THIAGO PASQUALIN
Índice h a partir de 2011
5
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina - Médico
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
conferenceObject Joint lavage followed by viscosuplementation and triamcinolone in patients with severe hemophilic arthropathy. Objective functional results(2015) PASQUALIN, T.; REZENDE, M. U. D.; ANDRUSAITIS, F. R.; CAMPOS, G. C. D.; FRUCCHI, R.; PAILO, A. F.; OKAZAKI, E.; VILLACA, P. R.conferenceObject Joint Lavage Followed by Viscosuplementation and Triamcinolone in Patients With Severe Hemophilic Arthropathy: Subjective Pain, Function and Quality of Life Results(2015) REZENDE, M.; PASQUALIN, T.; CAMPOS, G.; FRUCCHI, R.; PAILO, A.; ROSA, T.; OKAZAKI, E.; VILACA, P.- Joint lavage followed by viscosupplementation and triamcinolone in patients with severe haemophilic arthropathy: objective functional results(2017) REZENDE, M. U.; ANDRUSAITIS, F. R.; SILVA, R. T.; OKAZAKI, E.; CARNEIRO, J. D. A.; CAMPOS, G. C.; PAILO, A. F.; FRUCCHI, R.; PASQUALIN, T.; VILLACA, P. R.Introduction: Viscosupplementation can improve function in haemophilia patients. Viscosupplementation results can be improved by prior joint lavage and triamcinolone administration. Aim: To objectively assess whether viscosupplementation and associated triamcinolone use in patients with severe haemophilic arthropathy following joint lavage improves force and balance and reduces bleeding events. Methods: Fourteen patients with haemophilic knee arthritis with and without the involvement of other joints underwent joint lavage and subsequent injections of Hylan G-F20 and triamcinolone into all affected joints. Patients were evaluated with NeuroCom (R) force and balance platforms using the step-up-and-over task (STP), sit-to-stand test (STS), one-leg stance (UNI) and weight-bearing squat (WBS) at baseline and at 1, 3, 6 and 12 months after the procedure. Bleeding events in the year prior to and the year after the procedure were analysed. Results: Sixteen knees, 15 ankles, eight elbows and one shoulder were treated. The STP results indicated improvements in the lift-up indices (right leg) at all time points evaluated (P = 0.03). The STS results revealed coupled improvement in weight transfer and the rising index for up to a year (P = 0.02). Balance (UNI) with eyes open or closed improved in all evaluations. The WBS results revealed improvements at all degrees of flexion (0, P = 0.003; 30 degrees, P = 0.001; 60 degrees, P < 0.001 and 90 degrees, P < 0.001). The numbers of total and traumatic bleeding events were reduced (P = 0.04). Conclusion: Joint lavage followed by injections of triamcinolone and Hylan G-F20 improved balance, function and bleeding events in severe haemophilic arthropathy patients.
conferenceObject Joint Lavage Followed By Viscosuplementation and Triamcinolone in Patients With Severe Hemophilic Arthropathy - Objective Functional Results(2015) REZENDE, M.; ANDRUSAITIS, F.; PASQUALIN, T.; CAMPOS, G.; FRUCCHI, R.; PAILO, A.; OKAZAKI, E.; VILACA, P.conferenceObject Joint lavage followed by viscosuplementation and triancinolone in patients with severe hemophilic arthropathy. Subjective pain, function and quality of life results(2015) PASQUALIN, T.; REZENDE, M. U. D.; CAMPOS, G. C. D.; ROSA, T. B. C.; FRUCCHI, R.; PAILO, A. F.; OKAZAKI, E.; VILLACA, P. R.- SUBJECTIVE RESULTS OF JOINT LAVAGE AND VISCOSUPPLEMENTATION IN HEMOPHILIC ARTHROPATHY(2015) REZENDE, Marcia Uchoa de; ROSA, Thiago Bittencourt Carvalho; PASQUALIN, Thiago; FRUCCHI, Renato; OKAZAKI, Erica; VILLACA, Paula RibeiroObjective: To assess whether joint lavage, viscosupplementation and triamcinolone improve joint pain, function and quality of life in patients with severe hemophilic arthropathy. Methods: Fourteen patients with knee and/or ankle hemophilic arthritis with and without involvement of other joints underwent joint lavage and subsequent injection of hylan G-F20 and triamcinolone in all affected joints. The patients answered algo-functional questionnaires (Lequesne and WOMAC), visual analog scale for pain (VAS) and SF-36 preoperatively, and at one, three, six and twelve months postoperatively. Results: Sixteen knees, 15 ankles, 8 elbows and one shoulder were treated in 14 patients. Six patients had musculoskeletal bleeding [ankle (1), leg muscle (2) and knees (4)] at 3 months affecting the results. Pain did not improve significantly. Function improved (WOMAC p=0.02 and Lequesne p=0.01). The physical component of SF-36 improved at all time points except at 3 months, with best results at one-year follow-up (baseline = 33.4; 1 month = 39.6; 3 months = 37.6; 6 months 39.6 and 1 year = 44.6; p < 0.001). Conclusion: Joint lavage followed by injection of triamcinolone and hylan G-F20 improves function and quality of life progressively up to a year, even in severe hemophilic arthropathy.