Browsing by Author "Godoy-Santos, Alexandre L"

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    Ankle osteoarthritis: comprehensive review and treatment algorithm proposal.
    (EFORT open reviews, 2022-07) Herrera-Pérez, Mario; Valderrabano, Victor; Godoy-Santos, Alexandre L; de César Netto, César; González-Martín, David; Tejero, Sergio
    Ankle osteoarthritis (OA) is much less frequent than knee or hip OA, but it can be equally disabling, greatly affecting the quality of life of the patients. Approximately 80% of ankle OA is post-traumatic, mainly secondary to malleolar fractures, being another of the main causes untreated in chronic instability. The average age of the patient affected by ankle OA is around 50 years, being therefore active patients and in working age who seek to maintain mobility and remain active. The authors conducted a comprehensive review of the conservative, medical, and surgical treatment of ankle OA. Initial conservative treatment is effective and should be attempted in any stage of OA. From a pharmacological point of view, non-steroidal anti-inflammatory drugs (NSAIDs) and intra-articular infiltrations can produce temporary relief of symptoms. After the failure of conservative-medical treatment, two large groups of surgical treatment have been described: joint-preserving and joint-sacrificing procedures. In the early stages, only periarticular osteotomies have enough evidence to recommend in ankle OA with malalignment. Both ankle arthrodesis and ankle replacement can produce satisfactory functional results if correctly indicated in the final stages of the disease. Finally, the authors propose a global treatment algorithm that can aid in the decision-making process.
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    Diabetic limb salvage procedure with bone allograft and free flap transfer: a case report.
    (Diabetic foot & ankle, 2017-01) Godoy-Santos, Alexandre L; Amodio, Daniel T; Pires, André; Lima, Ana LM; Wei, Teng H; de Cesar-Netto, Cesar; Armstrong, David G
    The aim of this case report was to describe a successful diabetic limb salvage procedure in the treatment of an infected diabetic foot ulcer through a multidisciplinary team approach and complex surgical reconstruction involving a femoral head bone allograft and musculocutaneous latissimus dorsi free flap. The decision to proceed with aggressive staged efforts at diabetic limb salvage should be made only after careful consultation with the patient, his or her family, and the rest of the multidisciplinary healthcare team.