Acta Ortopedica Brasileira最新文献_第2页

EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: HYALURONIC ACID VERSUS CORTICOSTEROID INJECTIONS FOR SHOULDER OSTEOARTHRITIS. 来自巴西肩关节外科学会的循证回顾和建议：透明质酸与皮质类固醇注射治疗肩关节骨性关节炎。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-31 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e306100

Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta

{"title":"EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: HYALURONIC ACID VERSUS CORTICOSTEROID INJECTIONS FOR SHOULDER OSTEOARTHRITIS.","authors":"Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta","doi":"10.1590/1413-785220263401e306100","DOIUrl":"10.1590/1413-785220263401e306100","url":null,"abstract":"Introduction: Shoulder osteoarthritis is an inflammatory and degenerative condition affecting the joint between the humeral head and the glenoid. It is estimated to affect up to 20% of patients aged 60 or older. In our setting, the use of hyaluronic acid is becoming increasingly employed for the treatment of shoulder osteoarthritis. Therefore, this consensus aims to review the current literature to determine whether treatment with hyaluronic acid infiltration is more effective than corticosteroid infiltration in terms of pain outcome for the treatment of shoulder osteoarthritis in adults.Methods: A systematic review of the literature was conducted in the Pubmed, Embase, Cochrane Library and BVS databases up to November 2025, aiming to evaluate whether intra-articular injection with hyaluronic acid is more effective than with corticosteroids for the treatment of shoulder osteoarthritis in adults.Results: The systematic review concluded that hyaluronic acid infiltration is more effective than corticosteroid infiltration for pain and function outcomes, mainly after six months post-infiltration.Conclusion: There is evidence, albeit of very low quality, demonstrating that hyaluronic acid injections are more effective than corticosteroid injections for the treatment of shoulder osteoarthritis, with the best results for both treatment modalities occurring in mild to moderate cases of shoulder osteoarthritis. Level of evidence II; Systematic Review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 spe1","pages":"e306100"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876328","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

EVIDENCE-BASED REVIEWS & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: BIOINDUCTIVE IMPLANT AUGMENTATION VERSUS CONVENTIONAL REPAIR FOR ROTATOR CUFF TEARS. 来自巴西肩关节外科学会的循证评论和建议：生物诱导植入物增强与常规修复肩袖撕裂

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-21 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e308954

Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta

{"title":"EVIDENCE-BASED REVIEWS & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: BIOINDUCTIVE IMPLANT AUGMENTATION VERSUS CONVENTIONAL REPAIR FOR ROTATOR CUFF TEARS.","authors":"Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta","doi":"10.1590/1413-785220263401e308954","DOIUrl":"10.1590/1413-785220263401e308954","url":null,"abstract":"Introduction: Despite advances in arthroscopic techniques and tendon fixation methods, structural failure after rotator cuff repair remains a relevant clinical challenge, particularly in extensive and massive tears, poor tendon quality, and repairs performed under tension. In this context, tendon-bone healing is recognized as a key determinant of surgical success, driving interest in strategies to optimize the biological environment of the repair, such as bioinductive collagen implants (patches).Methods: A systematic review was conducted in PubMed, Embase, Cochrane Library, and the Virtual Health Library (VHL) up to March 2026, to evaluate whether rotator cuff repair augmented with a bioinductive implant (patch) is more effective than conventional rotator cuff repair for the treatment of rotator cuff tears. The certainty of evidence was assessed with the GRADE approach.Results: Four randomized controlled trials (288 participants) were included, with assessment of the re-tear rate and shoulder function. The results favored bioinductive implant augmentation, mainly through a lower re-tear rate and earlier functional recovery.Conclusion: To date, there is very low-quality evidence that rotator cuff repair augmented with a bioinductive implant (patch) is more effective than conventional repair for the treatment of rotator cuff tears (including complete and massive tears), with respect to the outcomes of re-tear and function. Level of evidence II; Systematic review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 spe1","pages":"e308954"},"PeriodicalIF":0.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842352","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

EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: BANKART REPAIR WITH REMPLISSAGE FOR RECURRENT GLENOHUMERAL INSTABILITY WITH BONE LOSS. 来自巴西肩关节外科学会的循证回顾和建议：bankart修复伴骨丢失的复发性肩关节不稳定。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-21 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e303256

Leonardo Zanesco, Gustavo de Mello Ribeiro Pinto, Marcus Vinícius Galvão Amaral, João Artur Bonadiman, Kaleu Costa Neri, Flávio de Oliveira França, Marcelo Costa de Oliveira Campos, Eduardo Angeli Malavolta

{"title":"EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: BANKART REPAIR WITH REMPLISSAGE FOR RECURRENT GLENOHUMERAL INSTABILITY WITH BONE LOSS.","authors":"Leonardo Zanesco, Gustavo de Mello Ribeiro Pinto, Marcus Vinícius Galvão Amaral, João Artur Bonadiman, Kaleu Costa Neri, Flávio de Oliveira França, Marcelo Costa de Oliveira Campos, Eduardo Angeli Malavolta","doi":"10.1590/1413-785220263401e303256","DOIUrl":"10.1590/1413-785220263401e303256","url":null,"abstract":"Introduction: Recurrent anterior glenohumeral instability with \"on-track\" Hill-Sachs lesions and subcritical glenoid bone loss remains a therapeutic challenge, with considerable failure rates following isolated arthroscopic Bankart repair (BR). The addition of the Remplissage procedure (BR-R) has been proposed to improve stability and shoulder function, however, its effectiveness in \"on-track\" lesions remains uncertain.Methods: An evidence-based review was conducted in PubMed, Embase, Cochrane Library, and BVS (search up to August 2025), including comparative clinical studies that evaluated BR-R versus isolated BR in patients with anterior instability, on-track Hill-Sachs lesions, and partial glenoid bone loss. Primary outcomes were recurrence of dislocation and shoulder function; secondary outcomes included residual apprehension, reoperation, and return to sport.Results: Four studies met the inclusion criteria (one systematic review of six cohort studies and three additional cohort studies; 537 patients in total). Across studies, BR-R showed lower recurrence rates (0-7.7% vs. 3.5-30%) and better functional scores (WOSI, SSV, SANE, ASES, ROWE), higher return-to-sport rates at preinjury level in athletes, and less residual apprehension, without clear increase in complications. Overall certainty of evidence was very low.Conclusions: Very low-quality evidence suggests that the addition of Remplissage to arthroscopic Bankart repair may improve stability and functional outcomes compared with isolated Bankart repair in patients with on-track bone loss. Level of evidence II; Systematic review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 spe1","pages":"e303256"},"PeriodicalIF":0.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842361","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

EVIDENCE-BASED REVIEWS & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: DOUBLE-ROW REPAIR FOR LARGE ROTATOR CUFF TEARS. 来自巴西肩关节外科学会的循证评论和建议：双排修复大肌腱套撕裂。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-21 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e303241

Eduardo Angeli Malavolta, Leonardo Zanesco, Gustavo de Mello Ribeiro Pinto, Marcus Vinícius Galvão Amaral, Thiago Barbosa Caixeta, Jair Simmer, Luciana Andrade da Silva, Marcelo Costa de Oliveira Campos

{"title":"EVIDENCE-BASED REVIEWS & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: DOUBLE-ROW REPAIR FOR LARGE ROTATOR CUFF TEARS.","authors":"Eduardo Angeli Malavolta, Leonardo Zanesco, Gustavo de Mello Ribeiro Pinto, Marcus Vinícius Galvão Amaral, Thiago Barbosa Caixeta, Jair Simmer, Luciana Andrade da Silva, Marcelo Costa de Oliveira Campos","doi":"10.1590/1413-785220263401e303241","DOIUrl":"10.1590/1413-785220263401e303241","url":null,"abstract":"Introduction: Large (≥ 3 cm) rotator cuff tears have a poorer prognosis, and the optimal arthroscopic repair configuration (single-row vs double-row) remains controversial.Methods: We performed an evidence-based review of systematic reviews and randomized controlled trials comparing arthroscopic double-row and single-row repair for tears ≥ 3 cm. PubMed, Embase, the Cochrane Library, and BVS were searched through May 2025. Only studies reporting size-stratified outcomes were included. Methodological quality was assessed, and the certainty of evidence was graded using the GRADE approach.Results: Two high-quality systematic reviews and five randomized trials provided separate data for tears ≥ 3 cm. Double-row repair showed better functional outcomes than single-row repair, with improved ASES (MD -3.09; 95% CI -6.19 to 0.02) and UCLA scores (MD -1.47; 95% CI -2.21 to -0.72) (moderate-quality evidence). Limited randomized data suggested higher healing rates with double-row repair (OR 3.44; 95% CI 1.09-10.88; low-quality evidence). Pain alone did not differ meaningfully beyond the immediate postoperative period.Conclusions: For rotator cuff tears ≥ 3 cm, arthroscopic double-row repair provides superior functional outcomes and likely higher structural healing versus single-row repair, supporting its preferential use in large and massive tears, with decisions individualized to patient and lesion characteristics. Level of evidence II; Systematic review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 spe1","pages":"e303241"},"PeriodicalIF":0.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842410","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

EVIDENCE-BASED REVIEWS & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: EARLY VERSUS LATE REPAIR FOR TRAUMATIC ROTATOR CUFF TEARS. 来自巴西肩关节外科学会的循证评论和建议：外伤性肩袖撕裂的早期与晚期修复

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-21 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e308952

Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta

{"title":"EVIDENCE-BASED REVIEWS & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: EARLY VERSUS LATE REPAIR FOR TRAUMATIC ROTATOR CUFF TEARS.","authors":"Paulo Henrique Schmidt Lara, Paulo Santoro Belangero, Márcio Schiefer, Leonardo Zanesco, Marcos Rassi Fernandes, Joel Murachovsky, João Felipe de Medeiros, Eduardo Angeli Malavolta","doi":"10.1590/1413-785220263401e308952","DOIUrl":"10.1590/1413-785220263401e308952","url":null,"abstract":"Introduction: Traumatic rotator cuff tears are acute structural injuries to one or more rotator cuff tendons caused by an identifiable trauma, generally associated with the abrupt onset of pain, weakness, and shoulder dysfunction. They must be distinguished from chronic degenerative tears and from acute injuries superimposed on previously degenerated tendons. The optimal timing of surgical repair remains debated.Methods: A systematic review was conducted in PubMed, Embase, Cochrane Library, and the Virtual Health Library (VHL) up to March 2026 to evaluate whether early repair is more effective than late repair for the treatment of traumatic rotator cuff tears, with respect to clinical and functional outcomes, retear, and return to pre-injury activities. The certainty of evidence was assessed with the GRADE approach.Results: Three cohort studies were included. The definition of \"early\" repair is not standardized in the literature - some authors consider it up to 3 weeks and others up to 6 months - so studies defining \"early\" as up to 3-4 months were included, which represents a potential source of bias. Functional outcomes were similar between early and late repair, whereas early repair was associated with and a lower likelihood of requiring tendon grafting in larger tears. The certainty of evidence was very low.Conclusion: The surgeon should individually assess patient- and disease-related characteristics to make the best treatment decision. Given the risk of irreparability and longer rehabilitation, the project recommends that, after a traumatic tear, repair be performed as early as possible. Level of evidence II; Systematic review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 spe1","pages":"e308952"},"PeriodicalIF":0.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842419","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

SBCOC CONSENSUS STATEMENTS: A SCIENTIFIC COMMITMENT TO GOOD MEDICAL PRACTICE. Sbcoc共识声明：对良好医疗实践的科学承诺。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-21 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263401e310247

引用次数: 0

EPIDEMIOLOGICAL PROFILE OF CONGENITAL FOOT ANOMALIES IN THE STATE OF BAHIA FROM 2014 TO 2022. 2014 - 2022年巴伊亚州先天性足畸形的流行病学分析

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e289326

Jaqueline Nogueira Dos Santos, Rafael Pedrosa Braga, Adan Araújo Marques, João Pedro Ferreira Pinho Almeida, Pedro Fernando Dos Santos

{"title":"EPIDEMIOLOGICAL PROFILE OF CONGENITAL FOOT ANOMALIES IN THE STATE OF BAHIA FROM 2014 TO 2022.","authors":"Jaqueline Nogueira Dos Santos, Rafael Pedrosa Braga, Adan Araújo Marques, João Pedro Ferreira Pinho Almeida, Pedro Fernando Dos Santos","doi":"10.1590/1413-785220263405e289326","DOIUrl":"10.1590/1413-785220263405e289326","url":null,"abstract":"Objective: To investigate the epidemiological profile of births of children with congenital foot abnormalities and their associated factors within the Unified Health System (SUS).Methods: This study adopts a quantitative, descriptive, and cross-sectional approach, using secondary data from the Live Birth Information System (SINASC), provided by the SUS Department of Informatics (DATASUS). Data from the years 2014 to 2022, related to the State of Bahia, were analyzed. Births with congenital foot malformations were identified through specific ICD-10 codes designating the main diagnosis.Results: During the period from 2014 to 2022, Bahia recorded a total of 13,347 cases of congenital anomalies, of which 1,364 were related to congenital foot deformities, among a total of 1,765,439 births, representing a rate of 0.77 cases per 1,000 live births.Conclusion: The presented results indicate that male live births, children of mothers with less than 8 years of education, with a gestational age between 22 and 27 weeks, born by cesarean section, and with Apgar scores of less than 6 in the 1st and 5th minutes, are significantly associated with congenital foot malformations. Level of evidence II; Retrospective study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e289326"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724294","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 PROFILE FROM PEDIATRIC BONE NEOPLASIA IN MINAS GERAIS (2015-2024). 米纳斯吉拉斯州儿童骨瘤的死亡率（2015-2024）

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e300018

Alvaro Inacio de Moura, Rafael Moreno Chaves, Fhilipe Hollanda Cavalcanti Soares

{"title":"MORTALITY PROFILE FROM PEDIATRIC BONE NEOPLASIA IN MINAS GERAIS (2015-2024).","authors":"Alvaro Inacio de Moura, Rafael Moreno Chaves, Fhilipe Hollanda Cavalcanti Soares","doi":"10.1590/1413-785220263405e300018","DOIUrl":"10.1590/1413-785220263405e300018","url":null,"abstract":"Objectives: To analyze the profile of deaths from malignant neoplasms of bones and articular cartilage in the pediatric population of Minas Gerais (2015-2024), considering sociodemographic, clinical, epidemiological, and regional aspects.Methods: Epidemiological, documentary, descriptive, and retrospective study with a census design, including deaths of individuals aged 0-19 years residing in Minas Gerais (ICD-10 C40-C41) registered in SIM/DATASUS. Variables analyzed included sex, age, race/color, municipality, place of death, length of hospital stay, and hospital costs. Descriptive statistics were used with frequencies, percentages, and mortality rates.Results: There were 3,883 hospitalizations and 79 deaths, predominating male patients (57.7% of hospitalizations; 59.5% of deaths), adolescents aged 10-19 years, and individuals of mixed race/color (pardo). Belo Horizonte accounted for most hospitalizations and deaths, while Juiz de Fora had high hospitalization rates but low mortality. Longer hospital stays were observed in female patients and those under 1 year; the highest costs were among adolescents aged 10-14 years. Hospitalizations decreased over time, but mortality remained stable.Conclusions: Findings highlight the need for early detection, access to specialized therapies, and reduction of regional inequalities to improve clinical outcomes and equity in pediatric oncology care. Level of Evidence IV; Retrospective cohort study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e300018"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725906","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

CLINICAL OUTCOMES OF ACL RECONSTRUCTION WITH THREE DIFFERENT AUTOGRAFTS. 三种不同自体移植物重建前交叉韧带的临床效果。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e305203

Thiago Castor Cesar, Matheus Ornellas Costa, Luiz Felipe Mundim de Souza, Moisés de Toledo Vilela, Lucas Galuppo Fernandes Félix, Guilherme Barbosa Moreira

{"title":"CLINICAL OUTCOMES OF ACL RECONSTRUCTION WITH THREE DIFFERENT AUTOGRAFTS.","authors":"Thiago Castor Cesar, Matheus Ornellas Costa, Luiz Felipe Mundim de Souza, Moisés de Toledo Vilela, Lucas Galuppo Fernandes Félix, Guilherme Barbosa Moreira","doi":"10.1590/1413-785220263405e305203","DOIUrl":"10.1590/1413-785220263405e305203","url":null,"abstract":"Objective: To compare short-term clinical and functional outcomes (0-6 months) of Anterior Cruciate Ligament (ACL) reconstruction using rectus femoris autograft versus established graft options.Methods: Prospective cohort study (Level II) including 35 patients who underwent ACL reconstruction between 2024 and 2025. Pain, Lysholm score, and range of motion (ROM) were assessed preoperatively, on postoperative day (POD) 1, POD 15, and at six months. Statistical analysis included ANOVA, Kruskal-Wallis tests, and linear mixed-effects models (α = 0.05).Results: The sample (15 hamstring, 11 rectus femoris, and 9 patellar tendon grafts) was homogeneous (p < 0.05). Significant improvements over time were observed in Lysholm scores (p < 0.001) and knee flexion ROM (p < 0.001), with no influence of graft type (p = 0.167 and p = 0.177, respectively). On POD 1, pain scores were similar among groups (p = 0.701), with mean Visual Analog Scale (VAS) values of 2.20 (hamstrings), 2.18 (rectus femoris), and 1.78 (patellar tendon). On POD 15, mean pain scores were 1.27, 1.73, and 3.00, respectively, remaining statistically comparable (p = 0.149).Conclusion: ACL reconstruction using the rectus femoris autograft demonstrates clinical and functional outcomes equivalent to patellar tendon and hamstring grafts within the first six months postoperatively. Level of Evidence II; Prospective cohort study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e305203"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727496","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

EFFECT OF REPETITIVE PERIPHERAL MAGNETIC STIMULATION ON POSTOPERATIVE PAIN CONTROL IN FOOT AND ANKLE SURGERY. 重复外周磁刺激对足踝术后疼痛控制的影响。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e301789

Eli Ávila Souza, Laura Pereira Generoso, Gabrielly Santos Pereira, Marcelo Lourenço da Silva, Alberto Cliquet

{"title":"EFFECT OF REPETITIVE PERIPHERAL MAGNETIC STIMULATION ON POSTOPERATIVE PAIN CONTROL IN FOOT AND ANKLE SURGERY.","authors":"Eli Ávila Souza, Laura Pereira Generoso, Gabrielly Santos Pereira, Marcelo Lourenço da Silva, Alberto Cliquet","doi":"10.1590/1413-785220263405e301789","DOIUrl":"10.1590/1413-785220263405e301789","url":null,"abstract":"Objective: This study aimed to investigate the effects of Repetitive Peripheral Magnetic Stimulation (rPMS) treatment on postoperative pain control after foot and ankle surgeries.Methods: A controlled, randomized clinical trial conducted at a tertiary hospital. 67 patients who underwent foot and ankle surgeries were randomized into two groups: a control group (CG) - placebo stimulation; and an experimental group (EG) - rPMS for 10 minutes using an intermittent stimulation protocol (10 cycles/5 seconds; 100 Hz; 55 seconds of rest). Stimulation was received for 5 consecutive days in the immediate postoperative period. Neuropathic Pain Score 4 (DN4), Visual Analog Scale (VAS), Brief Pain Inventory (BPI), and American Orthopedic Foot and Ankle Score (AOFAS) were administered on days D0, D5, D14, D30, and D90. Postoperative opioid consumption was compared between the groups.Results: The most prevalent surgeries were in the forefoot (n=25). On DN4, the predominant pain was nociceptive (3.40 ± 1.54). Regarding pain, the VAS, BPI, and AOFAS scores demonstrated superior improvement in pain perception in the EG compared to the CG, with statistical significance. rPMS reduced postoperative opioid consumption.Conclusion: rPMS contributes to the control and reduction of pain perception and opioid consumption in the postoperative period of foot and ankle surgeries. Level of Evidence I; Randomized Clinical Trial.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e301789"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13464519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723369","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