RENATA GREGORIO PAULOS
Projetos de Pesquisa
Unidades Organizacionais
P IOT, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
5 resultados
Resultados de Busca
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bookPart Reimplantes(2021) CHO, Álvaro Baik; PAULOS, Renata GregóriobookPart Lesões dos nervos periféricos e transferênciais tendíneas(2021) PAULOS, Renata Gregório; MATTAR JUNIOR, Rames- Free gracilis muscle transfer with ulnar nerve neurotization for elbow flexion restoration(2021) REZENDE, Marcelo R. De; VERONESI, Bruno A.; PAULOS, Renata G.; CHO, Alvaro B.; RIBAK, Samuel; JUNIOR, Rames M.Purpose In upper and chronic brachial plexus injuries for which neurological surgery is not a good treatment option, one possibility for gaining elbow flexion is free functional muscle transfer. The primary aim of our study was to evaluate the elbow flexion gain achieved by free gracilis muscle transfer with partial ulnar nerve neurotization. Methods This surgery was performed in 21 patients with upper and chronic (> 12 months) brachial plexus injuries. The level of injury, patient age, the time between trauma and surgery, the affected side, and the aetiology of the lesion were recorded. The primary outcome evaluated was elbow flexion muscle strength, which was measured using the British Medical Research Council (BMRC) scale, in patients with a minimum follow-up period of 12 months. The criterion used to classify elbow flexion as good was a grade of M4 or higher. Results An M4 elbow flexion strength gain was observed in 61.9% of the patients. A gain of M2 or higher was observed in 95.2% of the patients. The mean range of active motion was 77 degrees (range 10 minimum-110 maximum). Conclusion In patients with upper and chronic brachial plexus injuries, free gracilis muscle transfer with ulnar nerve neurotization yields a satisfactory gain in elbow flexion strength and is therefore a good treatment option.
bookPart Lesão do plexo braquial(2021) REZENDE, Marcelo Rosa; PAULOS, Renata GregoriobookPart Lesão dos tendões extensores(2021) NAKAMOTO, João Carlos; PAULOS, Renata Gregório