Revista Brasileira de Ortopedia最新文献

{"title":"[Optimized Return to Sport Criteria Following the Bristow-Latarjet Procedure for Shoulder Stabilization: A Systematic Review and Meta-Analysis Protocol].","authors":"Ewerton Borges de Souza Lima, Rafaelly Stavale, Paulo Henrique Schmidt Lara, Benno Ejnisman, Arun J Ramappa, Alberto de Castro Pochini","doi":"10.1055/s-0046-1824729","DOIUrl":"10.1055/s-0046-1824729","url":null,"abstract":"<p><strong>Objective: </strong>To identify and synthesize return-to-sport (RTS) criteria reported after the Bristow-Latarjet procedure for anterior glenohumeral instability in athletes, and to evaluate the associated time to RTS, RTS rate, and instability recurrence, with the aim of informing an evidence-based combination of RTS criteria that may optimize earlier RTS while minimizing recurrence.</p><p><strong>Methods: </strong>This protocol follows the guidelines of the Preferred Reporting Items for Systematic review and Meta-Analysis-Protocols (PRISMA-P) statement and it has been registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42024563618). We will include randomized and nonrandomized comparative studies, cohort and case-control studies, and case series reporting explicit RTS criteria after Bristow-Latarjet in athletes, with a minimum follow-up of 12 months. Searches will be conducted in the PubMed, Web of Science, Embase, SciELO, CENTRAL and SPORTDiscus databases, as well as Google Scholar for grey literature, without restrictions on date, geography, or language. Two reviewers will independently screen and extract data using the Covidence (Veritas Health Innovation Ltd) software. The primary outcomes are time to RTS, RTS rate, and recurrence (using the time point closest to 12 months, when multiple assessments are available). The risk of bias will be assessed using the Risk of Bias 2 (RoB 2; the Cochrane Collaboration) for randomized clinical trials (RCTs), the Newcastle-Ottawa Scale (NOS) for nonrandomized comparative studies, and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Case Series, and the certainty of the evidence will be rated according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. When appropriate, random-effects meta-analysis and exploratory meta-regression will be performed; subgroup and sensitivity analyses are planned.</p><p><strong>Conclusion: </strong>The systematic review will provide a criterion-centered synthesis of RTS definitions and clearance strategies after Bristow-Latarjet, linking each criterion to clinically-relevant outcomes (time to RTS, RTS rate, and recurrence). The findings are expected to support more consistent, evidence-informed RTS decision-making and guide future prospective validation of optimized RTS criteria combinations.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 3","pages":"s00461824729"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621417","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}

{"title":"Conflicts of Interest and Industry Influence in Randomized Controlled Trials in Hand Surgery: A Systematic Review.","authors":"Gabriel Henrique Dos Santos Guimarães, Ramon Sampaio Souza Santos, Luís Renato Nakachima, Deivid Ramos Dos Santos, João Carlos Belloti, Vinícius Ynoe de Moraes","doi":"10.1055/s-0046-1824732","DOIUrl":"10.1055/s-0046-1824732","url":null,"abstract":"<p><strong>Objective: </strong>To verify the association between the presence of conflict of interests and pro-funder results in randomized controlled trials (RCTs) in hand surgery. The secondary objective was to evaluate the influence of industry funding on the bibliometric characteristics of these RCTs.</p><p><strong>Methods: </strong>We examined 178 RCTs published between 2013 and 2023 in 5 high-impact journals focusing on the hand, wrist, elbow, or peripheral nerves in the MEDLINE, Embase, and Scopus databases. From the studies included, we assessed the presence of a declared conflict of interests and analyzed its association with the primary outcome (favorable vs. unfavorable). We additionally evaluated the association with other variables, including compliance with the Consolidated Standards of Reporting Trials (CONSORT) guidelines, the number of authors, and journal impact factors. The risk of bias in the included studies was assessed using the Risk of Bias 2 (RoB 2) tool. All assessments were performed by two independent reviewers, following a previously defined protocol. This systematic review was not previously recorded on public platforms such as International Prospective Register of Systematic Reviews (PROSPERO).</p><p><strong>Results: </strong>We found no relationship between the presence of conflict of interests and pro-funder results (35.4% vs. 65.6%. <i>p</i>  = 0.503). Industry-funded studies have been published in journals with significantly higher impact factors than non-industry-funded studies (3.05 vs. 2.2) ( <i>p</i>  < 0.001), with a significant difference in the number of funded authors (1.84 vs. 0.07) ( <i>p</i>  < 0.001).</p><p><strong>Conclusion: </strong>There was no significant association between the type of funding and the achievement of favorable results in randomized clinical trials in hand surgery. Funded studies were more frequently published in higher impact journals and showed greater adherence to the CONSORT checklist, but these characteristics did not translate into a greater risk of bias.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 3","pages":"s00461824732"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621370","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}

{"title":"Single Level Cervical Radiculopathy with and without Fusion Technique: A Systematic Review and Meta-Analysis.","authors":"Maria Florencia Deslivia, Sherly Desnita Savio, Benedictus Satmoko, I Gusti Lanang Ngurah Agung Artha Wiguna, Ifran Saleh","doi":"10.1055/s-0046-1820485","DOIUrl":"10.1055/s-0046-1820485","url":null,"abstract":"<p><strong>Objective: </strong>To objectively compare the efficacy of single-level cervical radiculopathy decompression with and without fusion, with a focus on randomized controlled trials.</p><p><strong>Methods: </strong>There were six randomized-controlled studies included in the analysis. Systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias was assessed, data were organized into predefined tables, and calculations were performed using the Review Manager (RevMan) software.</p><p><strong>Results: </strong>From the analysis of 726 patients (Fusion: 374, Nonfusion: 352), no significant differences were found in kyphotic ( <i>p</i>  = 0.11), satisfaction ( <i>p</i>  = 0.73), complication ( <i>p</i>  = 0.53), recurrence ( <i>p</i>  = 0.63), or reoperation ( <i>p</i>  = 0.36) rates. Postoperative pain relief and functional outcomes were comparable between techniques.</p><p><strong>Conclusions: </strong>Fusion and nonfusion techniques offer comparable efficacy for single-level cervical radiculopathy. However, patient-specific characteristics should be considered. Level of Evidence I.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461820485"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621409","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}

{"title":"[Single Level Cervical Radiculopathy with and without Fusion Technique: A Systematic Review and Meta-Analysis].","authors":"Maria Florencia Deslivia, Sherly Desnita Savio, Benedictus Satmoko, I Gusti Lanang Ngurah Agung Artha Wiguna, Ifran Saleh","doi":"10.1055/s-0046-1820486","DOIUrl":"10.1055/s-0046-1820486","url":null,"abstract":"<p><strong>Objective: </strong>To objectively compare the efficacy of single-level cervical radiculopathy decompression with and without fusion, with a focus on randomized controlled trials.</p><p><strong>Methods: </strong>There were six randomized-controlled studies included in the analysis. A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias was assessed, data were organized into predefined tables, and calculations were performed using the Review Manager (RevMan) software.</p><p><strong>Results: </strong>From the analysis of 726 patients (Fusion: 374, Non-fusion: 352), no significant differences were found in kyphotic rate ( <i>p</i>  = 0.11), satisfaction rate ( <i>p</i>  = 0.73), complication rate ( <i>p</i>  = 0.53), recurrence ( <i>p</i>  = 0.63), or reoperation rate ( <i>p</i>  = 0.36). Postoperative pain relief and functional outcomes were comparable between techniques.</p><p><strong>Conclusions: </strong>Fusion and nonfusion techniques offer comparable efficacy for single-level cervical radiculopathy, however patient-specific considerations are needed. Level of Evidence I.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461820486"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621392","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}

{"title":"Optimized Return to Sport Criteria Following the Bristow-Latarjet Procedure for Shoulder Stabilization: A Systematic Review and Meta-Analysis Protocol.","authors":"Ewerton Borges de Souza Lima, Rafaelly Stavale, Paulo Henrique Schmidt Lara, Benno Ejnisman, Arun J Ramappa, Alberto de Castro Pochini","doi":"10.1055/s-0046-1824728","DOIUrl":"10.1055/s-0046-1824728","url":null,"abstract":"<p><strong>Objective: </strong>To identify and synthesize return-to-sport (RTS) criteria reported after the Bristow-Latarjet procedure for anterior glenohumeral instability in athletes, and to evaluate the associated time to RTS, RTS rate, and instability recurrence, with the aim of informing an evidence-based combination of RTS criteria that may optimize earlier RTS while minimizing recurrence.</p><p><strong>Methods: </strong>This protocol follows the guidelines of the Preferred Reporting Items for Systematic review and Meta-Analysis-Protocols (PRISMA-P) statement and it has been registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42024563618). We will include randomized and non-randomized comparative studies, cohort and case-control studies, and case series reporting explicit RTS criteria after Bristow-Latarjet in athletes, with a minimum follow-up of 12 months. Searches will be conducted in the PubMed, Web of Science, Embase, SciELO, CENTRAL and SPORTDiscus databases, as well as Google Scholar for grey literature, without restrictions on date, geography, or language. Two reviewers will independently screen and extract data using the Covidence (Veritas Health Innovation Ltd) software. The primary outcomes are time to RTS, RTS rate, and recurrence (using the time point closest to 12 months, when multiple assessments are available). The risk of bias will be assessed using the Risk of Bias 2 (RoB 2; the Cochrane Collaboration) for randomized clinical trials (RCTs), the Newcastle-Ottawa Scale (NOS) for non-randomized comparative studies, and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Case Series, and the certainty of the evidence will be rated according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. When appropriate, random-effects meta-analysis and exploratory meta-regression will be performed; subgroup and sensitivity analyses are planned.</p><p><strong>Conclusion: </strong>The systematic review will provide a criterion-centered synthesis of RTS definitions and clearance strategies after Bristow-Latarjet, linking each criterion to clinically-relevant outcomes (time to RTS, RTS rate, and recurrence). The findings are expected to support more consistent, evidence-informed RTS decision-making and guide future prospective validation of optimized RTS criteria combinations.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 3","pages":"s00461824728"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621398","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}

{"title":"[Conflicts of Interest and Industry Influence in Randomized Controlled Trials in Hand Surgery: A Systematic Review].","authors":"Gabriel Henrique Dos Santos Guimarães, Ramon Sampaio Souza Santos, Luís Renato Nakachima, Deivid Ramos Dos Santos, João Carlos Belloti, Vinícius Ynoe de Moraes","doi":"10.1055/s-0046-1824733","DOIUrl":"10.1055/s-0046-1824733","url":null,"abstract":"<p><strong>Objective: </strong>To verify the association between the presence of conflict of interests and pro-funder results in randomized controlled trials (RCTs) in hand surgery. The secondary objective was to evaluate the influence of industry funding on the bibliometric characteristics of these RCTs.</p><p><strong>Methods: </strong>We examined 178 RCTs published between 2013 and 2023 in 5 high-impact journals focusing on the hand, wrist, elbow, or peripheral nerves in the MEDLINE, Embase, and Scopus databases. From the studies included, we assessed the presence of a declared conflict of interests and analyzed its association with the primary outcome (favorable vs. unfavorable). We additionally evaluated the association with other variables, including compliance with the Consolidated Standards of Reporting Trials (CONSORT) guidelines, the number of authors, and journal impact factors. The risk of bias in the included studies was assessed using the Risk of Bias 2 (RoB 2) tool. All assessments were performed by two independent reviewers, following a previously defined protocol. This systematic review was not previously recorded on public platforms such as International Prospective Register of Systematic Reviews (PROSPERO).</p><p><strong>Results: </strong>We found no relationship between the presence of conflict of interests and pro-funder results (35.4% vs. 65.6%. <i>p</i>  = 0.503). Industry-funded studies have been published in journals with significantly higher impact factors than non-industry-funded studies (3.05 vs. 2.2) ( <i>p</i>  < 0.001), with a significant difference in the number of funded authors (1.84 vs. 0.07) ( <i>p</i>  < 0.001).</p><p><strong>Conclusion: </strong>There was no significant association between the type of funding and the achievement of favorable results in randomized clinical trials in hand surgery. Funded studies were more frequently published in higher impact journals and showed greater adherence to the CONSORT checklist, but these characteristics did not translate into a greater risk of bias.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 3","pages":"s00461824733"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621395","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}

{"title":"Incidence of Musculoskeletal Injuries in Natural and Artificial Turfs during the 2024 First Division of Brazilian Football Championship: A Retrospective Study.","authors":"Matheus Martins Godoy, Jéssica Chávare, Pedro Lucas Leal Chaves, João Pedro Ferreira de Almeida, Matheus Alves de Carvalho Freitas, Gabriel Moraes de Oliveira, Flávia Costa Oliveira Magalhães, Israel Teoldo da Costa","doi":"10.1055/s-0046-1822977","DOIUrl":"10.1055/s-0046-1822977","url":null,"abstract":"<p><strong>Objective: </strong>To describe and compare matches played on artificial and natural turfs during the 2024 Campeonato Brasileiro Série A (the championship of the highest level of the professional association football league in Brazil), focusing specifically on the observed incidence and distribution of musculoskeletal injuries.</p><p><strong>Methods: </strong>In the current retrospective observational study, we analyzed all 380 matches of the 2024 season. Data regarding turf type, match characteristics, and injuries were obtained exclusively from publicly available secondary sources, including the official website of Confederação Brasileira de Futebol (CBF; https://www.cbf.com.br ) and major national media outlets. Cases with conflicting information were excluded. Exposure during the match was estimated assuming 22 players and 90 minutes, with incidence expressed as injuries per 1 thousand player-hours. Sub-analyses excluded previous reinjuries and direct trauma cases.</p><p><strong>Results: </strong>A total of 88 injuries was recorded, showing 6.6 injuries per 1 thousand player-hours on natural turf versus 9.5 injuries per 1 thousand player-hours on artificial turf. Hamstring strains and ankle sprains were the most frequently observed types. Regarding the turfs, thermoplastic elastomer (TPE) turf presented the highest rates among the artificial ones, while perennial ryegrass presented the highest rates among the natural ones. Injury numbers varied by context, with considerable rates observed regarding artificial turf during afternoon or night matches and at lower temperatures. Surgical treatments were frequently observed in association with natural turf, whereas recovery times differed minimally. Notably, one team whose stadium used artificial turf home team and one team whose stadium used natural turf recorded identical injury totals.</p><p><strong>Conclusion: </strong>Differences in injury occurrence between turf types were minimal. Given the retrospective design, secondary data reliance, underreporting potential, and limited control of confounders, the findings represent observational associations. Future prospective studies using standardized surveillance are warranted.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461822977"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621447","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}

{"title":"[Evolution of Surgical Outcomes in Spinal Metastases from Solid Tumors: A Comparative Analysis over 2 Decades].","authors":"Fernando Pacheco Dos Santos Ferreira da Silva, Pedro Reggiani Anzuatégui, Ana Valéria Rigolino Teixeira, Fernanda Pinto Garcia, Lucas Emanuel Sauer Larocca, Glauco José Pauka Mello","doi":"10.1055/s-0046-1824731","DOIUrl":"10.1055/s-0046-1824731","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the evolution of surgical outcomes in patients undergoing surgery for spinal metastases from solid tumors over more than two decades in a single tertiary referral center.</p><p><strong>Methods: </strong>The present retrospective comparative study included 2 cohorts of patients who underwent surgical treatment for spinal metastases: cohort 1 (2002-2015) and cohort 2 (2018-2024). Overall survival was estimated using the Kaplan-Meier method and compared with the log-rank test. Major postoperative complications (grades III-IV) were analyzed per patient and compared between cohorts.</p><p><strong>Results: </strong>A total of 301 patients were included (175 in cohort 1 and 126 in cohort 2). The more recent cohort demonstrated significantly improved overall survival (log-rank <i>p</i>  < 0.001), with a hazard ratio for mortality of 0.61 (95%CI: 0.48-0.78) compared with the earlier cohort. Early survival at 30 and 90 days also improved in cohort 2. Overall complication rates were similar between groups; however, cohort 2 showed a significant reduction in local complications.</p><p><strong>Conclusion: </strong>Surgical outcomes for spinal metastases improved over time, particularly in early survival and the reduction of local complications. These findings suggest that refinement in patient selection, prognostic stratification, and multidisciplinary perioperative care may have contributed to this temporal improvement.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 3","pages":"s00461824731"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621406","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}

{"title":"[Incidence of Musculoskeletal Injuries in Natural and Artificial Turfs during the 2024 First Division of Brazilian Football Championship: A Retrospective Study].","authors":"Matheus Martins Godoy, Jéssica Chávare, Pedro Lucas Leal Chaves, João Pedro Ferreira de Almeida, Matheus Alves de Carvalho Freitas, Gabriel Moraes de Oliveira, Flávia Costa Oliveira Magalhães, Israel Teoldo da Costa","doi":"10.1055/s-0046-1822978","DOIUrl":"10.1055/s-0046-1822978","url":null,"abstract":"<p><strong>Objective: </strong>To describe and compare matches played on artificial and natural turfs during the 2024 Campeonato Brasileiro Série A (the championship of the highest level of the professional association football league in Brazil), focusing specifically on the observed incidence and distribution of musculoskeletal injuries.</p><p><strong>Methods: </strong>In the current retrospective observational study, we analyzed all 380 matches of the 2024 season. Data regarding turf type, match characteristics, and injuries were obtained exclusively from publicly available secondary sources, including the official website of Confederação Brasileira de Futebol (CBF; https://www.cbf.com.br ) and major national media outlets. Cases with conflicting information were excluded. Exposure during the match was estimated assuming 22 players and 90 minutes, with incidence expressed as injuries per 1 thousand player-hours. Sub-analyses excluded previous reinjuries and direct trauma cases.</p><p><strong>Results: </strong>A total of 88 injuries was recorded, showing 6.6 injuries per 1 thousand player-hours on natural turf versus 9.5 injuries per 1 thousand player-hours on artificial turf. Hamstring strains and ankle sprains were the most frequently observed types. Regarding the turfs, thermoplastic elastomer (TPE) turf presented the highest rates among the artificial ones, while perennial ryegrass presented the highest rates among the natural ones. Injury numbers varied by context, with considerable rates observed regarding artificial turf during afternoon or night matches and at lower temperatures. Surgical treatments were frequently observed in association with natural turf, whereas recovery times differed minimally. Notably, one team whose stadium used artificial turf home team and one team whose stadium used natural turf recorded identical injury totals.</p><p><strong>Conclusion: </strong>Differences in injury occurrence between turf types were minimal. Given the retrospective design, secondary data reliance, underreporting potential, and limited control of confounders, the findings represent observational associations. Future prospective studies using standardized surveillance are warranted.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461822978"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621297","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}

{"title":"Evolution of Surgical Outcomes in Spinal Metastases from Solid Tumors: A Comparative Analysis over 2 Decades.","authors":"Fernando Pacheco Dos Santos Ferreira da Silva, Pedro Reggiani Anzuatégui, Ana Valéria Rigolino Teixeira, Fernanda Pinto Garcia, Lucas Emanuel Sauer Larocca, Glauco José Pauka Mello","doi":"10.1055/s-0046-1824730","DOIUrl":"10.1055/s-0046-1824730","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the evolution of surgical outcomes in patients undergoing surgery for spinal metastases from solid tumors over more than two decades in a single tertiary referral center.</p><p><strong>Methods: </strong>The present retrospective comparative study included 2 cohorts of patients who underwent surgical treatment for spinal metastases: cohort 1 (2002-2015) and cohort 2 (2018-2024). Overall survival was estimated using the Kaplan-Meier method and compared with the log-rank test. Major postoperative complications (grades III-IV) were analyzed per patient and compared between cohorts.</p><p><strong>Results: </strong>A total of 301 patients were included (175 in cohort 1 and 126 in cohort 2). The more recent cohort demonstrated significantly improved overall survival (log-rank <i>p</i>  < 0.001), with a hazard ratio for mortality of 0.61 (95%CI: 0.48-0.78) compared with the earlier cohort. Early survival at 30 and 90 days also improved in cohort 2. Overall complication rates were similar between groups; however, cohort 2 showed a significant reduction in local complications.</p><p><strong>Conclusion: </strong>Surgical outcomes for spinal metastases improved over time, particularly in early survival and the reduction of local complications. These findings suggest that refinement in patient selection, prognostic stratification, and multidisciplinary perioperative care may have contributed to this temporal improvement.</p>","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 3","pages":"s00461824730"},"PeriodicalIF":0.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13412942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621459","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}