Acta Ortopedica Brasileira最新文献

SUPRACONDYLAR FRACTURES IN CHILDREN: A SYSTEMATIC REVIEW OF TREATMENT OPTIONS. 儿童髁上骨折：治疗方案的系统回顾。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e278420

Douglas Hideo Higuchi, Gabriel Alencar de Oliveira, João Paulo Alves, Lucas Lebedenco, Eiffel Tsuyoshi Dobashi

{"title":"SUPRACONDYLAR FRACTURES IN CHILDREN: A SYSTEMATIC REVIEW OF TREATMENT OPTIONS.","authors":"Douglas Hideo Higuchi, Gabriel Alencar de Oliveira, João Paulo Alves, Lucas Lebedenco, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220243203e278420","DOIUrl":"10.1590/1413-785220243203e278420","url":null,"abstract":"Objective: To compare the outcomes of surgical stabilization of pediatric supracondylar humeral fractures with the use of crossed Kirschner wires versus divergent lateral pinning wires.Methods: This is a systematic review with meta-analysis carried out by searching the MEDLINE/PubMed, Science Direct and Scielo databases. In these, the search for journals was carried out between January and August 2023, where 695 studies were found. To assess the quality of the studies, the Jadad and the MINORS scales were used.. The selection and reading of relevant articles were carried out by the researchers and 11 studies met the selection criteria.Results: From the 11 selected studies, 963 patients who met the criteria for the surgical treatment of these fractures were grouped. After the statistical analysis, we found that the ulnar nerve injury had a higher incidence when the crossed-K wire technique was used; and the lateral fixation is safer for the ulnar nerve.Conclusion: Both fixation techniques determine good functional results. However, fixation with lateral Kirschner wires proves to be safer considering the risk of iatrogenic injury to the ulnar nerve. Crossed-K wire fixation is more effective in terms of stability and maintenance of fracture reduction. Level of Evidence II, Systematic Review of Level II or Level I Studies with discrepant results.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ORTHOPEDIC INJURIES IN MEN'S PROFESSIONAL SOCCER DURING THE CORONAVIRUS DISEASE PANDEMIC. 在冠状病毒疾病大流行期间男子职业足球的骨伤情况。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e273510

Gustavo Gonçalves Arliani, Eli Henrique Rodrigues da Silva, Hussein Fares, Paulo Henrique Schmidt Lara, Jorge Roberto Pagura, Moisés Cohen

{"title":"ORTHOPEDIC INJURIES IN MEN'S PROFESSIONAL SOCCER DURING THE CORONAVIRUS DISEASE PANDEMIC.","authors":"Gustavo Gonçalves Arliani, Eli Henrique Rodrigues da Silva, Hussein Fares, Paulo Henrique Schmidt Lara, Jorge Roberto Pagura, Moisés Cohen","doi":"10.1590/1413-785220243203e273510","DOIUrl":"10.1590/1413-785220243203e273510","url":null,"abstract":"Objective: To assess the incidence and characteristics of injuries that occurred in the 2020 season of the Paulista Football Championship during the novel coronavirus disease pandemic.Methods: We conducted a prospective study using an electronic questionnaire developed by the Medical Committee of the Paulista Football Federation. Results were sent to the team doctors of series A1 and A2 after each round of the Paulista Football Championship.Results: Series A1 and A2 presented 12.17 and 15.6 injuries, respectively, per 1000 gaming hours. The strikers were the most affected, with muscle injuries being the most frequent and the lower limbs being the most affected. Most injuries occurred within 31-45 minutes of playing; only 4.5% of injuries required surgery.Conclusion: There was no statistical difference in the comparison between pre- and post-pandemic conditions. In relation to the variables studied, the most injuries occurred in the lower limbs; the most common type of injury was muscle strain, followed by sprain and contusion. The most requested exam was MRI; most injuries were classified as moderate (8-28 days). There was no difference between pre- and post-pandemic conditions. Level of Evidence IV, Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

REPLANTATION OF THE THUMB OR REVISION OF AMPUTATION: AN EPIDEMIOLOGICAL STUDY. 拇指再植或截肢翻修：一项流行病学研究。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e274165

Tiago Guedes da Motta Mattar, Caio Felipe Araujo Matalani, Henrique Brito Silveira, Arthur Kayano Sargaço, Mariana Miranda Nicolosi Pessa, Fernando Vicente de Pontes, Teng Hsiang Wei, Rames Mattar, Marcelo Rosa de Rezende

{"title":"REPLANTATION OF THE THUMB OR REVISION OF AMPUTATION: AN EPIDEMIOLOGICAL STUDY.","authors":"Tiago Guedes da Motta Mattar, Caio Felipe Araujo Matalani, Henrique Brito Silveira, Arthur Kayano Sargaço, Mariana Miranda Nicolosi Pessa, Fernando Vicente de Pontes, Teng Hsiang Wei, Rames Mattar, Marcelo Rosa de Rezende","doi":"10.1590/1413-785220243203e274165","DOIUrl":"10.1590/1413-785220243203e274165","url":null,"abstract":"Objetive: This article presents a retrospective cohort study analyzing patients from IOT-FMUSP who underwent replantation or revision amputation procedures for traumatic thumb amputation between 2013 and 2020.Methods: The study included 40 patients in the replanted group and 41 patients in the amputed group. The patients were divided according to the level of amputation and their medical records were analyzed.Results: A total of 81 patients with digital amputation were analyzed, consisting of 79 males and 2 females, with mean ages of 43 and 49 for the amputed and replanted groups, respectively. According to the Biemer classification, 28.4% had proximal amputation, while 71.6% had distal amputation. The most common occupation was bricklayer (19.75%), and 80.24% were manual workers. Of the patients, 65% returned to their previous work, with 77.77% of them having amputation on their non-dominant hand, mostly caused by circular saw accidents (77.77%). The replantation success rate was 78%, with an average ischemia time of 9 hours and door-to-room time of 2 hours.Conclusion: the study findings revealed that traumatic thumb amputation predominantly affects working-age males with a low education level and the success rate of replantation was high in this ischemia time and door-to-room conditions. Level of Evidence II, Retrospective study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

3D PRINTING IN COMPLEX TIBIAL FRACTURE CLASSIFICATION & PLANNING. 3d 打印技术在复杂胫骨骨折分类和规划中的应用。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e269705

Fuyang Chen, Chenyu Huang, Chen Ling, Jinming Zhou, Yufeng Wang, Po Zhang, Xiao Jiang, Xiaoming Xu, Jian Jian, Jiayi Li, Liming Wang, Qingqiang Yao

{"title":"3D PRINTING IN COMPLEX TIBIAL FRACTURE CLASSIFICATION & PLANNING.","authors":"Fuyang Chen, Chenyu Huang, Chen Ling, Jinming Zhou, Yufeng Wang, Po Zhang, Xiao Jiang, Xiaoming Xu, Jian Jian, Jiayi Li, Liming Wang, Qingqiang Yao","doi":"10.1590/1413-785220243203e269705","DOIUrl":"10.1590/1413-785220243203e269705","url":null,"abstract":"Objective: Tibial plateau fractures are common intra-articular fractures that pose classification and treatment challenges for orthopedic surgeons.Objective: This study examines the value of 3D printing for classifying and planning surgery for complex tibial plateau fractures.Methods: We reviewed 54 complex tibial plateau fractures treated at our hospital from January 2017 to January 2019. Patients underwent preoperative spiral CT scans, with DICOM data processed using Mimics software. 3D printing technology created accurate 1:1 scale models of the fractures. These models helped subdivide the fractures into seven types based on the tibial plateau's geometric planes. Surgical approaches and simulated operations, including fracture reduction and plate placement, were planned using these models.Results: The 3D models accurately depicted the direction and extent of fracture displacement and plateau collapse. They facilitated the preoperative planning, allowing for precise reconstruction strategies and matching intraoperative details with the pre-printed models. Post-surgery, the anatomical structure of the tibial plateau was significantly improved in all 54 cases.Conclusion: 3D printing effectively aids in the classification and preoperative planning of complex tibial plateau fractures, enhancing surgical outcomes and anatomical restoration. Level of Evidence IV, Prospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

TREATMENT OF PEDIATRIC FEMUR FRACTURES WITH FLEXIBLE STAINLESS STEEL INTRAMEDULLARY NAIL. 使用弹性不锈钢髓内钉治疗小儿股骨骨折。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e267630

Marcella Adryanne Dias Brandão, José Eduardo Sanches Arantes, Alceu José Fornari Gomes Chueire, Guaracy Carvalho

{"title":"TREATMENT OF PEDIATRIC FEMUR FRACTURES WITH FLEXIBLE STAINLESS STEEL INTRAMEDULLARY NAIL.","authors":"Marcella Adryanne Dias Brandão, José Eduardo Sanches Arantes, Alceu José Fornari Gomes Chueire, Guaracy Carvalho","doi":"10.1590/1413-785220243203e267630","DOIUrl":"10.1590/1413-785220243203e267630","url":null,"abstract":"Objectives: To identify the characteristics of patients and femur fractures treated with a stainless steel intramedullary nail (ESIN) in children under 15 years of age. Know the results of using the ESIN of related steel in the service.Methods: Retrospective study with review of hospital records and organization of data in spreadsheets.Result: 24 cases were identified, 17 male cases and 7 female cases. A minimum age of 4 years and a maximum of 11 years were observed (average of 7 years). The 3 most common trauma mechanisms were being run over (n:8, 33%) and falling from a height (n:8, 3%). The most common location of the fractures was in the mid-diaphyseal region (n: 20, 88%), only one case presented a bilateral femur fracture. The most common associated trauma was traumatic brain injury. The observation period observed several months between 2 and 5. With regard to complications, 3 cases were observed (12.5%) being bursitis, vicious construction and loss of reduction.Conclusion: Steel HIF shows similar good results. As the study includes the retrospective profile, the absence of a group and the small sample size. Level of Evidence IV, Case series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ULTRASOUND-GUIDED GENICULAR NERVE BLOCK FOR KNEE OSTEOARTHRITIS: A CASE SERIES. 超声引导下膝神经阻滞治疗膝骨关节炎：病例系列。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-07-26 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e277781

Ramon Chaves Ramalho, Tifani Dawidowicz Fernandes, Felipe de Freitas Peraro, Gabriel Marques Pugliese, Gustavo Gonçalves Arliani, Gabriel Ferraz Ferreira

{"title":"ULTRASOUND-GUIDED GENICULAR NERVE BLOCK FOR KNEE OSTEOARTHRITIS: A CASE SERIES.","authors":"Ramon Chaves Ramalho, Tifani Dawidowicz Fernandes, Felipe de Freitas Peraro, Gabriel Marques Pugliese, Gustavo Gonçalves Arliani, Gabriel Ferraz Ferreira","doi":"10.1590/1413-785220243203e277781","DOIUrl":"10.1590/1413-785220243203e277781","url":null,"abstract":"Objective: Knee genicular nerve blocks have been a topic of discussion among various types of treatment for knee osteoarthritis. This study aims to evaluate the pain and function of patients diagnosed with knee osteoarthritis after undergoing ultrasound-guided genicular nerve blockade using pharmacological agents.Methods: The study included 36 patients diagnosed with knee osteoarthritis, comprising 17 bilateral cases, totaling 53 knees undergoing UGNB using a mixture of triamcinolone, ropivacaine, and lidocaine under ultrasound guidance. Epidemiological data, pain outcomes measured by the Visual Analog Scale (VAS), and function assessed using the Western Ontario and McMaster Universities (WOMAC) score were evaluated before and after 12 weeks of the procedure.Results: The mean age was 75.5 years (standard deviation of 9.4 years), with a predominance of females and right-sided involvement. There was a mean reduction of 3.0 points in VAS (p < 0.001) and 15.4 points in WOMAC (p < 0.001). Two cases reported only minor and transient complications related to the procedure (skin anesthesia and edema).Conclusion: Ultrasound-guided genicular nerve blockade using pharmacological agents demonstrated pain reduction and improved function with a low complication rate after 12 weeks in patients with knee gonarthrosis. Level of Evidence IV, Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RANDOMIZED EXPERIMENTAL STUDY OF TOPICAL VASODILATORS IN MICROSURGERY WITH COST ANALYSIS. 显微手术中局部血管扩张剂的随机实验研究及成本分析。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e276513

Renato Polese Rusig, Debora Yumi Yoshimura Orlandin Alves, Amanda de Oliveira Silva Nascimento, Gustavo Bispo Dos Santos, Rames Mattar, Raquel Bernardelli Iamaguchi

{"title":"RANDOMIZED EXPERIMENTAL STUDY OF TOPICAL VASODILATORS IN MICROSURGERY WITH COST ANALYSIS.","authors":"Renato Polese Rusig, Debora Yumi Yoshimura Orlandin Alves, Amanda de Oliveira Silva Nascimento, Gustavo Bispo Dos Santos, Rames Mattar, Raquel Bernardelli Iamaguchi","doi":"10.1590/1413-785220243203e276513","DOIUrl":"10.1590/1413-785220243203e276513","url":null,"abstract":"Objective: Throughout microsurgical anastomosis, many surgeons use topical vasodilators in order to reduce pathological vasospasm. It was carried out an experimental study comparing the effectiveness of topical use of Nitroglycerin, Papaverine, Magnesium sulfate over a control group in the femoral artery and vein of rats, in reducing prolonged vasospasm.Methods: Randomized comparative experimental study in 15 rats, divided into four groups. The external diameter of the vases soaked in the randomized solution was measured. For statistical analysis, it was calculated the percentual increase in the external diameter of the vessels.Results: A statistically significant increase in arterial dilation was observed after 10 minutes of topical application of 10% magnesium sulfate compared to the control group, with p = 0.044 . No other drug showed a vasodilator effect superior to the control group. Magnesium sulfate at 10% is still not used in microsurgery and costs 15 times less than papaverine, the standard drug for topical vasodilation in clinical cases at our service.Conclusion: Magnesium sulfate had better vasodilating effects over the control group after 10 minutes of arterial microanastomosis. None of the tested drugs have presented superior vasodilating effects over each other nor the control group after venous microanastomosis. Level of evidence II, Experimental study, Randomized Trial.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EFFECTS OF TREADMILL GAIT TRAINING ON BALANCE IN PARKINSON'S PATIENTS AFTER DEEP BRAIN STIMULATION. 跑步机步态训练对深部脑刺激后帕金森患者平衡能力的影响。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e266917

Viviane Carolina Sales de Andrade, Angelica Castilho Alonso, Natalia Mariana Silva Luna, Fernanda Botta Tarallo Rogatto, Guilherme Carlos Brech, Danilo Sales Bocalini, Júlia Maria D'Andrea Greve

{"title":"EFFECTS OF TREADMILL GAIT TRAINING ON BALANCE IN PARKINSON'S PATIENTS AFTER DEEP BRAIN STIMULATION.","authors":"Viviane Carolina Sales de Andrade, Angelica Castilho Alonso, Natalia Mariana Silva Luna, Fernanda Botta Tarallo Rogatto, Guilherme Carlos Brech, Danilo Sales Bocalini, Júlia Maria D'Andrea Greve","doi":"10.1590/1413-785220243203e266917","DOIUrl":"10.1590/1413-785220243203e266917","url":null,"abstract":"Objective: After deep brain stimulation (DBS), patients with Parkinson's disease (PD) typically still present significant gait and postural stability problems, and thus additional interventions are needed. In this way, our purpose was evaluate the comparative effectiveness of treadmill training, with and without body weight support, on balance outcomes among patients with PD after DBS.Methods: Eleven patients with PD that were using bilateral subthalamic nucleus DBS were evaluated using Time Up and Go test (TUG); Berg Balance Scale (BBS) and Static Posturography. In phase 1, all subjects participated in 8-weeks of treadmill training in conjunction with conventional physiotherapy. After six weeks (wash-out), each patient then participated in a subsequent 8-weeks of treadmill training with partial body weight support.Results: After the phase 1, there were improvements on the cognitive TUG performance (Before: 15.7 ± 1,8 sec; After: 13.7 ± 3.1 sec; p < 0.01) and an increase of anteroposterior and medio-lateral body oscillation with eyes closed. After the phase 2, there were improvements in conventional (Before: 12.3 ± 2.0 sec; After: 10.7 ± 1.7 sec; p < 0.01) and cognitive (Before: 14.6 ± 3.5 sec; After: 12.5 ± 1.6 sec; p < 0.05) TUG performances. There were no significant changes in the Berg Balance Scale following either training protocol.Conclusion: Both trainings improved static and dynamic balance and had similar results; however, supported treadmill training seemed to be a potentially superior option, as patients tended to feel safer. Level of Evidence II, therapeutic studies - investigation of treatment outcomes.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PATHOPHYSIOLOGY OF POSTTRAUMATIC ANKLE OSTEOARTHRITIS: A MULTICENTER PERSPECTIVE. 创伤后踝关节骨关节炎的病理生理学：多中心视角。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e282286

Alexandre Leme Godoy-Santos, Cesar de Cesar, Simone Santini, Mario Herrera-Pérez, Victor Valderrabano, Stefan Rammelt

{"title":"PATHOPHYSIOLOGY OF POSTTRAUMATIC ANKLE OSTEOARTHRITIS: A MULTICENTER PERSPECTIVE.","authors":"Alexandre Leme Godoy-Santos, Cesar de Cesar, Simone Santini, Mario Herrera-Pérez, Victor Valderrabano, Stefan Rammelt","doi":"10.1590/1413-785220243203e282286","DOIUrl":"10.1590/1413-785220243203e282286","url":null,"abstract":"Besides the acute injury and trauma-induced macroscopic alterations, the evolution to posttraumatic ankle osteoarthritis (PTOA) is a complex process progressing at the tissue and molecular level. Furthermore, changes in the molecular pathways affect chondrocyte viability. Treatment modalities for PTOA focal or confined disease include innovative techniques.Objective: Our purpose is to increase medical awareness based on scientific evidence of pathophysiology, molecular biology, and treatment of post-traumatic ankle osteoarthritis.Methods: To support the perspectives of the experts, evidence from the scientific literature respected the PRISMA guidelines and the PICOS search strategy was used. We included case-control, cohort, experimental studies and case reports, written in English.Results: The authors were homogeneously exposed to 282 selected abstracts and 114 full articles directly related to post-traumatic osteoarthritis after malleolar fractures.Conclusion: The pathophysiological factors involved in posttraumatic ankle osteoarthritis, such as biological, structural, mechanical, and molecular changes must be studied together, as the interaction between these factors determines the risk of progression of PTOA. Inhibition of a single catabolic molecule or cascade probably is not sufficient to alter the natural progression of the pathological process. Evidence level V, expert opinion.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SHORT-TERM EVALUATION BETWEEN POLYETHYLENE THICKNESS IN PRIMARY TOTAL KNEE ARTHROPLASTY. 初级全膝关节置换术中聚乙烯厚度的短期评估。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243203e276755

Rodrigo Sattamini Pires E Albuquerque, Thales Ramos Pizziolo, Octavio Augusto Tome da Silva, Marcelo Alfredo Guerra Monteiro, Sandra Tie Nishibe Minamoto, Alan de Paula Mozella

{"title":"SHORT-TERM EVALUATION BETWEEN POLYETHYLENE THICKNESS IN PRIMARY TOTAL KNEE ARTHROPLASTY.","authors":"Rodrigo Sattamini Pires E Albuquerque, Thales Ramos Pizziolo, Octavio Augusto Tome da Silva, Marcelo Alfredo Guerra Monteiro, Sandra Tie Nishibe Minamoto, Alan de Paula Mozella","doi":"10.1590/1413-785220243203e276755","DOIUrl":"10.1590/1413-785220243203e276755","url":null,"abstract":"Objective: The objective of the research was to carry out a comparative study between Smith & Nephew ® or Zimmer ® prostheses with thick versus thin polyethylene, in patients undergoing primary total knee arthroplasty, during a short-term follow-up. Thus, the objective was to analyze the survival of the implants in question under the clinical and radiographic aspect.Methods: The sample was divided into two groups: Group 1 with thick polyethylene and group 2 with thin polyethylene. A clinical analysis of the patients was carried out and the implants were checked for loosening.Results: The groups were similar when compared. According to the Ahlbäck classification, 83% of the patients were in groups IV and V. The median functional score in the postoperative period was similar between the two groups. Postoperatively, the tibiofemoral angle fluctuated between 5 and 6 0 valgus on average. Two complications were observed in each group. None of the evaluated patients presented implant loosening.Conclusion: Patients treated with thick polyethylene had the same functional score as the control group, as well as the absence of radiographic changes in this short-term follow-up, with implant survival and a similar rate of complications between both groups. Level of evidence III, Retrospective study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0