594 results match your criteria Acta Ortopedica Brasileira[Journal]


EPIDEMIOLOGY OF ORTHOPEDIC INJURIES IN JIU-JITSU ATHLETES.

Acta Ortop Bras 2021 Jan-Feb;29(1):49-53

Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil.

Objective: This study aims to identify the epidemiology of orthopedic injuries in jiu-jitsu practitioners.

Methods: Ninety-six jiu-jitsu practitioners aged between 18 and 45 years, male and female, answered a questionnaire addressing personal data and history of injuries related to the sport during the last 24 months.

Results: In the period cover, 85% of the sample presented injuries related to the practice of jiu-jitsu, with an average of 60 days of absenteeism from sports practice. Read More

View Article and Full-Text PDF

EPIDEMIOLOGY OF ANTERIOR CRUCIATE LIGAMENT INJURY IN SOCCER PLAYERS IN THE BRAZILIAN CHAMPIONSHIP.

Acta Ortop Bras 2021 Jan-Feb;29(1):45-48

Universidade Federal de São Paulo, Department of Orthopedics and Traumatology, Sports Traumatology Center, São Paulo, SP, Brazil.

Objective: To evaluate and collect epidemiological data on injuries of the anterior cruciate ligament of the knee in professional soccer players of the Brazilian Championship.

Methods: Transversal study, with information extracted from the online data platform www.transfermrkt. Read More

View Article and Full-Text PDF

TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION WITH BRISTOW-LATARJET PROCEDURE.

Acta Ortop Bras 2021 Jan-Feb;29(1):39-44

Universidade de São Paulo, Medical School, Hospital das Clínicas, São Paulo, SP, Brazil.

Objectives: To describe the clinical and radiographic results of patients with traumatic recurrent anterior shoulder dislocation treated with the Bristow-Latarjet procedure.

Methods: Retrospective case series including 44 patients (45 shoulders) who underwent the Bristow-Latarjet procedure. The graft was fixed "standing" in 84% of the shoulders, and "lying" in 16%. Read More

View Article and Full-Text PDF

CLINICAL EVALUATION OF THE TREATMENT OF CLAVICLE FRACTURES: INTRAMEDULLARY NAIL × PLATE.

Acta Ortop Bras 2021 Jan-Feb;29(1):34-38

Instituto do Ombro de Brasília, Brasília, DF, Brazil.

Objective: Studies confirm the benefit of surgical treatment for fixation of displaced midshaft clavicle fractures. Plate fixation and intramedullary nail are the two most used techniques. Our study seeks to compare these two surgical techniques. Read More

View Article and Full-Text PDF

CORRELATION BETWEEN FRACTURES AND ABUSE IN CHILDREN: A RETROSPECTIVE ANALYSIS.

Acta Ortop Bras 2021 Jan-Feb;29(1):30-33

Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: The aim of this work is to provide evidence for the relationship between suspicion and diagnosis of cases of child abuse and fractures, since, in national literature, studies are still scarce on the subject.

Methods: Retrospective study involving electronic medical records of a public reference hospital, in a city of the state of São Paulo, in a 8-year period (2010 to 2018). Cases involving children up to 12 years of age were selected when notified as abuse and presenting fractures; data were statistically analyzed. Read More

View Article and Full-Text PDF

COMPARISON BETWEEN CONCENTRATED BONE MARROW ASPIRATE AND CORTICOID IN GLUTEAL TENDINOPATHY.

Acta Ortop Bras 2021 Jan-Feb;29(1):26-29

Universidade Estadual Paulista, Araraquara, SP, Brazil.

Objective: To compare bone marrow aspirate concentrate (BMAC) with the standard treatment for gluteal tendinopathies.

Methods: 48 patients diagnosed with gluteal tendinopathy at a university hospital were selected by a randomized clinical trial and divided into two groups: (G1) bone marrow aspirate concentrate and (G2) corticosteroid injections.

Results: 40 of the 48 selected patients were monitored for six months and both groups showed better scores. Read More

View Article and Full-Text PDF

THE NEW INJURIES' RISK AFTER ACL RECONSTRUCTION MIGHT BE REDUCED WITH FUNCTIONAL TRAINING.

Acta Ortop Bras 2021 Jan-Feb;29(1):21-25

Núcleo de Ortopedia e Traumatologia do Esporte, Sorocaba, SP, Brazil.

Objective: The objective of our study was to evaluate if functional training with the Functional Movement Screen (FMS) can reduce the risk of a new injury for patients that underwent an anterior cruciate ligament reconstruction (ACLR). Our hypothesis was that the functional training might reduce the risk of a new injury.

Methods: Our training protocol consisted of six phases, each one lasting six weeks. Read More

View Article and Full-Text PDF

INCIDENCE OF DEEP VEIN THROMBOSIS IN FLOATING KNEE.

Acta Ortop Bras 2021 Jan-Feb;29(1):17-20

Universidade Federal Rural do Semi-Árido. Mossoró, RN, Brazil.

Objective: To report the incidence of deep vein thrombosis (DVT) in ipsilateral femur and tibial fractures (floating knee).

Methods: This is a retrospective, analytical, observational study conducted with the medical records of thirty patients admitted to a trauma hospital between October 2016 and July 2017 with floating knee.

Results: Patients aged between 21-30 years were the most affected by the condition (36%). Read More

View Article and Full-Text PDF

CLINICAL OUTCOMES AFTER UNICOMPARTMENTAL KNEE ARTHROPLASTY FOR OSTEONECROSIS OF THE KNEE.

Acta Ortop Bras 2021 Jan-Feb;29(1):12-16

Takatsuki General Hospital, Department of Orthopedic Surgery and Joint Surgery Center, Takatsuki, Osaka, Japan.

Objective: Although the mobile-bearing Oxford unicompartmental knee arthroplasty (OUKA) seems an appropriate procedure to treat spontaneous osteonecrosis of the knee (SONK), aseptic tibial component loosening was the leading cause for medial UKA failure. This study aimed to observe short-term and midterm clinical outcomes following OUKA and determine whether tibial lesion affects the procedure clinical and radiographic outcomes.

Methods: Sixty patients (mean age 73. Read More

View Article and Full-Text PDF

CLINICAL OUTCOMES AFTER TWO-STAGE BICRUCIATE KNEE LIGAMENT RECONSTRUCTION.

Acta Ortop Bras 2021 Jan-Feb;29(1):7-11

Sports and Exercise Medicine Group, Department of Orthopedics, Rheumatology and Traumatology (DORT), SChool of Medical Sciences, University of Campinas-UNICAMP, Campinas, SP, Brazil.

Objective: To correlate clinical and intraoperative findings with the postoperative evaluation of two-stage bicruciate knee ligament reconstruction.

Methods: The study was conducted with 25 patients (20 men and 05 women) with mean age of 32.3 years, mean body mass index (BMI) of 26. Read More

View Article and Full-Text PDF

ERRATUM.

Authors:

Acta Ortop Bras 2020 Nov-Dec;28(6):327

[This corrects the article DOI: 10.1590/1413-785220182606190551.]. Read More

View Article and Full-Text PDF
December 2020

EFFECT OF PKP ON SERUM SOST IN PATIENTS WITH VERTEaBRAL COMPRESSION FRACTURES.

Acta Ortop Bras 2020 Nov-Dec;28(6):323-326

Ningbo Women and Children's Hospital, Department of Clinical Laboratory, Ningbo, Zhejiang, China.

Objective: This study sought to determine serum sclerostin (SOST) expression in patients with osteoporotic thoracolumbar vertebral compression fractures before and after percutaneous kyphoplasty (PKP).

Methods: Serum SOST levels were quantified with a sandwich enzyme-linked immunosorbent assay (ELISA) preoperatively and six months postoperatively. Anterior vertebral height, kyphotic angles, and Visual Analogue Scale (VAS) scores were also recorded. Read More

View Article and Full-Text PDF
December 2020

HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS.

Acta Ortop Bras 2020 Nov-Dec;28(6):318-322

Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.

Objectives: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options.

Methods: we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020.

Results: There is consensus for surgical treatment of intra-articular fractures with a deviation greater than 2 mm, metadiaphyseal fractures with malrotation and/or malangulation, open fractures and unstable fractures. Read More

View Article and Full-Text PDF
December 2020

ACHILES: AN IMORTAL EPONYMOUS.

Acta Ortop Bras 2020 Nov-Dec;28(6):316-317

Federal University of Sao Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

The conditions affecting the calcaneal tendon remain extremely prevalent in the clinical practice. The search for information about these diseases in national and international scientific databases are commonly hampered in the use of search tools, requiring the use if an eponym in the strategy. Achilles, in reference to the hero of the Greek mythology, is often used by several authors in scientific publications despite the new Nomina Anatomica. Read More

View Article and Full-Text PDF
December 2020

NEW GENERATION NAIL VS. PLATE IN THE TREATMENT OF UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURE.

Acta Ortop Bras 2020 Nov-Dec;28(6):311-315

Istanbul Medeniyet University, Goztepe Training and Research Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.

Objective: To compare antirotator proximal femoral nail (A-PFN) with antirotator dynamic hip screw (A-DHS).

Methods: Fourteen proximal femur models with type 31/A2 fracture, according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification, were separated into two groups. Group 1 bones (n = 7) were fixed with A-PFN and Group 2 (n = 7) with A-DHS. Read More

View Article and Full-Text PDF
December 2020

DETERMINANTS OF RETURN TO PLAY AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.

Acta Ortop Bras 2020 Nov-Dec;28(6):303-310

Universidade Estadual de Campinas, School of Medical Sciences, Campinas, SP, Brazil.

Objective: To systematically review and meta-analyze the performance of return to play (RTP) and non-RTP patients in different assessment tools after anterior cruciate ligament reconstructions (ACLR).

Methods: Out of 182 studies searched on PubMed, 11 presented RTP and non-RTP groups assessing the performance of young individuals, practitioners of different sports, with different tools.

Results: There was higher limb symmetry (7. Read More

View Article and Full-Text PDF
December 2020

TRANSFORAMINAL INTERSOMATIC LUMBAR ARTHRODESIS: COMPARISON BETWEEN AUTOGRAFT AND CAGE IN PEEK.

Acta Ortop Bras 2020 Nov-Dec;28(6):296-302

Universidade Federal de São Paulo, Paulista School of Medicine, Sports Traumatology Center, São Paulo, SP, Brazil.

Objective: To compare the postoperative outcomes of transforaminal intersomatic lumbar arthrodesis with structured iliac bone autograft and PEEK device.

Methods: The total of 93 medical records of patients undergoing transforaminal intersomatic fusion between January 2012 and July 2017 with at least 1 year of postoperative follow-up, with complete medical record, containing clinical file and radiological exams, were reviewed.

Results: From the medical records evaluated, 48 patients underwent the procedure with structured iliac autograft (group 1) and 45 with PEEK device (group 2). Read More

View Article and Full-Text PDF
December 2020

QUALITY OF LIFE AND CHALLENGES OF FAMILY MEMBERS OF CHILDREN WITH MENINGOMYELOCELE.

Acta Ortop Bras 2020 Nov-Dec;28(6):291-295

Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), São Paulo, SP, Brazil.

Objective: To identify the main challenges of the family of a child with meningomyelocele (MMC) and correlate the Zarit Burden Interview (ZBI) scale with the World Health Organization Quality of Life-BREF (WHOQOL - BREF).

Methods: Questionnaires were sent through an online platform to groups of parents and caregivers of children with MMC. Four WHOQOL-BREF domains were evaluated: physical, psychological, social and environmental. Read More

View Article and Full-Text PDF
December 2020

DOUBLE FEMORAL OSTEOTOMY FOR THE TREATMENT OF SEVERE SEQUELAE OF THE IMMATURE HIP.

Acta Ortop Bras 2020 Nov-Dec;28(6):287-290

Universidade de São Paulo, Hospital das Clínicas, Ribeirão Preto Medical School, Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brazil.

Objective: To evaluate the results of double femoral osteotomy for the treatment of severe sequelae of the hip.

Methods: Immature patients with anatomical loss of the hip were treated with pelvic support osteotomy in the distal femur to correct lower limb shortening, they were evaluated clinically and radiographically.

Results: Eleven cases (eleven hips) were assessed with verage follow-up of three years. Read More

View Article and Full-Text PDF
December 2020

IMPROVEMENTS IN HIP OSTEOARTHRITIS WITH LAVAGE, TRIAMCINOLONE AND HYLAN G-F20.

Acta Ortop Bras 2020 Nov-Dec;28(6):280-286

Universidade de São Paulo, Hospital das Clínicas, Medical School, Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: To verify whether the use of Hylan G-F20 improves saline lavage and triamcinolone injection results in the treatment of hip osteoarthritis (HOA).

Methods: 82 patients with HOA categorized as grades II and III severity, according to Kellgren and Lawrence criteria, were randomized into the groups: lavage and triamcinolone (G0); lavage, triamcinolone, and 2 mL of hylan G-F20 (G1); lavage, triamcinolone, and 4mL of hylan G-F20 (G2); lavage, triamcinolone, and 6mL of hylan G-F20 (G3). The VAS, range of motion (ROM), WOMAC, and Lequesne questionnaires were administered at baseline, one, three, six, and twelve months post-injection. Read More

View Article and Full-Text PDF
December 2020

IMPACT OF DIABETIC NEUROPATHY ON QUALITY OF LIFE AND POSTURAL BALANCE IN BRAZILIAN OLDER ADULTS.

Acta Ortop Bras 2020 Nov-Dec;28(6):275-279

Universidade São Judas Tadeu, São Paulo, SP, Brazil.

Objective: To analyze the impact of the Peripheral Diabetic Neuropathy (PDN) on the postural and functional balance and quality of life of Brazilian older adults.

Methods: A cross-sectional study. Sixty older men and women (60-79 years) were divided into three groups: control, DM without and with PDN. Read More

View Article and Full-Text PDF
December 2020

PONSETI METHOD IN BRAZIL: FIRST TEN YEARS OF A CLUBFOOT WEBSITE - USERS PROFILE.

Acta Ortop Bras 2020 Nov-Dec;28(6):269-274

Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), São Paulo, SP, Brazil.

Objective: To analyze the profiles of the individuals who access the website regarding congenital clubfoot (CC) information and the first ten years of Ponseti method implementation in Brazil.

Methods: This is a retrospective documentary study, with quantitative database analysis, from 2002 to 2012. Parents or caregivers completed a semi-structured questionnaire regarding the main difficulties encountered, the search for different professionals in the area, and what were the main questions the reader might have when searching on a technical website. Read More

View Article and Full-Text PDF
December 2020

ERRATUM.

Authors:

Acta Ortop Bras 2020 Sep-Oct;28(5):261

[This corrects the article DOI: 10.1590/1413-785220202804233522.]. Read More

View Article and Full-Text PDF
November 2020

EXTREME LATERAL INTERBODY FUSION IN PACIENTS WITH CHRONIC LOW BACK PAIN.

Acta Ortop Bras 2020 Sep-Oct;28(5):256-260

Universidade Anhembi Morumbi, São Paulo, SP, Brazil.

Objective: To evaluate the effect of lateral lumbar interbody fusion (LLIF) or oblique interbody fusion (OLIF) on low back pain due to degenerative intervertebral disc disease.

Methods: We systematically reviewed articles on surgical treatment of low back pain by LLIF and OLIF, according to the Cochrane Handbook for Systematic Reviews of Interventions. We searched through electronic databases, including Medline via PubMed, Lilacs through the Virtual Health Library (VHL), Cochrane Collaboration/Central and Cohrane/Dare Cochrane Controlled Trials Register, without language or publication date restrictions and with design for prospective cohorts and randomized clinical trials. Read More

View Article and Full-Text PDF
November 2020

INNERVATION OF THE MEDIAN NERVE MOTOR BRANCHES IN THE FOREARM AND ITS CLINICAL SIGNIFICANCE.

Acta Ortop Bras 2020 Sep-Oct;28(5):251-255

Pontifícia Universidade Católica de São Paulo, School of Medical and Health Sciences, Department of Surgery, Sorocaba, SP, Brazil.

Objective: To analyse the anatomical variations of the median nerve motor branches in the elbow region.

Methods: Twenty upper limbs of 10 adult male cadavers were prepared by intra-arterial injection of a solution of 10% glycerol and formaldehyde. All cadavers belonged to the institution anatomy laboratory. Read More

View Article and Full-Text PDF
November 2020

CHANGES IN BONE MINERAL DENSITY AFTER TOTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2020 Sep-Oct;28(5):247-250

Istanbul University-Cerrahpasa, Faculty of Engineering, Department of Mechanical Engineering, Istanbul, Turkey.

Objective: We aimed to investigate the change in bone mineral density (BMD) in the first postoperative year in patients that underwent total knee arthroplasty (TKA) due to primary osteoarthritis of the knee.

Methods: Preoperative and first postoperative year dual-energy X-ray absorptiometry measurements of 76 patients with knee osteoarthritis, who undergone surgery between 2016 and 2018 due to the recommendation for TKA, were statistically evaluated in the study.

Results: Of the 19 patients with a normal BMD in the preoperative period, 73. Read More

View Article and Full-Text PDF
November 2020

BARE SPOT LOCATION IN GLENOID CAVITY: COMPARISON BETWEEN ARTHROSCOPY AND CT SCAN.

Acta Ortop Bras 2020 Sep-Oct;28(5):243-246

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

Objective: To assess whether Bare Spot is previously displaced by proportion (MEASURE BP-A × 1.25/MEASURE BP-P = 1).

Methods: 35 patients with surgical indication for rotator cuff injury repair were evaluated. Read More

View Article and Full-Text PDF
November 2020

QUALITY OF LIFE IN ADULTS WITH SARCOMAS UNDER CONSERVATIVE SURGERY OR AMPUTATION.

Acta Ortop Bras 2020 Sep-Oct;28(5):236-242

Universidade de Brasília, Brasília, DF, Brazil.

Objective: To understand the perception of quality of life, functionality, and psychological aspects of adults with lower limb sarcoma who underwent conservative surgery or amputation.

Methods: Sociodemographic data were collected, and the following questionnaires were used: EORTC QLQ - C30 for quality of life, the Functional Assessment System (MSTS) for functionality and the Beck Depression Inventory (BDI) for depression symptoms.

Results: The sample consisted of 45 young adults with sarcoma, divided into two groups: amputation (29) and conservative surgery (16). Read More

View Article and Full-Text PDF
November 2020

UNICOMPARTIMENTAL KNEE ARTHROPLASTY - 15 YEARS FOLLOW UP.

Acta Ortop Bras 2020 Sep-Oct;28(5):233-235

Universidade de São Paulo, Medical School, Hospital das Clínicas, Orthopedics and Traumatology Institute, São Paulo, SP, Brazil.

Objective: To evaluate clinically and radiologically the long-term follow-up of patients with anteromedial osteoarthritis who underwent unicompartmental knee arthroplasty surgery.

Methods: This study included 36 patients who underwent unicompartmental knee arthroplasty surgery for medial compartmental osteoarthritis with a minimum of 15-year post-operative follow-up. All surgeries were performed by a single surgeon (G. Read More

View Article and Full-Text PDF
November 2020

RELATIONSHIP BETWEEN THE KNEE AND HINDFOOT AXES IN PATIENTS WITH SEVERE KNEE OSTEOARTHRITIS.

Acta Ortop Bras 2020 Sep-Oct;28(5):229-232

Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brazil.

Objective: To evaluate the correlation between knee axis and hindfoot axis in patients with advanced gonarthrosis, and the association between ankle function and angular deformities.

Methods: 72 patients were enrolled in the study: 66% were women, and mean age was 58.7 years. Read More

View Article and Full-Text PDF
November 2020