Revista Brasileira de Ortopedia (English Edition)最新文献_第10页

Relationship between obesity, sarcopenia, sarcopenic obesity, and bone mineral density in elderly subjects aged 80 years and over 80岁及以上老年人肥胖、肌少症、肌少性肥胖与骨密度的关系

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-05-01 DOI: 10.1016/j.rboe.2017.09.002

Vanessa Ribeiro dos Santos , Diego Giulliano Destro Christofaro , Igor Conterato Gomes , Ismael Forte Freitas Júnior , Luís Alberto Gobbo

{"title":"Relationship between obesity, sarcopenia, sarcopenic obesity, and bone mineral density in elderly subjects aged 80 years and over","authors":"Vanessa Ribeiro dos Santos , Diego Giulliano Destro Christofaro , Igor Conterato Gomes , Ismael Forte Freitas Júnior , Luís Alberto Gobbo","doi":"10.1016/j.rboe.2017.09.002","DOIUrl":"10.1016/j.rboe.2017.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study sought to analyze the relationship between the components and aggravations of body composition (obesity, sarcopenia, and sarcopenic obesity) and bone mineral density in elderly subjects aged ≥80 years.</p></div><div><h3>Methods</h3><p>A cross-sectional study design was utilized to assess 128 subjects aged between 80 and 95 years. Body composition and bone mineral density were measured by dual energy X-ray absorptiometry. Gait speed was assessment by walking test. The statistical analyses included Spearman's correlation, one-way analysis of variance, the chi-squared test, and binary logistic regression analysis.</p></div><div><h3>Results</h3><p>The elderly subjects with sarcopenia had lower bone mineral density compared to the obesity group, with higher risk for presence of osteopenia/osteoporosis in the spine (OR: 2.81; CI: 1.11–7.11) and femur (OR: 2.75; CI: 1.02–7.44). Obesity was shown to be a protective factor for osteopenia/osteoporosis in the spine (OR: 0.43; CI: 0.20–0.93) and femur (OR: 0.27; CI: 0.12–0.62).</p></div><div><h3>Conclusion</h3><p>It was found that lean mass is more directly related to bone mineral density (total, femur, and spine) and sarcopenia is associated with osteopenia/osteoporosis. Obesity represents a possible protective factor for osteopenia/osteoporosis in elderly subjects aged 80 years and over.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 3","pages":"Pages 300-305"},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36214391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial 初次全髋关节置换术后使用闭合吸引引流:一项前瞻性随机对照试验

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2018.01.001

Lorenzo Fagotti, Leandro Ejnisman, Helder de Souza Miyahara, Henrique de Melo Campos Gurgel, Alberto Tesconi Croci, Jose Ricardo Negreiros Vicente

{"title":"Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial","authors":"Lorenzo Fagotti, Leandro Ejnisman, Helder de Souza Miyahara, Henrique de Melo Campos Gurgel, Alberto Tesconi Croci, Jose Ricardo Negreiros Vicente","doi":"10.1016/j.rboe.2018.01.001","DOIUrl":"10.1016/j.rboe.2018.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate drain use in a controlled population of patients with hip osteoarthritis undergoing primary total hip arthroplasty.</p></div><div><h3>Methods</h3><p>This prospective controlled trial evaluated 93 patients randomized into two groups: a group that received drains and a group that did not. The patients who were randomized to the drain group used a 3.2mm drain placed under the fascia that was kept in place for 24h. Postoperative evaluations were performed after 24h and then three, six, and 12 weeks after total hip arthroplasty. The primary outcome was perioperative blood loss in both groups 24h after total hip arthroplasty. The other parameters that were evaluated included mid-thigh circumference, the rate of blood transfusion, hematocrit, inflammatory serum levels, and the Harris Hip Score.</p></div><div><h3>Results</h3><p>The clinical and laboratory data revealed no differences between the study groups with respect to blood loss and need for blood transfusion, duration of hospital stay, reoperation rate, complications, inflammatory serum markers, and the Harris Hip Score. Patients without closed suction drainage reported higher pain levels after 24h (VAS score 1 vs. 2, <em>p</em>  <!-->0.01).</p></div><div><h3>Conclusion</h3><p>Similar clinical and laboratory outcomes were found in both cohorts.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 236-243"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2018.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Forgotten Joint Score – Portuguese translation and cultural adaptation of the instrument of evaluation for hip and knee arthroplasties 被遗忘的关节评分-髋关节和膝关节置换术评估工具的葡萄牙语翻译和文化适应

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2018.02.006

Marcio de Castro Ferreira , Gilvânia Silva , Flavio Fereira Zidan , Carlos Eduardo Franciozi , Marcus Vinicius Malheiros Luzo , Rene Jorge Abdalla

{"title":"Forgotten Joint Score – Portuguese translation and cultural adaptation of the instrument of evaluation for hip and knee arthroplasties","authors":"Marcio de Castro Ferreira , Gilvânia Silva , Flavio Fereira Zidan , Carlos Eduardo Franciozi , Marcus Vinicius Malheiros Luzo , Rene Jorge Abdalla","doi":"10.1016/j.rboe.2018.02.006","DOIUrl":"10.1016/j.rboe.2018.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>To translate and adapt culturally to Brazilian Portuguese the Forgotten Joint Score (FJS) patient-reported outcome questionnaire.</p></div><div><h3>Methods</h3><p>Forty-five patients in the postoperative period (3–12 months) of total knee and hip arthroplasty were asked to answer the Br FJS questionnaire, translated into Portuguese based on the guidelines of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR).</p></div><div><h3>Results</h3><p>Twenty-three patients completed the questionnaire correctly, suggesting changes when pertinent. In the first round of answers, it was observed that 20% had difficulty in understanding the expression “joint awareness.” In further harmonization of the questionnaire, it was decided to change the term “awareness” for “remember.” After this change no difficulty was observed in understanding for more than 85% of patients.</p></div><div><h3>Conclusion</h3><p>The FJS questionnaire was translated and culturally adapted to Brazilian Portuguese. Additional studies are underway to compare the reproducibility and validity of the Brazilian translation to other questionnaires already established for the same outcome.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 221-225"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2018.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36230453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Bilateral knee dislocation with associated bilateral popliteal arterial injury 双侧膝关节脱位伴双侧腘动脉损伤

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2017.03.010

Diogo Lino Moura , José Pedro Marques , Pedro Matos , Luís Antunes , Óscar Gonçalves , António Albuquerque

引用次数: 3

Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods 肱骨干骨折手术治疗的评价及手术固定方法的比较

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2017.03.015

Felipe Fernandes Gonçalves , Leonardo Dau , Cristiano Antonio Grassi , Fabiano Rogério Palauro , Ayrton Andrade Martins Neto , Patrícia Caroline Gapski Pereira

{"title":"Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods","authors":"Felipe Fernandes Gonçalves , Leonardo Dau , Cristiano Antonio Grassi , Fabiano Rogério Palauro , Ayrton Andrade Martins Neto , Patrícia Caroline Gapski Pereira","doi":"10.1016/j.rboe.2017.03.015","DOIUrl":"10.1016/j.rboe.2017.03.015","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study is to analyze the surgical results of humeral shaft fracture treatment and describe its epidemiology.</p></div><div><h3>Methods</h3><p>Retrospective study that identified all patients treated with surgical fixation of humeral shaft fractures between December of 2014 and June of 2016 in a trauma reference center. All medical records were reviewed in search of epidemiological data referent to the trauma and post-operative results, including radiographic healing of the fracture and related complications.</p></div><div><h3>Results</h3><p>Fifty-one patients were included, mostly male (78.4%), with an average age of 35.02 years. The most common trauma mechanism was a traffic accident (56.9%) followed by same-level falls (17.6%). No statistically significant difference was found between healing time comparing surgical fixation techniques, including open reduction and internal fixation, minimally invasive technique, intramedullary nailing, and external fixation.</p></div><div><h3>Conclusion</h3><p>Although each technique has inherent advantages and disadvantages, all fixation methods proved to be adequate options for the surgical treatment of humeral shaft fractures with high rates of healing and low rates of post-operative complications.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 136-141"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2017.03.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Evaluation of benefits and accuracy of a mobile application in planning total knee arthroplasties 评估全膝关节置换术中移动应用程序的益处和准确性

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2018.02.011

João Bosco Sales Nogueira , Abrahão Cavalcante Gomes de Souza Carvalho , Edgar Marçal de Barros Filho , Leonardo Heráclio do Carmo Araújo , Marcelo José Cortez Bezerra , Marco Kawamura Demange

{"title":"Evaluation of benefits and accuracy of a mobile application in planning total knee arthroplasties","authors":"João Bosco Sales Nogueira , Abrahão Cavalcante Gomes de Souza Carvalho , Edgar Marçal de Barros Filho , Leonardo Heráclio do Carmo Araújo , Marcelo José Cortez Bezerra , Marco Kawamura Demange","doi":"10.1016/j.rboe.2018.02.011","DOIUrl":"10.1016/j.rboe.2018.02.011","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the usefulness of an application when planning total knee arthroplasties (TKA), besides the accuracy when measuring the anatomical-mechanical femoral angle (AMFA), comparing, also, the time spent during planning a TKA manually and by using the application.</p></div><div><h3>Methods</h3><p>An interdisciplinary team involving health and computer science areas established activities in order to develop the application. After development, 24 physicians underwent an application usability test. Each one planned a primary total knee arthroplasty (TKA) initially, in a conventional manner and then by using the application. Data concerning AMFA measurement and time spent during planning were collected, in both manners. The Mann–Whitney and Wilcoxon tests were used to evaluate statistical significance related to angle and time.</p></div><div><h3>Results</h3><p>Users considered it important checking AMFA and drawing the bone cut lines orthogonal to the mechanical axis, when planning TKAs. They also assessed that the application could be useful for training surgeons and for specialists. There was no statistically significant difference between the AMFA, as measured by the application and by the conventional manner. The planning time was shorter when the application was used (39% of the time spent manually).</p></div><div><h3>Conclusions</h3><p>The application has proved to be useful in planning TKAs and has revealed accuracy when measuring the AMFA when it was compared to the manual form of preoperative planning. The application was able to reduce planning time by more than half and it demonstrated reliability in measuring the AMFA.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 142-150"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2018.02.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Comparative analysis of quadriceps and hamstrings strength in knee osteoarthritis before and after total knee arthroplasty: a cross-sectional study 全膝关节置换术前后膝关节骨性关节炎患者股四头肌和腘绳肌力量的对比分析:一项横断面研究

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2018.02.009

Naasson Trindade Cavanellas, Victor Rodrigues Amaral Cossich, Eduardo Becker Nicoliche, Marilena Bezerra Martins, Eduardo Branco de Sousa, José Inácio Salles

{"title":"Comparative analysis of quadriceps and hamstrings strength in knee osteoarthritis before and after total knee arthroplasty: a cross-sectional study","authors":"Naasson Trindade Cavanellas, Victor Rodrigues Amaral Cossich, Eduardo Becker Nicoliche, Marilena Bezerra Martins, Eduardo Branco de Sousa, José Inácio Salles","doi":"10.1016/j.rboe.2018.02.009","DOIUrl":"10.1016/j.rboe.2018.02.009","url":null,"abstract":"<div><h3>Objective</h3><p>Compare the maximal isokinetic muscle strength of knee extensor and flexor muscles between patients with knee osteoarthritis and patients submitted to total knee arthroplasty.</p></div><div><h3>Methods</h3><p>Volunteers were divided into five groups (<em>n</em>  <0.001). The Ahlbäck <span>IV</span>, six-month, and 12-month postoperative groups demonstrated lower values when compared to the Control and Ahlbäck <span>I</span> and <span>II</span> groups. When percentage values were compared to the Control group, mean differences ranged from 7% to 41%.</p></div><div><h3>Conclusion</h3><p>Patients with healthy knees or early stage osteoarthritis have higher quadriceps and hamstrings strengths than those with a more advanced stage of the disease, even after knee replacement. These findings suggest that the traditional rehabilitation programs do not recover strength to levels observed in individuals without knee osteoarthritis.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 158-164"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2018.02.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Cross-sectional study of Gartland II and III humerus supracondylar fracture treatment in childhood: Brazilian orthopedists’ opinion Gartland II型和III型儿童肱骨髁上骨折治疗的横断面研究:巴西骨科医生的意见

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2017.02.007

Rodrigo Fileto Gavaldão Moreira, Alexandre Yukio Nishimi, Enrico Montorsi Zanon, Thales Santos Rama, Rodrigo Pacheco Lessa Ciofi, Eiffel Tsuyoshi Dobashi

{"title":"Cross-sectional study of Gartland II and III humerus supracondylar fracture treatment in childhood: Brazilian orthopedists’ opinion","authors":"Rodrigo Fileto Gavaldão Moreira, Alexandre Yukio Nishimi, Enrico Montorsi Zanon, Thales Santos Rama, Rodrigo Pacheco Lessa Ciofi, Eiffel Tsuyoshi Dobashi","doi":"10.1016/j.rboe.2017.02.007","DOIUrl":"10.1016/j.rboe.2017.02.007","url":null,"abstract":"<div><h3>Objective</h3><p>This study is aimed at determining, through a cross-sectional study, the preferred therapeutic method in Brazil considering the approach to Gartland type <span>II</span> and <span>III</span> supracondylar humerus fractures during childhood.</p></div><div><h3>Methods</h3><p>The research project was approved by the Research Ethics Committee of Plataforma Brasil and the material was collected during the 46th Brazilian Orthopedics and Traumatology Congress. A questionnaire was developed to analyze two clinical scenarios about Gartland type <span>II</span> and <span>III</span> fractures.</p></div><div><h3>Results</h3><p>The sample consisted of 301 questionnaires obtained from 5500 participants of the Congress who met the inclusion and non-inclusion criteria. In case 1, the following was observed: 140 (46.5%) of physicians opted for closed reduction with immobilization and 116 (38.5%) selected closed reduction and osteosynthesis, of whom 82 (70.7%) preferred two crossed Kirschner wires. In case 2, 294 (97.7%) considered that the treatment is urgent, and 225 (74.8%) of the interviewed orthopedists answered that they perform osteosynthesis with two crossed Kirschner wires.</p></div><div><h3>Conclusions</h3><p>The opinion of orthopedic surgeons in Brazil varies for Gartland type <span>II</span> fractures. Type <span>III</span> fractures have a uniform conduct and they are treated urgently (97.7%). When osteosynthesis is necessary, it was observed that 82 (70.7%) and 225 (74.8%) of the interviewed surgeons opted for fixation with two crossed Kirschner wires.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 129-135"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2017.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions 膝关节置换术与旋转铰链植入物:复杂的原发性病例和修订的一种选择

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2017.01.010

Camilo Partezani Helito, Pedro Nogueira Giglio, Camila Maftoum Cavalheiro, Riccardo Gomes Gobbi, Marco Kawamura Demange, Gilberto Luis Camanho

{"title":"Knee arthroplasty with rotating-hinge implant: an option for complex primary cases and revisions","authors":"Camilo Partezani Helito, Pedro Nogueira Giglio, Camila Maftoum Cavalheiro, Riccardo Gomes Gobbi, Marco Kawamura Demange, Gilberto Luis Camanho","doi":"10.1016/j.rboe.2017.01.010","DOIUrl":"10.1016/j.rboe.2017.01.010","url":null,"abstract":"<div><h3>Objective</h3><p>To present the indications, technical aspects, and initial results of the first cases using Endo-Model™ implants in Brazil.</p></div><div><h3>Methods</h3><p>A prospective study was conducted. It included nine patients submitted to a total knee arthroplasty, of which six were primary and three were revisions, using exclusively the Endo-Model™ implant. These patients were followed for an average of 12 months and evaluated with functional scores, such as the Knee injury and Osteoarthritis Outcome Score (KOOS), Knee Society Score (KSS), and visual analog pain scale (VAS).</p></div><div><h3>Results</h3><p>There were statistically significant improvements in all scores evaluated in every patient. Only one complication occurred postoperatively (apraxia of the peroneal nerve) and did not require surgery revision.</p></div><div><h3>Conclusion</h3><p>The use of a rotating-hinge implant for knee arthroplasty is a new option for complex cases with severe instability in Brazil; the initial results are satisfactory.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 151-157"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2017.01.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Ligamentous reconstruction of the interosseous membrane of the forearm in the treatment of instability of the distal radioulnar joint 前臂骨间膜韧带重建治疗远端尺桡关节不稳定

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-03-01 DOI: 10.1016/j.rboe.2018.02.010

Márcio Aurélio Aita , Ricardo Carvalho Mallozi , Willian Ozaki , Douglas Hideo Ikeuti , Daniel Alexandre Pereira Consoni , Gustavo Mantovanni Ruggiero

{"title":"Ligamentous reconstruction of the interosseous membrane of the forearm in the treatment of instability of the distal radioulnar joint","authors":"Márcio Aurélio Aita , Ricardo Carvalho Mallozi , Willian Ozaki , Douglas Hideo Ikeuti , Daniel Alexandre Pereira Consoni , Gustavo Mantovanni Ruggiero","doi":"10.1016/j.rboe.2018.02.010","DOIUrl":"10.1016/j.rboe.2018.02.010","url":null,"abstract":"<div><h3>Objectives</h3><p>To measure the quality of life and clinical outcomes of patients treated with interosseous membrane (IOM) ligament reconstruction of the forearm, using the brachioradialis (BR), and describe a new surgical technique for the treatment of joint instability of the distal radioulnar joint (DRUJ).</p></div><div><h3>Methods</h3><p>From January 2013 to September 2016, 24 patients with longitudinal injury of the distal radioulnar joint DRUJ were submitted to surgical treatment with a reconstruction procedure of the distal portion of the interosseous membrane or distal oblique band (DOB). The clinical-functional and radiographic parameters were analyzed and complications and time of return to work were described.</p></div><div><h3>Results</h3><p>The follow-up time was 20 months (6–36). The ROM averaged 167.92° (93.29% of the normal side). VAS was 2/10 (1–6). DASH was 5.63/100 (1–18). The time to return to work was 7.37 months (3–12). As to complications, one patient had an unstable DRUJ, and was submitted to a new reconstruction by the Brian-Adams technique months. Currently, he has evolved with improved function, and has returned to his professional activities. Three other patients developed problems around the transverse K-wire and were treated with its removal, all of whom are doing well.</p></div><div><h3>Conclusion</h3><p>The new approach presented in this study is safe and effective in the treatment of longitudinal instability of the DRUJ, since it has low rate of complications, as well as satisfactory radiographic, clinical, and functional results. It allows return to social and professional activities, and increases the quality of life of these patients.</p></div>","PeriodicalId":101095,"journal":{"name":"Revista Brasileira de Ortopedia (English Edition)","volume":"53 2","pages":"Pages 184-191"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rboe.2018.02.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9