Serra – Portugal, 27 de Janeiro de 2018
Resumo: Apresentado o resultado clínico e imagiológico de uma doente submetida a osteotomia de subtração pedicular de L3 e instrumentação D9-ilíacos por perda de equilíbrio sagital. É mostrado que o balanço sagital foi restaurado após a cirurgia, permitindo recuperar a lordose normal da coluna lombar e corrigir os mecanismos compensatórios.
Posters
Internacional
- MICROSURGERY MANAGEMENT OF SCHWANNOMAS: SYMPTOM RESOLUTION WITH LOWNEUROLOGIC DEFICITS!
Authors: Luís Henrique Barros, João Esteves, Luciana Leite, Marta Santos Silva, Pedro Serrano, Daniel Soares, Vânia Oliveira, Pedro Cardoso
Congress: 28th EMSOS Annual Meeting
Place and Date: Athens – Greece, April 29 to May 1, 2015 - CURETTAGE AND ALCOHOL THERAPY IN LOW GRADE CHONDROSARCOMAS – MORE FUNCTION, LESS COMPLICATIONS, SAME ONCOLOGIC RESULTS
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Serrano, Pedro Neves, Pedro Cardoso
Congress: 28th EMSOS Annual Meeting
Place and Date: Athens – Greece, April 29 to May 1, 2015 - PEDIATRIC OSTEOID OSTEOMA – TREATMENT AND FOLLOW-UP
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Neves, Pedro Cardoso
Congress: 28th EMSOS Annual Meeting
Place and Date: Athens – Greece, April 29 to May 1, 2015 - USEFULNESS OF ULTRA SOUND-GUIDED HOOK WIRE FOR LOCALIZATION OF VERY SMALL AND DEEP SOFT TISSUE TUMORS
Authors: João Esteves, Luís Henrique Barros, Inês Ferreira, Filipa Moreno, Marta Santos Silva, Pedro Cardoso
Congress: 28th EMSOS Annual Meeting
Place and Date: Athens – Greece, April 29 to May 1, 2015 - LARGE CHONDROSARCOMA OF THE CHEST WALL INVADING THE THORACIC CAVITY AND THE SPINE
Authors: Pedro Leite, Vânia Oliveira, Daniel Soares, Luciana Leite, João Esteves, Luís Henrique Barros, S. Lopes, Pedro Cardoso
Congress: 28th EMSOS Annual Meeting
Place and date: Athens – Greece, April 29 to May 1, 2015 - DISLOCATION OF THE ANKLE JOINT WITHOUT FRACTURE – A RARE CASE
Work selected as one of the best posters and presented in the format of a physical poster.
Authors: Marta Santos Silva, Pedro Manuel Serrano, Pedro Neves, Pedro Barreira, João Esteves, Luís Henrique Barros, Luciana Leite, José Muras Geada
Congress: 37th SICOT Orthopaedic World Congress
Place and Date: Rome – Italy, September 8-10, 2016
Congress: 35th National Congress of Orthopaedics and Traumatology
Place and Date: Alfândega Porto Congress Centre, Porto – Portugal, October 29-31, 2015 - PEDIATRIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
Authors: Pedro Manuel Serrano, Luis Coutinho, Helder Fonte, João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Neves, João Dores, Marta Massada
Congress: 17th EFORT Congress 2016
Place and Date: Geneva – Switzerland, June 1 to 3, 2016 - PALLIATIVE SURGICAL TREATMENT OF BONE METASTASES: IS THE CURRENT PRACTICE CORRESPONDING TO GOALS?
Authors: Vânia Oliveira, Luciana Leite, Pedro Barreira, Pedro Neves, Luís Henrique Barros, Pedro Cardoso
Congress: 29th EMSOS Annual Meeting
Place and Date: La Baule – France, May 25-27, 2016 - PELVIC RING TUMORS. RESECTION AND RECONSTRUCTION
Authors: João Esteves, Luís Henrique Barros, Marta Santos Silva, Pedro Serrano, Pedro Cardoso
Congress: 29th EMSOS Annual Meeting
Place and Date: La Baule – France, May 25-27, 2016 - TOTAL KNEE ARTHROPLASTY FOR NAIL PATELLA SYNDROME
Authors: Pedro Serrano, Luís Henrique Barros, João Esteves, Marta Santos Silva, Pedro Leite, Luciana Leite, Adélio Vilaça, Paulo Pereira
Congress: 37th SICOT Orthopaedic World Congress
Place and Date: Rome – Italy, September 8-10, 2016 - A SIMPLE X-RAY APPROACH IN DETERMINING CUP ANTEVERSION AND ITS ROLE IN PREDICTING TOTAL HIP ARTHROPLASTY DISLOCATION
Authors: Sérgio Figueiredo, Luís Herique Barros, Ana Daniela Pereira, Luís Machado, João André Silva, António Sá
Congress: 37th SICOT Orthopaedic World Congress
Place and Date: Rome – Italy, September 8-10, 2016 - LIMB-SALVAGE RECONSTRUCTION AFTER ACETABULAR RESECTION: CLINICAL OUTCOMES
Authors: Marta Santos Silva, Pedro Serrano, Luís Henrique Barros, João Esteves, Pedro Neves, Vânia Oliveira, Pedro Cardoso
Congress: 21st Annual Meeting of Connective Tissue Oncology Society
Location and Date: Lisbon – Portugal, November 9 to 19, 2016
Congress: 36th National Congress of Orthopedics and Traumatology
Location and Date: Alfândega Porto Congress Centre, Porto – Portugal, October 27 to 29, 2016 - SYNOVIAL FLUID TESTING FOR THE DIAGNOSIS OF PROSTHETIC JOINT INFECTION – IMPROVING ITS DIAGNOSTIC ACCURACY WITH SIMPLE AND INEXPENSIVE BIOMARKERS
Authors: Pedro Manuel Serrano, Luís Coutinho, João Esteves, Luís Henrique Barros, Marta Santos Silva, Joana Dias, José Carlos Oliveira, António Oliveira, Ricardo Soua
Congress: 18th EFORT Congress 2017
Place and Date: Vienna – Austria, May 31st to June 2nd, 2017 - CALCANEAL TIBIAL ARTHRODESIS IN CHARCOT ARTHROPATHY
Authors: Marta Santos Silva, Pedro Serrano, Luís Henrique Barros, Pedro Neves, Luís Costa, Daniel Soares, André Gomes
Congress: 6th International Federation of Foot & Ankle Societies Triennial Meeting
Lisbon – Portugal, September 29-30, 2017
Abstract published in the journal Foot and Ankle Surgery (DOI: 10.1016/j.fas.2017.07.521)
Congress: 37th National Congress of Orthopedics and Traumatology
Location and Date: Coimbra – Portugal, October 26-28, 2017 - PERCUTANEOUS PROCEDURE OF MORTON’S NEUROMA – CLINICAL RESULTS
Authors: Marta Santos Silva, Silva, Luís Henrique Barros, João Esteves, Arnaldo Sousa, Pedro Leite, André Gomes
Congress: 6th International Federation of Foot & Ankle Societies Triennial Meeting
Place and Date: Lisbon – Portugal, September 29-30, 2017 - SURGICAL TREATMENT FOR HAGLUND’S DEFORMITY
Authors: Pedro Serrano, Marta Santos Silva, João Esteves, Luís Henrique Barros, Pedro Neves, Pedro Barreira, Luís Costa, André Gomes
Congress: 38th SICOT Orthopaedic World Congress
Place and Date: Cape Town – South Africa, November 30 to December 2, 2017 - SPONTANEOUS TIBIALIS ANTERIOR TENDON RUPTURE: TREATMENT AND OUTCOMES
Authors: Pedro Serrano, João Rosa, Hélder Fonte, João Esteves, Luís Henrique Barros, Marta Santos Silva, Luís Costa, André Gomes
Congress: 38th SICOT Orthopaedic World Congress
Place and Date: Cape Town – South Africa, November 30 to December 2, 2017 - ELBOW CUBITAL COMPRESSIVE NEUROPATHY: IN SITU NEUROLYSIS VERSUS ANTERIOR TRANSPOSITION – A COMPARATIVE STUDY
Authors: Pedro Serrano, Luís Henrique Barros, João Esteves, Marta Santos Silva, Alexandre Pereira, Miguel Trigueiros, César Silva
Congress: 38th SICOT Orthopaedic World Congress
Place and Date: Cape Town – South Africa, November 30 to December 2, 2017 - 18. CONGENITAL PSEUDARTHROSIS OF THE CLAVICULE – A CASE REPORT IN THE ADULT AND LITERATURE REVIEW
Authors: Manuel Fernandes Marques, Luís Henrique Barros, Bruno Lopes Correia, Rui Claro
Congress: 38th SICOT Orthopaedic World Congress
Location and Date: Cape Town – South Africa, November 30 to December 2, 2017 - HORNER SYNDROME AFTER ANTERIOR CERVICAL SPONDYLOTIC MYELOPATHY REVISION SURGERY: A NOT SO RARE COMPLICATION?
Authors: Manuel Fernandes Marques, Luís Henrique Barros, Bruno Lopes Correia, Eurico Silva, José Figueiredo, Ricardo Rodrigues-Pinto
Congress: World Spine 8
Location and Date: Porto – Portugal, April 15-18, 2018 - PERCUTANEOUS CORRECTION OF HALLUX VALGUS DEFORMITY: CLINICAL, RADIOGRAPHIC AND COMPLICATIONS
Work selected as one of the best posters and presented in physical poster format.
Authors: Cláudia Rodrigues, Marta Santos Silva, Luís Henrique Barros, João Esteves, Pedro Leite, José Muras
19th EFORT Congress
Barcelona – Spain, May 30 to June 1, 2018 - LUMBAR INTERBODY FUSION: A COMPARATIVE STUDY BASED ON RADIOLOGICAL FINDINGS BETWEEN INDIVIDUALS AGED OVER 65 YEARS
Authors: Cláudia Rodrigues, João Maia Rosa, Luís Henrique Barros, Arnaldo Sousa, José Figueiredo, Ricardo Rodrigues-Pinto
Congress: 20th EFORT Congress
Location and Date: Lisbon – Portugal, June 5-7, 2019
- MICROSURGERY MANAGEMENT OF SCHWANNOMAS: SYMPTOM RESOLUTION WITH LOWNEUROLOGIC DEFICITS!
Nacional
- EWING’S SARCOMA OF THE SHOULDER BLADE
Authors: Luís Henrique Barros, João Cardoso Esteves, Marta Santos Silva, Pedro Manuel Serrano, Pedro Santos Leite, Vânia Oliveira, Pedro Cardoso
Congress: 35th National Congress of Orthopedics and Traumatology
Location and Date: Porto – Portugal, October 29 to 31, 2015 - RARE CASE OF SUPERIOR MESENTERIC ARTERY SYNDROME AFTER SCOLIOSIS CORRECTION
Authors: Luís Henrique Barros, Marta Santos Silva, Pedro Mota, Filipe Medeiros, João Moura, Frederico Paiva, ngelo Encarnação
Congress: 6th National Congress and XXIII Pediatric Orthopedics Conference
Location and Date: Coimbra – Portugal, March 23-24, 2018 - CARPOMETACARPAL FRACTURE-DISLOXATION: 2 CLINICAL CASES OF FRACTURE OF THE UNCIFORM BONE
Authors: Luciana Leite, Marta Santos Silva, Pedro Serrano, Luís Henrique Barros, Daniel Soares, Pedro Cardoso
Congress: 35th National Congress of Orthopedics and Traumatology
Location and Date: Porto – Portugal, October 29-31, 2015 - COMPLICATION OF ELMSLIE TRILLAT OPERATION – IATROGENIC INJURY OF THE POPLITEAL ARTERY
Authors: Marta Santos Silva, Luís Henrique Barros, Pedro Serrano, Pedro Leite, Luciana Leite, Daniel Soares, Adélio Vilaça
Congress: 35th National Congress of Orthopedics and Traumatology
Location and Date: Porto – Portugal, October 29-31, 2015 - SUBLUXATION OF THE TIBIOTARSAL JOINT, WITHOUT ASSOCIATED FRACTURE – A RARE CASE
Authors: Marta Santos Silva, João Esteves, Luís Henrique Barros, Pedro Barreira, Pedro Leite, Luciana Leite, José Muras Geada
Congress: 35th National Congress of Orthopedics and Traumatology
Location and Date: Porto – Portugal, October 29-31, 2015 - ISOLATED TROQUINE FRACTURE – A RARE FRACTURE
Authors: Marta Santos Silva, Pedro Neves, Pedro Barreira, Pedro Serrano, João Esteves, Luís Henrique Barros, Pedro Cardoso
Congress: IV Medical-Sports Conference of Guimarães
Location and Date: Guimarães – Portugal, November 13th and 14th, 2015 - EXPOSED ELBOW DISLOCATION WITHOUT ASSOCIATED FRACTURE – A RARE CASE
Work selected as one of the best posters and presented in the format of a physical poster
Authors: Marta Santos Silva, Pedro Serrano, Pedro Neves, Cláudia Rodrigues, Luís Henrique Barros, Rafaela Coelho
Congress: 36th National Congress of Orthopedics and Traumatology
Location and Date: Porto – Portugal, October 27-29, 2016 - STUDY OF THE RELATIONSHIP BETWEEN AGE AND LOCATION OF SCAPHOID PSEUDARTHROSIS
Authors: Marta Santos Silva, Pedro Serrano, Luís Henrique Barros, Sara Silva, Sérgio Figueiredo, César Silva
Congress: 36th National Congress of Orthopedics and Traumatology
Location and Date: Porto – Portugal, October 27-29, 2016 - OPEN FRACTURE OF TALUS
Authors: Marta Santos Silva, Pedro Serrano, João Esteves, João Rosa, Luís Henrique Barros, Cláudia Rodrigues, Vânia Oliveira
Congress: 37th National Congress of Orthopedics and Traumatology
Location and Date: Coimbra – Portugal, October 26-28, 2017 - TRAUMATIC SPONDYLOLYSIS OF L2
Authors: Pedro Mota, Marta Santos Silva, Filipe Medeiros, Frederico Paiva, João Moura, Luís Henrique Barros, António Oliveira
Congress: 38th National Congress of Orthopedics and Traumatology
Location and Date: Viseu – Portugal, October 25-27, 2018
- EWING’S SARCOMA OF THE SHOULDER BLADE
Training Actions
- Basic Life Support (February 14, 2014)
- Surgical Site Infection Prevention (October 16, 2014)
- Good Practices in Medication for Therapeutic Safety (October 22, 2014)
- Rational Use of Antimicrobials – Validation of Carbapenems (April 26, 2017)
- Radiation Protection and Safety in Invasive Procedures (December 20, 2017)
- Sepsis and Serious Infection for Physicians (March 1, 2018)
- Breaking Bad News: Death, Chronic and/or Disabling Illness (August 16, 2018)
Scientific and Professional Societies
- Order of Physicians
- Portuguese Society of Orthopedics and Traumatology (SPOT) and the Portuguese Society of Shoulder and Elbow (SPOC).
- European Society for Shoulder and Elbow Surgery (SECEC/ESSSE)
- Young Doctors Association (Ajomed)