Acta Ortopedica Brasileira最新文献_第6页

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

IF 0.5 4区医学

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

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

{"title":"PATHOPHYSIOLOGY OF POSTTRAUMATIC ANKLE OSTEOARTHRITIS: A MULTICENTER PERSPECTIVE.","authors":"Alexandre Leme Godoy-Santos, Cesar de Cesar, Simone Santini, Mario Herrera-Pérez, Victor Valderrabano, Stefan Rammelt","doi":"10.1590/1413-785220243203e282286","DOIUrl":"10.1590/1413-785220243203e282286","url":null,"abstract":"Besides the acute injury and trauma-induced macroscopic alterations, the evolution to posttraumatic ankle osteoarthritis (PTOA) is a complex process progressing at the tissue and molecular level. Furthermore, changes in the molecular pathways affect chondrocyte viability. Treatment modalities for PTOA focal or confined disease include innovative techniques.Objective: Our purpose is to increase medical awareness based on scientific evidence of pathophysiology, molecular biology, and treatment of post-traumatic ankle osteoarthritis.Methods: To support the perspectives of the experts, evidence from the scientific literature respected the PRISMA guidelines and the PICOS search strategy was used. We included case-control, cohort, experimental studies and case reports, written in English.Results: The authors were homogeneously exposed to 282 selected abstracts and 114 full articles directly related to post-traumatic osteoarthritis after malleolar fractures.Conclusion: The pathophysiological factors involved in posttraumatic ankle osteoarthritis, such as biological, structural, mechanical, and molecular changes must be studied together, as the interaction between these factors determines the risk of progression of PTOA. Inhibition of a single catabolic molecule or cascade probably is not sufficient to alter the natural progression of the pathological process. Evidence level V, expert opinion.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 3","pages":"e282286"},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 0.5 4区医学

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

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

{"title":"SHORT-TERM EVALUATION BETWEEN POLYETHYLENE THICKNESS IN PRIMARY TOTAL KNEE ARTHROPLASTY.","authors":"Rodrigo Sattamini Pires E Albuquerque, Thales Ramos Pizziolo, Octavio Augusto Tome da Silva, Marcelo Alfredo Guerra Monteiro, Sandra Tie Nishibe Minamoto, Alan de Paula Mozella","doi":"10.1590/1413-785220243203e276755","DOIUrl":"10.1590/1413-785220243203e276755","url":null,"abstract":"Objective: The objective of the research was to carry out a comparative study between Smith & Nephew ® or Zimmer ® prostheses with thick versus thin polyethylene, in patients undergoing primary total knee arthroplasty, during a short-term follow-up. Thus, the objective was to analyze the survival of the implants in question under the clinical and radiographic aspect.Methods: The sample was divided into two groups: Group 1 with thick polyethylene and group 2 with thin polyethylene. A clinical analysis of the patients was carried out and the implants were checked for loosening.Results: The groups were similar when compared. According to the Ahlbäck classification, 83% of the patients were in groups IV and V. The median functional score in the postoperative period was similar between the two groups. Postoperatively, the tibiofemoral angle fluctuated between 5 and 6 0 valgus on average. Two complications were observed in each group. None of the evaluated patients presented implant loosening.Conclusion: Patients treated with thick polyethylene had the same functional score as the control group, as well as the absence of radiographic changes in this short-term follow-up, with implant survival and a similar rate of complications between both groups. Level of evidence III, Retrospective study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 3","pages":"e276755"},"PeriodicalIF":0.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COMPARISON OF DYNESYS AND HYBRID SYSTEM FOR MULTI-SEGMENTAL LDD. 多分区 LDD 的 dynesys 系统和混合系统比较

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e270051

Xin Zhang, Xiao Xiao, Hongyu Wang, Song Wang, Dazhi Yang, Songlin Peng

{"title":"COMPARISON OF DYNESYS AND HYBRID SYSTEM FOR MULTI-SEGMENTAL LDD.","authors":"Xin Zhang, Xiao Xiao, Hongyu Wang, Song Wang, Dazhi Yang, Songlin Peng","doi":"10.1590/1413-785220243202e270051","DOIUrl":"10.1590/1413-785220243202e270051","url":null,"abstract":"Objective: To compare effectiveness of Dynesys and hybrid system in treating patients with multi-segmental lumbar degenerative disease (LDD).Methods: Patients involved in this retrospective study were divided into Dynesys (n = 22) and Hybrid (n = 13) groups. Clinical outcomes were evaluated using Oswestry Disability Index (ODI), and Visual Analogue Scale (VAS). Radiologic evaluations included X-ray, MRI, and CT. Furthermore, different complications were analyzed.Results: At the last follow-up, ODI and VAS of each group were improved (p < 0.05), and the range of motion (ROM) of operating segments decreased. However, Dynesys group preserved a larger extent of ROM at the final follow-up (p < 0.05). ROM of the upper adjacent segment was increased in both groups (p < 0.05), while the disc heights were decreased at the final follow-up (p < 0.05). Besides, Dynesys group had a more obvious decrease in the disc height of dynamic segments (p < 0.05). No significant difference existed in complications between both groups (p > 0. 05).Conclusion: In our study, similar satisfactory results were obtained in both groups. Both surgical procedures can be employed as effective treatments for middle-aged and physically active patients with multi-segmental LDD. Level of Evidence III; Retrospective Comparative Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e270051"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460958","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

RADIOGRAPHIC EVALUATION OF CONSERVATIVE TREATMENT OF DISTAL RADIUS FRACTURES. 桡骨远端骨折保守治疗的放射学评估。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e275070

Brenno Lopes Cangussu, Henrique Cruz Baldanza, Ricardo Leão Carmo, Daniel Magalhães Nobre, Alexandre Ramos Estanislau, Tomás Santos Vasconcelos Barros

{"title":"RADIOGRAPHIC EVALUATION OF CONSERVATIVE TREATMENT OF DISTAL RADIUS FRACTURES.","authors":"Brenno Lopes Cangussu, Henrique Cruz Baldanza, Ricardo Leão Carmo, Daniel Magalhães Nobre, Alexandre Ramos Estanislau, Tomás Santos Vasconcelos Barros","doi":"10.1590/1413-785220243202e275070","DOIUrl":"10.1590/1413-785220243202e275070","url":null,"abstract":"Objective: This article aims to evaluate the evolution of radio-graphic parameters (radial tilt, volar tilt, and radial height) of distal radius fractures in patients indicated for conservative treatment at three different times: date of diagnosis, first outpatient visit within 2 weeks after closed reduction, and last outpatient visit.Methods: We included 84 patients seen at the emergency department of Hospital Municipal Odilon Behrens, with a diagnosis of distal radius fracture and an indication for conservative treatment. We considered only those patients who had serial radiographs taken at least three different times (n=69) in this analysis.Results: There was an improvement in radiographic parameters of volar tilt after closed reduction and immobilization, which was maintained until the last outpatient visit. Radial inclination and radial height showed increased values from the first to the second radiographic evaluation and both values had regression when comparing the second to the third (last) evaluation.Conclusion: Universal classification stable fractures tend to evolve well with conservative therapy. Level of Evidence II; Development of Diagnostic Criteria in Consecutive Patients (with Gold Standard of Reference Applied).","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e275070"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460978","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

SHORTENING OF CLAVICLE FRACTURES: PHYSICAL VERSUS IMAGE EXAMINATIONS. 锁骨骨折缩短：物理检查与图像检查

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e274209

Rodrigo Alves Beraldo, Caroline Izidorio Bernardes Silva, Hélio Henrique de Paiva, Ewerton Alexandre Galdeano, Renato de Moraes

{"title":"SHORTENING OF CLAVICLE FRACTURES: PHYSICAL VERSUS IMAGE EXAMINATIONS.","authors":"Rodrigo Alves Beraldo, Caroline Izidorio Bernardes Silva, Hélio Henrique de Paiva, Ewerton Alexandre Galdeano, Renato de Moraes","doi":"10.1590/1413-785220243202e274209","DOIUrl":"10.1590/1413-785220243202e274209","url":null,"abstract":"Objective: Determine the reliability of three different methods of evaluating bone shortening in displaced midshaft clavicle fractures (DCMF).Method: A cross-sectional analytical study evaluated bone shortening by metric tape (MT), radiography (X-ray), and computed tomography (CT). Twenty-six men had been evaluated and used clavícula not broken as control. The collection of data was of the blind type for three specialists. Differences and reliability were analyzed with the Friedman and Kappa tests and validated with the T-test (CI: 95%; significance index p<0.05; Software \"R\" version 3.2.2).Results: The MT measurements (control) showed abnormal distribution and significant statistical difference concerning the imaging tests (p=0.000008). There was a similarity between X-ray and CT and Kappa agreement of 0.65. The fractured clavicles presented similar measurements between the three methods (p=0.059), and the T-tests proved that the similarity was caused by chance or possible measurement errors.Conclusion: Measurement by metric tape showed a tendency to overestimate bone shortening. The CT showed more reliable results for the diagnosis; however, the X-ray was sufficient for decision-making by surgeons, and therefore, it is not possible to rule out the importance of this resource for DCMF. Level of Evidence IV; Case-Control Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e274209"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460980","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

FRACTURE-DISLOCATIONS OF THE ELBOW: CAN THEY INFLUENCE THE PATTERN FRACTURE OF RADIAL HEAD? 肘部骨折脱位：它们会影响桡骨头的骨折模式吗？

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e278639

Thiago Augusto da Silva, Alexandre Martins Malaquias, Marcio Alves Cruz, Fernando Kenji Kikuta, Guilherme Grisi Mouraria, Maurício Etchebehere

{"title":"FRACTURE-DISLOCATIONS OF THE ELBOW: CAN THEY INFLUENCE THE PATTERN FRACTURE OF RADIAL HEAD?","authors":"Thiago Augusto da Silva, Alexandre Martins Malaquias, Marcio Alves Cruz, Fernando Kenji Kikuta, Guilherme Grisi Mouraria, Maurício Etchebehere","doi":"10.1590/1413-785220243202e278639","DOIUrl":"10.1590/1413-785220243202e278639","url":null,"abstract":"Introduction: Radial head fractures are consistently part of a terrible triad of the elbow and can occur in association with Monteggia fracture-dislocations, transolecranon fractures, and their variations. Understanding the degree of comminution of the radial head fracture and the location of fragments determines the course of action to be taken.Objectives: To correlate fracture-dislocations with the pattern of radial head fracture (number of fragments) and involvement in the proximal radioulnar region.Materials and methods: A retrospective study (level II) of patients undergoing surgery for radial head fractures associated with fracture-dislocations. Patients had radiographs in anteroposterior and lateral views, as well as tomography. The number of radial head fracture fragments and the presence of fractures in the proximal radioulnar region were correlated with the type of fracture-dislocation and demographic variables.Conclusion: Elbow fracture-dislocation types could not predict the number of fragments and the location of radial head fractures. However, most injuries presented three or more fragments in the radial head, and many had involvement of the proximal radioulnar region, suggesting high-energy trauma. Level of Evidence II; Retrospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e278639"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141461540","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

RISK FACTORS AT NON-UNION OF TIBIAL FRACTURE TREATED WITH INTRAMEDULLARY NAIL. 用髓内钉治疗的胫骨骨折不愈合的风险因素。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e278581

Vitor Lorens Yulta Abe Puccetti, Fernando Loureiro de Miranda, Caio Cesar Nogueira de Figueiredo, Kayo Augusto de Almeida Medeiros, Marcos de Camargo Leonhardt, Jorge Dos Santos Silva, Kodi Edson Kojima

{"title":"RISK FACTORS AT NON-UNION OF TIBIAL FRACTURE TREATED WITH INTRAMEDULLARY NAIL.","authors":"Vitor Lorens Yulta Abe Puccetti, Fernando Loureiro de Miranda, Caio Cesar Nogueira de Figueiredo, Kayo Augusto de Almeida Medeiros, Marcos de Camargo Leonhardt, Jorge Dos Santos Silva, Kodi Edson Kojima","doi":"10.1590/1413-785220243202e278581","DOIUrl":"10.1590/1413-785220243202e278581","url":null,"abstract":"Objective: Identify the predictors associated with delayed union at 6 months and non-union at 12 months in tibial shaft fractures treated with intramedullary nailing (IMN).Methods: This retrospective longitudinal study included a cohort of 218 patients who sustained tibial shaft fractures and received IMN between January 2015 and March 2022. We gathered data on a range of risk factors, including patient demographics, trauma intensity, associated injuries, fracture characteristics, soft tissue injuries, comorbidities, addictions, and treatment-specific factors. We employed logistic bivariate regression analysis to explore the factors predictive of delayed union and non-union.Results: At the 6-month follow-up, the incidence of delayed union was 28.9%. Predictors for delayed union included flap coverage, high-energy trauma, open fractures, the use of external fixation as a staged treatment, the percentage of cortical contact in simple type fractures, RUST score, and postoperative infection. After 12 months, the non-union rate was 15.6%.Conclusion: the main predictors for non-union after IMN of tibial shaft fractures are related to the trauma energy. Furthermore, the initial treatment involving external fixation and postoperative infection also correlated with non-union. Level of Evidence III; Retrospective Longitudinal Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e278581"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460979","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 AND EPIDEMIOLOGIC EVALUATION OF DESMOID TUMORS IN A BRAZILIAN SARCOMA REFERENCE CENTER. 巴西肉瘤参考中心对脱模瘤的临床和流行病学评估。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e274225

Cassia da Silva, Fábio Fernando Eloi Pinto, Ademar Lopes, Suely Akiko Nakagawa, Marcelo Porfirio Sunagua Aruquipa, Samuel Aguiar, Celso Abdon Lopes de Mello

{"title":"CLINICAL AND EPIDEMIOLOGIC EVALUATION OF DESMOID TUMORS IN A BRAZILIAN SARCOMA REFERENCE CENTER.","authors":"Cassia da Silva, Fábio Fernando Eloi Pinto, Ademar Lopes, Suely Akiko Nakagawa, Marcelo Porfirio Sunagua Aruquipa, Samuel Aguiar, Celso Abdon Lopes de Mello","doi":"10.1590/1413-785220243202e274225","DOIUrl":"10.1590/1413-785220243202e274225","url":null,"abstract":"Introduction: Desmoid Tumors (DT) are rare neoplasms with higher incidence in younger women.Methods: Retrospective, single-center analysis of patients with DT. Variables were age, sex, biopsy, treatment and recurrence. The disease-free survival (DFS) was calculated with the Kaplan-Meier method.Results: 242 patients were evaluated, mean age was 34 years, 70.7% women, 44.4% originated in the trunk/abdomen and 54.5% had size > 5cm. Surgery was performed in 70.2%, 31% with negative margin and only 57% with previous biopsy. Recurrence rate was 38% and 1,2,5-year DFS was 75.3%, 64.2%, 57.8%, respectively. Size (p = 0.018) and tumor location in the dorsum (p = 0.001), extremities (p = 0.003) and pelvis (p = 0.003) were related to higher relapse rate.Conclusion: our data reinforces the need to gather data from real world practice and the importance of awareness of DT and medical education about DT behavior and best approach due to the high rates of surgery and elevated number of patients treated without biopsy. Level of Evidence III; Retrospective Comparative Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e274225"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460957","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 ARTHROGRYPOTIC FOOT TREATMENT: MINIMUM 10 YEARS FOLLOW-UP. 关节畸形足治疗评估：至少 10 年的随访。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e275561

Monica Paschoal Nogueira, Jordana Brandão Caiafa, Alessandra Porto Pereira Galdez, Rodrigo Pastick Fujino, Fernando Farcetta

{"title":"EVALUATION OF ARTHROGRYPOTIC FOOT TREATMENT: MINIMUM 10 YEARS FOLLOW-UP.","authors":"Monica Paschoal Nogueira, Jordana Brandão Caiafa, Alessandra Porto Pereira Galdez, Rodrigo Pastick Fujino, Fernando Farcetta","doi":"10.1590/1413-785220243202e275561","DOIUrl":"10.1590/1413-785220243202e275561","url":null,"abstract":"Objective: To evaluate patients with arthrogryposis submitted to extensive surgical treatment with a minimum of 10 years of follow-up regarding the clinical and radiological aspects and the quality of life, using the 36-Item Short Form (SF-36) and the Disease-Specific Instrument (DSI).Methods: A retrospective study selected 33 patients, totaling 64 operated feet.Results: The mean age of the patients was 17.9 years (12-39 years), and the mean follow-up time was 14.8 years (11-17). Amyoplasia represented 78.7% of syndromic diagnoses. Isolated posteromedial lateral release (PMLR) was performed in 21.8% of the feet, 27.2% of which required additional bone surgery, and about 50 feet (78.1%) were submitted to PMLR, lateral column shortening, and/or talectomy. In total, 46 talectomies were performed (71.8% of the feet), out of which 44 were the first procedure of choice. SF-36 questionnaire was evaluated and showed that 93.9% of the patients did not have restrictive and disabling pain, and the same percentage considered themselves as healthy and had good expectations for the future.Conclusion: Arthrogrypotic feet are difficult to treat, require many recurrent surgical procedures, and relapses are the rule. Stiffness is a common feature of these feet, and residual deformities were frequent. Level of Evidence IV; Case Series, Therapeutic Studies.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e275561"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460974","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

HOOK ASSISTED REDUCTION IN CEPHALOMEDULLARY NAILING WITHOUT TRACTION TABLE. 在没有牵引台的情况下，头髓内钉的钩状体辅助复位。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e274533

Cagatay Tekin, Burak Gunaydin, Mesut Karıksız

{"title":"HOOK ASSISTED REDUCTION IN CEPHALOMEDULLARY NAILING WITHOUT TRACTION TABLE.","authors":"Cagatay Tekin, Burak Gunaydin, Mesut Karıksız","doi":"10.1590/1413-785220243202e274533","DOIUrl":"10.1590/1413-785220243202e274533","url":null,"abstract":"Introduction: Proximal femoral nailing for intertrochanteric femur fracture is sometimes a challenging procedure without a traction table, especially if complicated fracture pattern. We aimed to overcome this difficulty with the hook.Materials and methods: A retrospective study of 60 patients. 28 of the patients reduction was necessitated with a hook (group 1). The other patients did not need to use this technique (group 2, n=32). The collo-diaphyseal angle, lag screw placement, and tip-apex distance were measured using radiographs.Results: There were statistically significant differences between the two groups regarding the Garden Alignment Index, postoperative collo-diaphyseal angle measurements, and tip-apex distance. The Garden Alignment Index was found as 163.92 degrees (dg.) In the frontal plane in group 1, and 154.78 dg in group 2, respectively. In group 1, the tip-apex distance was 16.05 cm, whereas it was 25.32 cm in group 2. The collo-diaphyseal angle was 133.1º in group 1, and 128.65º in group 2.Conclusions: The hook-assisted reduction is beneficial when operating without a traction table; however, it can also be a part of the surgeons' equipment even when operating on a traction table. When difficulties in obtaining an ideal anatomical reduction in displaced intertrochanteric femoral fractures, we suggest using the hook-assisted reduction technique. Level of Evidence III; Case-control Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e274533"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460975","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