Revista Brasileira de Ortopedia最新文献_第4页

Current Concepts in the Treatment of Distal Femur Fractures in Adults. 成人股骨远端骨折的治疗现状。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-06-08 eCollection Date: 2026-04-01 DOI: 10.1055/s-0046-1822639

Fabricio Fogagnolo, Ricardo Antônio Tavares

{"title":"Current Concepts in the Treatment of Distal Femur Fractures in Adults.","authors":"Fabricio Fogagnolo, Ricardo Antônio Tavares","doi":"10.1055/s-0046-1822639","DOIUrl":"10.1055/s-0046-1822639","url":null,"abstract":"Distal femur fractures account for approximately 1% of all fractures and 3 to 7% of femoral fractures, representing complex injuries that frequently affect articular surfaces. Computed tomography is essential to evaluate articular involvement, the presence of coronal fracture lines, and metaphyseal comminution. Surgical treatment aims to restore mechanical alignment and articular congruity while providing sufficient stability to allow early mobilization. The epidemiology shows a bimodal pattern: in younger patients, high-energy trauma predominates, whereas in older patients, low-energy falls are more common, with higher mortality related to osteoporosis and comorbidities. Conservative treatment has limited indications and is often reserved for patients with high surgical risk or for nondisplaced fractures. Surgical management includes locking plates, retrograde intramedullary nails, and combined fixation techniques. Dual fixation has gained increasing attention in osteoporotic bone, cases with loss of medial support, and periprosthetic fractures. In selected cases, particularly in older patients with severely compromised bone quality, knee arthroplasty may be an alternative for early mobilization. The present article presents an updated review of the main epidemiological, diagnostic, and therapeutic aspects of distal femur fractures, including special situations such as open fractures, Hoffa fractures, and periprosthetic fractures. Complications such as infection, nonunion, stiffness, and posttraumatic osteoarthritis remain frequent.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461822639"},"PeriodicalIF":0.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212423","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: 0

[Fixation of Osteochondral Lesions of the Knee Using Autologous Bone Pegs: Functional Evaluation of a Case Series]. [使用自体骨钉固定膝关节骨软骨病变：一个病例系列的功能评估]。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-06-08 eCollection Date: 2026-04-01 DOI: 10.1055/s-0046-1822638

Luis Henrique Longo, Anna Carolina Pavelec Costa, Camille Midori Okuyama, Edmar Stieven Filho, Marcos Paulo Tercziany Vanzin, Paulo Victor Oliveira Vieira de Souza

{"title":"[Fixation of Osteochondral Lesions of the Knee Using Autologous Bone Pegs: Functional Evaluation of a Case Series].","authors":"Luis Henrique Longo, Anna Carolina Pavelec Costa, Camille Midori Okuyama, Edmar Stieven Filho, Marcos Paulo Tercziany Vanzin, Paulo Victor Oliveira Vieira de Souza","doi":"10.1055/s-0046-1822638","DOIUrl":"10.1055/s-0046-1822638","url":null,"abstract":"Objective: To evaluate the clinical and functional outcomes of patients who underwent fixation of traumatic osteochondral knee fractures using autologous bone pegs.Methods: We conducted a retrospective cross-sectional study including 11 patients who underwent surgery between 2021 and 2024. Clinical, radiographic, and functional outcomes were evaluated during a mean follow-up of 33.9 ± 10.6 months, including functional assessment using the International Knee Documentation Committee (IKDC) Subjective Knee Form.Results: The mean patient age was of 20.3 ± 5.4 years, with a predominance of patellar lesions (81,8%). The radiographic evaluation demonstrated consolidation of the osteochondral fragment in all cases, without signs of displacement or fixation failure. The mean IKDC score was of 75.0 ± 17.1 points. There were no major complications or reoperations.Conclusion: Fixation of traumatic osteochondral knee fractures with autologous bone pegs resulted in adequate consolidation and satisfactory functional outcomes in this case series, representing a safe, effective, and low-cost biological alternative to manage these lesions.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461822638"},"PeriodicalIF":0.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212340","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: 0

[Neuropathic Pain in Patients Undergoing Primary Total Knee Arthroplasty: Prevalence and Risk Factors]. 原发性全膝关节置换术患者的神经性疼痛：患病率和危险因素。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-06-08 eCollection Date: 2026-04-01 DOI: 10.1055/s-0046-1820457

Gustavo Waldolato Silva, Rafael Silva E Castro, Gabriela Vieira Brito, Geovanna Reis

{"title":"[Neuropathic Pain in Patients Undergoing Primary Total Knee Arthroplasty: Prevalence and Risk Factors].","authors":"Gustavo Waldolato Silva, Rafael Silva E Castro, Gabriela Vieira Brito, Geovanna Reis","doi":"10.1055/s-0046-1820457","DOIUrl":"10.1055/s-0046-1820457","url":null,"abstract":"Objective: This study aimed to evaluate the prevalence and risk factors of neuropathic pain (NP) in patients undergoing primary total knee arthroplasty (TKA).Methods: This prospective observational study included patients aged 18 years or older who were candidates for TKA, conducted between October 2023 and October 2024 at a university hospital. Data were collected from medical records and through the application of a questionnaire assessing socioeconomic variables, comorbidities, prior treatments, and the interview version of the Douleur Neuropathique in 4 questions (DN4i) questionnaire, a validated screening instrument for NP. Paired samples were analyzed using the Wilcoxon, Chi-squared of independence, and Fisher's exact tests, with a significance level set at p < 0.05.Results: Of the 68 participants, 20 (29%) tested positive for NP. Among these, most were female (80%, p = 0.015). Pain intensity was significantly higher in this group, with 90% reporting VAS scores between 8 and 10. There were no significant associations with obesity, diabetes, or the use of pain modulators. Quality of life was more adversely affected in patients with NP, who reported poorer general health status and greater limitations in physical and social activities.Conclusion: There is a high prevalence of NP among patients undergoing TKA, particularly in females, and is associated with worse quality of life and greater pain intensity. Systematic screening using the DN4i questionnaire may improve diagnosis and support the development of individualized therapeutic strategies.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461820457"},"PeriodicalIF":0.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212367","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: 0

Fixation of Osteochondral Lesions of the Knee Using Autologous Bone Pegs: Functional Evaluation of a Case Series. 使用自体骨钉固定膝关节骨软骨病变：一系列病例的功能评估。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-06-08 eCollection Date: 2026-04-01 DOI: 10.1055/s-0046-1822637

Luis Henrique Longo, Anna Carolina Pavelec Costa, Camille Midori Okuyama, Edmar Stieven Filho, Marcos Paulo Tercziany Vanzin, Paulo Victor Oliveira Vieira de Souza

{"title":"Fixation of Osteochondral Lesions of the Knee Using Autologous Bone Pegs: Functional Evaluation of a Case Series.","authors":"Luis Henrique Longo, Anna Carolina Pavelec Costa, Camille Midori Okuyama, Edmar Stieven Filho, Marcos Paulo Tercziany Vanzin, Paulo Victor Oliveira Vieira de Souza","doi":"10.1055/s-0046-1822637","DOIUrl":"10.1055/s-0046-1822637","url":null,"abstract":"Objective: To evaluate the clinical and functional outcomes of patients who underwent fixation of traumatic osteochondral knee fractures using autologous bone pegs.Methods: We conducted a retrospective cross-sectional study including 11 patients who underwent surgery between 2021 and 2024. Clinical, radiographic, and functional outcomes were evaluated during a mean follow-up of 33.9 ± 10.6 months, including functional assessment using the International Knee Documentation Committee (IKDC) Subjective Knee Form.Results: The mean patient age was of 20.3 ± 5.4 years, with a predominance of patellar lesions (81,8%). The radiographic evaluation demonstrated consolidation of the osteochondral fragment in all cases, without signs of displacement or fixation failure. The mean IKDC score was of 75.0 ± 17.1 points. There were no major complications or reoperations.Conclusion: Fixation of traumatic osteochondral knee fractures with autologous bone pegs resulted in adequate consolidation and satisfactory functional outcomes in this case series, representing a safe, effective, and low-cost biological alternative to manage these lesions.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 2","pages":"s00461822637"},"PeriodicalIF":0.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212463","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: 0

Extra-articular Fractures of the Scapula. 肩胛骨关节外骨折。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-05-07 eCollection Date: 2026-02-01 DOI: 10.1055/s-0046-1818599

Vincenzo Giordano, Robinson Esteves Pires, Pedro José Labronici

引用次数: 0

[Extra-articular Fractures of the Scapula]. 肩胛骨关节外骨折。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-05-07 eCollection Date: 2026-02-01 DOI: 10.1055/s-0046-1822982

Vincenzo Giordano, Robinson Esteves Pires, Pedro José Labronici

引用次数: 0

Letter to the Editor regarding the Article "Effects of Intra-articular Bone Marrow Aspirate Infiltration in the Treatment of Knee Osteoarthritis: A Clinical Study Comparing BMA versus Corticosteroid and Genicular Block." Rev Bras Ortop 2025;60(2):s00451809512. DOI:10.1055/s-0045-1809512. 致编辑关于文章“关节内骨髓抽吸浸润治疗膝骨关节炎的效果：BMA与皮质类固醇和膝关节阻滞的临床研究比较”的信。生物工程学报，2025;60(2):s00451809512。DOI: 10.1055 / s - 0045 - 1809512。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-04-28 eCollection Date: 2026-02-01 DOI: 10.1055/s-0046-1817129

Rodrigo Monari, Carlos Henrique Pfiffer, Amadeu Davoglio Lorga, Morghana Fin

引用次数: 0

Carta ao editor referente ao artigo: “Efeitos da infiltração intra-articular de aspirado de medula óssea no tratamento da osteoartrite de joelho: Estudo clínico comparando BMA versus corticosteroide e bloqueio genicular”. Rev Bras Ortop 2025;60(2):s00451809512. DOI:10.1055/s-0045-1809512. 致编辑的信:“关节内骨髓抽吸浸润治疗膝关节骨关节炎的效果:比较BMA与皮质类固醇和生殖器阻滞的临床研究”。Rev arm Ortop 2025;60(2):s00451809512。s - -0045 . DOI: 10105 / -1809512。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-04-28 eCollection Date: 2026-02-01 DOI: 10.1055/s-0046-1817130

Rodrigo Monari, Carlos Henrique Pfiffer, Amadeu Davoglio Lorga, Morghana Fin

引用次数: 0

[Comparison of Capsular Closure and Capsulectomy in Primary Total Hip Arthroplasty Using the Direct Anterior Approach]. [直接前路全髋关节置换术中囊膜关闭与囊膜切除的比较]。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-04-22 eCollection Date: 2026-02-01 DOI: 10.1055/s-0046-1818620

Bruno Dutra Roos, Milton Valdomiro Roos, Ezequiel Moreno Ungaretti Lima, Mauricio Domingos Betto, Juan Victor Guzman Gonzales, Henrique Emanuelli Della Méa

{"title":"[Comparison of Capsular Closure and Capsulectomy in Primary Total Hip Arthroplasty Using the Direct Anterior Approach].","authors":"Bruno Dutra Roos, Milton Valdomiro Roos, Ezequiel Moreno Ungaretti Lima, Mauricio Domingos Betto, Juan Victor Guzman Gonzales, Henrique Emanuelli Della Méa","doi":"10.1055/s-0046-1818620","DOIUrl":"10.1055/s-0046-1818620","url":null,"abstract":"Objective: To compare the clinical, radiographic, and complication outcomes of patients undergoing capsular repair or resection during total hip arthroplasty (THA) using the anterior approach.Methods: The present prospective cohort study included 232 patients submitted to THA at a tertiary hospital, who were divided according to exposure. One group of subjects underwent THA with capsular preservation and closure, and the other underwent THA with capsular resection (capsulectomy). Clinical assessment included the Harris Hip Score (HHS), evaluation of hip range of motion, and identification of symptoms indicative of iliopsoas tendinitis. Additionally, a radiological assessment determined the presence of heterotopic ossification, and we evaluated any postoperative complications.Results: There was no statistically significant difference in HHS and hip range of motion. No patient from the capsular closure group presented complications. In the capsulectomy group, 7 (5.20%) subjects presented with heterotopic ossification, including 1 case classified as Brooker grade 3, besides 3 (2.25%) cases of iliopsoas tendinitis and 1 (0.75%) case of prosthesis dislocation.Conclusion: Capsular closure in THA using the direct anterior approach resulted in a lower incidence of iliopsoas tendinitis, heterotopic ossification, and complications, such as prosthesis dislocation, compared with the capsulectomy group.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 1","pages":"s00461818620"},"PeriodicalIF":0.5,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779675","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: 0

[Results of Latissimus Dorsi Transfer Associated with the Use of Autologous Fascia Lata Tendon Graft in Irreparable Posterosuperior Rotator Cuff Injuries]. 背阔肌转移联合自体阔筋膜肌腱移植治疗不可修复的后上肩袖损伤的结果。

IF 0.5

Revista Brasileira de Ortopedia Pub Date : 2026-04-22 eCollection Date: 2026-02-01 DOI: 10.1055/s-0046-1819620

Ricardo Makoto Okamoto, Guilherme do Val Sella, Luciana Andrade da Silva, Thomas Yogo Mendonça Alves, Alberto Naoki Miyazaki

{"title":"[Results of Latissimus Dorsi Transfer Associated with the Use of Autologous Fascia Lata Tendon Graft in Irreparable Posterosuperior Rotator Cuff Injuries].","authors":"Ricardo Makoto Okamoto, Guilherme do Val Sella, Luciana Andrade da Silva, Thomas Yogo Mendonça Alves, Alberto Naoki Miyazaki","doi":"10.1055/s-0046-1819620","DOIUrl":"10.1055/s-0046-1819620","url":null,"abstract":"Objective: To evaluate the functional outcomes of latissimus dorsi transfer reinforced with an autologous fascia lata graft harvested from the thigh contralateral to the injury to treat irreparable posterosuperior rotator cuff tears (IPSRCTs). The secondary objective was to assess complications related to graft harvesting.Methods: The present retrospective functional evaluation involved 17 patients (8 men and 9 women), with a mean age of 62.6 (54-73) years and a mean postoperative follow-up period of 21.2 (12-45) months. We compared pre- and postoperative University of California, Los Angeles (UCLA) scores and range of motion (ROM), assessed donor-site hip abduction strength and recorded potential associated complications. The determination of correlations between variables used Pearson's coefficient, with p ≤ 0.05 considered statistically significant.Results: The mean postoperative UCLA score was 27.9 (14-33) points, representing an improvement of 16.7 points compared to the preoperative mean. Range of motion improved significantly ( p < 0.05), with the following final values: elevation, 27.9°; lateral rotation (LR), 133°; medial rotation (MR) at T9, all with p < 0.05. No patient presented signs of infection at the graft harvest site; two subjects reported pain in the surgical wound, and one developed a small incisional hernia.Conclusion: This technique was effective in treating IPSRCTs, achieving a 70.6% satisfactory outcome based on the UCLA score and showing significant improvement in ROM. The use of an autologous graft represents a viable option with low complication rates, both at the shoulder and hip.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"61 1","pages":"s00461819620"},"PeriodicalIF":0.5,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779741","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: 0