483 results match your criteria Acta Ortopedica Brasileira[Journal]


NORMATIVE ISOMETRIC HIP MUSCLE FORCE VALUES ASSESSED BY A MANUAL DYNAMOMETER.

Acta Ortop Bras 2019 Mar-Apr;27(2):124-128

Irmandade da Santa Casa de Misericórdia de São Paulo, Serviço de Fisioterapia, São Paulo, SP, Brazil.

Objective: Hand-held dynamometry is a quantitative and accessible means of determining the isometric force of muscle groups.

Methods: A total of 52 women aged 20-29 years with no complaints of hip pain who were sedentary or sporadically active and had a body mass index of 18.5-24. Read More

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http://dx.doi.org/10.1590/1413-785220192702202596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442714PMC
April 2019
1 Read

EFFECTS OF SAGITTAL BALANCE DIFFERENCES ON SPONDYLOLISTHESIS.

Acta Ortop Bras 2019 Mar-Apr;27(2):120-123

Abant Izzet Baysal University, Medical School, Department of Neurosurgery, Bolu, Turkey.

Objectives: This study aimed to compare the lumbar lordosis (LL) and spinopelvic parameters of patients with stage 1-2 spondylolisthesis to those of the normal population and demonstrate the importance of these parameters in sagittal balance.

Methods: The lumbosacral parameters on the lateral radiographs of a total of 125 patients were retrospectively compared. Lumbosacral parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis angle (LLA), L5 incidence (L5I), L5 slope (L5S), and sacral table angle (STA) were compared between groups. Read More

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http://dx.doi.org/10.1590/1413-785220192702205665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442710PMC
April 2019
4 Reads

EFFECT OF SUBSCAPULARIS TEARS ON FUNCTIONAL SCORES OF PATIENTS UNDERGOING ROTATOR CUFF REPAIR.

Acta Ortop Bras 2019 Mar-Apr;27(2):116-119

Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Grupo de Ombro e Cotovelo, São Paulo, SP, Brazil.

Objective: To evaluate the influence of partial- and full-thickness upper third subscapularis tendon tears on the functional scores of patients undergoing arthroscopic rotator cuff repair.

Methods: Patients who underwent arthroscopic rotator cuff repair were divided into three groups according to the subscapularis tendon condition: intact, partial-thickness tear, or full-thickness upper third tear. Functional scores were compared among groups. Read More

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http://dx.doi.org/10.1590/1413-785220192702214524DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442718PMC
April 2019
1 Read

DOES SURGEON SPECIALIZATION CHANGE THE PROXIMAL HUMERAL OSTEO-SYNTHESIS APPROACH?

Acta Ortop Bras 2019 Mar-Apr;27(2):113-115

Universidade Estadual de Campinas (UNICAMP), Department of Orthopedics and Traumatology, Shoulder and Elbow Group, Campinas, São Paulo, Brazil.

Objective: To evaluate the choice of surgical approach among Brazilian orthopedists and whether shoulder surgery specialty training or duration of experience influences the decision-making.

Methods: A questionnaire on the preferred approach and complications was administered to orthopedic surgeons with and without shoulder specialization training. The chi-square test or Fisher's exact test was applied. Read More

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http://dx.doi.org/10.1590/1413-785220192702212055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442719PMC
April 2019
1 Read

SPINE METASTASIS OF INTRACRANIAL HEMANGIOPERICYTOMA: CASE REPORT OF TWO TREATMENTS.

Acta Ortop Bras 2019 Mar-Apr;27(2):108-112

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas da da (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Grupo de Cirurgia de Coluna, Laboratório de Investigações Médicas, São Paulo, SP, Brazil.

Objective: To report the use of two techniques (radiosurgery and vertebrectomy) on the same patient for the treatment of two metastases in different sites of the spine arising from intracranial hemangiopericytoma. Intracranial hemangiopericytomas are rare, comprising approximately 2.4% of meningeal tumors and <1% of all tumors of the central nervous system. Read More

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http://dx.doi.org/10.1590/1413-785220192702176299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442711PMC
April 2019
1 Read

COMPLICATIONS AND COST ANALYSIS OF HEMIPELVECTOMY FOR THE TREATMENT OF PELVIC TUMORS.

Acta Ortop Bras 2019 Mar-Apr;27(2):104-107

Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Biomecênica, Medicina e Reabilitaçaõ do Sistema Locomotor, Ribeirão Preto, SP, Brazil.

Objective: Hemipelvectomy is a complex surgery with a high complication rate. Here, we aimed to identify factors related to the onset of complications and calculate their impacts on hospital costs.

Methods: We evaluated 31 consecutive patients who underwent hemipelvectomy between 1999 and 2015. Read More

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http://dx.doi.org/10.1590/1413-785220192702206721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442717PMC
April 2019
1 Read

COMPARISON OF RADIOFREQUENCY ABLATION AND CURETTAGE IN OSTEOID OSTEOMA IN CHILDREN.

Acta Ortop Bras 2019 Mar-Apr;27(2):100-103

Uludağ University, School of Medicine, Department of Orthopaedics and Traumatology, Bursa, Turkey.

Objective: Osteoid osteoma, which is observed in the adolescent and young adult population as benign bone tumors, appears as a single nidus with a diameter < 2 cm and is treated with open surgery. However, technological advances in medicine have made it possible to apply less invasive procedures in surgery.

Methods: Between 2006-2014, 24 patients < 18 years of age were treated for osteoid osteoma. Read More

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http://dx.doi.org/10.1590/1413-785220192702158113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442716PMC

PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AND FACTORS THAT DECREASE PREVENTION.

Acta Ortop Bras 2019 Mar-Apr;27(2):95-99

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention.

Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA.

Results: Patients in the OF group were older (p < 0. Read More

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http://dx.doi.org/10.1590/1413-785220192702214727DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442712PMC
April 2019
1 Read

BONE MINERAL DENSITY AND BODY COMPOSITION IN ELDERLY RUNNERS: SIX-YEAR FOLLOW-UP.

Acta Ortop Bras 2019 Mar-Apr;27(2):92-94

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clinicas (HCFMUSP), Department of Orthopedics and Traumatology, Laboratory of Movement Studies, São Paulo, SP, Brazil.

Objective: To evaluate bone mineral density (BMD) and body composition over a six-year period in elderly long-distance runners.

Methods: We analyzed the medical records of elderly athletes who were long-distance runners, were participants of the IOT-HCFMUSP Orthogeriatric Group, and had their BMD evaluated between 2001 and 2007; of these athletes, 11 were included in the study. Inclusion criteria: athletes should be long-distance runners, should not stop long-distance running during the six-year period, and should have undergone BMD and body composition evaluations. Read More

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http://dx.doi.org/10.1590/1413-785220192702214897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442713PMC
April 2019
1 Read

RANDOMIZED PROSPECTIVE STUDY ON THE TREATMENT OF FEMORO-PATELLAR OSTEOARTHRITIS USING BRACING.

Acta Ortop Bras 2019 Mar-Apr;27(2):85-91

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Department of Orthopedics and Traumatology, São Paulo, Brazil.

Objective: To compare the effect of a brace designed to stabilize the patellofemoral joint to that of a patella-shaped neoprene sleeve with patella cut out in patients with patellofemoral osteoarthritis.

Methods: Fifty-seven patients with femoro-patellar osteoarthritis were allocated to two groups: patients with femoro-patellar functional brace and those with a neoprene knee with a patellar orifice. Both groups underwent clinical treatment of osteoarthritis and used medications daily 1 month before and up to 3 months after brace placement. Read More

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http://dx.doi.org/10.1590/1413-785220192702208131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442709PMC

HIGH TIBIAL OSTEOTOMY USING A LOCKING TITANIUM PLATE WITH OR WITHOUT AUTOGRAFTING.

Acta Ortop Bras 2019 Mar-Apr;27(2):80-84

Sakarya University, School of Medicine, Department of Orthopedics and Traumatology, Sakarya, Turkey.

Objective: To postoperatively evaluate knee scores, radiological assessment results, deficit correction, patellar height change, bone healing time, and weight bearing time in patients undergoing high tibial osteotomy (HTO) with/without autologous iliac bone grafting.

Methods: This retrospective examination of treated controls from a randomized controlled study included 63 knees of 58 patients aged 46-59 years who underwent HTO with locking open wedge osteotomy plates. The patients were divided into two groups: Group A, HTO with autologous iliac bone grafts (n = 31); and Group B, HTO without autologous iliac bone grafts (n = 32). Read More

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http://dx.doi.org/10.1590/1413-785220192702164465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442715PMC
April 2019
1 Read

ERRATUM.

Authors:

Acta Ortop Bras 2019 Jan-Feb;27(1):69

[This corrects the article DOI: 10.1590/1413-785220182601179926.]. Read More

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http://dx.doi.org/10.1590/1413-785220182601179926ERRATUMDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362698PMC
February 2019

RADIOACTIVE CEMENT OF PMMA AND HAP-Sm-153, Ho-166, OR RE-188 FOR BONE METASTASIS TREATMENT.

Acta Ortop Bras 2019 Jan-Feb;27(1):64-68

Department of Nuclear Engineering, Laboratório Núcleo de Radiações Ionizantes, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.

Polymethylmetacrylte (PMMA) is used in the fields of dentistry and biomedicine as a constituent of bone cements. Hydroxyapatite (HAp) is a bioceramic produced naturally in the bones. PMMA and HAp are fundamental constituents in the preparation of bone cements. Read More

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http://dx.doi.org/10.1590/1413-785220192701190288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362695PMC
February 2019

ACETABULAR RECONSTRUCTION IN PAPROSKY TYPE III DEFECTS.

Acta Ortop Bras 2019 Jan-Feb;27(1):59-63

Hospital Universitario de Vic, Orthopaedic Surgery, Vic, Barcelona, Spain.

Objectives: Severe pelvic deficiency presents a difficult problem in hip arthroplasty. Specifically, the goals are to restore the pelvic bone stock, place the acetabular component in the correct anatomical position, and optimize joint stability. Currently, many surgical techniques have been developed for prosthetic revision surgery for acetabular complex defects, but no consensus has been reached on the best treatment. Read More

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http://dx.doi.org/10.1590/1413-785220192701187313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362699PMC
February 2019
4 Reads

CLINICAL EVALUATION OF PATIENTS WITH VANCOMYCIN SPACER RETAINED FOR MORE THAN 12 MONTHS.

Acta Ortop Bras 2019 Jan-Feb;27(1):55-58

Universidade de São Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, São Paulo, São Paulo, Brazil.

Objective: There is no consensus in the literature regarding the time taken to remove antibiotic spacers in the treatment of bone infections. The aim of this study is to evaluate the clinical results of patients with prolonged retention of the same.

Methods: Patients selected were diagnosed with post-osteosynthesis infection and/or osteomyelitis and were submitted to treatment using an orthopedic cement spacer (polymethylmethacrylate) with vancomycin, retaining it for a period of more than 12 months. Read More

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http://dx.doi.org/10.1590/1413-785220192701213649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362697PMC
February 2019

VALIDITY AND RELIABILITY OF THE MANCHESTER SCALE USED IN THE ORTHOPEDIC EMERGENCY DEPARTMENT.

Acta Ortop Bras 2019 Jan-Feb;27(1):50-54

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals.

Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections. A series of patients triaged by two orthopedists was analyzed to assess the concordance between the evaluators (reliability) and the validity of the Manchester scale as predictive of severity. Read More

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http://dx.doi.org/10.1590/1413-785220192701191577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362691PMC
February 2019
2 Reads

RADIATION EXPOSURE DURING SPINE SURGERY USING C-ARM FLUOROSCOPY.

Acta Ortop Bras 2019 Jan-Feb;27(1):46-49

Centro Universitário SantAnna, São Paulo, SP, Brazil.

Objective: To evaluate the radiation dose received by staff in spine surgeries, including those who are not considered occupationally exposed workers.

Methods: All spinal surgeries performed in the same department during a period of 12 months were evaluated with regard to the exposure of surgeons, scrub nurses, and auxiliary personnel working in the operating room to radiation from C-arm fluoroscopy. Radiation was measured by 15 film badge dosimeters placed on the professionals' lapels, gloves, and room standardized sites. Read More

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http://dx.doi.org/10.1590/1413-785220192701172722DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362693PMC
February 2019

ROTATION ASSESSMENT IN ADOLESCENT IDIOPATHIC SCOLIOSIS WITH ROD DEROTATION.

Acta Ortop Bras 2019 Jan-Feb;27(1):42-45

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Spine Surgery Division, São Paulo, SP, Brazil.

Objective: Adolescent idiopathic scoliosis (AIS) is characterized by rotational and lateral deformity of the spine. The measurement of vertebral rotation is important for prognosis and treatment. Our objective was to evaluate whether the Nash-Moe method can be used to measure axial deformity correction with surgical treatment using the rod derotation maneuver at both the apex and extremities of the deformity in patients with AIS. Read More

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http://dx.doi.org/10.1590/1413-785220192701191874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362703PMC
February 2019
1 Read

POSTEROLATERAL ARTHRODESIS AND INTERBODY ARTHRODESIS FOR LUMBAR CANAL STENOSIS.

Acta Ortop Bras 2019 Jan-Feb;27(1):38-41

Faculdade de Medicina do ABC, Spine Surgery Group, Santo André, SP, Brazil.

Objectives: To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion.

Methods: The study included 88 patients with lumbar canal stenosis who underwent surgery treatment (decompression and interbody fusion in 36 patients and decompression and posterolateral fusion [PL] in 52 patients). The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Roland-Morris (RM) functional disability scale, and visual analog scale (VAS) for pain. Read More

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http://dx.doi.org/10.1590/1413-785220192701191115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362692PMC
February 2019
4 Reads

COMPARISON OF IMPLANT DENSITY IN THE MANAGEMENT OF LENKE 1B AND 1C ADOLESCENT IDIOPATHIC SCOLIOSIS.

Acta Ortop Bras 2019 Jan-Feb;27(1):33-37

Texas Scottish Rite Hospital for Children, Dallas, TX, USA.

Objective: To compare radiographic and surgical outcomes of Lenke 1B and 1C patterns.

Methods: One hundred twenty patients with Lenke 1B and 1C scoliosis were grouped according to implant density as follows: low density (LD) of ≤1.4 and high density (HD) of >1. Read More

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http://dx.doi.org/10.1590/1413-785220192701189400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362690PMC
February 2019
2 Reads

DIAGNOSIS AND MANAGEMENT OF PAGET'S DISEASE OF BONE - SERIES OF 8 CASES.

Acta Ortop Bras 2019 Jan-Feb;27(1):31-32

Universidade Estadual de São Paulo Júlio de Mesquita Filho (UNESP), Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.

Paget's disease of bone is a chronic condition characterized by focal abnormalities of absorption and formation of bone, and it may lead to anatomical deformities, pain, fractures, and malignant transformation. It is common in the UK, Australia, New Zealand, and North America and has a strong hereditary component, affecting first- to third-degree relatives. The etiology remains unclear and treatment is based on control of the disease with bisphosphonates, with the aim of relieving symptoms and correcting laboratory abnormalities. Read More

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http://dx.doi.org/10.1590/1413-785220192701161107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362702PMC
February 2019

PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2019 Jan-Feb;27(1):27-30

Universidade de São Paulo, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

Objective: To retrospectively evaluate the results after applying a protocol for treating acute infections in cases of total knee arthroplasty and to establish factors predictive of success or failure.

Methods: Thirty-two patients who were diagnosed with acute infection of the knee following total arthroplasty between 2004 and 2009 were retrospectively evaluated. Infections following arthroplasty were treated in accordance with the protocol for acute infections following arthroscopy recommended at our institution. Read More

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http://dx.doi.org/10.1590/1413-785220192701134183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362700PMC
February 2019
4 Reads

DIFFERENCES IN KNEE SENSORIMOTOR CONTROL BY PHYSICAL ACTIVITY LEVEL AND SEX.

Acta Ortop Bras 2019 Jan-Feb;27(1):20-26

Escuela de Kinesiología, Facultad de Ciencias, Universidad Mayor, Chile.

Objective: The aim of this study was to compare the differences in knee sensorimotor control between healthy men and women by measuring the joint position sense (JPS), sensation of muscle tension (steadiness), and onset of muscle activation (OMA).

Methods: Twenty-four healthy women and 27 healthy men were tested. Knee sensorimotor control was assessed using the JPS test with electrogoniometers in 3 different ranges of motion, sensation of muscle tension using the isometric steadiness technique, and OMA against a mechanical perturbation. Read More

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http://dx.doi.org/10.1590/1413-785220192701174327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362696PMC
February 2019

PREOPERATIVE ANALYSIS OF RADIOGRAPHIC FINDINGS IN 516 PATIENTS WITH HALLUX VALGUS DEFORMITY.

Acta Ortop Bras 2019 Jan-Feb;27(1):16-19

Department of Orthopaedic Surgery, University Hospital Tübingen, Tübingen, Germany.

Objective: This is a descriptive study to report our method of operative correction for patients with hallux valgus deformities.

Methods: From 2006 to 2012, 516 consecutive patients (601 feet) with hallux valgus deformities were treated surgically in our department after conservative treatments were exhausted. The hallux valgus angle, intermetatarsal angle, distal metatarsal articular angle, and degree of osteoarthritis in the first metatarsophalangeal joint were measured on preoperative plain radiographs of the weight-bearing forefoot. Read More

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http://dx.doi.org/10.1590/1413-785220192701174203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362694PMC
February 2019
1 Read

MAGNETIC RESONANCE IMAGING PERFUSION TECHNIQUE IN THE EVALUATION OF ACHILLES TENDON INJURY IN RABBITS.

Acta Ortop Bras 2019 Jan-Feb;27(1):12-15

Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Department of Surgery, Belo Horizonte, MG, Brazil.

Objective: This study aimed to evaluate the dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in the experimental model of Achilles tendon injury.

Methods: Twelve white male adults New Zealand rabbits were divided into two groups, a group with resection of the central portion of the Achilles tendon (n = 8) and a control group (n = 4). Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) was performed 4 weeks after the surgical procedure, followed by histological analysis of the tendons. Read More

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http://dx.doi.org/10.1590/1413-785220192701132230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362701PMC
February 2019
1 Read
0.156 Impact Factor

ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?

Acta Ortop Bras 2019 Jan-Feb;27(1):8-11

Masaryk University, Medical Faculty, Faculty Hospital, Children´s Medical Centre (CMC), Department of Pediatric Surgery, Orthopedics and Traumatology (DPSOT), Brno, Czech Republic.

Objective: The aim of this study was to verify whether the Pirani and Dimeglio clinical scoring systems could predict results of Ponseti therapy.

Methods: Forty-seven patients with clubfoot deformities treated with the Ponseti method were enrolled in the study. Clinical evaluation with the Pirani and Dimeglio scoring systems was performed before the treatment and after the second cast fixation. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1413-785220192701189801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362704PMC
February 2019
8 Reads

SPRING PLATES IN DISTAL RADIO FRACTURES: MECHANICAL PROPERTIES.

Acta Ortop Bras 2018 ;26(6):423-427

Hand Surgery Program, Hospital das Clínicas de Ribeirão Preto, Ribeirão Preto, SP, Brazil.

Background: Distal radius fractures are one of the most common orthopedic injuries and appear in various patterns. Volar plate fixation is not always considered the gold standard treatment.

Objective: To measure the resistance of a fragment-specific fixation assembly model obtained by plate fixation associated with different K-wire sizes. Read More

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http://dx.doi.org/10.1590/1413-785220182606190551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362686PMC
January 2018

REDUCTION IN KNEE PAIN SYMPTOMS IN ATHLETES USING AN ACUPUNCTURE PROTOCOL.

Acta Ortop Bras 2018 ;26(6):418-422

Universidade Tecnológica Federal do Paraná, Curitiba, PR, Brazil.

Pain in the lower limbs is common in athletes and a limiting factor in performance. Acupuncture has shown positive effects as an analgesic treatment and may potentially be used for pain reduction in runners. This study aimed to analyze the parameters associated with knee pain by correlating strength parameters of the musculature assessed in runners treated with acupuncture. Read More

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http://dx.doi.org/10.1590/1413-785220182606167896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362684PMC
January 2018
1 Read

SURGICAL CORRECTION OF SEVERE AND FIXED CHIN-ON-CHEST DEFORMITY.

Acta Ortop Bras 2018 ;26(6):415-417

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (IOT-HCFMUSP), Instituto de Ortopedia e Traumatología, Laboratory of Medical investigation, Spine Surgery Division, São Paulo, SP, Brazil.

Objective: To describe a successful surgical treatment for the challenging severe and fixed chin-on-chest deformity due to isolated neck extensor myopathy (INEM).

Background Data: INEM is an idiopathic cause of dropped head syndrome (DHS) that results in severe cervicothoracic kyphosis, defined as chin-on-chest deformity. The existing literature on surgical management is limited, with outcomes ranging from poor to excellent. Read More

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http://dx.doi.org/10.1590/1413-785220182606169271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362680PMC
January 2018
1 Read

RELIABILITY OF THE MICHIGAN STATE UNIVERSITY (MSU) CLASSIFICATION OF LUMBAR DISC HERNIATION.

Acta Ortop Bras 2018 ;26(6):411-414

Department of Orthopedic Surgery, Spine Division, Bone and Joint Research Center, Chang Gung Memorial Hospital and University College of Medicine, Taoyuan, Taiwan.

Objective: The Michigan State University (MSU) classification of lumbar disc herniation (LDH) is periodically used by various authors to classify disc herniation. We assessed the reliability of this classification system among orthopedic residents at our institute.

Methods: Fifty T2 axial-cut magnetic resonance images (MRI) corresponding to the level of maximal disc herniation from patients diagnosed with a single LDH were selected and distributed to six orthopedic residents. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1413-785220182606201444DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362681PMC
January 2018
4 Reads

FOUR-LEVEL EN BLOC VERTEBRECTOMY: A NOVEL TECHNIQUE AND LITERATURE REVIEW.

Acta Ortop Bras 2018 ;26(6):406-410

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Spine Surgery Division, Laboratory of Medical Investigation, São Paulo, SP, Brazil.

Objective: To demonstrate a novel technique for multilevel en bloc post-vertebrectomy reconstruction.

Methods: A novel technique for en bloc multiple post-vertebrectomy reconstruction was used in a patient presenting for curative resection of Ewing's Sarcoma at the oncology center of a public university hospital.

Results: The procedure described was feasible for en bloc resection of the four vertebrae. Read More

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http://dx.doi.org/10.1590/1413-785220182606180916DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362676PMC
January 2018

COMPLICATED LUMBAR TUBERCULOUS SPONDYLODISCITIS IN DISSEMINATED TUBERCULOSIS, TREATED USING A NON-CONVENTIONAL ANTERIOR SUPPORT SYSTEM FOR HYDROSTATIC DISTRACTION: A CASE REPORT.

Acta Ortop Bras 2018 ;26(6):401-405

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatología, Spine Surgery Division, São Paulo, SP, Brazil.

Objective: To describe a case of disseminated tuberculosis affecting the lumbar spine that was treated using a non-conventional anterior support system.

Background: Tuberculous spondylodiscitis is the most common and most severe form of extrapulmonary tuberculosis. Although antibiotic therapy is the most frequently used treatment, surgery is necessary in cases of neurological deficit, spinal instability, significant deformity, severe sepsis, paravertebral and epidural abscesses or in cases wherein clinical treatment has failed. Read More

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http://dx.doi.org/10.1590/1413-785220182606178095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362687PMC
January 2018
1 Read

ACCURACY OF PEDICLE SCREW INSERTION: A COMPARISON BETWEEN FLUOROSCOPIC GUIDANCE AND NAVIGATION TECHNIQUES.

Acta Ortop Bras 2018 ;26(6):397-400

Universidade Federal do Ceará, Faculdade de Medicina, Department of Orthopedics and Traumatology, Fortaleza, CE, Brazil.

Objectives: To compare the accuracy of insertion of pedicle screws into the thoracic spine using fluoroscopic guidance or computer-assisted navigation techniques.

Methods: Eight cadaveric thoracic spines were divided into two groups: the fluoroscopy group, in which pedicle screws were inserted with the guidance of a C-arm device, and the navigation group, in which insertion of the screws was monitored using computer-assisted navigation equipment. All procedures were performed by the same spinal surgeon. Read More

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http://dx.doi.org/10.1590/1413-785220182606180635DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362689PMC
January 2018
1 Read

DOES COGNITIVE CAPACITY INTERFERE WITH THE OUTCOME OF OBERLIN TRANSFER?

Acta Ortop Bras 2018 ;26(6):394-396

Irmandade da Santa Casa de Misericórdia de Sao Paulo, Department of Orthopaedics and Traumatology, Sao Paulo, SP, Brazil.

Objective: To determine the relationship between the functional outcome achieved following Oberlin transfer, the cognitive level of the patient, and the time elapsed between the trauma event and surgery.

Methods: Eighteen patients with a traumatic injury to the brachial plexus (C5-C6 and C5-C7) were evaluated. Seventeen (94. Read More

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http://dx.doi.org/10.1590/1413-785220182606196665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362679PMC
January 2018
1 Read

PATHOLOGICAL FRACTURES DUE TO BONE METASTASES FROM LUNG CANCER: RISK FACTORS AND SURVIVAL.

Acta Ortop Bras 2018 ;26(6):388-393

Escola de Saúde do Exército, Rio de Janeiro, RJ, Brazil.

Introduction: Pathological fractures are frequent skeletal-related events among lung cancer patients, which result in high morbidity and decreased overall survival and make operative treatment decisions challenging.

Objectives: To identify risk factors associated with the occurrence of pathological fractures in patients with lung cancer and to determine survival.

Methods: We conducted a retrospective cohort study with 407 lung carcinoma patients diagnosed between 2006 and 2015. Read More

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http://dx.doi.org/10.1590/1413-785220182606201669DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362688PMC
January 2018

ARE TRAUMATOLOGISTS TREATING OSTEOPOROSIS TO PREVENT NEW FRACTURES IN BRAZIL?

Acta Ortop Bras 2018 ;26(6):384-387

Department of Orthopedics and Traumatology, Santa Casa de Sao Paulo, SP, Brazil.

Objectives: To determine the proportion of traumatologists who investigate osteoporosis in elderly patients with fractures and recommend secondary prevention of osteoporotic fractures.

Methods: We distributed questionnaires to 244 physicians attending the 2015 Brazilian Congress of Orthopedic Trauma. We determined the respondents' profiles and assessed how they investigated and treated osteoporosis in elderly patients with fractures. Read More

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http://dx.doi.org/10.1590/1413-785220182606202125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362685PMC
January 2018
1 Read

ASSESSMENT OF THE REGENERATION CAPACITY OF SEMITENDINOSUS AND GRACILIS TENDONS.

Acta Ortop Bras 2018 ;26(6):379-383

Knee Surgery and Arthroscopy Group, Universidade Federal de São Paulo (UNIFESP-EPM), São Paulo, SP Brazil.

Objectives: To evaluate the regenerative capacity of gracilis (G) and semitendinosus (ST) tendons, to examine the sensitivity and specificity of signs and symptoms in the assessment of hamstring tendons, and to assess the thickness and insertion site of regenerated tendons.

Methods: Thirty sequential knees were subjected to anterior cruciate ligament reconstruction with semitendinosus and gracilis tendons. After surgery, the patients were followed up clinically with physical examination and magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1590/1413-785220182606168849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362683PMC
January 2018
2 Reads

LIFE QUALITY EVALUATION USING "TIME TRADE OFF" METHOD FOR RHEUMATOID HANDS.

Acta Ortop Bras 2018 ;26(6):374-378

Hand and Microsurgery Group, Institute of Orthopedics and Traumatology Medical School, Universidade de Sao Paulo, Hospital das Clinicas HCFMUSP, Sao Paulo, SP, Brazil.

Objective: Rheumatoid arthritis is a prevalent disease in the population (range 0.5% to 1%) and involves both orthopedic and rheumatologic treatment. The Time Trade-Off (TTO) technique, which determines the number of years the patient or the professional would be allowed before a successful procedure in terms of life expectancy and value of the procedure, has been gaining ground in clinical protocols. Read More

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http://dx.doi.org/10.1590/1413-785220182606199308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362677PMC
January 2018

EPIDEMIOLOGY OF TRAUMATIC INJURIES OF THE UPPER LIMBS IN A UNIVERSITY HOSPITAL.

Acta Ortop Bras 2018 ;26(6):370-373

Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.

Objective: To evaluate the epidemiology of traumatic injuries of the upper limbs treated at a university hospital and identify the causes, types of injuries, and risk factors.

Methods: A prospective study was performed with accidents resulting in trauma categorized into three groups: domestic, occupational, or transportation-related. A questionnaire containing information about the patient and the accident was administered. Read More

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http://dx.doi.org/10.1590/1413-785220182606180607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362678PMC
January 2018

EVALUATION OF KITE AND PONSETI METHODS IN THE TREATMENT OF IDIOPATHIC CONGENITAL CLUBFOOT.

Acta Ortop Bras 2018 ;26(6):366-369

Hospital Martagão Gesteira, Salvador, BA, Brazil.

Objective: Clubfoot is one of the most common congenital deformities affecting the musculoskeletal system. The main conservative treatment for clubfoot includes the Ponseti's and Kite's methods. This study aimed to perform a comparative evaluation of the effectiveness of the Ponseti and Kite approaches for the conservative treatment of clubfoot. Read More

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http://dx.doi.org/10.1590/1413-785220182606183925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362682PMC
January 2018
11 Reads

SPORTS ACTIVITY AND HIP, KNEE, SHOULDER AND INTERVERTEBRAL DISC ARTHROPLASTIES.

Acta Ortop Bras 2018 ;26(5):350-355

Department of Orthopedics of the Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

The success of joint replacement surgery has been responsible for raising patients' expectations regarding the procedure. Many of these procedures are currently designed not only to relive the pain caused by arthrosis, but also to enable patients to achieve functional recovery and to engage in some degree of physical activity and sports. However, as physical exercise causes an increase in forces exercised through the articular prosthesis, it can be an important risk factor for its early failure. Read More

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http://dx.doi.org/10.1590/1413-785220182605182508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220666PMC
January 2018
11 Reads

NEUROMUSCULAR ELECTRICAL STIMULATION OF MEDIUM AND LOW FREQUENCY ON THE QUADRICEPS FEMORIS.

Acta Ortop Bras 2018 ;26(5):346-349

Universidade Federal de Goiás (UFG), Department of Physical Therapy, Jatai, GO, Brazil.

Objective: The purpose of this study was to investigate the effects of neuromuscular electrical stimulation (NMES) in different frequencies on the quadriceps femoris. A randomized, controlled, blind cross-sectional study.

Methods: Thirty subjects (12 men and 18 women), with an average age of 24. Read More

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http://dx.doi.org/10.1590/1413-785220182605178164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220661PMC
January 2018
13 Reads

FACTORS RELATED TO AMPUTATION LEVEL AND WOUND HEALING IN DIABETIC PATIENTS.

Acta Ortop Bras 2018 ;26(5):342-345

Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brazil.

Objective: There are no specific criteria that define the level of amputation in diabetic patients. The objective of this study was to assess the influence of clinical and laboratory parameters in determining the level of amputation and the wound healing time.

Methods: One hundred and thirty-nine diabetic patients were retrospectively assessed. Read More

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http://dx.doi.org/10.1590/1413-785220182605173445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220668PMC
January 2018
15 Reads

ORTHOPEDIC INJURIES IN MEN'S PROFESSIONAL SOCCER IN BRAZIL: PROSPECTIVE COMPARISON OF TWO CONSECUTIVE SEASONS 2017/2016.

Acta Ortop Bras 2018 ;26(5):338-341

Universidade Federal de São Paulo, Centro de Traumatologia do Esporte (CETE) - (DOT-UNIFESP/EPM) - Department of Orthopedics and Traumatology, SP, Brazil.

Purpose: The purpose is to compare the incidence and characteristics of injuries sustained in two consecutive seasons of the São Paulo State Football Championship.

Methods: Prospective study performed using an electronic form previously developed by the Medical Committee of the São Paulo State Football Federation, sent to the physicians responsible for the tournament's series A1 and A2 teams, after each round.

Results: 17. Read More

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http://dx.doi.org/10.1590/1413-785220182605194940DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220654PMC
January 2018
3 Reads

RELIABILITY OF A BRAZILIAN PORTUGUESE TRANSLATED AND CROSS-CULTURALLY ADAPTED VERSION OF THE MJOA SCALE.

Acta Ortop Bras 2018 ;26(5):335-337

Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão Preto, Departamento de Biomecánica, Medicina e Reabilitação do Aparelho Locomotor, Ribeirão Preto, SP, Brazil.

Objective: To assess the intra- and inter-observer reliability of a Brazilian Portuguese translated and cross-culturally adapted version of the mJOA questionnaire.

Methods: The reliability of the Brazilian Portuguese version of the mJOA scale was assessed through the evaluation of a sample of patients with cervical myelopathy by two independent experienced spine surgeon examiners. Inter-observer reliability was defined by the Intraclass Correlation Coefficient (ICC) between the evaluations of the two examiners, and intra-observer reliability was assessed by the ICC between the two evaluations of one examiner. Read More

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http://dx.doi.org/10.1590/1413-785220182605191044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220669PMC
January 2018

ASSESSMENT OF THE RESULTS OF ACCESSORY TO SUPRASCAPULAR NERVE TRANSFER.

Acta Ortop Bras 2018 ;26(5):332-334

Irmandade da Santa Casa de Misericórdia de São Paulo, Departament of Orthopaedics and Traumatology, São Paulo, SP, Brazil.

Objective: Nerve transfers are an alternative in the reconstruction of traumatic brachial plexus injuries. In this study, we report the results of branchial plexus reconstruction using accessory to suprascapular nerve transfer.

Methods: Thirty-three patients with traumatic brachial plexus injuries underwent surgical reconstruction with accessory to suprascapular nerve transfers. Read More

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http://dx.doi.org/10.1590/1413-785220182605193532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220659PMC
January 2018
11 Reads

ARTHROSCOPIC LATARJET TECHNIQUE COMBINED WITH ENDOBUTTONS: FUNCTIONAL OUTCOMES IN 26 CASES.

Acta Ortop Bras 2018 ;26(5):328-331

Universidade de São Paulo, Faculdade de Medicina, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: The cause of anterior shoulder instability is not fully understood and surgical management remains controversial. The objective of this study was to evaluate the results of patients undergoing arthroscopic Latarjet procedure with endobuttons.

Methods: A retrospective study of 26 patients undergoing arthroscopic Latarjet procedure with endobuttons to treat anterior shoulder instability. Read More

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http://dx.doi.org/10.1590/1413-785220182605208650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220660PMC
January 2018
23 Reads
0.156 Impact Factor

CASE STUDY OF CONGENITAL ANOMALIES OF THE UPPER LIMB IN REFERENCE AMBULATORY CARE FACILITY.

Acta Ortop Bras 2018 ;26(5):325-327

Hospital Federal da Lagoa, Department of Hand Surgery, Rio de Janeiro, RJ, Brazil.

Objective: The epidemiological profile of congenital anomalies of the upper limbs (CAULs) is of major relevance to monitoring and planning. A study of this profile may reveal if there is prevalence of some specific type of malformation in comparison to a more comprehensive epidemiological sample. The Latin American Collaborative Study of Congenital Malformations (ECLAMC) has an extensive database, providing an excellent source of comparison. Read More

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http://dx.doi.org/10.1590/1413-785220182605197649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220662PMC
January 2018
8 Reads

PROGNOSTIC FACTORS IN PATIENTS WITH APPENDICULAR MYXOFIBROSARCOMA.

Acta Ortop Bras 2018 ;26(5):320-324

Universidade de São Paulo, Faculdade de Medicina, Orthopedics and Traumatology Institute, São Paulo, SP, Brazil.

Objective: Myxofibrosarcoma (MFS) is a common soft tissue sarcoma (STS) that affects the extremities in elderly patients. The objective was to analyze the prognostic factors and outcomes of patients with MFS treated at a single institution.

Methods: We retrospectively reviewed the records of 75 patients with MFS. Read More

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http://dx.doi.org/10.1590/1413-785220182605208644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220657PMC
January 2018
16 Reads

PERCUTANEOUS TREATMENT OF ANEURYSMAL BONE CYST WITH CALCITONIN AND METHYLPREDNISOLONE.

Acta Ortop Bras 2018 ;26(5):314-319

Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Objective: To introduce the intralesional calcitonin and methylprednisolone percutaneous injection method, which results in the promotion of primary aneurysmal bone cyst (ABC) healing.

Methods: A retrospective cohort study involving 76 patients diagnosed with ABC was performed between 2005 and 2014. Patients treated with calcitonin and methylprednisolone injection and who underwent more than 2 years of follow-up were considered eligible for the study (n=47). Read More

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http://dx.doi.org/10.1590/1413-785220182605201423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220667PMC
January 2018