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Item type:Publication, Early Postoperative Results in Robotic-Arm-Assisted Total Knee Replacement versus Conventional Technique: First Latin American Experience(2023); ;Rodrigo Guiloff ;Tomas Prado ;Loreto FigureoaJuan Jose Sotomayor<jats:title>Abstract</jats:title><jats:p>Early results with robotic-arm-assisted total knee arthroplasty (TKA) are encouraging; nevertheless, literature might be unrepresentative, as it comes mostly from American, European, and Asian countries. There is limited experience and no comparative clinical reports in Latin America, a region of mainly low- and middle-income countries with limited access to these promising technologies. This study aims to compare the early postoperative results of the first Latin American experience with robotic-arm-assisted TKA versus conventional TKA. A cohort study was performed, including 181 consecutive patients (195 knees) with advanced symptomatic knee osteoarthritis (OA) undergoing primary TKA between March 2016 and October 2019. The cohort included 111 consecutive patients (123 knees) undergoing conventional TKA, followed by 70 consecutive patients (72 knees) undergoing robotic-arm-assisted TKA. The same surgical team (surgeon 1 and surgeon 2) performed all procedures. Patients with previous osteotomy, posttraumatic OA, and revision components were not considered. The same anesthetic and rehabilitation protocol was followed. The investigated clinical outcomes (for the first 60 postoperative days) were: surgical tourniquet time, time to home discharge, time to ambulation, postoperative daily pain (Visual Analog Scale), opioid use, range of motion, blood loss, complications, and postoperative mechanical axis. The early clinical postoperative results of this first Latin American comparative experience of robotic-arm-assisted TKA versus conventional technique showed lower opioids requirements and faster functional recovery of ambulation in those patients operated with the robotic system; nevertheless, surgical times were higher, without differences in total postoperative complications and other clinical outcomes.</jats:p>Scopus© Citations 1 5 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Vancomycin presoaking of hamstring autografts to prevent infection in anterior cruciate ligament reconstruction: a narrative review(2021); ;Alex Vaisman; ; João Espregueira-Mendes<jats:p> Hamstring autograft use has been linked to an increased risk of infection after anterior cruciate (ACL) reconstruction compared to other grafts. The absolute reason for this remains unclear, with contamination after harvesting and preparation of the graft being the most accepted hypothesis. Using the rationale that a contaminated graft could be the main factor in postoperative septic arthritis and in an effort to maximize the antibiotic efficacy of the graft, the Vancomycin presoaking technique was developed. It has shown success in decreasing the infection rate in ACL reconstruction. In recent years, an important number of research articles using this protocol have appeared, but the technique is still not widely implemented. Recent literature shows that Vancomycin presoaking of the graft has shown a successful decrease in the infection rate after hamstring autograft ACL reconstruction. It has also shown efficacy decreasing the infection rate in other types of grafts (patellar tendon, quadriceps tendon, allograft) and also in patients with concomitant ligament procedures or open surgeries. Despite the positive effects of Vancomycin presoaking reducing the infection rate after ACL reconstruction, the lack of prospective randomized control trials and the heterogeneity of the different studies mean it is not feasible to recommend Vancomycin presoaking of the graft universally for every ACL reconstruction patient. </jats:p><jats:p> Cite this article: EFORT Open Rev 2021;6:211-216. DOI: 10.1302/2058-5241.6.200059 </jats:p>1Scopus© Citations 7 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction(2020); ;David Figueroa; ;Alex VaismanJoão Espregueira-Mendes<jats:p> There is a concern regarding which grafts should be used in combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) reconstructions, with a paucity of recommendations focused on this specific topic. Expert opinions suggest the use of allograft-only reconstructions to limit donor-site morbidity or using at least one allograft and one autograft. When a hamstring tendon autograft is harvested, techniques that maintain both the integrity of the sartorius fascia and the gracilis are recommended because of the role that the ST-G-S (semitendinosus-gracilis-sartorius) complex plays in valgus stability in the setting of an MCL-deficient knee. </jats:p><jats:p> Cite this article: EFORT Open Rev 2020;5:221-225. DOI: 10.1302/2058-5241.5.190049 </jats:p>2Scopus© Citations 10 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Medial side knee injuries: simplifying the controversies: current concepts(2020) ;David Figueroa ;Rodrigo Guiloff; ; Robert C Schenck, JrScopus© Citations 8 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Anterior cruciate ligament reconstruction in patients over 50 years of age(2014) ;David Figueroa; ; ; Gonzalo Espinoza22Scopus© Citations 41 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Anterior cruciate ligament regeneration using mesenchymal stem cells and collagen type I scaffold in a rabbit model(2014) ;David Figueroa ;Maximiliano Espinosa; ;Maximiliano Scheu26Scopus© Citations 30 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Clinical and arthrometric outcomes of an anatomic outside-in single-bundle anterior cruciate ligament reconstruction using a retrodrill(2016) ;David Figueroa; ; ;Daniel PaccotGuillermo IzquierdoScopus© Citations 6 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Patellar tendinopathy: Diagnosis and treatment(2016) ;David Figueroa; ; DAVID HUMBERTO FIGUEROA POBLETE23Scopus© Citations 106 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Septic arthritis in ACL reconstruction surgery with hamstring autografts. Eleven years of experience(2014); ;David Figueroa ;Zoy Anastasiadis; Arturo OlidScopus© Citations 43 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 54 1