Biomedical subjects

M M Napoli

Publications and source records attributed to M M Napoli.

11 recordsLinked to original sources

PubMed1992

Talocalcaneal coalition: diagnosis and surgical management.

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

Adipose Tissue↗

PubMed1986

Corrective osteotomy of the spine in ankylosing spondylitis. Experience with 66 cases.

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

Adult↗

PubMedDate not supplied

[Epidemiological study of patients with spinal cord injuries and neurologic deficit, admitted to the Institute of Orthopedics and Traumatology at the Hospital das Clinicas of the School of Medicine of the University of São Paulo].

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

Accidents, Traffic↗

PubMedDate not supplied

[Lumbar disc hernia: indications for percutaneous discectomy].

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

Adult↗

PubMedDate not supplied