Tiango Ribeiro

By Carlos Roberto Galia, Fernando Pagnussato, Tiango Aguiar Ribeiro and Luis Fernando Moreira

The use of bone graft in orthopaedic surgeries has become essential in many situations in which there is a bone defect. This includes bone tumour procedures, fracture operations where there was a loss of bone tissue and revision arthroplasty surgeries. In this chapter, we will introduce aspects related to history of bone transplantation, the biological and mechanical aspects, as well sterilization, transmission of infectious diseases and biological safety, and concluding, the functioning of tissue banks and screening of musculoskeletal tissue donors.

Part of the book: Bone Grafting

By Carlos Roberto Galia, Tiango Aguiar Ribeiro, Cristiano Valter Diesel, Marcelo Reuwsaat Guimarães and Fernando Pagnussato

Hip replacement is one of the most performed surgical procedures in orthopedic hip surgery. Through this surgery, the patient returns to most of his normal life and a life without pain. The primary indication for a hip arthroplasty remains osteoarthritis (OA). OA is a degenerative disease that affects synovial joints. A successful surgery is always preceded by good planning. The planning in turn takes into account the analysis of the patient and his physical examination and the radiological image. But also, the surgical planning must take into account another important factor, the choice of the surgical approach. In this chapter, the authors script a revision on the history of hip arthroplasty, total hip arthroplasty approaches, implant types, complications associated with hip arthroplasty, outcomes, and perspectives to the future. We wish you a good reading.

Part of the book: Hip Surgeries

By Francisco Fritsch Machry Krum and Tiango Aguiar Ribeiro

Advances in obstetric regional anesthesia, particularly ultrasound-guided techniques, have significantly improved pain relief and safety during childbirth. This chapter explores the latest developments in ultrasound-assisted central neuraxial anesthesia and fascial blocks for post-cesarean analgesia. The use of ultrasound guidance in neuraxial procedures has been extensively studied, demonstrating improved success rates, reduced complications, and increased patient satisfaction. It enhances the accuracy of identifying lumbar intervertebral spaces and facilitates needle insertion, resulting in higher first-pass success rates. Additionally, ultrasound-guided fascial blocks, such as the transversus abdominis plane (TAP) block and Quadratus Lomborum Block (QLB), provide effective analgesia after cesarean section when intrathecal morphine is not feasible. This chapter summarizes the step-by-step technique for ultrasound-guided neuraxial block and fascial blocks, emphasizing the importance of incorporating ultrasound guidance into obstetric anesthesia practice based on the growing body of evidence supporting its benefits.

Part of the book: Advances in Regional Anesthesia