539 results match your criteria Acta Ortopedica Brasileira[Journal]


EPIDEMIOLOGICAL PROFILE OF MOTORCYCLE ACCIDENT VICTIMS IN UNIVERSITY HOSPITAL.

Acta Ortop Bras 2020 Mar-Apr;28(2):97-99

Pontifícia Universidade Católica de Campinas, School of Medical Sciences, Campinas, SP, Brazil.

Objective: To evaluate the epidemiological profile of motorcycle accident victims in a metropolis with more than one million inhabitants attended in a university hospital of reference in 2017.

Methods: a retrospective study through the analysis of medical records of 105 motorcycle accident victims in Campinas (SP) attended in a university hospital of reference and who needed surgical procedure in 2017.

Results: 87 patients (82. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802230035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224324PMC

CHANGES IN THE LUMBAR VERTEBRAL SEGMENT RELATED TO THE CAGE POSITION IN TLIF TECHNIQUE.

Acta Ortop Bras 2020 Mar-Apr;28(2):92-96

Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia Ortopedia e Traumatologia, Ribeirão Preto, SP, Brazil.

Objective: To evaluate the morphological changes on the intervertebral foramen and segmental lordosis related to the transforaminal lumbar interbody fusion (TLIF) positioning.

Methods: PEEK cages were placed in the disc space (L1-S1) of a polyurethane anatomical model. Cages of different heights (8 mm, 10 mm, 12 mm and 14 mm) were positioned in the posterior, medial or anterior part of the vertebral body surface, and the intervertebral foramen and segmental lordosis heights were measured after their insertion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802224215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224316PMC

TREATMENT OF MIDSHAFT CLAVICLE FRACTURE WITH SUPERIOR PLATE PLACEMENT.

Acta Ortop Bras 2020 Mar-Apr;28(2):88-91

Istinye University, Faculty of Medicine, Orthopaedics Department, Istanbul, Turkey.

Objective: To evaluate the late clinical and radiological results of patients had locking plate anatomically compatible from superior surface and muscle cover on plate due to clavicle mid-region.

Materials And Methods: Forty patients were included retrospectively. Patients had a routine right shoulder anterior posterior graph after examination. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802226166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224320PMC

LATARJET PROCEDURE ON ANTERIOR SHOULDER INSTABILITY IN PROFESSIONAL SOCCER PLAYERS.

Acta Ortop Bras 2020 Mar-Apr;28(2):84-87

Universidade Federal de São Paulo, Paulista Medical School, São Paulo, SP, Brazil.

Anterior glenohumeral instability is a frequent cause of professional soccer players' removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly.

Objective: To assess professional soccer players treated by the Lartajet technique considering the rate and time of return to sports activities, complications or failures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802225433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224322PMC

FACTORS AFFECTING THE FUNCTIONAL OUTCOME OF OXFORD PHASE 3 UNICOMPARTMENTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2020 Mar-Apr;28(2):78-83

Acıbadem Bakırköy Hospital, Orthopaedics and Traumatology Department, Istanbul, Turkey.

Objective: To determine the factors that affect the functional outcome of Oxford Phase 3 unicompartmental knee arthroplasty (UKA).

Methods: We assessed a total of 52 UKA knees of 49 patients with a minimum follow-up of 2 years (24-72 months). We recorded the results for Range of motion (ROM) and body mass index (BMI) and the presence o patello-femoral arthrosis (PFA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802225137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224323PMC

ASSESSMENT OF THE USE OF TRANEXAMIC ACID AFTER TOTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2020 Mar-Apr;28(2):74-77

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

Objective: To evaluate the profile of blood loss and blood transfusions after the introduction of Tranexamic acid (TXA) in a tertiary university hospital in Brazil.

Methods: 173 patients were retrospectively divided into two groups: the ones who received TXA and the control group. Hemoglobin levels (Hb), drain output, transfusion rates, and thromboembolic events were measured. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802228410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224321PMC

MEASUREMENT OF PELVIC RETROVERSION DURING HIP FLEXION: EVALUATION WITH ACCELEROMETERS.

Acta Ortop Bras 2020 Mar-Apr;28(2):69-73

Universidade de São Paulo, Medical School of Ribeirão Preto, Graduate Program in Health Applied Sciences to the Locomotor System, Ribeirão Preto, SP, Brazil.

Objective: To quantify pelvic retroversion during clinical evaluation of hip flexion with accelerometers and to verify the reliability of these sensors to measure hip flexion.

Methods: An accelerometer was positioned laterally in the pelvis to measure pelvic retroversion. Another accelerometer was positioned anteriorly on the thigh to evaluate hip flexion amplitude. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801227237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224317PMC

RELATIONSHIP BETWEEN QUALITY OF LIFE AND RADIOLOGICAL PARAMETERS AFTER HALLUX VALGUS CORRECTION.

Acta Ortop Bras 2020 Mar-Apr;28(2):65-68

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

Objective: To evaluate the correlation between postoperative quality of life and the severity of hallux valgus deformity.

Methods: A total of 23 patients underwent moderate (n = 14) and severe (n = 9) hallux valgus (HV) surgical correction with the Scarf technique between January 2010 and December 2012. The mean follow-up time was 60 months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802225507DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224318PMC

PRE-PLANNING ANKLE ARTHRODESIS USING 3D RECONSTRUCTED TOMOGRAPHIES.

Acta Ortop Bras 2020 Mar-Apr;28(2):60-64

Universidade Federal do Ceará, Fortaleza, CE, Brazil.

Objective: To implement one analysis method of the ankle bone contour that could make a more precise ankle arthrodesis.

Methods: Twenty tomographies were submitted to 3D reconstruction. Seven points of anatomic interest for ankle arthrodesis with the three screws technique were marked with a triplannar marker. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802225457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224325PMC

COMPARING OUTCOMES OF THE ANKLE ARTHRODESIS BY USING TWO DIFFERENT MATERIALS VIA A TRANSFIBULAR APPROACH.

Acta Ortop Bras 2020 Mar-Apr;28(2):55-59

. Daejeon Sun Medical Center, Department of Orthopedic Surgery, Daejeon, Republic of Korea.

Objective: To compare clinical and radiologic results and complications of patients who underwent arthrodesis using a transfibular approach with either a cannulated screw or an anterior fusion plate.

Methods: Patients who underwent ankle arthrodesis were divided into two groups according to the used materials: 6.5 mm cannulated screw (A) and anterior fusion plate (B). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802223986DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224319PMC

THE 50 MOST CITED ARTICLES IN THE BRAZILIAN MEDICAL LITERATURE ON KNEE SURGERY.

Acta Ortop Bras 2020 Jan-Feb;28(1):44-48

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

Objective: To provide an analysis of the 50 most cited articles on knee surgery in the Brazilian medical literature.

Methods: This is a study of systematic review and meta-analysis, level of evidence 3. It was carried out through search in the SCOPUS database to identify scientific articles published in the Brazilian medical literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801224352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006532PMC
February 2020

EVALUATION OF PREDICTIVE FACTORS OF IN HOSPITAL MORTALITY IN PATIENTS WITH PROXIMAL FEMORAL FRACTURE.

Acta Ortop Bras 2020 Jan-Feb;28(1):40-43

Universidade de São Paulo, Medical School, Institute of Orthopedics and Traumatology, Geriatrics Group, São Paulo, SP, Brazil.

Objective: To investigate the existence of a causal association between orthopedic treatment and the occurrence of in hospital death.

Methods: 338 patients with proximal femoral fracture were evaluated, of whom 27 faced in hospital death. Patients who faced in hospital death (case group) were compared to patients who did not (control group) regarding exposure to risk factors prior to injury and factors related to orthopedic treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801215801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006536PMC
February 2020

INTER/INTRA-OBSERVER EVALUATION BETWEEN RADIOGRAPHS AND TOMOGRAPHIES FOR PROXIMAL HUMERUS FRACTURE.

Acta Ortop Bras 2020 Jan-Feb;28(1):36-39

Universidade Federal do Paraná, Hospital do Trabalhador, Department of Orthopedic Surgery, Curitiba, PR, Brazil.

Objective: The use of images in 3D reconstruction is an instrument that facilitates the interpretation of the fracture, observations of deviations, rotations and articular surface.

Objective: To evaluate the inter-observer and intra-observer reliability of the Neer x AO proximal humerus fracture classification on radiographs versus computed tomography with three-dimensional reconstruction (3D).

Methods: We evaluated the digital radiographs (anteroposterior and profile) and computerized tomography with 3D reconstruction of patients presenting with a proximal humerus fracture, surgically treated at an Orthopedics and Traumatology Service. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801215063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006533PMC
February 2020

EFFECT OF PLATELET-RICH PLASMA, FAT PAD AND DURAL MATRIX IN PREVENTING EPIDURAL FIBROSIS.

Acta Ortop Bras 2020 Jan-Feb;28(1):31-35

Aksaray University, Faculty of Medicine, Department of Ortopaedic and Traumatology, Aksaray, Turkey.

Objective: Epidural fibrosis is one of the main reasons for requiring repeated surgical intervention. Our objective was to compare the effect of Platelet Rich Plasma (PRP) on the development of epidural fibrosis with collagen dural matrix and free autogenous fat graft.

Methods: Male rats were separated into 3 groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801218823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006529PMC
February 2020

THE EPIDEMIOLOGY OF DEVELOPMENTAL DYSPLASIA OF THE HIP IN MALES.

Acta Ortop Bras 2020 Jan-Feb;28(1):26-30

Santa Casa de São Paulo, Pediatric Orthopedics and Traumatology Group, São Paulo, SP, Brazil.

Developmental Dysplasia of the Hip (DDH) is one of the most common orthopedic hip diseases of the pediatric population. There is a predominance in females and patients with known risk factors.

Objective: To evaluate the characteristics of DDH in a reference center and compare them with the literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801215936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006538PMC
February 2020

ASSESSMENT OF THE POSTERIOR APPROACH FOR SURGICAL TREATMENT OF SPINAL METASTATIC BREAST CANCER.

Acta Ortop Bras 2020 Jan-Feb;28(1):22-25

Universidade de São Paulo, Ribeirão Preto Medical School, Department of Biomechanics, Medicine and Rehabilitation of Locomotor, Ribeirão Preto, SP, Brazil.

Objective: To assess the clinical and radiological aspects of patients with spinal metastatic breast cancer who underwent surgical treatment by posterior approach.

Methods: This is a retrospective and descriptive study. Clinical assessment included the patient's sex, age, surgical treatment employed and complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801223529DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006534PMC
February 2020

TRENDS IN UNICOMPARTMENTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2020 Jan-Feb;28(1):19-21

Pamukkale University, Faculty of Medicine, Department of Orthopedics and Traumatology, Denizli, Turkey.

Objective: To evaluate trends in publications on unicompartmental knee arthroplasty (UKA) from the past to the present.

Methods: As a web-based analysis, all UKA research articles, editorial letters, case reports, reviews and meeting abstracts published on the Thomson Reuters' Web of Knowledge were evaluated. The period from the first publication in 1980 to January 2019 was divided into four decades and publications were evaluated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801222851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006530PMC
February 2020

EPIDEMIOLOGICAL STUDY OF TRAUMATIC BRACHIAL PLEXUS INJURIES.

Acta Ortop Bras 2020 Jan-Feb;28(1):16-18

Faculdade de Medicina do ABC, Hand Surgery and Microsurgery Service, Santo André, SP, Brazil.

Objective: To conduct an epidemiological study on brachial plexus injuries, through data collection of patients treated in the Hospital São Paulo, which is the referral center for high complexity in this region.

Methods: We conducted a retrospective study with a review of the electronic medical records of the Hospital, from August 2008 to June 2013.

Results: We estimated an 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801224507DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006531PMC
February 2020

HALLUX VALGUS ANATOMICAL ALTERATIONS AND ITS CORRELATION WITH THE RADIOGRAPHIC FINDINGS.

Acta Ortop Bras 2020 Jan-Feb;28(1):12-15

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

Objective: To describe the anatomical and pathological osteoarticular, muscular and tendinous variations in feet of cadavers with hallux valgus and to correlate them with the degree of radiographic deformity.

Methods: Dissections and radiographs were conducted in the feet of 22 cadavers with halux valgus, aged between 20 and 70 years. The feet affected were compared with 5 normal feet in order to document the anatomical and pathological, myotendinous and articular variations found. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801226897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006535PMC
February 2020

Effectiveness of shockwave therapy in the treatment of plantar fasciitis.

Acta Ortop Bras 2020 Jan-Feb;28(1):7-11

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

Objective: To evaluate the effectiveness of single-dose focal shockwave therapy in plantar fasciitis treatment.

Methods: a primary, prospective study of a series of cases, conducted in the city of São Paulo, Brazil, by the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo, in Hospital São Paulo. All outcomes were measured at the time of inclusion of the patient in the study and at the post-intervention moments as it follows: three, six and twelve weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202801227402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006537PMC
February 2020

QUALITY OF LIFE OF PATIENTS WITH SARCOMA AFTER CONSERVATIVE SURGERY OR AMPUTATION OF LIMBS.

Acta Ortop Bras 2019 Sep-Oct;27(5):276-280

Rede Sarah De Hospitais De Reabilitação, Brasília, DF, Brazil.

Objective: To conduct an integrative review on quality of life (QOL) of patients with sarcoma who underwent conservative surgery or limb amputation.

Methods: We conducted a six-step integrative review by searching the databases LILACS, SciELO, PePSIC, Embase, and PubMed, using the descriptors: "Quality of life", "Bone cancer", "Sarcoma", "Limb Salvage," and "Amputation." Ten studies were selected according to: database, type of study, methods, researcher's profession, sex, histological type, title, country/region, and periodical/year of publication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705219143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901157PMC
December 2019

A RETROSPECTIVE CASE-SERIES ON THE USE OF S53P4 BIOACTIVE GLASS FOR THE ADJUNCTIVE TREATMENT OF SEPTIC DIAPHYSEAL NON-UNION.

Acta Ortop Bras 2019 Sep-Oct;27(5):273-275

Universidade de São Paulo, Hospital das Clínicas - HCFMUSP, Faculdade de Medicina, Instituto de Ortopedia e Traumatologia, Reconstruction and Lengthening Group, São Paulo, SP, Brazil.

Objective: Non-union and persistence of infection at a fracture site for long periods are always described as a challenge to orthopedists, especially in cases of severe compound fractures with comminution and segmental bone loss. This is a case series of septic non-unions, using S53P4 bioactive glass for adjunctive treatment, using internal syntheses or external fixators. The objective is to retrospectively evaluate the results of the use of S53P4 bioglass for the adjunctive treatment of septic non-unions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705220540DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901156PMC
December 2019

QUALITY OF LIFE IN PATIENTS WHO HAVE UNDERGONE REVERSE SHOULDER ARTHROPLASTY.

Acta Ortop Bras 2019 Sep-Oct;27(5):269-272

Universidade Federal de São Paulo - UNIFESP, Department of Orthopedics and Traumatology, Centro de Traumato-Ortopedia do Esporte - CETE, São Paulo, SP, Brazil.

Objective: To evaluate the health-related quality of life (HRQoL) of patients who have undergone reverse shoulder arthroplasty (RSA) for rotator cuff arthropathy (RCA).

Methods: A retrospective study with 35 patients who underwent RSA from August 2007 to July 2015. We collected clinical data and applied the 36-item Short Form Health Survey (SF-36). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705222929DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901153PMC
December 2019

PREVALENCE OF POPEYE DEFORMITY AFTER LONG HEAD BICEPS TENOTOMY AND TENODESIS.

Acta Ortop Bras 2019 Sep-Oct;27(5):265-268

Universidade do Vale dos Sinos, Caxias do Sul, RS, Brazil.

Objective: To evaluate whether body mass index (BMI) 30 can be used as a cut-off point in decisions about whether or not to perform long head biceps (LHB) tenodesis, leading to a low rate of esthetic complaints, and to compare two tenodesis techniques.

Methods: Ninety-six patients underwent shoulder arthroscopy where tenotomy was performed separately in patients with a BMI ≥30 and was followed by tenodesis when BMI <30. The patients were assessed on the basis of their personal perception of the deformity and by 3 independent observers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705216649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901158PMC
December 2019

DISTAL HUMERAL FRACTURE: AN EPIDEMIOLOGICAL ANALYSIS OF ORTHOPEDIC PATIENTS FOR CHILDREN.

Acta Ortop Bras 2019 Sep-Oct;27(5):261-264

Hospital Dr Jesser Amarante Faria, Joinville, SC, Brazil.

Objective: To analyze the epidemiological profiles of children with orthopedic distal humerus fractures.

Methods: An analytical descriptive study was conducted with a retrospective approach using medical records of 665 orthopedic children who attended the Jesser Amarante Faria Children's Hospital, a reference hospital in the city of Joinville, Santa Catarina, between June 2012 and December 2016.

Results: The results showed a predominance of male patients (64. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705215825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901152PMC
December 2019

ASSESSING PSYCHOSOCIAL DISTRESS IN BONE METASTASES TREATED WITH ENDOPROSTHESIS.

Acta Ortop Bras 2019 Sep-Oct;27(5):257-260

Hospital Erasto Gaertner, Orthopedic Oncology Service, Curitiba, PR, Brazil.

Objective: To compare preoperative and early postoperative levels of psychosocial distress in patients undergoing bone metastasis treatment with endoprosthesis, evaluating its impact on quality of life.

Methods: Thirteen patients undergoing endoprosthetic treatment of bone metastasis were assessed at two time points: preoperatively and 30 days postoperatively. The tool used was the Distress Thermometer, a questionnaire for psychosocial screening developed by the National Comprehensive Cancer Network. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705220293DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901155PMC
December 2019

REVIEW OF TOTAL KNEE ARTHROPLASTY AND THE BRAZILIAN UNIFIED HEALTH SYSTEM: A NATIONAL PROBLEM.

Acta Ortop Bras 2019 Sep-Oct;27(5):252-256

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

Objectives: To analyze, through DATASUS data, the historical trend of revision of total knee arthroplasty (TKA) in the period between 2008-2016 and to relate them to demographic, regional and national aspects.

Methods: Elaboration of a historical series between the period 2008-2016, using the database of DATASUS, in the area of Health Information (TABNET). In order to calculate the incidence, the total number of TKA revisions and as denominator the total national, regional or state population for the period studied was used as numerator. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705196164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901150PMC
December 2019

PLATELET-RICH PLASMA (PRP) AND TRANEXAMIC ACID (TXA) APPLIED IN TOTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2019 Sep-Oct;27(5):248-251

Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brazil.

Objective: To evaluate the efficacy of platelet-rich plasma (PRP) and tranexamic acid (TXA) applied in total knee arthroplasty.

Methods: We selected and randomized 84 patients. TXA was applied in 23 patients, PRP in 20, and PRP in combination with TXA in 20. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705214417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901154PMC
December 2019

CHRONIC MONTEGGIA FRACTURE-DISLOCATION IN CHILDREN SURGICAL STRATEGY AND RESULTS.

Acta Ortop Bras 2019 Sep-Oct;27(5):244-247

Hospital do Trabalhador, Curitiba, PR, Brazil.

Objective: To report surgical techniques and results in the treatment of chronic Monteggia fracture-dislocation in children.

Methods: Six pediatric patients who had undergone a procedure involving the following 6 crucial surgical steps were retrospectively evaluated: 1- extended lateral approach, 2- fibrotic removal, 3-proximal ulnar osteotomy, 4- reduction of the radial head and transcapitellar temporary fixation, 5- ulnar fixation with a straight plate shaped according to the deformity generated by temporary fixation, and 6- transcapitellar Kirschner wire removal.

Results: Four patients were women, and four showed the right-sided compromise. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192705215273DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901151PMC
December 2019

BIOLOGICAL ENHANCEMENTS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.

Acta Ortop Bras 2019 Nov-Dec;27(6):325-330

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

The anterior cruciate ligament (ACL) is mostly responsible for providing knee stability. ACL injury has a marked effect on daily activities, causing pain, dysfunction, and elevated healthcare costs. ACL reconstruction (ACLR) is the standard treatment for this injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706226481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870547PMC
December 2019

CHRONIC CONSUMPTION OF ALCOHOL ADVERSELY AFFECTS THE BONE OF YOUNG RATS.

Acta Ortop Bras 2019 Nov-Dec;27(6):321-324

Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

Objective: To assess the effect of chronic alcohol consumption on the longitudinal growth of the tibia and bone quality parameters in young rats under an experimental setup.

Methods: The control (n=10) rats received only water. The ethanol (n=10) rats received ethyl alcohol at concentrations established in the protocol for the induction of chronic alcohol consumption. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706222834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870540PMC
December 2019

DEMOGRAPHIC ANALYSIS OF ACETABULAR FRACTURES TREATED IN A QUATERNARY CARE HOSPITAL FROM 2005 TO 2016.

Acta Ortop Bras 2019 Nov-Dec;27(6):317-320

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, São Paulo, SP, Brazil.

Objective: Analyze the clinical and sociodemographic data on acetabular fractures in a Brazilian quaternary care hospital and compare with data reported in the literature.

Methods: A descriptive, analytical cross-sectional epidemiological study analyzing 87 patients with acetabular fractures at Hospital São Paulo (UNIFESP/EPM) between 2005 and 2016. Demographic variables such as age, sex, occupation, educational level and color were investigated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706207042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870546PMC
December 2019

ANTEGRADE X RETROGRADE NAILING IN FEMORAL FRACTURES: A STUDY ON CONSOLIDATION AND INFECTION.

Acta Ortop Bras 2019 Nov-Dec;27(6):313-316

Irmandade da Santa Casa de Misericórdia de São Paulo, Grupo de Cirurgia do Trauma Ortopédico, São Paulo, SP, Brazil.

Objective: Osteosynthesis with intramedullary nailing is considered the method of choice to treat diaphyseal femur fractures in adults. The objective of this retrospective study was to evaluate the bone healing time and incidence of infection in patients with diaphyseal femur fractures treated surgically with retrograde and antegrade intramedullary nailing.

Methods: The medical records of 123 patients from two university hospitals dated 2011-2013 were evaluated, with 126 diaphyseal femur fractures having been found. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706218655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870539PMC
December 2019

SHOULDER ISOKINETIC PERFORMANCE IN HEALTHY PROFESSIONAL JUDO ATHLETES: NORMATIVE DATA.

Acta Ortop Bras 2019 Nov-Dec;27(6):308-312

Universidade Estadual de Campinas (Unicamp), Department of Orthopedics and Traumatology, Campinas, SP, Brazil.

Objective: To evaluate normative data of shoulder isokinetic strength in healthy professional judo athletes.

Methods: Cross-sectional study with 20 professional male and female athletes (10 female), evaluated with an isokinetic dynamometer. The strength assessment was carried out in external and internal rotation, flexion, extension, adduction and abduction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706223708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870544PMC
December 2019

ORTHOPEDIC ASSESSMENT OF THE HIPS IN NEWBORNS AFTER INITIAL PEDIATRIC SURVEY.

Acta Ortop Bras 2019 Nov-Dec;27(6):304-307

Santa Casa de Ribeirão Preto, Serviço de Ortopedia, Ribeirão Preto, SP, Brazil.

Objective: To analyze and follow-up patients previously selected by pediatricians at the time of birth who presented altered initial physical examination results to identify the pathological changes in their hips.

Methods: A prospective cohort study was conducted involving 34 newborns (68 hips) out of a total of 1273 live births; these infants were assessed within the first days of life as altered findings were noted in the initial examination by the pediatrician. The results of clinical and ultrasonographic examination performed using the GRAF method and of specific treatments were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706220630DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870545PMC
December 2019

TRANSFER OF THE RADIAL NERVE BRANCHES FOR THE TREATMENT OF THE ANTERIOR INTEROSSEOUS NERVE LESION: AN ANATOMICAL STUDY.

Acta Ortop Bras 2019 Nov-Dec;27(6):298-303

Pontifícia Universidade Católica de São Paulo, Faculdade de Ciências Médicas e da Saúde, São Paulo, Brazil.

Objective: This anatomical study aimed to analyze the possibility of transferring the radial nerve branches destined to the brachioradialis (BR), extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), and supinator (SM) muscles to innervate the AIN.

Methods: Ten limbs from five male cadavers were prepared by intra-arterial injection of a solution of 10% glycerol and formalin.

Results: The presence of only one branch to the BR muscle was noted in 7 limbs and two branches were noted in three limbs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706226097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870542PMC
December 2019

FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE.

Acta Ortop Bras 2019 Nov-Dec;27(6):294-297

Irmandade da Santa Casa de Misericórdia de São Paulo, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: To evaluate the functional outcome of patients with traumatic brachial plexus injury undergoing the Oberlin procedure.

Methods: Eighteen patients were assessed, comprising 17 men (94.4%) and 1 woman (5. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706224552DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870543PMC
December 2019

COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES.

Acta Ortop Bras 2019 Nov-Dec;27(6):288-293

Charles University, Faculty of Medicine in Pilsen, Department of Orthopaedics and Locomotive Apparatus Traumatology, Pilsen, Czech Republic.

Objective: This study compared groups of patients with calcaneal fractures of Sanders types II and III. One group was treated with ORIF using an LCP (plate), while the second was treated with a minimally invasive method using a C-Nail.

Methods: The study included 217 patients in the ORIF group and 19 patients in the minimally invasive nail osteosynthesis group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192706223193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6870541PMC
December 2019

BRAZILIAN CONSENSUS STATEMENT ON VISCOSUPPLEMENTATION OF THE KNEE (COBRAVI).

Acta Ortop Bras 2019 Jul-Aug;27(4):230-236

Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

Objective: The aim of this consensus statement on viscosupplementation is to serve as a reference document based on relevant literature and clinical experience in the treatment of knee osteoarthritis using an intra-articular injection of hyaluronic acid, covering key aspects such as clinical indications, effectiveness, and tolerability.

Methods: A multidisciplinary panel including two sports medicine physicians, six orthopedists, four physiatrists, and two rheumatologists were selected based on their clinical and academic experience of viscosupplementation. Sixteen statements were prepared and discussed, after which a vote was held. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704218616DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699386PMC
August 2019
8 Reads
0.156 Impact Factor

EVALUATION OF DISTAL FOREARM FRACTURES USING THE AO 2018 CLASSIFICATION.

Acta Ortop Bras 2019 Jul-Aug;27(4):220-222

Universidade Estadual de Campinas (UNICAMP), Hospital de Clínicas, Hand and Microsurgery Group, Campinas, São Paulo, SP, Brazil.

Objective: Distal forearm fractures are among the most common upper limb fractures in all ages, and many classifications have been proposed to describe them. Recently, a new version of AO/OTA classification was proposed. The aim of this study is to use the AO/OTA 2018 classification to report the epidemiology of distal forearm fractures in adults treated at a single center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704218467DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699379PMC
August 2019
2 Reads

MODIFIED STOPPA APPROACH FOR PELVIC AND ACETABULAR FRACTURE TREATMENT.

Acta Ortop Bras 2019 Jul-Aug;27(4):216-219

Department of Orthopaedics, Gansu Provincial Hospital of TCM, Lanzhou, China.

Objective: A retrospective review aims to investigate the operative methods and therapeutic effects of the modified Stoppa approach for treating pelvic and acetabular fractures.

Methods: 18 patients with acetabular fracture of the anterior column and pelvic anterior ring fracture underwent surgical treatment using the modified Stoppa approach. Some of the treatment was combined with the iliac fossa approach or rear K-L approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704188933DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699384PMC
August 2019
17 Reads

FUNCTIONAL INDEPENDENCE OF PEDIATRIC PATIENTS WITH MUCOPOLYSACCHARIDOSES.

Acta Ortop Bras 2019 Jul-Aug;27(4):212-215

Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, BA, Brazil.

Objective: To measure the functional independence to perform activities of daily living of pediatric patients diagnosed with mucopolysaccharidoses.

Methods: A descriptive cross-sectional study was carried out with the population of pediatric patients with a confirmed enzymatic diagnosis of mucopolysaccharidoses, enrolled in the Orthopedics outpatient clinic of a hospital in the State of Bahia. The data were collected between October 2016 and March 2017, based on the documentary analysis of the assessment forms used in the department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704187274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699381PMC

LONG-TERM RESULTS OF EXTREMITY SOFT TISSUE SARCOMAS LIMB-SPARING SURGERY AND RADIOTHERAPY.

Acta Ortop Bras 2019 Jul-Aug;27(4):207-211

Istanbul University-Cerrahpasa, Cerrahpasa Medical School, Radiation Oncology Department, Istanbul, Turkey.

Objective: To assess the prognostic factors and results of limb sparing surgery and postoperative radiotherapy (PORT) in patients with non-metastatic soft tissue sarcomas (STS) of the extremities.

Methods: Between 1980-2007, 114 extremity-located STS treated with PORT were analyzed retrospectively. Tumors were mostly localized in the lower extremities (71,9%). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704217574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699380PMC
August 2019
8 Reads

EXTRA-ARTICULAR RECONSTRUCTION ASSOCIATED WITH THE ANTERIOR CRUCIATE LIGAMENT IN BRAZIL.

Acta Ortop Bras 2019 Jul-Aug;27(4):202-206

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia (IOT/FMUSP), Knee Surgery Division, São Paulo, Brazil.

Objective: To assess the knowledge and technical preferences of Brazilian knee surgeons in relation to the treatment of Anterior Cruciate Ligament (ACL) injuries using intra-articular reconstruction in combination with extra-articular reconstruction.

Methods: A questionnaire consisting of 16 questions about intra-articular ACL reconstruction in combination with extra-articular procedures and about the Anterolateral Ligament (ALL) was applied at the 48 Brazilian Congress of Orthopedics.

Results: One hundred thirty-seven surgeons answered the questionnaire. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704192828DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699382PMC
August 2019
1 Read

DOES TOPICAL USE OF GENTAMICIN REDUCE THE INFECTION RATE IN PRIMARY TOTAL HIP ARTHROPLASTY?

Acta Ortop Bras 2019 Jul-Aug;27(4):197-201

Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Department of Biomechanics, Medicine and Rehabilitation of the Locomotive Apparatus, Ribeirão Preto, SP, Brazil.

Objective: To determine whether the topical use of gentamicin reduces periprosthetic joint infection rates in primary total hip arthroplasty (THA).

Methods: We retrospectively evaluated two cohorts of patients who underwent primary THA in a university hospital, with a minimum of 1-year postoperative follow-up and full clinical, laboratory, and radiological documentation. Patients who underwent operation in the first 59 months of the study period (263 hips) received only intravenous cefazolin as antibiotic prophylaxis (Cef group), and those who underwent operation in the following 43 months (170 hips) received intravenous cefazolin plus topical gentamicin directly applied on the wound as antibiotic prophylaxis (Cef + Gen group). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704219177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699383PMC
August 2019
3 Reads

IS OBESITY A RISK FACTOR FOR FREE VASCULARIZED FIBULAR FLAP COMPLICATIONS?

Acta Ortop Bras 2019 Jul-Aug;27(4):192-196

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (IOT/HCFMUSP), Instituto de Ortopedia e Traumatologia, Hand Surgery and Reconstructive Microsurgery Group, São Paulo, SP, Brazil.

Objective: Although our knowledge of bone reconstruction through microsurgery has increased, the vascularized fibula flap remains one of the most difficult free flap reconstructions to perform, and complications remain a challenge. The incidence of obesity is increasing and is associated with higher rates of free flap complications, which can lead to disastrous results. Since there is no consensus in literature regarding the influence of obesity on free flap outcomes in orthopedic surgeries that require segmental bone reconstruction, the objective of this study was to determine whether obesity increases the risk of post-operative complications (Clavien-Dindo grade III) after free vascularized fibular flap surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192704217444DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699385PMC

ANTEROLATERAL APPROACHES FOR PROXIMAL HUMERAL OSTEOSYNTHESIS: A SYSTEMATIC REVIEW.

Acta Ortop Bras 2019 May-Jun;27(3):178-182

Orthopedics and Traumatology Department, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

Objective: Anterolateral approaches for proximal humerus osteosynthesis have great advantages because they allow direct exposure of the lateral aspect of the humerus without the muscular retraction seen in the deltopectoral approach. However, much resistance is found among surgeons due to the potential risk of iatrogenic injury to the axillary nerve. To identify the incidence of axillary nerve iatrogenic lesions and evaluate the functional results of proximal humerus osteosynthesis with locking plates using anterolateral approaches. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192703215572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699402PMC

PROXIMAL HUMERAL FRACTURES TREATED WITH OSTEOSYNTHESIS USING THE ANTEROLATERAL APPROACH.

Acta Ortop Bras 2019 May-Jun;27(3):173-177

Orthopedics and Traumatology Department, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

Objective: The main surgical approach in proximal humeral fractures is the deltopectoral approach. Many surgeons avoid the anterolateral approach, fearing its complications, especially axillary nerve injury. The objective of this study is to evaluate shoulder function and complications in patients with proximal humeral fractures treated using an anterolateral approach with direct observation of the axillary nerve. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192703218226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699393PMC
August 2019
1 Read

SLAP IV IN OVERHEAD SPORTS PRACTICE.

Acta Ortop Bras 2019 May-Jun;27(3):169-172

Universidade Federal de São Paulo (UNIFESP), Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do esporte (CETE), São Paulo-SP, Brazil.

Superior labral tear from anterior to posterior (SLAP) is the most common disease in overhead sports practice.

Objective: to evaluate the functional outcome after tenodesis of long head biceps tendon (LHBT) in high-performance patients with isolated SLAP lesion refractory to conservative treatment.

Methods: Patients underwent the same open repair procedure, using an interference screw. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192703191478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699401PMC
August 2019
2 Reads

PROXIMAL HUMERUS FRACTURE WITH LOCKING PLATE: FUNCTIONAL AND RADIOGRAPHIC RESULTS.

Acta Ortop Bras 2019 May-Jun;27(3):164-168

Shoulder and Elbow Group, Orthopedics and Traumatology Service, Hospital do Servidor Público Estadual de São Paulo (SOT/HSPE), São Paulo, SP, Brazil.

Objective: To correlate the functional outcome and radiographic indices of proximal humerus fractures treated with locking plate.

Methods: Seventy patients with proximal humerus fractures treated with locking plate, with mean follow-up of 30 months. These patients were analyzed for the score of the University of California, Los Angeles (UCLA) for the operated shoulder, range of motion measurements and radiography of both shoulders. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220192703142049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699399PMC
August 2019
1 Read
0.156 Impact Factor