Prof. Dr. Sérgio Rocha Piedade –  Capítulos de Livros


Classification of Meniscal Tears (2017)

 Livro: The Menisci – A Comprehensive Review of their Anatomy, Biomechanical Function and Surgical Treatment

The classification systems of meniscal tears strengthen the importance of the anatomical and biomechanical particularities of meniscus tissue, regarding the pattern and configuration of a meniscal tear. Each system of classification approaches a particular aspect of the meniscal structure according to its morphology, proximity to the blood supply, anatomical site, and injury pattern. Meniscal traumatic lesions are characterized arthroscopically, as a lesion produced by a specific, well-known trauma on normal meniscal tissue, while degenerative meniscal tears are often related to a decompensation after minor trauma or even no known traumatic event. Moreover, in the degenerative condition, the meniscus substance exhibits macroscopic and microscopic alterations called myxoid degeneration. Classifying meniscal tears offers the knee surgeon the opportunity to identify and define an adequate treatment approach based on the literature for each specific meniscal tear. Moreover, it allows the surgeon to group meniscal tears, analyze their outcomes, and share their personal experience on different meniscal tears with other knee surgeons.

Site da Editora: https://link.springer.com/chapter/10.1007/978-3-662-53792-3_3


All-Inside Meniscal Repair: Updates on Technique (2017)

Livro: The Menisci – A Comprehensive Review of their Anatomy, Biomechanical Function and Surgical Treatment

Most of the increasing popularity of the all-inside meniscal repair is related to the possibility to perform a meniscal repair with no additional skin incision. Moreover, the all-inside techniques allow the possibility of placing sutures in the different meniscal tear patterns such as horizontal, vertical, oblique, or longitudinal. In this situation, it can be more attractive to a knee surgeon, because they could offer potential benefits that include a shorter operative time and a lower risk of neurovascular injury. However, as well as any other surgical procedure, the anatomy and the biomechanical concepts are points that the surgeon should keep in mind when performing an all-inside meniscal repair. Some factors have a direct influence on the decision of repairing a meniscal tear, such as the tear location, tear type, the size of a meniscal tear, the quality of meniscal tissue, and the configuration and the stability of the meniscal tear.

Site da Editora: https://link.springer.com/chapter/10.1007%2F978-3-662-53792-3_9


   Luxação Patelofemoral Episódica (LPFE)

 Livro: Lesões Nos Esportes: Diagnóstico, Prevenção e Tratamento

A biomecânica normal da articulação patelofemoral compreende uma complexa interação entre estruturas ósseas e tecidos moles que mantêm a patela na tróclea femoral durante o movimento articular. Nas atividades esportivas, o joelho é submetido a movimentos de giro, mudança de direção, aterrissagem do salto entre outros, que ao serem executados a altas velocidades podem expor esta articulação às lesões, em especial, a luxação patelar.

 


Allografts in posterior cruciate ligament reconstructions (2015)

Livro:  Sports Injuries 

Posterior cruciate ligament (PCL) injuries are often associated with other ligament lesions. Multiligament reconstructions require an important quantity of grafts and often determine the need for cadaver allografts during the surgical repair procedures. Herein, the fundamentals of allografts that have been currently used for PCL reconstructions are overviewed. The main issues to be considered when surgeons choose this therapeutic option are also discussed.

 

Site da Editora: https://link.springer.com/referenceworkentry/10.1007/978-3-642-36569-0_111


Reconstruction du Ligament Croise Posterieur. principes, objectifs et tunnelisation (2015)

Livro: L’ Arthroscopie

La reconstruction du ligament croisé postérieur (LCP) repose surdes don­nées anatomiques et biomécaniques complexes. De nombreuses options techniques sont possibles (nombre de faisceaux reconstruits, type de greffe, type de Jixation, voie d’abord arthroscopique ou arthrotomie).Les techniques de reconstruction à un faisceau reconstruisant e contin­gent antérolatéra sont préférentiellement indiquées dans les laxités pos­térieures isolées. Dans e cas d’une ésion périphérique associée, une reconstruction à deux Jaisceaux (antérolatéral et postéromédia) est conseilée. La reconstruction du LCP peut être faite sous contrôle arthroscopique ou par arthrotomie, avec ou sans abord direct de la surjace rétrospina e (inlay), par des vaies d’abord étendues ou mini-invasives. Ele peut utili­ser des greffes différentes avec des possibilités de fixations multiples. Les auteurs détaillent ces points techniques dont dépend e résultat en y inté­grant les données actuelles.

Site da Editora: https://www.elsevier-masson.fr/sfa


Classification of Knee Laxities (2012)

Livro:  The Knee Joint. Surgical: Techniques and Strategies


Surgical Indications in Medial Knee Osteoarthritis (2012)

Livro: The Knee Joint. Surgical: Techniques and Strategies

Technique in PCL Reconstruction: Mini Posterior Approach (2012)

Livro:  The Knee Joint. Surgical: Techniques and Strategies