665 results match your criteria Acta Ortopedica Brasileira[Journal]


ORTHOPAEDIC TELEMEDICINE SERVICES DURING THE CURRENT NOVEL CORONAVIRUS PANDEMIC.

Acta Ortop Bras 2022 28;30(1):e252138. Epub 2022 Jan 28.

. Prevent Senior, Orthopaedics and Traumatology Group, São Paulo, São Paulo, Brazil.

Introduction: To evaluate the use of telemedicine by physicians specializing in orthopaedics and traumatology at the authors' institution, and to assess the rates of satisfaction and resolution for this type of care. The current global coronavirus disease 2019 (COVID-19) pandemic has resulted in the expansion of telemedicine services. However, quality measures and barriers for physicians dealing with the rapid increase in patients have not been well described. Read More

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January 2022

HYLAN G-F 20 VERSUS TRIAMCINOLONE IN THE TREATMENT OF PRIMARY SHOULDER OSTEOARTHRITIS. RANDOMIZED TRIAL.

Acta Ortop Bras 2022 28;30(1):e244410. Epub 2022 Jan 28.

. Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), Sports Trauma Center, São Paulo, Brazil.

Introduction: The aim of this study was to evaluate the effect of using an intra-articular injection of hylan G-F 20 (HA group) on primary shoulder osteoarthritis compared with an intra-articular triamcinolone injection (T group).

Materials And Methods: The patients were randomized into 2 groups: in the HA group a single dose of intra-articular hylan G-F 20 was administered and in the T control group a dose of triamcinolone 20 mg was administered. The participants were evaluated at 1 week, 1, 3, and 6 months after the procedure. Read More

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January 2022

THE ROUND LIGAMENT IN DEVELOPMENTAL HIP DYSPLASIA: ARE ITS MECHANICAL AND HISTOLOGICAL PROPERTIES PRESERVED?

Acta Ortop Bras 2022 28;30(1):e235808. Epub 2022 Jan 28.

. Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Department of Surgery and Orthopedics, Botucatu, SP, Brazil.

Introduction: During open surgical dislocated hip reduction, several anatomical structures, such as the round ligament, are approached. However, there is controversy over both the possibility of preserving the ligament and its functional importance.

Materials And Methods: This experimental study used skeletally immature rabbits as a model for congenital hip dislocation. Read More

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January 2022

THE RESULTS OF A COMPARISON OF A BRAZILIAN AND AN IMPORTED KNEE PROSTHESIS - 5 YEARS OF FOLLOW-UP.

Acta Ortop Bras 2022 28;30(1):e253870. Epub 2022 Jan 28.

. Hospital Evangélico de Londrina,PR, Brazil.

Introduction: To compare the functional results, satisfaction rates, and revisions of total knee arthroplasties performed by the same surgical team using either Brazilian or imported implants, with a minimum follow-up of 5 years after surgery.

Materials And Methods: A retrospective cohort study analyzing the medical records and interviews of patients who underwent total knee arthroplasty with Brazilian or imported implants with a minimum of 5 years after surgery.

Results: One hundred and fifty patients were evaluated (164 knees). Read More

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January 2022

SURGICAL TREATMENT FOR RHIZARTHROSIS: A SYSTEMATIC REVIEW OF THE LAST 10 YEARS.

Acta Ortop Bras 2022 28;30(1):e246704. Epub 2022 Jan 28.

. Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão, Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brasil.

Introduction: Comparison of different surgical techniques to treat patients with rhizarthrosis or carpometacarpal osteoarthritis of the thumb.

Materials And Methods: A systematic review was conducted using three electronic databases. Randomized, controlled trials in patients who underwent surgery for the treatment of rhizarthrosis were included. Read More

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January 2022

PELVIC INCIDENCE AND OSTEITIS PUBIS IN PROFESSIONAL SOCCER PLAYERS.

Acta Ortop Bras 2022 28;30(1):e244380. Epub 2022 Jan 28.

. Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP- EPM), Diagnostic Imaging Department (DDI), São Paulo, Brazil.

Introduction: Osteitis pubis is a common inflammatory disease of the pubic symphysis, defined as a chronic pain syndrome caused by repetitive microtrauma. Since adaptative changes are necessary in the pelvis to adjust the equilibrium of the myotendinous structures, the aim of this study was to evaluate the correlation between pelvic incidence and osteitis pubis among professional soccer players.

Materials And Methods: An observational, cross-sectional study was performed with professional soccer players from five teams during pre-season. Read More

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January 2022

EFFECT OF TRANEXAMIC ACID ON FRACTURE HEALING IN RATS.

Acta Ortop Bras 2022 28;30(1):e245670. Epub 2022 Jan 28.

. Haseki Training and Research Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.

Introduction: In this study we investigated the effect of tranexamic acid (TXA) on fracture healing in an established animal model, when used to stop bleeding in orthopedic trauma surgery.

Materials And Methods: This study was a randomized, controlled, laboratory study. Eighteen Sprague-Dawley rats were randomly assigned to three groups, either receiving TXA intravenously (Group 1), TXA topically (Group 2), or isotonic TXA intravenously and TXA topically in the same amounts for the control group (Group 3). Read More

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January 2022

COVID-19 AND UPPER LIMB ANOMALIES IN NEWBORNS: A REASON FOR CONCERN?

Acta Ortop Bras 2022 28;30(1):e252308. Epub 2022 Jan 28.

. Universidade Federal de São Paulo, Escola Paulista de Medicina, Department of Orthopedic Surgery, Hand Surgery Unit, São Paulo, SP, Brazil.

The relationship between viral infection in pregnancy and congenital anomalies is reported in the medical literature. The risks for the SARS-CoV-2 virus interfering with implantation, growth, and fetal development are not yet known. Many drugs with potential teratogenic risk are being used for treatment. Read More

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January 2022

A NEW FLUOROSCOPY TECHNIQUE FOR SUPRACONDYLAR HUMERUS FRACTURES.

Acta Ortop Bras 2022 28;30(1):e246231. Epub 2022 Jan 28.

. Maltepe University, Orthopedics and Traumatology, Istanbul, Turkey.

Introduction: To compare two different intraoperative fluoroscopy techniques used for closed reduction and percutaneous pinning (CRPP) in pediatric patients with supracondylar humerus fractures (SHF).

Materials And Methods: Thirty-six patients who underwent SHF surgery from May 2011 to June 2019 were included in the study. During surgery, the classical fluoroscopy method (CFM) was used in 21 patients and the new fluoroscopy method (NFM) was used in the remaining 15 patients. Read More

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January 2022

PERCUTANEOUS ENDOSCOPIC LUMBAR INTERBODY FUSION: RESULTS OVER 47 MONTHS OF FOLLOW-UP.

Acta Ortop Bras 2022 28;30(1):e249489. Epub 2022 Jan 28.

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

Introduction: This study aims to investigate the clinical-functional results of a new surgical technique, Percutaneous Endoscopic Lumbar Interbody Fusion (PELIF), in patients with a clinical diagnosis of low back or sciatic pain and segmental instability who were submitted to surgery using this technique assisted by the attending physician.

Materials And Methods: Patients completed a consent form and were clinically and radiographically re-assessed by independent evaluators using the visual analog scale (VAS) for pain, the Oswestry Disability Index (ODI), and the SF-36 Quality of Life Score in the pre- and postoperative periods. Their medical records were also reviewed for surgical time, length of hospital stay, need for blood transfusion, return to work, and radiographic fusion evaluation. Read More

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January 2022

RADIOCARPAL FRACTURE DISLOCATIONS: A NEW CLASSIFICATION AND TREATMENT PROPOSAL.

Acta Ortop Bras 2022 28;30(1):e248404. Epub 2022 Jan 28.

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

Introduction: The radiographic and surgical findings, and treatment of radiocarpal fracture dislocations, were analyzed retrospectively in 40 patients.

Materials And Methods: All patients were classified according to Dumontier´s radiological classification and compared with the surgical findings. Based on this analysis, a new classification and treatment are proposed. Read More

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January 2022

DOES ULNA FIXATION ALTER THE OUTCOME FOR DISTAL-THIRD FOREARM FRACTURES IN CHILDREN?

Acta Ortop Bras 2022 28;30(1):e250848. Epub 2022 Jan 28.

. Universidade Federal do Ceará, Hospital Universitário Walter Cantídio, Department of Orthopedics, Fortaleza, Ceará, Brazil.

Introduction: Fractures of the distal third of the forearm are common in the pediatric population. Conservative treatment of an ipsilateral fracture of the distal ulna metaphysis is one of the risk factors for loss of reduction. Percutaneous fixation of the fracture with K-wires is recommended. Read More

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January 2022

THE POLYMORPHISM OF METALLOPROTEINASES 1 AND 13 AND POSTTRAUMATIC ELBOW STIFFNESS.

Acta Ortop Bras 2022 28;30(1):e253503. Epub 2022 Jan 28.

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

Introduction: To evaluate the relationship between the genetic polymorphism of matrix metalloproteinases 1 and 13 and posttraumatic elbow stiffness, as well as the association of other risk factors with this condition.

Materials And Methods: We evaluated 20 patients with posttraumatic elbow stiffness and 12 controls with traumatic elbow disorders without contracture. Deoxyribonucleic acid (DNA) was obtained from buccal mucosa epithelial cells of the volunteers. Read More

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January 2022

A NEW ANATOMICAL PLATE FOR EXTRA-ARTICULAR DISTAL HUMERAL FRACTURES: BIOMECHANICAL STUDY.

Acta Ortop Bras 2022 28;30(1):e248473. Epub 2022 Jan 28.

. Turkey Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

Introduction: We compared the mechanical properties of two fixation techniques for the treatment of extra-articular distal third humeral fractures.

Materials And Methods: Two groups were created from twenty-four humeri. Group 1 was instrumented using a new, precontoured, 8-hole (3. Read More

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January 2022

ISOLATED CAPITELLAR FRACTURE FIXATION WITH HEADLESS SCREWS IN DIFFERENT CONFIGURATIONS.

Acta Ortop Bras 2022 28;30(1):e244357. Epub 2022 Jan 28.

. University of Health Sciences Turkey, Metin Sabancı Baltalimani Bone Diseases Teaching and Research Hospital, Department of Hand and Upper Extremity Surgery, Istanbul, Turkey.

Introduction: We evaluated the clinical and radiological outcomes of capitellar fractures treated with modified screw insertion (inserting the first fixation screw anteroposteriorly and the second screw posteroanteriorly), a technique that can be applied with a minimally invasive lateral elbow approach.

Materials And Methods: Twenty-one isolated capitellum fractures that were surgically treated were included in the study. Fixation was achieved with two headless cannulated compression screws placed in anteroposterior and posteroanterior order using the modified lateral elbow approach. Read More

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January 2022

COMPARISON OF SINGLE- AND DOUBLE-PLATE FIXATION TECHNIQUES IN THE TREATMENT OF NONUNIONS OF THE HUMERAL SHAFT.

Acta Ortop Bras 2022 28;30(1):e240181. Epub 2022 Jan 28.

. Dokuz Eylül University Hospital, Department of Orthopedics and Traumatology, Izmir, Turkey.

Introduction: Humerus shaft fractures may be treated conservatively or surgically. In 2.5% to 13% of cases, nonunion is observed, and it leads to severe pain and morbidity. Read More

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January 2022

ERRATUM.

Authors:

Acta Ortop Bras 2021 Nov-Dec;29(6):341

[This corrects the article DOI: 10.1590/1413-785220212901242784.]. Read More

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December 2021

HETEROTOPIC OSSIFICATION IN ACETABULAR FRACTURES: SYSTEMATIC REVIEW AND META-ANALYSIS OF PROPHYLAXIS.

Acta Ortop Bras 2021 Nov-Dec;29(6):331-340

Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brasil.

Objective: Heterotopic ossification is defined as the formation of trabecular bone in soft tissues. It is a common complication after surgical treatment of acetabular fractures. However, its prophylaxis and treatment are still controversial. Read More

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October 2020

KNEE INJURIES PREVALENCE IN BRAZILIAN JIU-JITSU: EPIDEMIOLOGICAL STUDY.

Acta Ortop Bras 2021 Nov-Dec;29(6):327-330

Federal University of Triângulo Mineiro, Research Group on Human Performance and Sport, Graduate Program in Physical Education, Uberaba, MG, Brazil.

Objective: To evaluate the epidemiological and clinical characteristics of knee injuries in Brazilian Jiu-Jitsu (BJJ) practitioners.

Methods: Cross-sectional study, using a mixed questionnaire, based on the Referred Morbidity Index.

Results: 198 amateur and professional BJJ fighters, of both sexes, aged between 18 and 60 years, participated in the study. Read More

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TREATMENT OF TRIPLANE FRACTURE ANKLE FRACTURES ASSOCIATED WITH IPSILATERAL TIBIAL FRACTURES USING A NOVEL APPROACH.

Acta Ortop Bras 2021 Nov-Dec;29(6):323-326

Hospital do Trabalhador, Curitiba, PR, Brazil.

Objective: The aim of this study is to purpose a novel approach to the concomitant triplanar and tibial shaft fracture.

Methods: Retrospective study between 2001 and 2019. We collected the patients' general information, clinical and radiographic data, and complications after the following three-step treatment: (1) fixation of the Salter-Harris II fracture of the triplane fracture, (2) fixation of the Salter-Harris II/IV fracture with cannulated screws, and (3) fixation of the tibial fracture with flexible titanium nails. Read More

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THE EFFECTS OF NEUROMUSCULAR ELECTRICAL STIMULATION IN ASSOCIATION WITH WHEY PROTEIN SUPPLEMENTATION AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION.

Acta Ortop Bras 2021 Nov-Dec;29(6):316-322

Federal University of Alfenas, Institute of Motricity Science, Alfenas, MG, Brazil.

Objective: To analyze the effects of neuromuscular electrical stimulation of the femoral quadriceps associated or not with whey protein supplementation on the electromyographic activity and body mass distribution in volunteers undergoing anterior cruciate ligament reconstruction.

Methods: 24 volunteers were randomly divided into three groups: basal control, whey protein in association with neuromuscular electrical stimulation, and neuromuscular electrical stimulation alone.

Results: In the postoperative evaluation, during the mini squat, the basal group showed a decrease in the electromyographic activity of the vastus medialis (p = 0. Read More

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INTRAARTICULAR EPSILON AMINOCAPROIC ACID VERSUS TRANEXAMIC ACID IN TOTAL KNEE ARTHROPLASTY.

Acta Ortop Bras 2021 Nov-Dec;29(6):312-315

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

Objective: To examine and compare the clinical efficacy of intraarticular epsilon aminocaproic acid (EACA) and tranexamic acid (TXA) in total knee arthroplasty (TKA).

Methods: This study was a prospective, single-center, double-blinded randomized controlled trial, including sixty patients with osteoarthritis of the knee divided into two groups of 30 patients. In the TXA group, 1 g of TXA (0. Read More

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DOES PARTIAL MENISCECTOMY AFFECT ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION RESULTS?

Acta Ortop Bras 2021 Nov-Dec;29(6):308-311

Hospital Ortopédico e Medicina Especializada, Instituto de Pesquisa e Ensino, Brasília, DF, Brazil.

Objective: To compare the application of partial meniscectomy concomitant with primary ACL reconstruction, using the graft from the patellar tendon with individuals who underwent only ACL reconstruction, in clinical functional criteria and degree of osteoarthritis (OA), after 10 years of the surgical process.

Methods: This is a retrospective cross-sectional study with 37 patients who underwent ACL reconstruction with a graft from the patellar tendon, associated or not with partial meniscectomy, divided into 2 groups: with meniscal injury (n = 22) and without meniscal injury (n = 15). Anthropometric data and four outcome measures were used to analyze the results: SF-36 questionnaire, arc of motion assessment, Knee injury and Osteoarthritis Outcome Score (KOOS), and Ahlbäck Radiographic Classification. Read More

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October 2020

THE USE OF ANTIFIBRINOLYTICS IN HIP TRAUMA SURGERY IN A PUBLIC HEALTH SYSTEM: A PROSPECTIVE STUDY.

Acta Ortop Bras 2021 Nov-Dec;29(6):304-307

Hospital Geral de Fortaleza, Serviço de Ortopedia/Traumatologia, Fortaleza, Ceará, Brazil.

Objective: To evaluate the use of tranexamic acid (TXA) and ε-aminocaproic acid (EACA) in reducing blood loss in hip and proximal femur trauma surgery.

Methods: Prospective study with 49 patients surgically treated in a trauma hospital between Nov/2015 and Feb/2017. The patients were divided in two groups: TXA (n = 24) and EACA (n = 25). Read More

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October 2020

POSTERIOR VERSUS ANTERIOR APPROACH TO TOTAL HIP ARTHROPLASTY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS.

Acta Ortop Bras 2021 Nov-Dec;29(6):297-303

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

Objective: To perform a systematic review and meta-analysis to compare clinical and surgical outcomes of posterior anterior approach to primary total hip arthroplasty (THA).

Methods: This study followed the standard methodology established by the Cochrane Handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two independent reviewers searched for randomized controlled trials comparing posterior an anterior approach to primary THA with at least one quantifiable functional outcome published in the PubMed, Cochrane, and Virtual Health Library databases. Read More

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October 2020

EFFECTIVENESS OF DEEP VENOUS THROMBOSIS PREVENTION IN TOTAL HIP ARTHROPLASTY.

Acta Ortop Bras 2021 Nov-Dec;29(6):293-296

Ifor Hospital, Institute of Fractures, Orthopedics and Rehabilitation, São Bernardo do Campo, SP, Brazil.

Objective: To determine the efficacy of Deep Venous Thrombosis (DVT) prophylaxis protocol in patients undergoing total hip arthroplasty (THA), and to verify differences in the rates of this complication when comparing primary replacement surgeries with revision surgeries.

Methods: We conducted a retrospective study of patients operated between 2012 and 2018, with inclusion and non-inclusion criteria determined by the researchers. A protocol was created to compile data including 92 patients, amounting to 110 operated hips, divided by gender, age, laterality, among other criteria. Read More

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September 2020

THE IMPACT OF COVID-19 ON THE ORTHOPEDIC CARE SYSTEM IN A PRIVATE HOSPITAL.

Acta Ortop Bras 2021 Nov-Dec;29(6):289-292

IFOR Hospital, Rede D'Or São Luiz, São Bernardo do Campo, SP, Brazil.

Objective: To evaluate and compare the patient flow in the emergency department and the number of surgeries performed, as well as to determine the incidence of diseases due to the impact generated by the pandemic in April, May, June, and July 2020.

Methods: This is a retrospective cross-sectional study that analyzed medical records using the TASY Phillips software. The 2019 information was compiled and served as a basis accomplish our comparative analyses. Read More

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November 2020

FROM GARRINCHA'S LEGS TO NEYMAR'S LEGS: THE GENU VARUM AND VALGUM IN SOCCER. HISTORICAL OVERVIEW AND UPDATE.

Acta Ortop Bras 2021 Sep-Oct;29(5):277-282

Hospital das Clínicas da Faculdade de Medicina de Marília, Serviço de Ortopedia e Traumatologia, Marília, SP, Brazil.

The presence of abnormalities in knee alignment (genu varum and genu valgum) is extremely common in soccer. It can occur in the junior league / youth academy and perpetuate itself throughout the professional career. The consequences of years of high-level sports practice in players with genu varum / genu valgum can be harmful to the knees. Read More

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BENEFITS OF THE WALANT TECHNIQUE AGAINST THE COVID-19 PANDEMIC.

Acta Ortop Bras 2021 Sep-Oct;29(5):274-276

Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Objective: Evaluate the experience of private and public health services with the WALANT procedure in the COVID-19 pandemic.

Methods: This is a retrospective, multicenter longitudinal study gathering cases of hand surgery subjected to the WALANT technique in the Hospitals Dr. Radamés Nardini and IFOR during the COVID-19 pandemic (August 2020). Read More

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October 2020

EXTRACORPOREAL SHOCKWAVE THERAPY IN SHOULDER INJURIES: PROSPECTIVE STUDY.

Acta Ortop Bras 2021 Sep-Oct;29(5):268-273

Orthopedics and Traumatology Group of Prevent Senior, São Paulo, SP, Brazil.

Objective: To evaluate the functional results after the use of extracorporeal shockwave therapy (ESWT) in four groups of patients: tendinopathy, partial rotator cuff injury, adhesive capsulitis and calcareous tendinopathy of the rotator cuff at one month and three months after the end of treatment.

Methods: Case series in which patients were evaluated according to the VAS of pain, range of motion of the shoulder, and functional questionnaires DASH and modified UCLA.

Results: There was a significant increase in the measure of flexion, lateral rotation and shoulder abduction in the evaluations after treatment in relation to the baseline measurement (p < 0. Read More

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