Acta Ortopedica Brasileira最新文献_第5页

ANALYSIS OF ARTHROPLASTIES IN ELDERLY PATIENTS WITH FEMORAL NECK FRACTURES AT A HOSPITAL IN SÃO PAULO. sÃo保罗某医院老年股骨颈骨折患者关节置换术分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-06-12 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263403e299827

Marcos Gabriel Falcão, Marcelo Añez Suarez, Anna Clara Oliveira Paranhos Ferreira, Lucas Verissimo Ranzoni, Tajher Iunes, Alberto Maranon Terrível

{"title":"ANALYSIS OF ARTHROPLASTIES IN ELDERLY PATIENTS WITH FEMORAL NECK FRACTURES AT A HOSPITAL IN SÃO PAULO.","authors":"Marcos Gabriel Falcão, Marcelo Añez Suarez, Anna Clara Oliveira Paranhos Ferreira, Lucas Verissimo Ranzoni, Tajher Iunes, Alberto Maranon Terrível","doi":"10.1590/1413-785220263403e299827","DOIUrl":"10.1590/1413-785220263403e299827","url":null,"abstract":"Objective: To analyze the outcomes related to partial and total hip arthroplasties in elderly patients with femoral neck fractures at a hospital in the city of São Paulo.Material and methods: We reviewed the medical records of patients undergoing hip arthroplasty between 2020 and 2024 and extracted data on demographics, type of arthroplasty, length of hospital stay, and any postoperative complications such as infection and death.Results: 198 patients, mean age 84 years. Women (80.2%), men (19.8%). The mean time to surgery was 2.3 days, with 71.6% undergoing surgery within two days (early surgery). Length of ICU stay was significantly longer (p = 0.002) in the late surgery group (M = 47, SD = 40) compared to the early surgery group (M = 31, SD = 41). The total length of hospital stay was longer in the Late Surgery group (M = 17 days) compared to the Early Surgery group (M = 7 days), with statistical significance (p = 0.001) and a moderate-to-large effect size (ES = 0.695).Conclusion: Late surgery in elderly patients with femoral neck fractures increases hospitalization and ICU length of stay, but does not affect complications, mortality, or functional recovery. Although early surgery reduces hospitalization, management requires a multifactorial approach. Level of Evidence IV; Retrospective Cohort.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 3","pages":"e299827"},"PeriodicalIF":0.6,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266964","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 OF THE USE OF THE SURAL FLAP FOR THE MEDIAL, LATERAL, AND CENTRAL REGIONS OF THE ANKLE. 腓肠皮瓣用于踝关节内侧、外侧和中央区域的比较。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-06-12 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263403e299958

Erick Yoshio Wataya, Jacqueline Alves Hosokawa, Krissia Caroline Soares Franco, Luiz Sorrenti, Luciano Ruiz Torres, João Carlos Nakamoto, Teng Hsiang Hei, Marcelo Rosa de Rezende, Rames Mattar

{"title":"COMPARISON OF THE USE OF THE SURAL FLAP FOR THE MEDIAL, LATERAL, AND CENTRAL REGIONS OF THE ANKLE.","authors":"Erick Yoshio Wataya, Jacqueline Alves Hosokawa, Krissia Caroline Soares Franco, Luiz Sorrenti, Luciano Ruiz Torres, João Carlos Nakamoto, Teng Hsiang Hei, Marcelo Rosa de Rezende, Rames Mattar","doi":"10.1590/1413-785220263403e299958","DOIUrl":"10.1590/1413-785220263403e299958","url":null,"abstract":"Objective: To evaluate the occurrence of partial or total loss of the reverse-flow sural flap used for coverage failures in the lateral, medial, and central regions of the ankle, as well as factors related to flap loss.Methods: A retrospective cohort study was conducted including data from 32 patients who underwent surgery with reverse sural flaps between February 2012 and September 2023 at the Institute of Orthopedics and Traumatology, HC/FMUSP.Results: In the group of patients requiring coverage in the medial region, 40% had partial flap loss and 30% suffered total loss. In the lateral region, 20% experienced partial loss and 13.3% total loss. In the central area, 57.14% had partial coverage loss, with no cases of total loss.Conclusion: The reverse sural flap proved to be favorable for coverage of defects in the lateral region of the ankle, but showed higher rates of partial or total loss when used for coverage of defects in the medial region of the ankle. A negative effect was observed in the presence of patient comorbidities, in trauma-related cases, and in the early approach to flap construction. Level of Evidence II; Retrospective cohort study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 3","pages":"e299958"},"PeriodicalIF":0.6,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267057","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

POSTOPERATIVE STABILITY AFTER VOLAR LOCKING PLATE IN DISTAL RADIUS FRACTURES. 掌侧锁定钢板治疗桡骨远端骨折的术后稳定性。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-06-12 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263403e300613

Luiz Henrique Santos Cambrussi, Douglas Barbosa Lima, Marcos Afonso Grando, Renata Mello Calandrini, Bruno Adona Ribeiro

{"title":"POSTOPERATIVE STABILITY AFTER VOLAR LOCKING PLATE IN DISTAL RADIUS FRACTURES.","authors":"Luiz Henrique Santos Cambrussi, Douglas Barbosa Lima, Marcos Afonso Grando, Renata Mello Calandrini, Bruno Adona Ribeiro","doi":"10.1590/1413-785220263403e300613","DOIUrl":"10.1590/1413-785220263403e300613","url":null,"abstract":"Objective: To evaluate the correction and maintenance of radiographic parameters-volar tilt (VT), radial inclination (RI), and radial height (RH)-from the preoperative period to outpatient discharge in distal radius fractures treated with a volar locking plate (VLP), stratified by AO/OTA, Fernandez, and IDEAL classifications.Methods: Retrospective analytical case series including 135 fractures operated on between January 2023 and August 2024. Standard anteroposterior and lateral radiographs were obtained at three time points: preoperative (PRE), immediate postoperative (IPO), and outpatient discharge (POT). Two independent, mutually blinded raters classified the fractures and measured VT, RI, and RH. The study focused on radiographic outcomes.Results: Significant improvements in VT, RI, and RH were observed from PRE→IPO and PRE→POT (p<0.001). Differences from IPO→POT were small and not significant (p>0.05), indicating maintenance of parameters until discharge. The same pattern was seen in higher-complexity subgroups (AO type C, IDEAL 3, and Fernandez 5).Conclusion: VLP fixation provided effective initial correction and radiographic maintenance up to discharge in distal radius fractures, particularly in complex patterns. Level of evidence IV, case series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 3","pages":"e300613"},"PeriodicalIF":0.6,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267030","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

SCAPULAR FRACTURES: COMPARISON OF GLENOPOLAR ANGLE MEASUREMENT USING 3D COMPUTED TOMOGRAPHY AND CONVENTIONAL RADIOGRAPHY. 肩胛骨骨折：用三维计算机断层摄影和常规x线摄影测量肩胛极角的比较。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-06-12 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263403e300508

João Artur Bonadiman, Patrick Thiago Minski, Felipe Damasceno Appel, Eduardo Bervian, Paulo Piluski, Osvandré Lech

{"title":"SCAPULAR FRACTURES: COMPARISON OF GLENOPOLAR ANGLE MEASUREMENT USING 3D COMPUTED TOMOGRAPHY AND CONVENTIONAL RADIOGRAPHY.","authors":"João Artur Bonadiman, Patrick Thiago Minski, Felipe Damasceno Appel, Eduardo Bervian, Paulo Piluski, Osvandré Lech","doi":"10.1590/1413-785220263403e300508","DOIUrl":"10.1590/1413-785220263403e300508","url":null,"abstract":"Objective: To compare the interobserver and intraobserver reliability of glenopolar angle (GPA) measurement in scapular fractures using conventional radiography (2D) and three-dimensional computed tomography (3D-CT).Methods: This retrospective observational study included 33 patients with fractures of the scapular body or neck treated between 2016 and 2023. Anteroposterior radiographs and 3D-CT scans obtained at the time of diagnosis were included. The GPA was measured by eight independent evaluators, and data were analyzed using the intraclass correlation coefficient (ICC), according to the criteria proposed by Koo and Li, with SPSS software.Results: The mean interobserver ICC for GPA measurement was 0.959 (95% CI: 0.934-0.977) for radiography and 0.971 (95% CI: 0.953-0.984) for 3D-CT, indicating excellent reliability for both methods. Individual intraobserver reliability ranged from 0.598 to 0.869, with five evaluators demonstrating good reliability and three showing moderate reliability. The sample consisted predominantly of males (93.9%), with a mean age of 39.6 years (range: 19-78 years), and 24.2% of patients underwent surgical treatment.Conclusions: GPA measurements obtained by radiography and 3D-CT demonstrated high interobserver reliability, with slight superiority of 3D-CT. Both methods are valid, although 3D-CT may be preferable in cases requiring greater angular precision. Level of Evidence: III; Retrospective observational study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 3","pages":"e300508"},"PeriodicalIF":0.6,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267042","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

Footwear effect on the orthopedic injury profile in ankle and foot trauma caused by motorcycle accidents. 鞋类对摩托车事故踝足创伤骨科损伤的影响。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-05-29 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263403e292429

Hugo Leonardo Neri de Lima, Maria Josycley Novais Landim Soares, Sally Mariah de Morais Pinheiro Cruz Macedo, Marcelo Parente Oliveira

{"title":"Footwear effect on the orthopedic injury profile in ankle and foot trauma caused by motorcycle accidents.","authors":"Hugo Leonardo Neri de Lima, Maria Josycley Novais Landim Soares, Sally Mariah de Morais Pinheiro Cruz Macedo, Marcelo Parente Oliveira","doi":"10.1590/1413-785220263403e292429","DOIUrl":"10.1590/1413-785220263403e292429","url":null,"abstract":"Motorcycle accidents represent a significant cause of trauma in developing countries such as Brazil. Within the possible lesions, lower limb injuries are among the most prevalent, with ankle and foot injuries causing a high incidence of morbidity and long-term sequelae. This may partly be due to the low use of protective footwear. Therefore, this study investigated the relationship between the prevalence and severity of lower limb injuries at the ankle and foot level in motorcycle accident victims and the use or non-use of appropriate footwear. To this end, data collection was conducted in the emergency department and inpatient unit of a trauma reference hospital in the interior of the state of Ceará, using a form, clinical images, clinical examinations of injuries, and information from personal medical records over a two-month period. The results showed a significant association between inadequate use of protective footwear and an increase in the frequency and severity of soft tissue injuries. Additionally, the use of closed protective footwear covering the ankle demonstrated a noteworthy protective value. However, no significant relationship was found between footwear use and the presence or severity of fractures, hospitalization, or the need for surgical procedures. Level of Evidence II; Retrospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 3","pages":"e292429"},"PeriodicalIF":0.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139845","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 INFERIOR POLE FRACTURE OF THE PATELLA IN ADULTS: SYNTHESIS OF CLINICAL EVIDENCE. 成人髌骨下极骨折的治疗：临床证据的综合。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-05-22 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263402e298167

João Pedro de Melo, Stephanie Brandão, Diego David Vilte Martinez, Alessandra Masi, Carlos Gorios

{"title":"TREATMENT OF INFERIOR POLE FRACTURE OF THE PATELLA IN ADULTS: SYNTHESIS OF CLINICAL EVIDENCE.","authors":"João Pedro de Melo, Stephanie Brandão, Diego David Vilte Martinez, Alessandra Masi, Carlos Gorios","doi":"10.1590/1413-785220263402e298167","DOIUrl":"10.1590/1413-785220263402e298167","url":null,"abstract":"Fractures of the Inferior pole patellar fracture (IPPF) affect the distal end of the bone, where the patellar tendon inserts, and are more common in young, active adults due to direct trauma or intense muscle contractions. This region, which is structurally more fragile and subjected to high tensile loads, becomes vulnerable to fractures that compromise the knee extensor mechanism, resulting in pain, functional limitation, and loss of mobility. Treatment can be conservative or surgical, depending on the degree of displacement and the integrity of the extensor apparatus, and involves various techniques, including minimally invasive procedures. Given the clinical relevance and controversy regarding optimal management, it is necessary to synthesize the available evidence to support therapeutic decisions and optimize functional outcomes. To review the literature on the treatment of IPPF in adults. The search was performed in the PUBMED database using the following search strategy: inferior[title] AND pole[title] AND patella[title] AND fracture[title], with a time cut-off of five years.Results: Initially, 22 studies were identified that met the previously established search strategy. After reading the titles and abstracts, six studies were excluded, leaving 16 articles that constituted the sample for this review. The studies demonstrated stable fixation techniques for IPPF that favored bone consolidation and early functional recovery, but the choice of the ideal method still depends on the type of IPPF, the surgeon's experience, and the reduction of complications such as reoperations, in addition to the presence of a low patella. Level of Evidence IV, Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e298167"},"PeriodicalIF":0.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037899","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

COMPARATIVE STUDY OF DISTAL RADIUS FRACTURE FIXATION WITH A VOLAR PLATE VERSUS KIRSCHNER WIRES. 掌侧钢板与克氏针固定桡骨远端骨折的比较研究。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-05-22 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263402e291159

Karina Seabra de Oliveira, Karen Cristina Barbosa Chaves, Paola Augusto Gomes, Gabriel Kosurian de Souza Sayegh, Vitor Augusto Queiroz Mauad, Fernando Nogueira Zambone Pinto, Rafael Saleme Alves, Edson Pereira de Lima, Paulo Cesar Vieira Dos Santos

{"title":"COMPARATIVE STUDY OF DISTAL RADIUS FRACTURE FIXATION WITH A VOLAR PLATE VERSUS KIRSCHNER WIRES.","authors":"Karina Seabra de Oliveira, Karen Cristina Barbosa Chaves, Paola Augusto Gomes, Gabriel Kosurian de Souza Sayegh, Vitor Augusto Queiroz Mauad, Fernando Nogueira Zambone Pinto, Rafael Saleme Alves, Edson Pereira de Lima, Paulo Cesar Vieira Dos Santos","doi":"10.1590/1413-785220263402e291159","DOIUrl":"10.1590/1413-785220263402e291159","url":null,"abstract":"Introduction: Distal radius fractures are the most common fractures of the human skeleton and can be surgically treated using Kirschner wires (K-wires) or a volar plate.Objective: To analyze and compare the post-surgical results of patients treated with K-wire and volar plate for distal radius fracture.Methods: Retrospective, quantitative study with medical records and postoperative evaluation questionnaires in ten patients divided into two groups: K-wire and volar plate. The study was conducted at the Hospital de Clínicas Dr. Radamés Nardini, Mauá - SP.Results: Distal radius fractures were more common in the dominant upper limb, with the volar plate group tending to be older. Volar plate patients had later procedures (median of 13 days), compared to 4 days for K-wire patients. Functional assessment showed better outcomes for the volar plate group, including grip strength. Dorsal flexion loss was 5.2% for K-wire and 21.8% for volar plate when compared to the contralateral limb (P<0.05).Conclusion: Volar plate fixation showed reduced functional limitations, while K-wire fixation demonstrated a shorter time from trauma to surgery and better range of motion. The small sample size and lack of systematic allocation limit the validity of these results. Level of Evidence III; Retrospective comparative study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e291159"},"PeriodicalIF":0.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037976","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

UTILIZATION OF ROBOTIC ARM ASSISTANCE FOR REVISION OF PARTIAL TO TOTAL KNEE ARTHROPLASTY: A CASE REPORT. 利用机械臂辅助部分至全膝关节置换术的翻修：1例报告。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-05-22 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263402e296465

Eduardo Frois Temponi, Felipe Santiago de Almeida, Lúcio Honório de Carvalho, Matheus Braga Jacques Gonçalves, Ricardo Leão Carmo, Vitor Rodrigues Miranda

{"title":"UTILIZATION OF ROBOTIC ARM ASSISTANCE FOR REVISION OF PARTIAL TO TOTAL KNEE ARTHROPLASTY: A CASE REPORT.","authors":"Eduardo Frois Temponi, Felipe Santiago de Almeida, Lúcio Honório de Carvalho, Matheus Braga Jacques Gonçalves, Ricardo Leão Carmo, Vitor Rodrigues Miranda","doi":"10.1590/1413-785220263402e296465","DOIUrl":"10.1590/1413-785220263402e296465","url":null,"abstract":"Introduction: The introduction of robotic-assisted total knee and hip arthroplasty in Brazil since 2021 has demonstrated benefits, including greater precision in bone cuts and reduced tissue trauma. However, there is a lack of studies on the use of this technology in TKA revisions. This report presents the first robot-assisted TKA performed in Brazil, representing an innovative and pioneering approach.Case report: A 61-year-old female patient presenting with pain and limited flexion in her left knee, who underwent unicompartmental knee arthroplasty (UKA) in 2015. After conservative treatment with physical therapy and injections proved ineffective, it was decided to proceed with robot-assisted total knee arthroplasty. The procedure followed the Mako protocol, which included robotic anatomical marking, removal of the previous components, and ligament adjustments. Precise bone cuts were made using the robotic arm, followed by the cementation of prosthetic components. The surgery went smoothly, with a favorable postoperative course.Conclusion: The use of robotic assistance in revision anterior cruciate ligament surgery has proven promising, yielding good postoperative results. However, further studies are needed to standardize the technique and establish specific protocols. Level of Evidence IV; Case Report.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e296465"},"PeriodicalIF":0.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037922","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

USE OF PERONEUS LONGUS AS A GRAFT FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A META-ANALYSIS. 腓长肌作为前交叉韧带重建的移植物：一项荟萃分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-05-22 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263402e297499

Yesmin Naji Sola, Joao Vitor de Souza Ribeiro, José Dutra, Helder Rocha da Silva Araújo, Marcelo Rodrigues Torres, Halley Paranhos

{"title":"USE OF PERONEUS LONGUS AS A GRAFT FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A META-ANALYSIS.","authors":"Yesmin Naji Sola, Joao Vitor de Souza Ribeiro, José Dutra, Helder Rocha da Silva Araújo, Marcelo Rodrigues Torres, Halley Paranhos","doi":"10.1590/1413-785220263402e297499","DOIUrl":"10.1590/1413-785220263402e297499","url":null,"abstract":"To evaluate the advantages and disadvantages of anterior cruciate ligament reconstruction using the long fibular graft, compared to the hamstrings. This is a systematic review with meta-analysis, analyzing articles published in English and Portuguese between 1980 and 2025, in the databases MEDLINE, PUBMED, COCHRANE, and SCIELO. The variables of interest were: IKDC, Lysholm, AOFAS, sample size, and participants' age. Cochrane's Q test and I2 statistics were used to assess heterogeneity. Significant heterogeneity was identified when p-values were below 0.10, and I2 values were above 25%. Twelve articles were included in the scope of this review. The studies involved 1,212 patients, of whom 72.23% were male, and 18.49% were female. The follow-up time of the patients ranged from six months to five years. No statistically significant differences were found in IKDC and Lysholm of the two samples. There was a small statistical difference in the AOFAS scale. We did not find studies in the literature with sufficient relevance to demonstrate the superiority of long fibular reconstruction as a graft. There are also not enough studies to determine morbidity at the donor site. The use of the long fibular as a graft is promising, but requires caution. Level of Evidence I; Systematic Review.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e297499"},"PeriodicalIF":0.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037927","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

THERMOGRAPHY ACCURACY IN THE DIAGNOSIS OF CARPAL TUNNEL SYNDROME. 热成像在腕管综合征诊断中的准确性。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-05-11 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263402e283215

Maria Fernanda Franco de Oliveira Dos Anjos, Sérgio Murilo Georgeto, Maycon Anderson Guedes Maciel Moreira, Rodrigo Antônio Carvalho Andraus

{"title":"THERMOGRAPHY ACCURACY IN THE DIAGNOSIS OF CARPAL TUNNEL SYNDROME.","authors":"Maria Fernanda Franco de Oliveira Dos Anjos, Sérgio Murilo Georgeto, Maycon Anderson Guedes Maciel Moreira, Rodrigo Antônio Carvalho Andraus","doi":"10.1590/1413-785220263402e283215","DOIUrl":"10.1590/1413-785220263402e283215","url":null,"abstract":"Objective: To evaluate the accuracy of thermography for diagnosing carpal tunnel syndrome (CTS) compared to electroneuromyography (ENMG), considered the gold standard, in patients with an indication for surgical treatment recruited from the neurosurgery outpatient clinic of the Irmandade da Santa Casa de Londrina.Methods: This is a cross-sectional, descriptive diagnostic accuracy study, oriented by the Guideline for Reporting Reliability and Agreement Studies (GRAAS), with a sample from the database of the project \"Clinical-functional characterization and evaluation of the treatment efficacy of patients with carpal tunnel syndrome\" of 44 patients, both genders, divided into a study group with 17 participants and a control group with 27 participants. A FLIR® T540 camera was used to capture the thermographic images. The data was acquired and analyzed using FLIR Tools+ software, which measured the average temperature of the region of interest. Artificial Neural Networks were used to classify the thermographic images.Results: In terms of the area under the curve was 0.908, the precision obtained was 90.81%, the accuracy 91.66%, the sensitivity 87.25% and the specificity 94.44%. The F1-score was 88.99%.Conclusion: The main findings, such as the sensitivity and specificity values, showed significant results indicating that thermography is effective in detecting CTS. Level of Evidence I; Diagnostic studies - Investigating a Diagnostic Test.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e283215"},"PeriodicalIF":0.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935683","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