Acta Ortopedica Brasileira最新文献_第2页

ACTA ORTOPÉDICA BRASILEIRA 15 ANOS DE JCR - JOURNAL CITATION REPORTS. acta ortopédica brasileira 15 anos de jcr - 期刊引文报告。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e050924p

Olavo Pires de Camargo

引用次数: 0

ONE STAGE BILATERAL TOTAL HIP REPLACEMENT. 一期双侧全髋关节置换术

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278347

Fabio Stucchi Devito, Fabio Stucchi Devito, Eduardo Dias Devito, Cristiane Bonvicine

{"title":"ONE STAGE BILATERAL TOTAL HIP REPLACEMENT.","authors":"Fabio Stucchi Devito, Fabio Stucchi Devito, Eduardo Dias Devito, Cristiane Bonvicine","doi":"10.1590/1413-785220243204e278347","DOIUrl":"10.1590/1413-785220243204e278347","url":null,"abstract":"Introduction: One-stage bilateral total hip replacement has gained popularity due to its advantages, which include its lower cost, anesthetic time, hospitalization, and recovery.Objective: to show the clinical result of one-stage bilateral total hip replacement.Methodology: A case series of patients who underwent one-stage bilateral total hip arthroplasty. The medical records of 100 patients were evaluated from 2001 to 2022. The posterolateral route was chosen for the procedures. Of the 100 replaced prostheses, 85% were hybrid and 15 were cemented. Procedures averaged 180 minutes in length.Results: The average length of stay totaled three days. No deaths occurred in the 100 evaluated patients. Complications showed 1% rate of venous and pulmonary thromboembolism, one case of late dislocation (after three months. It was twice reduced and later revised), five cases of hematoma (5%. They were drained on the third postoperative day. Moreover, two occurred in both hips).Conclusion: One-stage bilateral total hip replacement has advantages but it must be performed on carefully selected patients and by a qualified team. Evidence level IV, Case reports.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278347"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395552","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 OF THE COVID-19 PANDEMIC ON EMERGENCY UPPER LIMB SURGERIES IN A QUATERNARY HOSPITAL. Covid-19大流行对一家四级医院上肢急诊手术的影响。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278237

Erick Yoshio Wataya, João Pedro Teixeira Basmage, Giuliana Olivi Tanaka, Guilherme Moreira Dias, Luiz Sorrenti, Luciano Ruiz Torres, Teng Hsiang Wei, Marcelo Rosa de Rezende, Rames Mattar

{"title":"IMPACT OF THE COVID-19 PANDEMIC ON EMERGENCY UPPER LIMB SURGERIES IN A QUATERNARY HOSPITAL.","authors":"Erick Yoshio Wataya, João Pedro Teixeira Basmage, Giuliana Olivi Tanaka, Guilherme Moreira Dias, Luiz Sorrenti, Luciano Ruiz Torres, Teng Hsiang Wei, Marcelo Rosa de Rezende, Rames Mattar","doi":"10.1590/1413-785220243204e278237","DOIUrl":"10.1590/1413-785220243204e278237","url":null,"abstract":"The COVID-19 pandemic has triggered a global crisis in health systems worldwide. Emergency care services have been overloaded, and there have been different changes in the patient's profile and the most frequent diagnoses. The aim of the study was to compare the number of emergency surgeries in the Hand and Microsurgery group of the quaternary hospital (IOT-FMUSP) from March 2020 to February 2022, the pandemic period, with the previous two years, March 2018 to February 2020. Two hundred and seventy-two patients were evaluated, with a mean age of 39.54 ± 17 years (range 1 to 90 years), 12.50% (n = 34) women and 87.50% (n = 238) men. Between March 2018 and February 2020, 142 (52.21%) emergency upper limb surgeries were performed; between March 2020 and February 2022, 130 surgeries were performed (47.79%). There was a reduction in upper limb surgeries in patients between 26-45 years and blunt injury surgeries. There was also an increase in surgeries in patients over 46, amputations, fractures, re-implantation procedures, and open fracture fixation. Level of evidence III, Retrospective Comparative Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278237"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395550","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

CAN SENSORY DISTURBANCES DUE TO INJURY TO THE INFRAPATELLAR BRANCH OF THE SAPHENOUS NERVE BE PREVENTED BY AN OBLIQUE INCISION? 斜切口能否避免因隐神经髌下分支损伤而导致的感觉障碍？

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e277962

Julio Cesar Gali, Rodrigo de Souza Holtz, Marcello Scimini Lepispico, Enzo Barrio, João Otavyo Pereira Le Senechal, Julio Cesar Gali

{"title":"CAN SENSORY DISTURBANCES DUE TO INJURY TO THE INFRAPATELLAR BRANCH OF THE SAPHENOUS NERVE BE PREVENTED BY AN OBLIQUE INCISION?","authors":"Julio Cesar Gali, Rodrigo de Souza Holtz, Marcello Scimini Lepispico, Enzo Barrio, João Otavyo Pereira Le Senechal, Julio Cesar Gali","doi":"10.1590/1413-785220243204e277962","DOIUrl":"10.1590/1413-785220243204e277962","url":null,"abstract":"Objective: To evaluate the incidence of injuries to the infrapatellar branch of the saphenous nerve (IPBSN) after anterior cruciate ligament reconstruction (ACLR) with an oblique incision for hamstring graft harvesting.Methods: In total, 59 knees (from 57 patients) were evaluated in the follow-up of ACLR for six months. We drew a horizontal line parallel to the ground, passing through the most medial portion of the surgical incision and another, perpendicular to the first, starting at the tibial tuberosity (TT). We measured the length and angle of the cut, the distances from its most medial point to the perpendicular line, and from the TT to the horizontal line. Skin sensitivity was tested with a brush and the altered sensitivity area was measured. Patients were asked about difficulties in activities daily of living (ADL).Results: A total of 27 knees (45.7%) had sensory disorders, which persisted until the sixth postoperative month in 92.6% of them. The ADL were compromised in one knee (3.7%). No significant differences were found between the groups with and without changes in sensitivity regarding age, affected side, incision angle, or measured distances. The incision size was larger in the group without alteration in sensitivity.Conclusions: An oblique incision did not avoid IPBSN injuries. This condition rarely compromised the ADL. Level of Evidence II, Lesser Quality Prospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e277962"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395548","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

STUDY ON THE ROLE AND MECHANISM OF MICRORNA-650/WNT1 IN THE REPAIR OF ARTICULAR CARTILAGE INJURY. 研究 microrna-650/wnt1 在关节软骨损伤修复中的作用和机制。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278218

Hui Liu, Yue Wang, Shuyuan Wang, Bo Yang, Di Sun, Shuangyang Han

{"title":"STUDY ON THE ROLE AND MECHANISM OF MICRORNA-650/WNT1 IN THE REPAIR OF ARTICULAR CARTILAGE INJURY.","authors":"Hui Liu, Yue Wang, Shuyuan Wang, Bo Yang, Di Sun, Shuangyang Han","doi":"10.1590/1413-785220243204e278218","DOIUrl":"10.1590/1413-785220243204e278218","url":null,"abstract":"Objectives: Osteoarthritis (OA) is a degenerative disease associated with chondrocyte injury. This study investigated the dysregulation of microRNA-650 (miR-650) in cartilage tissues of patients with OA. Its function and mechanism were also investigated in OA cell models.Methods: miR-650 levels were examined in 15 OA cartilage tissues and ten healthy cartilage tissues. SW1353 cells were used for cell function experiments and IL-1β was applied to the cells to mimic OA conditions in vitro. Cell functions such as proliferation, apoptosis, and inflammation were detected. The downstream target gene of miR-650 was identified and confirmed by bioinformatic analysis and luciferase activity assay. Rescue experiments were performed to verify the mechanism.Results: Suppressed expression of miR-650 was tested in patients with OA and cell models. Overexpression of miR-650 increased cell proliferation but suppressed apoptosis and inflammation of SW1353. As the target gene of miR-650, WNT1 overexpression counteracted the role of miR-650 in the function of SW1353.Conclusion: miR-650 can protect against articular cartilage injury in OA by targeting WNT1. Level of Evidence I, Experimental Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278218"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395554","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

COMPARISON BETWEEN FLEXIBLE NAILING AND EXTERNAL FIXATION, METHODS TO STABILIZE FEMORAL SHAFT FRACTURES IN THE IMMATURE SKELETON: A SYSTEMATIC REVIEW AND META-ANALYSIS. 在未成熟骨骼中稳定股骨干骨折的方法--弹性钉和外固定之间的比较：系统回顾和荟萃分析。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278265

Breno Augusto Giese Ribeiro, Caio Henrique Kenchian, Guilherme Satake, Eiffel Tsuyoshi Dobashi, Amabile Oficiati de Carnevale Galeti

{"title":"COMPARISON BETWEEN FLEXIBLE NAILING AND EXTERNAL FIXATION, METHODS TO STABILIZE FEMORAL SHAFT FRACTURES IN THE IMMATURE SKELETON: A SYSTEMATIC REVIEW AND META-ANALYSIS.","authors":"Breno Augusto Giese Ribeiro, Caio Henrique Kenchian, Guilherme Satake, Eiffel Tsuyoshi Dobashi, Amabile Oficiati de Carnevale Galeti","doi":"10.1590/1413-785220243204e278265","DOIUrl":"https://doi.org/10.1590/1413-785220243204e278265","url":null,"abstract":"Flexible intramedullary nailing and external fixation have become the main methods to surgically treat femur fractures in children. This study aimed to search the current literature and evaluate the clinical and radiographic results of surgical treatment by comparing these methods and investigating their associated complications. This systematic review was carried out following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) recommendations. Searches were carried out on the PubMed, Embase, and Web of Science databases. The search for journals in these databases was carried out from January 2023 to August 2023, retrieving 695 studies. This systematic review included 11 articles, which encompassed 718 patients who underwent surgical external fixation and flexible nailing. The most frequently observed complications referred to late or malunion, superficial and deep infections, skin irritation, angular deformity, and length discrepancy between lower limbs. Both methods of stabilization of pediatric femoral fractures can provide good clinical and radiographic results. However, the choice of treatment with flexible nails is certainly more valid and has greater acceptance than external fixation. Level of Evidence III, Systematic Review .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278265"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481725","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

ASSESSEMENT OF BONE AGE AGREEMENT BETWEEN THE SAUVEGRAIN AND GREULICH AND PYLE METHODS. 评估 Sauvegrain 法与 Greulich 和 Pyle 法之间的骨龄一致性。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278912

Beatriz Nogueira Leite, João Vitor Nogueira Rubez, Carlos Alberto Arruda Soufen, Bruna Zanetti Pereira, Marcos Vinicius Felix Santana, Eiffel Tsuyoshi Dobashi

{"title":"ASSESSEMENT OF BONE AGE AGREEMENT BETWEEN THE SAUVEGRAIN AND GREULICH AND PYLE METHODS.","authors":"Beatriz Nogueira Leite, João Vitor Nogueira Rubez, Carlos Alberto Arruda Soufen, Bruna Zanetti Pereira, Marcos Vinicius Felix Santana, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220243204e278912","DOIUrl":"10.1590/1413-785220243204e278912","url":null,"abstract":"Objective: To evaluate the intra and inter observer agreement of the Sauvegrain, Greulich and Pyle methods.Material and methods: This is an observational, retrospective and cross-sectional study ethically approved by opinion 6,192,391. 100 radiographic images of the elbow and 100 of the left wrist and hand were collected from children whose images were selected by a researcher who did not carry out the evaluations. The Sauvegrain, Greulich and Pyle methods were used to determine bone age. We provided a detailed explanation of each method and the evaluators received a file with the study images. After three weeks, the exams were randomized and the radiograms were reevaluated. Of the 100 patients in group A, 61 (61%) were boys and 39 (39%) were girls. In group B, 67 (67%) were boys and 33 (33%) were girls.Four statistical analyzes were used: correlation; intraclass correlation; analysis using the Bland-Altman graph; differences between groups.Results: Intra and interobserver agreement between groups was considered excellent.Conclusions: Despite the excellent agreement, group A presented a significantly better value than B. Biological ages show a greater difference compared to chronological ages in group A. In group B, skeletal and chronological ages do not show statistical difference according to the accuracy test. Level of Evidence III, Cross-Sectional Observational Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278912"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395547","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 OF PATIENTS WITH OPEN FRACTURES (2019 TO 2020). 开放性骨折患者的流行病学概况（2019 年至 2020 年）。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278000

Rafhael da Costa Rodrigues, Marco Freire Vieira, Mário Augusto Ferreira Cruz, Lucas Vinícius da Fonseca Barreto, Rafael Chaves Souza

{"title":"EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH OPEN FRACTURES (2019 TO 2020).","authors":"Rafhael da Costa Rodrigues, Marco Freire Vieira, Mário Augusto Ferreira Cruz, Lucas Vinícius da Fonseca Barreto, Rafael Chaves Souza","doi":"10.1590/1413-785220243204e278000","DOIUrl":"10.1590/1413-785220243204e278000","url":null,"abstract":"Objective: To evaluate the epidemiological profile of open fractures treated at the University Hospital of Lagarto in the years 2019 and 2020.Methods: This is an observational, retrospective study, using data from electronic medical records.Results: In total, 312 patients met the inclusion criteria for this research and were included. The mean age of affected patients was 36.8 years. The main segment affected were the fingers, mostly affecting males (89%) and predominantly the left side (57.62%).Conclusions: The male sex was the most affected by open fractures, and the most prevalent trauma mechanism was motorcycle accidents. Moreover, we found that the fundamental criteria for care in open fracture cases were not always considered by the professionals, resulting in a lack of uniformity in the adopted procedures and discrepancies with the guidelines recommended in the specific literature. Level of Evidence III, Comparative retrospective study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278000"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395549","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

PREGABALIN AS A PREOPERATIVE ADJUVANT IN PATIENTS WITH CARPAL TUNNEL SYNDROME. 普瑞巴林作为腕管综合征患者的术前辅助用药。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278895

Fábio Hideki Nishi Eto, Thiago Broggin Dutra Rodrigues, Victor Elzio Gasperoni Matias, Yussef Ali Abdouni

{"title":"PREGABALIN AS A PREOPERATIVE ADJUVANT IN PATIENTS WITH CARPAL TUNNEL SYNDROME.","authors":"Fábio Hideki Nishi Eto, Thiago Broggin Dutra Rodrigues, Victor Elzio Gasperoni Matias, Yussef Ali Abdouni","doi":"10.1590/1413-785220243204e278895","DOIUrl":"10.1590/1413-785220243204e278895","url":null,"abstract":"Objective: To evaluate the pregabalin adjuvant effect in patients with carpal tunnel syndrome (CTS) surgically treated, analyzing postoperative pain and the incidence of complex regional pain syndrome (CRPS).Methods: Outpatient surgical candidates with CTS were selected and followed for 12 months, divided into three groups. The Control Group received a placebo, the Pregabalin 75mg Group received a daily dose, and the Pregabalin 150mg Group received a daily dose of the medication. Patient progress was evaluated using the visual analog scale (VAS) for pain and the DN4 neuropathic pain score before surgery, one month and three months after.Results: The administration of pregabalin to surgical patients with CTS did not demonstrate significant differences in immediate postoperative pain relief. Additionally, there were no statistically significant variations in the incidence of complications, such as CRPS, among the groups.Conclusion: This study did not show a significant impact of pregabalin on postoperative pain relief or the reduction of CRPS incidence in patients undergoing surgery for CTS. These results suggest that pregabalin might not be an effective adjuvant in these surgical situations. Level of evidence II (Oxford), Prospective Comparative Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278895"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395553","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

IN-HOSPITAL MORTALITY OF OLDER ADULT PATIENT WITH PROXIMAL FEMORAL FRACTURE TREATED SURGICALLY DURING THE COVID-19 PANDEMIC. 在科维德-19 大流行期间接受手术治疗的股骨近端骨折老年患者的院内死亡率。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243204e278635

Giuseppe Orsi Salazar, Guilherme Grisi Mouraria, Maurício Etchebehere, Rodrigo Gonçalves Pagnano

{"title":"IN-HOSPITAL MORTALITY OF OLDER ADULT PATIENT WITH PROXIMAL FEMORAL FRACTURE TREATED SURGICALLY DURING THE COVID-19 PANDEMIC.","authors":"Giuseppe Orsi Salazar, Guilherme Grisi Mouraria, Maurício Etchebehere, Rodrigo Gonçalves Pagnano","doi":"10.1590/1413-785220243204e278635","DOIUrl":"10.1590/1413-785220243204e278635","url":null,"abstract":"Objectives: Evaluate the prevalence of hospital mortality in older adult patients with femoral fracture undergoing surgical treatment during the COVID-19 pandemic period, and to evaluate whether COVID-19 infection, clinical, and orthopedic factors interfered with mortality.Material and methods: A retrospective study was conducted by reviewing medical records. Patients over 60 years of age with proximal femoral fracture undergoing surgical treatment were included. Overall mortality was calculated, as well as mortality whose primary or secondary cause was COVID-19 infection, to determine if infection influenced patient mortality. Clinical and orthopedic factors that interfered with mortality were evaluated. Categorical variables were compared using the Chi-square test or Fisher's exact test. Both unpaired t-test (parametric variables) and Mann-Whitney test (non-parametric variables) were used. The Kaplan-Meier mortality curve was constructed.Conclusion: The mortality of older adult patients with femoral fracture undergoing surgical treatment during the COVID-19 pandemic was 4.2%. Male sex, older age, and those who underwent blood transfusion had higher mortality rates. COVID-infected patients had ten times more chance of death and died twice as fast as the non-infected population. Level of Evidence II, Retrospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 4","pages":"e278635"},"PeriodicalIF":0.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395551","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