Ricardo Sousa
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View article: Re-evaluating patient isolation policies for musculoskeletal infections in orthopaedic practice: a scoping review
Re-evaluating patient isolation policies for musculoskeletal infections in orthopaedic practice: a scoping review Open
Introduction: Historically, isolating patients diagnosed with musculoskeletal infections (MSIs) from the general orthopaedic population has been regarded a fundamental aspect of effective infection control. However, this remains controvers…
View article: Are KLIC and CRIME-80 scores useful to assist decision-making initially or at the moment of repeat DAIR? – a retrospective study
Are KLIC and CRIME-80 scores useful to assist decision-making initially or at the moment of repeat DAIR? – a retrospective study Open
Introduction: Debridement, antibiotics, and implant retention (DAIR) is recommended for early acute postoperative and late acute periprosthetic joint infections (PJIs). The KLIC and CRIME-80 scores have been proposed to predict DAIR outcom…
View article: The Impact of Antibiotic Therapy Options and Multidisciplinary Approach in Prosthetic Joint Infections
The Impact of Antibiotic Therapy Options and Multidisciplinary Approach in Prosthetic Joint Infections Open
Periprosthetic joint infection (PJI) remains one of the most challenging complications of arthroplasty. Optimal antibiotic strategies and the role of multidisciplinary teams (MDT) are not fully defined. We retrospectively analyzed 86 PJI s…
View article: Survey on machine learning applied to CNC milling processes
Survey on machine learning applied to CNC milling processes Open
Computer numerical control (CNC) milling is one of the most critical manufacturing processes for metal-cutting applications in different industry sectors. As a result, the notable rise in metalworking facilities globally has triggered the …
View article: Mass loss in Schizolobium parahyba var. amazonicum splints subjected to heat treatment
Mass loss in Schizolobium parahyba var. amazonicum splints subjected to heat treatment Open
This study aimed to evaluate the influence of temperature and duration of heat treatment on the mass loss of Paricá (Schizolobium parahyba var. amazonicum) splints. Test specimens were subjected to heat treatment at 160ºC, 180ºC, 200ºC, an…
View article: Differential synovial fluid white blood cell count for the diagnosis of chronic peri-prosthetic joint infection – a systematic review and meta-analysis
Differential synovial fluid white blood cell count for the diagnosis of chronic peri-prosthetic joint infection – a systematic review and meta-analysis Open
Introduction: Peri-prosthetic joint infection (PJI) is a significant complication of arthroplasty, lacking a single gold standard diagnostic test. Synovial fluid white blood cell (WBC) count and polymorphonuclear neutrophil (PMN) proportio…
View article: Role of MRI in the Diagnosis of Ductal Carcinoma In Situ: A Retrospective Study
Role of MRI in the Diagnosis of Ductal Carcinoma In Situ: A Retrospective Study Open
Background: The use of dynamic magnetic resonance imaging (MRI) for the evaluation, detection, and characterization of ductal carcinoma in situ (DCIS) has been increasing; however, its application in this context remains controversial and …
View article: Osteotomies around the Knee: Indications, Planning, and Surgery
Osteotomies around the Knee: Indications, Planning, and Surgery Open
Indications of knee osteotomy: coronal, sagittal or axial malalignment, knee ligament instability, association with intraarticular procedures, unicompartmental pain in association of meniscal deficit or osteonecrosis, unicompartmental oste…
View article: Debridement, antimicrobial therapy, and implant retention (DAIR) as curative strategy for acute periprosthetic hip and knee infections: a position paper of the European Bone & Joint Infection Society (EBJIS)
Debridement, antimicrobial therapy, and implant retention (DAIR) as curative strategy for acute periprosthetic hip and knee infections: a position paper of the European Bone & Joint Infection Society (EBJIS) Open
It has been shown that the outcome of a DAIR (debridement, antimicrobial therapy, and implant retention) procedure depends on multiple factors (e.g. infection type, host factors, clinical presentation, condition of surrounding soft tissue,…
View article: Debridement, antimicrobial therapy, and implant retention (DAIR) as curative surgical strategy for acute periprosthetic hip and knee infections: a summary of the position paper from the European Bone & Joint Infection Society (EBJIS)
Debridement, antimicrobial therapy, and implant retention (DAIR) as curative surgical strategy for acute periprosthetic hip and knee infections: a summary of the position paper from the European Bone & Joint Infection Society (EBJIS) Open
This is a summary of our position paper on debridement, antimicrobial therapy, and implant retention (DAIR) procedures as curative treatment strategy for acute periprosthetic hip and knee infections. It includes the defined indications as …
View article: Predicting periprosthetic joint infection: external validation of preoperative prediction models
Predicting periprosthetic joint infection: external validation of preoperative prediction models Open
Introduction: Prediction models for periprosthetic joint infections (PJIs) are gaining interest due to their potential to improve clinical decision-making. However, their external validity across various settings remains uncertain. This st…
View article: Antibiotics with antibiofilm activity – rifampicin and beyond
Antibiotics with antibiofilm activity – rifampicin and beyond Open
The management of prosthetic joint infections is a complex and multilayered process that is additionally complicated by the formation of bacterial biofilm. Foreign material provides the ideal grounds for the development of an intricate mat…
View article: DYNAMICS OF LAND USE AND COVERAGE OF THE PORTINHO RIVER WATER BASIN, COAST OF PIAUÍ
DYNAMICS OF LAND USE AND COVERAGE OF THE PORTINHO RIVER WATER BASIN, COAST OF PIAUÍ Open
The research aimed to analyze the multi-temporal dynamics of the Portinho River Watershed between the years 1985 and 2022, in order to contribute as a tool in the environmental planning process. The methodology included literature review, …
View article: Navigating the 15-minute City:First Learnings and Discussions from the Driving Urban Transitions Partnership
Navigating the 15-minute City:First Learnings and Discussions from the Driving Urban Transitions Partnership Open
The 15-minute City Pathway coordinates and drives DUT’s activities on urban mobility transitions. The current mobility system provides city dwellers with essential opportunities to organise and satisfy their daily needs. However, at the sa…
View article: Wide-Awake Local Anesthesia No Tourniquet for Rhizarthrosis Surgery: Technique and Experience for 16 Consecutive Cases
Wide-Awake Local Anesthesia No Tourniquet for Rhizarthrosis Surgery: Technique and Experience for 16 Consecutive Cases Open
Since it was described, wide-awake local anaesthesia no tourniquet (WALANT) has gained popularity. Our department has started using WALANT for hand surgery with increasing complexity. We present our results with WALANT rhizarthrosis surger…
View article: Interval between two-stage exchanges: what is optimal and how do you know?
Interval between two-stage exchanges: what is optimal and how do you know? Open
Background Two-stage exchange arthroplasty remains the most popular option for the treatment of chronic periprosthetic joint infection (PJI). Determining infection eradication and optimal timing of reimplantation can be challenging. Inform…
View article: Making the diagnosis in prosthetic joint infection: a European view
Making the diagnosis in prosthetic joint infection: a European view Open
Prosthetic joint infections (PJI) can be difficult to diagnose. Studies have shown that we are missing many infections, possibly due to poor diagnostic workup and the presence of culture-negative infection. PJI diagnosis requires a methodi…
View article: Simple and inexpensive synovial fluid biomarkers for the diagnosis of prosthetic joint infection according to the new EBJIS definition
Simple and inexpensive synovial fluid biomarkers for the diagnosis of prosthetic joint infection according to the new EBJIS definition Open
Introduction: diagnosis of periprosthetic joint infection (PJI) is challenging, as no single test has absolute accuracy. The purpose of this study was to assess the utility of different simple synovial biomarkers in the diagnosis of PJI as…
View article: The European Bone and Joint Infection Society definition of periprosthetic joint infection is meaningful in clinical practice: a multicentric validation study with comparison with previous definitions
The European Bone and Joint Infection Society definition of periprosthetic joint infection is meaningful in clinical practice: a multicentric validation study with comparison with previous definitions Open
Background and purpose: A new periprosthetic joint infection (PJI) definition has recently been proposed by the European Bone and Joint Infection Society (EBJIS). The goals of this paper are to evaluate its diagnostic accuracy and compare …
View article: Risk Factors for Acute Surgical Site Infection after Spinal Instrumentation Procedures: A Case-Control Study
Risk Factors for Acute Surgical Site Infection after Spinal Instrumentation Procedures: A Case-Control Study Open
This study identified procedure duration as a risk factor for SSI after spinal instrumentation in degenerative and trauma spine surgery and the number of levels instrumented in trauma spine surgery. Awareness of these factors will help dev…
View article: Adult Native Joint Septic Arthritis: A Nine-Year Retrospective Analysis in a Portuguese University Hospital
Adult Native Joint Septic Arthritis: A Nine-Year Retrospective Analysis in a Portuguese University Hospital Open
Introduction: Septic arthritis of a native joint represents a medical emergency. Drainage and effective antibiotic treatment are critical to avoid joint destruction and long-term impairment. The aim of this study was to evaluate epidemiolo…
View article: Combined antibiotic therapy spacers either commercial or handmade are superior to monotherapy – a microbiological analysis at the second stage of revision
Combined antibiotic therapy spacers either commercial or handmade are superior to monotherapy – a microbiological analysis at the second stage of revision Open
Background: Antibiotic-loaded spacers are often used during two-stage exchange for periprosthetic joint infections (PJIs) both for its mechanical properties and as a means of local antibiotic delivery. Purpose: The main goal of this study …
View article: Septic arthritis of the lumbar facet joint with associated epidural abscess treated with endoscopic spinal surgery - A case report
Septic arthritis of the lumbar facet joint with associated epidural abscess treated with endoscopic spinal surgery - A case report Open
Septic arthritis of the facet joint is a rare but severe infection of the spine. Diagnosing septic arthritis of the facet joint may be challenging due to an unusual clinical presentation or confounding symptoms. Most cases are treated with…
View article: Extensive skin necrosis after periprosthetic knee infection: a case that highlights the possibility of complications induced by low-molecular-weight heparin
Extensive skin necrosis after periprosthetic knee infection: a case that highlights the possibility of complications induced by low-molecular-weight heparin Open
We describe a case of a patient with atrial fibrillation, anticoagulated with dabigatran, that developed severe knee skin necrosis in the setting of an acute periprosthetic knee infection, after initiating low-molecular-weight heparin. A w…
View article: Optimal microbiological sampling for the diagnosis of osteoarticular infection
Optimal microbiological sampling for the diagnosis of osteoarticular infection Open
Infection is a dire complication afflicting every field of orthopaedics and traumatology. If specific clinical, laboratory and imaging parameters are present, infection is often assumed even in the absence of microbiological confirmation. …
View article: If, When, and How to Use Rifampin in Acute Staphylococcal Periprosthetic Joint Infections, a Multicentre Observational Study
If, When, and How to Use Rifampin in Acute Staphylococcal Periprosthetic Joint Infections, a Multicentre Observational Study Open
Background Rifampin is generally advised in the treatment of acute staphylococcal periprosthetic joint infections (PJI). However, if, when, and how to use rifampin remains a matter of debate. We evaluated the outcome of patients treated wi…