Acta Ortopedica Brasileira最新文献_第10页

ROLE OF POLYMORPHISMS IN VEGF AND KDR GENES IN OSTEOSARCOMA SUSCEPTIBILITY: A SYSTEMATIC REVIEW. vegf和KDR基因多态性在骨肉瘤易感性中的作用：一项系统综述。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-10-13 eCollection Date: 2025-09-01 DOI: 10.1590/1413-785220253302e291664

Amanda Dos Santos Cavalcanti, Jéssica Vilarinho Cardoso, Verônica Aran Ponte, Jade Pires Nascimento, Mariana Chantre-Justino, Ana Cristina DE Sá Lopes, Walter Meohas, Jamila Alessandra Perini

{"title":"ROLE OF POLYMORPHISMS IN VEGF AND KDR GENES IN OSTEOSARCOMA SUSCEPTIBILITY: A SYSTEMATIC REVIEW.","authors":"Amanda Dos Santos Cavalcanti, Jéssica Vilarinho Cardoso, Verônica Aran Ponte, Jade Pires Nascimento, Mariana Chantre-Justino, Ana Cristina DE Sá Lopes, Walter Meohas, Jamila Alessandra Perini","doi":"10.1590/1413-785220253302e291664","DOIUrl":"10.1590/1413-785220253302e291664","url":null,"abstract":"Osteosarcoma is the most common aggressive primary bone tumor in children and adolescents. Angiogenesis, induced by vascular endothelial growth factor (VEGF) and its receptor (kinase insert domain receptor - KDR) is involved in tumor development. Both genes (VEGF and KDR) are polymorphic, and their association with osteosarcoma remains unclear. A systematic review of observational studies was performed to evaluate the association between polymorphisms in these genes and osteosarcoma development. Pubmed, Medline, Lilacs, and Scielo databases were searched for observational studies published up to April 2024. Eight publications of case-control studies were included, with quality ranging from 82% to 95%. All subjects were from the Chinese population: 1,681 cases and 2,049 controls. A total of six VEGF polymorphisms were analyzed. For osteosarcoma susceptibility, three studies found an increased risk with VEGF rs699947, four with VEGF rs2010963, two with VEGF rs3025039, one with VEGF rs833061, and no studies found an association with the VEGF rs1570360 and VEGF rs10434 SNPs. In addition, no studies evaluated SNPs in the KDR gene and osteosarcoma susceptibility. Further studies in diverse populations, particularly in Brazil, are necessary to clarify the role of VEGF and KDR polymorphisms in osteosarcoma development and prognosis. Level of evidence III; Systematic Review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe2","pages":"e291664"},"PeriodicalIF":0.6,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294431","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 LATERAL EPICONDYLITIS OF THE ELBOW WITH HYALURONIC ACID INJECTIONS. 透明质酸注射治疗肘关节外上髁炎。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-10-13 eCollection Date: 2025-09-01 DOI: 10.1590/1413-785220253302e289985

Mauro Emilio Conforto Gracitelli, Luiza DE Campos Moreira DA Silva, Jorge Henrique Assunção, Fernando Brandão DE Andrade E Silva, Arnaldo Amado Ferreira, Eduardo Angeli Malavolta

{"title":"TREATMENT OF LATERAL EPICONDYLITIS OF THE ELBOW WITH HYALURONIC ACID INJECTIONS.","authors":"Mauro Emilio Conforto Gracitelli, Luiza DE Campos Moreira DA Silva, Jorge Henrique Assunção, Fernando Brandão DE Andrade E Silva, Arnaldo Amado Ferreira, Eduardo Angeli Malavolta","doi":"10.1590/1413-785220253302e289985","DOIUrl":"10.1590/1413-785220253302e289985","url":null,"abstract":"Introduction: The primary objective was to evaluate the efficacy of hyaluronic acid injections for lateral epicondylitis. Secondary objectives included assessing pain and functional outcomes at various time points following the injection.Methods: This prospective cohort study included patients who received two hyaluronic acid injections one week apart after prior conservative treatment. Assessments were conducted at two and six weeks, and at three, six, and 12 months post-injection. Outcome measures were pain scores (Visual Analogue Scale), functional assessment (Single Assessment Numeric Evaluation), and injection site complications.Results: A total of 46 patients (52 elbows) were included. Significant improvements were observed in pain scores measured by VAS at rest, from 4.5±2.8 initially to 2.7±2.8 at 3 months and 2.3±3.0 at 12 months (p<0.001). Similar improvements were seen in VAS scores during maximum hand grip strength, from 5.8±3.1 initially to 2.8±3.4 at 12 months (p<0.001). SANE score also improved significantly. No complications were reported.Conclusions: Treatment of lateral epicondylitis with hyaluronic acid showed statistically significant improvement in VAS scores at rest and during maximum hand grip strength, as well as in SANE scores, with no reported complications. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe2","pages":"e289985"},"PeriodicalIF":0.6,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294494","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

IMPACT AND HEALTHCARE UTILIZATION PATTERNS OF AN ORTHOPEDIC TELEMEDICINE PROGRAM IN BRAZIL. 巴西骨科远程医疗项目的影响和医疗保健利用模式。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-10-13 eCollection Date: 2025-09-01 DOI: 10.1590/1413-785220253302e292544

Fabio Seiji Mazzi Yamaguchi, Vitor Matheus Silva, Hector Fugihara Kroes, Jorge Dos Santos Silva, Raphael Martus Marcon, Henrique Melo DE Campos Gurgel

{"title":"IMPACT AND HEALTHCARE UTILIZATION PATTERNS OF AN ORTHOPEDIC TELEMEDICINE PROGRAM IN BRAZIL.","authors":"Fabio Seiji Mazzi Yamaguchi, Vitor Matheus Silva, Hector Fugihara Kroes, Jorge Dos Santos Silva, Raphael Martus Marcon, Henrique Melo DE Campos Gurgel","doi":"10.1590/1413-785220253302e292544","DOIUrl":"10.1590/1413-785220253302e292544","url":null,"abstract":"Objective: To examine the relationship between place of residence, social vulnerability, and telemedicine access among orthopedic patients at a tertiary hospital in São Paulo, Brazil.Methods: A cross-sectional, comparative study analyzing sociodemographic, economic, and geographic characteristics of 475 patients who attended telemedicine consultations between August 2022 and August 2023. Patients were grouped by their Social Vulnerability Index (IVS) to assess differences in travel distances, costs, and accessibility challenges. The analysis included comparisons of demographic factors, financial burdens, and telemedicine's impact on reducing travel constraints.Results: Telemedicine consultations avoided an average travel distance of 211 km and saved approximately 44 USD per consultation. Patients from higher IVS regions had significantly greater travel distances, longer travel times, lower formal education levels, and were more likely to be younger, male, and of non-White race. Additionally, these patients more frequently reported missing work for in-person visits. Telemedicine access disparities reflect broader socioeconomic and geographic inequalities.Conclusions: This study highlights how spatial and socioeconomic vulnerabilities shape telemedicine access in Brazil. Travel burdens and job insecurity disproportionately affect vulnerable groups, while social support mitigates barriers for older adults. Level of Evidence III; Cross-Sectional Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe2","pages":"e292544"},"PeriodicalIF":0.6,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294418","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

SURGICAL PROCEDURES PROLONG AMBULATION IN PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY. 外科手术延长杜氏肌营养不良患者的活动时间。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-10-13 eCollection Date: 2025-09-01 DOI: 10.1590/1413-785220253302e287732

David Gonçalves Nordon, Felipe Cruz Caetano Dos Reis, Carlos Alberto Dos Santos, Adilson DE Paula, Maria Bernadete Dutra DE Resende, Patricia Moreno Grangeiro

{"title":"SURGICAL PROCEDURES PROLONG AMBULATION IN PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY.","authors":"David Gonçalves Nordon, Felipe Cruz Caetano Dos Reis, Carlos Alberto Dos Santos, Adilson DE Paula, Maria Bernadete Dutra DE Resende, Patricia Moreno Grangeiro","doi":"10.1590/1413-785220253302e287732","DOIUrl":"10.1590/1413-785220253302e287732","url":null,"abstract":"Objective: The aim of this study was to evaluate the effect of surgical procedures on maintaining ambulation for Duchenne patients.Methods: This retrospective cohort study evaluated 35 patients for whom surgery was recommended at our institution from 2012 to 2020.Results: Twenty-seven patients were operated on before gait loss, and eight after. In this study, surgical treatment allowed recovery and prolongation of gait for 38.6 months, on average. The sooner the surgery was performed, the better the results were; logistic regression analysis showed that each day of delay after gait loss decreased the chances of success by 0.2%. The optimal interval for intervention was up to 12 months after gait loss.Conclusion: Our results thus corroborate the evidence that surgical interventions are beneficial for these patients and suggest a not previously described time window for achieving better outcomes. Level of Evidence lll; Retrospective, Comparative Study of Surgical Interventions.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe2","pages":"e287732"},"PeriodicalIF":0.6,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294503","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 MRI EVALUATION OF CAPSULOLABRAL REPAIR IN ATHLETES WITH ANTERIOR GLENOHUMERAL INSTABILITY: CORRELATION WITH CLINICAL OUTCOMES. 肱骨前盂不稳运动员肩关节囊修复的短期mri评估：与临床结果的相关性。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253305e287110

Bernardo Barcellos Terra, Tannous Jorge Sassine, Andre Aihara, Paulo Santoro Belangero, Alberto De Castro Pochini, Benno Ejnisman

{"title":"SHORT-TERM MRI EVALUATION OF CAPSULOLABRAL REPAIR IN ATHLETES WITH ANTERIOR GLENOHUMERAL INSTABILITY: CORRELATION WITH CLINICAL OUTCOMES.","authors":"Bernardo Barcellos Terra, Tannous Jorge Sassine, Andre Aihara, Paulo Santoro Belangero, Alberto De Castro Pochini, Benno Ejnisman","doi":"10.1590/1413-785220253305e287110","DOIUrl":"10.1590/1413-785220253305e287110","url":null,"abstract":"Objective: The aim of this study was to evaluate capsulolabral repair in athletes with traumatic anterior glenohumeral instability using magnetic resonance imaging (MRI) and correlate it with clinical and epidemiological data.Method: A prospective therapeutic clinical study was conducted with 36 athletes undergoing surgical treatment. MRI was performed preoperatively and in the third month postoperatively. The morphology, height, angulation, integrity and density of the repaired capsulolabral tissue were evaluated. Linear and logistic regression models were applied.Results: A total of 36 athletes were evaluated (mean age 29.64 ± 9.08 years). For all numerical variables (morphology, integrity, angles and heights) the differences were statistically significant, except for the coronal angle and homogeneity. Longer time to surgery or multiple dislocations reduced the improvement in morphology. There were no new episodes of dislocation. In the 3-month radiological evaluation, the integrity of the labrum was present in 97% of the patients, however, all patients still had a heterogeneous labrum.Conclusion: There are statistically significant differences between the morphology, height and angulation of the labrum between the pre- and postoperative periods of patients operated on for glenohumeral instability. Although the 3-month MRI showed integrity of the labrum in almost all athletes, this tissue still presented altered density even with satisfactory clinical results. Level of Evidence III; Prospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e287110"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139354","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

BERTOLOTTI SYNDROME. BERTOLOTTI辛拉登.

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253305e290072

Eduardo Achar, João Paulo de Souza Sanches Trecco, Robert Meves, Marcos Vaz de Lima

{"title":"BERTOLOTTI SYNDROME.","authors":"Eduardo Achar, João Paulo de Souza Sanches Trecco, Robert Meves, Marcos Vaz de Lima","doi":"10.1590/1413-785220253305e290072","DOIUrl":"10.1590/1413-785220253305e290072","url":null,"abstract":"Introduction: Lower back disorders are prevalent and a significant reason for emergency care visits. In 2020, 619 million people experienced low back pain, expected to rise to 843 million by 2050. A common cause is the presence of a lumbosacral transitional vertebra (LSTV). Objectives: This study evaluates the prevalence of Bertolotti Syndrome in patients with low back pain in an emergency setting and assesses interobserver reliability of LSTV classifications.Methods: A retrospective analysis of 1023 lumbar spine radiographs from patients presenting with low back pain from 2018 to 2020 was conducted. After exclusions, 469 radiographs were analyzed. Two orthopedists classified LSTVs using Tini and Castellvi's systems. Statistical analyses included the Kappa agreement index, two-proportion Z test, confidence interval for the mean, and p-value calculations.Results: The prevalence of Bertolotti Syndrome was 62.5% for observer A and 61.6% for observer B. Type I LSTV was the most common, with over 70% of cases, followed by type III at over 15%. The most frequent morphology was bilateral involvement of the transverse process, with more than 50% of cases exhibiting IB morphology according to both classifications.Conclusion: This study found a high incidence of Bertolotti Syndrome (over 60%) in patients with low back pain seeking emergency care, suggesting that LSTV should be more frequently considered in differential diagnoses. Improved recognition of LSTV could lead to better management strategies for low back pain associated with this congenital anomaly. Level of Evidence III; Retrospective Cohort Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e290072"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139519","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

EVALUATION OF ARTHROSCOPIC TREATMENT OF TRIANGULAR FIBROCARTILAGE. 关节镜下治疗三角形纤维软骨的疗效评价。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253305e290745

Letícia Saka Holanda, Gabriela Júlio Fernandes Viana, Felipe Mariz Queiroz, João Vitor da Cruz Garcia, Fábio Sano Imoto, Eiffel Tsuyoshi Dobashi

{"title":"EVALUATION OF ARTHROSCOPIC TREATMENT OF TRIANGULAR FIBROCARTILAGE.","authors":"Letícia Saka Holanda, Gabriela Júlio Fernandes Viana, Felipe Mariz Queiroz, João Vitor da Cruz Garcia, Fábio Sano Imoto, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220253305e290745","DOIUrl":"10.1590/1413-785220253305e290745","url":null,"abstract":"Objective: To evaluate the clinical outcomes of surgical treatment by wrist triangular fibrocartilage complex (TFCC) lesions videoarthroscopy (VA) and analyze the correlation between magnetic resonance imaging (MRI) and intraoperative VA findings.Methods: Cross-sectional study of 28 patients undergoing VA from February 2021 to September 2023, selected by predefined inclusion/exclusion criteria. The mean age was 39.6 years (range: 20-58), with a mean follow-up of 13.6 months (6-20). Twelve surgeries (42.9%) were on the right wrist and sixteen (57.1%) on the left. Functional assessment used the 11-item Quick-Dash questionnaire.Results: Quick-Dash scores were excellent in 18 cases (64.3%), good in 7 (25.0%), and satisfactory in 3 (10.7%). MRI identified 4 (14.3%) extensive and 24 (85.7%) partial tears, while VA confirmed 2 (7.1%) extensive and 26 (92.9%) partial tears. Concordance between MRI and VA was found in 26 cases (92.9%).Conclusion: Surgical treatment by VA resulted in predominantly excellent functional outcomes. There was high agreement between MRI and VA findings, indicating good sensitivity and specificity. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e290745"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139574","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

ANATOMOTOPOGRAPHIC STUDY OF THE MARTIN-GRUBER ANASTOMOSIS. 马丁-格鲁伯吻合术的解剖学研究。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253305e290615

Edie Benedito Caetano, Cristina Schmitt H Cavalheiro, Núbia Dos Reis Sampaio, Pedro Mariano Coelho, Luiz Angelo Vieira, Julio Cesar Gali

{"title":"ANATOMOTOPOGRAPHIC STUDY OF THE MARTIN-GRUBER ANASTOMOSIS.","authors":"Edie Benedito Caetano, Cristina Schmitt H Cavalheiro, Núbia Dos Reis Sampaio, Pedro Mariano Coelho, Luiz Angelo Vieira, Julio Cesar Gali","doi":"10.1590/1413-785220253305e290615","DOIUrl":"10.1590/1413-785220253305e290615","url":null,"abstract":"Objective: To create, through anatomical dissections, a map of the location of the Martin-Gruber anastomosis (MGA) in the forearms of cadavers.Methods: One hundred forearms from 50 adult cadavers were used in this study. Dissection was performed through a median incision in the forearm and distal third of the arm. Lines between the humeral epicondyles (interepicondylar) and between the styloid processes of the radius and ulna (interstyloidea) were used as reference points for the topographic location of the anastomoses, and the forearms were divided into proximal, middle and distal thirds.Results: MGA was present in 27 forearms (27%). In four limbs (14.8%) the nerve fascicles originated from the median nerve proximal to the interepicondylar line. In two limbs (7.4%), at the level of the interepicondylar line and, in 21 of these (77.7%), they were found distal to this line. In 17 limbs (62.9%), the anastomosis occurred in the proximal third of the forearm, in eight limbs (29.6%), the anastomosis occurred in the middle third of the forearm and, in two limbs (7.4%), the anastomosis occurred with the ulnar nerve it occurred in the distal third of the forearm.Conclusion: Despite the great variation in their location, most anastomoses were found distal to the interepicondylar line, especially in the proximal third of the forearm. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e290615"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139586","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

EPIDEMIOLOGICAL PROFILE AND WAITING TIME FOR OSTEOSYNTHESIS OF TRANSTROCHANTERIC FRACTURES. 经粗隆骨折的流行病学特征及骨融合术的等待时间。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253305e290192

Felipe da Silva de Melo, Lara Letícia Brito de Andrade, Gabriel Vale do Monte Sobreira, William Roberto Paredes Argotte

{"title":"EPIDEMIOLOGICAL PROFILE AND WAITING TIME FOR OSTEOSYNTHESIS OF TRANSTROCHANTERIC FRACTURES.","authors":"Felipe da Silva de Melo, Lara Letícia Brito de Andrade, Gabriel Vale do Monte Sobreira, William Roberto Paredes Argotte","doi":"10.1590/1413-785220253305e290192","DOIUrl":"10.1590/1413-785220253305e290192","url":null,"abstract":"Objective: To evaluate the epidemiological profile and waiting time for osteosynthesis in patients admitted due to intertrochanteric fracture in a public hospital in the Federal District of Brazil.Methods: This observational, descriptive, and retrospective study involved patients over 18 years old with intertrochanteric fractures between June and December 2023. Demographic, clinical data, and information about waiting time for osteosynthesis were collected. Analyses were performed using descriptive statistics and logistic regression.Results: The majority of patients (61.4%) were female, with a mean age of 74 years. The average time between fracture and care was 3.4 days, and from fracture to osteosynthesis was 22.7 days. The mortality rate was 6.8%, with higher prevalence in elderly women with comorbidities.Conclusions: The study demonstrates that a prolonged time between fracture and osteosynthesis is associated with worse clinical outcomes, particularly in elderly patients with comorbidities. Optimizing the waiting time for surgery is essential to reduce morbidity and mortality and improve patient recovery. Level of Evidence IV; Observational, Descriptive, and Retrospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e290192"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139556","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

MORTALITY PREDICTOR IN ELDERLY PATIENTS AFTER PROXIMAL THIRD FEMUR FRACTURE: ANALYSIS OF 395 CASES. 老年患者第三股骨近端骨折后死亡率预测因素：395例分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253305e289995

Jean Klay Santos Machado, Eduardo Cezar Silva Dos Santos, Deivid Ramos Dos Santos

{"title":"MORTALITY PREDICTOR IN ELDERLY PATIENTS AFTER PROXIMAL THIRD FEMUR FRACTURE: ANALYSIS OF 395 CASES.","authors":"Jean Klay Santos Machado, Eduardo Cezar Silva Dos Santos, Deivid Ramos Dos Santos","doi":"10.1590/1413-785220253305e289995","DOIUrl":"10.1590/1413-785220253305e289995","url":null,"abstract":"Objective: To assess the risk factors associated with mortality in elderly patients with proximal femoral fractures up to one year after the fracture.Method: This was a prospective cohort study of patients aged 60 or older diagnosed with a proximal femoral fracture at a referral hospital in Belém, PA.Results: 395 patients were assessed. The risk factors age≥83 years (p<0.0010), fracture-surgery time ≥ 3 days (p=0.0034), hemoglobin < 9g/dL (p<0.027), leukocytosis (p<0.00001) and pulmonary infection (p<0.0001) were statistically significant in mortality up to 12 months after the fracture.Conclusion: It was observed that in the first year after fracture, gender, type of fracture and comorbidities were not determining factors in mortality. In this series, the mortality rate was 20.75% one year after the fracture, with pulmonary sepsis being the most frequent cause of death. Level of Evidence II; Cohort Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 5","pages":"e289995"},"PeriodicalIF":0.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139535","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