Revista Brasileira de Ortopedia最新文献_第7页

[Description of Hip Deformities in 5-Year-Old Patients with Congenital Zika Virus Syndrome]. [5岁先天性寨卡病毒综合征患者髋关节畸形的描述]。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814121

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

Use of the Groin Flap in Traumatic Hand Injuries. 腹股沟皮瓣在外伤性手部损伤中的应用。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814122

Edie Benedito Caetano, João José Sabongi Neto, Luiz Angelo Vieira, Vinicius Santos Bueno, Victor Hugo Monfrin Torres, Karen Cristina Barbosa Chaves

引用次数: 0

[Use of the Groin Flap in Traumatic Hand Injuries]. 腹股沟皮瓣在外伤性手部损伤中的应用

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814123

Edie Benedito Caetano, João José Sabongi Neto, Luiz Angelo Vieira, Vinicius Santos Bueno, Victor Hugo Monfrin Torres, Karen Cristina Barbosa Chaves

引用次数: 0

Implant Removal Complications in Pediatric Orthopedics. 儿童骨科植入物移除并发症。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814112

Marcela de Andrade Balsano, Heloisa Zimmermann Faggion, Alexander Cordeiro Bornhold, Weverley Rubele Valenza, Jamil Faisal Soni

{"title":"Implant Removal Complications in Pediatric Orthopedics.","authors":"Marcela de Andrade Balsano, Heloisa Zimmermann Faggion, Alexander Cordeiro Bornhold, Weverley Rubele Valenza, Jamil Faisal Soni","doi":"10.1055/s-0045-1814112","DOIUrl":"10.1055/s-0045-1814112","url":null,"abstract":"Objective: Implant removal is a common practice in pediatric orthopedics, despite its risks. The present study aims to evaluate postoperative complications following implant removal in pediatric patients, correlating them with epidemiological factors.Methods: Retrospective cross-sectional study, conducted in a tertiary hospital, with analysis of medical records and imaging exams from February 2021 to June 2024. Medical records of patients under 18-years-old who were followed up until outpatient discharge were evaluated. The research included age, sex, type of implant, indication for insertion and removal, time to implant removal, and postoperative complications, which were classified according to Clavien-Dindo.Results: A total of 202 medical records were analyzed. Implant removal was more common in boys, with a mean age of 12 years, and the mean time to removal was 16 months. The main reason for placement was orthopedic trauma, and for removal, bone consolidation. The complication rate was 10% (n = 22). Plate removal had the highest complication rate (15%), followed by isolated screws (14%), external fixators (12%), flexible nails (10%), and Kirschner wires (8%). The main complications were unsuccessful removal (45.5%), superficial infection (36.5%), refractures (9%), and movement limitation (9%). The Clavien-Dindo classification revealed 45.45% type I complications, 40.9% type II complications, and 13.6% type IIIa complications.Conclusion: Implant removal in pediatric orthopedics is not without complications, with 11% being found in this study. Failure to completely remove the implant, superficial infections, and refractures were the most common. Before the procedure, the risks and benefits involved should be considered and consensus should be reached among family members and surgeons.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"60 6","pages":"s00451814112"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879015","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

[Updates on Bone Grafts and Substitutes]. [骨移植和骨替代物的最新情况]。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814115

Edgard Eduard Engel, Nelson Fabrício Gava, Mariana Avelino Dos Santos, Leonardo Gomes Baldoino, Lucas Klarosk Ismael, Luis Felipe Miras Modolo

{"title":"[Updates on Bone Grafts and Substitutes].","authors":"Edgard Eduard Engel, Nelson Fabrício Gava, Mariana Avelino Dos Santos, Leonardo Gomes Baldoino, Lucas Klarosk Ismael, Luis Felipe Miras Modolo","doi":"10.1055/s-0045-1814115","DOIUrl":"10.1055/s-0045-1814115","url":null,"abstract":"Bone defects caused by trauma infections neoplasms and other conditions are commonly treated with autologous grafts which are considered the gold standard due to their osteoinduction osteoconduction and osteogenesis properties. However their use has limitations including limited availability donor-site morbidity and increased surgical time. Alternatively allogeneic grafts xenografts and synthetic bone substitutes including ceramics bioglasses resins and metals have been developed and are often modified with osteoinductive elements such as growth factors and bioinorganic ions. The ideal bone replacement should be biocompatible bioabsorbable mechanically resistant porous and capable of promoting osseointegration. Although synthetic substitutes have advanced they have not yet achieved the effectiveness of autologous grafts especially concerning osteointegration and economic viability. However innovations in molecular biology bone proteins and gene therapies offer promising prospects for the development of new biomaterials. The current article introduces the reader to bone substitutes by presenting a classification of the materials used and the main characteristics of each group.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"60 6","pages":"s00451814115"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879034","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

Loss of Radial Height in Patients Undergoing Fixation with a Distal Volar Anatomical Locking Plate: A Retrospective Study in a Public Institution. 在公共机构进行远端掌侧解剖锁定钢板固定的患者桡骨高度损失。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814404

Heitor Teixeira Alves Carvalho, Yves Pacheco Dias March E Souza, Felipe Pinheiro da Silva, Érica Maciel Heringer, João Carlos Ostermeir Silva Pereira, Saulo Fontes de Almeida

{"title":"Loss of Radial Height in Patients Undergoing Fixation with a Distal Volar Anatomical Locking Plate: A Retrospective Study in a Public Institution.","authors":"Heitor Teixeira Alves Carvalho, Yves Pacheco Dias March E Souza, Felipe Pinheiro da Silva, Érica Maciel Heringer, João Carlos Ostermeir Silva Pereira, Saulo Fontes de Almeida","doi":"10.1055/s-0045-1814404","DOIUrl":"10.1055/s-0045-1814404","url":null,"abstract":"Objective: To evaluate and quantify the frequency and magnitude of late loss of radiographic parameters following volar locking plate fixation of distal radius fractures.Methods: The present is a retrospective, cross-sectional study that radiographically analyzed 65 wrists operated on between 2020 and 2024 at a public institution, evaluating postoperative loss of radial height.Results: The results showed a median loss of 0.60 mm, with 13.8% of patients experiencing losses greater than 2 mm, and 75.4% experiencing lower losses. No evidence was found that sex statistically significantly affects this incidence after the Wald test.Conclusion: Despite the effectiveness of the volar locking plate in maintaining reduction, loss of radial height still occurs, especially in older patients with more complex fractures. The present study corroborates the use of this osteosynthesis technique, a fundamental tool in the management of complex fractures of the distal third of the radius, to restore and maintain the anatomy of the region.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"60 6","pages":"s00451814404"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879037","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

Updates on Bone Grafts and Substitutes. 骨移植和骨替代物的最新进展。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814114

Edgard Eduard Engel, Nelson Fabrício Gava, Mariana Avelino Dos Santos, Leonardo Gomes Baldoino, Lucas Klarosk Ismael, Luis Felipe Miras Modolo

{"title":"Updates on Bone Grafts and Substitutes.","authors":"Edgard Eduard Engel, Nelson Fabrício Gava, Mariana Avelino Dos Santos, Leonardo Gomes Baldoino, Lucas Klarosk Ismael, Luis Felipe Miras Modolo","doi":"10.1055/s-0045-1814114","DOIUrl":"10.1055/s-0045-1814114","url":null,"abstract":"Bone defects caused by trauma, infections, neoplasms, and other conditions are commonly treated with autologous grafts, which are considered the gold standard due to their osteoinduction, osteoconduction, and osteogenesis properties. However, their use has limitations, including limited availability, donor-site morbidity, and increased surgical time. Alternatively, allogeneic grafts, xenografts, and synthetic bone substitutes, including ceramics, bioglasses, resins, and metals, have been developed and are often modified with osteoinductive elements, such as growth factors and bioinorganic ions. The ideal bone replacement should be biocompatible, bioabsorbable, mechanically resistant, porous, and capable of promoting osseointegration. Although synthetic substitutes have advanced, they have not yet achieved the effectiveness of autologous grafts, especially concerning osteointegration and economic viability. However, innovations in molecular biology, bone proteins, and gene therapies offer promising prospects for the development of new biomaterials. The current article introduces the reader to bone substitutes by presenting a classification of the materials used and the main characteristics of each group.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"60 6","pages":"s00451814114"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879071","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 Total Knee Arthroplasty with Robotic Assistance]. 机器人辅助全膝关节置换术的结果

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814407

Joao Paulo Fernandes Guerreiro, Julia Canassa Pinto, Livia Schauff, Tiago Delfino Pedrollo, Paulo Roberto Bignardi, Marcus Vinicius Danieli

{"title":"[Results of Total Knee Arthroplasty with Robotic Assistance].","authors":"Joao Paulo Fernandes Guerreiro, Julia Canassa Pinto, Livia Schauff, Tiago Delfino Pedrollo, Paulo Roberto Bignardi, Marcus Vinicius Danieli","doi":"10.1055/s-0045-1814407","DOIUrl":"10.1055/s-0045-1814407","url":null,"abstract":"Objective: To investigate the outcomes of total knee arthroplasty (TKA) when assisted by a robotic arm compared with the conventional approach.Methods: We conducted a retrospective cohort study including 96 patients who underwent TKA, assigned to either the robotic-assisted (RA) group or a conventional technique (CT) groups. All surgeries were performed without the use of a tourniquet and included administration of intravenous tranexamic acid. Patients were matched based on sex, age, and preoperative hemoglobin (Hb) and hematocrit (Ht) values. Key outcomes evaluated were perioperative blood loss (assessed through changes in Hb and Ht), operative duration, length of hospital stay, and postoperative complications up to 6 months.Results: There were 34 patients from each group successfully matched for analysis. There were no significant differences between the groups regarding Hb or Ht reduction (RA: Hb -2.27 ± 1.21 g/dL, Ht -6.56 ± 3.43%; vs. CT: Hb -2.00 ± 1.07 g/dL, Ht -5.85 ± 3.26%; p > 0.05). The mean surgical time was also similar (RA: 108.9 ± 20.8 vs. CT: 111.8 ± 26.2 min; p = 0.905). Notably, patients in the RA group experienced a shorter hospitalization period (median: 2 vs. 2.5 days; OR = 0.12; 95% CI = 0.03-0.57; p = 0.008). Incidence of postoperative complications within 6 months did not differ significantly between groups.Conclusion: Robotic-assisted TKA was not associated with measurable improvements in blood loss, operative time, or postoperative complications. However, it contributed to a reduction in hospital stay compared with the conventional technique.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"60 6","pages":"s00451814407"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878947","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

[The Trifurcated Anatomy of The Upper Trunk of The Brachial Plexus: Suprascapular Nerve, Posterior Division, and Anterior Division]. 臂丛上干的三叉解剖：肩胛上神经、后段和前段。

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814117

Junot Hortêncio de Souza Neto, Bernardo Couto Neto, André Bastos Duarte Eiras, Renato Harley Santos Botelho, Lucas Gonçalves Daflon, Marco Aurélio Rodrigues da Fonseca Passos

{"title":"[The Trifurcated Anatomy of The Upper Trunk of The Brachial Plexus: Suprascapular Nerve, Posterior Division, and Anterior Division].","authors":"Junot Hortêncio de Souza Neto, Bernardo Couto Neto, André Bastos Duarte Eiras, Renato Harley Santos Botelho, Lucas Gonçalves Daflon, Marco Aurélio Rodrigues da Fonseca Passos","doi":"10.1055/s-0045-1814117","DOIUrl":"10.1055/s-0045-1814117","url":null,"abstract":"Objective: To provide a comprehensive depiction of the anatomy of the upper trunk and its distal trifurcation through the dissection of brachial plexuses obtained from adult cadavers.Methods: We dissected 40 brachial plexuses from adult cadavers preserved using a unique formalin-based technique developed and used by the Anatomy Department of our institution. Bilateral dissection was performed on 20 cadavers placed in the dorsal decubitus position with accurate arm adduction. While the primary focus was on the upper trunk's anatomy, a thorough exploration of the entire brachial plexus was achieved through an extended incision.Results: The posterior division of the upper trunk was consistently located between the suprascapular nerve and the anterior division. In 22 (55%) of the dissected brachial plexuses, the suprascapular nerve originated from the proximal region of the posterior division of the upper trunk, immediately after its bifurcation. For the remaining 18 (45%), the suprascapular nerve originated directly from the upper trunk.Conclusion: The distal trifurcation of the upper trunk of the brachial plexus includes the suprascapular nerve and the posterior and anterior divisions of the upper trunk.","PeriodicalId":21536,"journal":{"name":"Revista Brasileira de Ortopedia","volume":"60 6","pages":"s00451814117"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878986","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

Description of Hip Deformities in 5-Year-Old Patients with Congenital Zika Virus Syndrome. 5岁先天性寨卡病毒综合征患者髋关节畸形的描述

Revista Brasileira de Ortopedia Pub Date : 2025-12-30 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1814120

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0