Acta Ortopedica Brasileira最新文献

{"title":"EVALUATION OF THE RADIOISOTOPIC SYNOVECTOMY PROTOCOL IN PATIENTS WITH HEMOPHILIA.","authors":"Marcela Dos Santos Martins, Janaina Bosso da Silva Ricciardi, Allan de Oliveira Santos, Margareth Castro Ozelo, Rodrigo Gonçalves Pagnano, Emerson Taro Inoue Sakuma","doi":"10.1590/1413-785220263402e291382","DOIUrl":"10.1590/1413-785220263402e291382","url":null,"abstract":"<p><strong>Introduction: </strong>Hemophilia is an inherited hemorrhagic disorder in which the most common musculoskeletal manifestation is intra-articular hemorrhage. Successive hemarthroses result in chronic synovitis, joint surface destruction, and chronic hemophilic arthropathy. When conservative treatment cannot halt an already established synovitis, removing the synovium may interrupt the process of joint destruction, and radioisotopic synovectomy (RS) becomes one of the treatments of choice.</p><p><strong>Objective: </strong>To evaluate the safety and effectiveness of the RS protocol in reducing the incidence of hemarthrosis in patients with hemophilia.</p><p><strong>Materials and methods: </strong>This retrospective study is based on a review of medical records. We compared the number of bleeding events one year before and one year after RS. Results were submitted to statistical analysis and compared using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>65 RS procedures were performed between 2008 and 2018 in patients followed at our institution. The number of bleeding events recorded in the joints submitted to intervention in the year preceding the procedure was 367. In contrast, the number in the following year was 203, a reduction of 44.68% (P<0.001). There were no complications related to the procedure during the analyzed period.</p><p><strong>Conclusion: </strong>The RS protocol was safe and effective in reducing the number of bleeding events. <b>Level of Evidence IV; Case Series</b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e291382"},"PeriodicalIF":0.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935585","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}

{"title":"EPIDEMIOLOGICAL ANALYSIS OF FEMUR FRACTURES IN THE PEDIATRIC POPULATION IN A REFERENCE SERVICE IN THE STATE OF SERGIPE.","authors":"Gustavo Henrique Cavalcanti Pereira Paixão, Thassyo Oliveira Sales, Gabriel Borges Paixão, Marcela Tavares Machado, Henrique de Sousa Monteiro, Mário Augusto Ferreira Cruz","doi":"10.1590/1413-785220263402e293255","DOIUrl":"10.1590/1413-785220263402e293255","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical-epidemiological profile of skeletally immature patients treated at a referral service in Sergipe, from January to December 2023.</p><p><strong>Methods: </strong>This is an observational, retrospective study, by analysis of electronic medical records. The data were analyzed descriptively and for inferential analysis, the ANOVA and Student's t tests were used. Multivariate analysis was performed through logistic linear regression adjustment. A significance level of 5% was adopted, using R software, version 4.0.3.</p><p><strong>Results: </strong>Of the 49 femur fractures evaluated, 35 (71.4%) occurred in boys, 29 (59.2%) on the left side, with a mean age of 5.4 years. Three fractures were proximal (6.1%), 37 diaphyseal (75.5%) and 9 distal (18.4%). The most frequent fracture pattern was spiral (46.9%). It was found that the fracture mechanism and treatment presented significant differences in relation to age. Younger children were mainly affected by falls from their own height, while older children suffered direct trauma. In terms of treatment, increasing age behaves as a risk factor for surgical therapy.</p><p><strong>Conclusions: </strong>The data analyzed are equivalent to other studies performed and described in the world literature. <b>Level of Evidence III; Comparative Retrospective Study</b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e293255"},"PeriodicalIF":0.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935622","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}

{"title":"SPINAL DISORDERS IN PROFESSIONAL ESPORTS ATHLETES: PROTOCOL FOR A SYSTEMATIC REVIEW.","authors":"Newton Yukio Miachiro, Marcelo Diniz de Menezes, Mariana Demétrio de Sousa Pontes, Carlos Fernando Pereira da Silva Herrero","doi":"10.1590/1413-785220263402e295703","DOIUrl":"10.1590/1413-785220263402e295703","url":null,"abstract":"<p><p>Electronic sports, or esports, have become increasingly popular worldwide. Official tournaments are organized for participants to compete in a specific gaming titles. However, professional-level competitive participation can lead to health problems that affect the player's quality of life and performance. Previous studies have shown that participation in esports is associated with health risks and challenges, such as a higher incidence of musculoskeletal injuries, sleep problems, sedentary lifestyles, anxiety, and depression. This article presents a systematic review protocol that aims to investigate the effects of professional esports practice on the musculoskeletal system, with a specific focus on the spine. A systematic literature review will be conducted, including observational and intervention studies that evaluate musculoskeletal changes in the spine. This systematic review is expected to provide an overview of the characteristics of professional esports players with spinal complaints and the symptoms observed. The findings of this review may help develop prevention and rehabilitation strategies to promote the physical health of esports players. <b>Level of Evidence II; Systematic Review</b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e295703"},"PeriodicalIF":0.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935678","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}

{"title":"EVALUATION OF THE QUALITY AND RELIABILITY OF INFORMATION ON ADHESIVE CAPSULITIS (FROZEN SHOULDER) ON THE SOCIAL MEDIA PLATFORM INSTAGRAM.","authors":"Douglas Hideo Higuchi, Fabio Teruo Matsunaga, Guilherme Satake, Augusto Yassuo Mathuy, Marcel Jun Sugawara Tamaoki","doi":"10.1590/1413-785220263402e297030","DOIUrl":"10.1590/1413-785220263402e297030","url":null,"abstract":"<p><strong>Objective: </strong>To assess the quality and reliability of information on adhesive capsulitis provided to the public on Instagram.</p><p><strong>Method: </strong>The 100 most relevant posts on #adhesivecapsulitis and the 100 posts on #frozenbrown hashtags were analyzed on a single day. The evaluation was carried out by three professionals at different levels - a general practitioner, an orthopedist, and a shoulder and elbow surgeon - using the Global Quality Score (GQS), the modified DISCERN, and the Frozen Shoulder Specific Score (FSSS). In addition, interobserver agreement was checked.</p><p><strong>Results: </strong>The majority (65.5%) of the 200 posts analyzed presented incomplete information, scoring 1 or 2, representing low scientific foundation and limited clinical applicability. The average scores on the three scores indicated unsatisfactory quality of the content. However, agreement between the evaluators was high, demonstrating the reliability of the methods used.</p><p><strong>Conclusion: </strong>Although Instagram is widely used as a source of health information, it has poor-quality content on adhesive capsulitis. These findings reinforce the importance of medical guidance and the production of more accurate, evidence-based information materials. <b>Level of evidence IV; observational, descriptive, cross-sectional</b>.</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 2","pages":"e297030"},"PeriodicalIF":0.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935652","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}

{"title":"Negative Pressure Wound Therapy as an Adjunct to Skin Grafting in Traumatic Injuries.","authors":"Cleyton Chaves da Rocha, Ricardo Lavorato Filizzola, Luiz Sorrenti, Álvaro Baik Cho, Carlos Henrique Vieira Ferreira, Leandro Yoshinobu Kiyohara, Eduardo Romera Alves de Souza, Carina Rocha da Silva","doi":"10.1590/1413-785220263401e292923","DOIUrl":"10.1590/1413-785220263401e292923","url":null,"abstract":"<p><strong>Introduction: </strong>Wounds are a challenge for health professionals and services, prolonging hospital stays and increasing morbidity and mortality rates. Wounds occur due to post-traumatic tissue loss, which is often difficult to resolve and is complicated by infections, local vascular impairment, and systemic diseases. To demonstrate the effectiveness of negative pressure therapy (NPT) using the vacuum gauge of the hospital gas pipeline and low-cost materials in the immediate postoperative period. To use resources available in daily hospital practice to create a low-cost vacuum dressing. To describe the equipment, preparation, and technique involved in low-cost NPT treatment as an adjuvant in the repair of lesions with indication for skin grafting.</p><p><strong>Methodology: </strong>Prospective, interventional, randomized clinical study with a non-inferiority design.</p><p><strong>Results: </strong>Fifteen patients were included at the end of the study, with complete follow-up until complete healing. The mean age of the selected patients was 38.27 years. Regarding gender, 93.3% were male and 6.7% were female.</p><p><strong>Conclusion: </strong>Thus, the results suggested that the use of low-cost NPT on skin grafts is a valuable, safe, easily reproducible and low-morbidity tool for surgeons technical arsenal. <b><i>Level of Evidence: IV; Case Series</i></b> .</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e292923"},"PeriodicalIF":0.6,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596385","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}

{"title":"RETROSPECTIVE ANALYSIS OF MALLET FINGER TREATED WITH EXTENSION BLOCK FIXATION USING THE ISHIGURO TECHNIQUE.","authors":"Alessandro Ayres Vianna, André Giacomazzi Martins, Santiago Martin Paredes Arcentales, Yussef Ali Abdouni, Antonio Carlos da Costa","doi":"10.1590/1413-785220263401e290553","DOIUrl":"10.1590/1413-785220263401e290553","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the outcomes of the Ishiguro technique in the treatment of flexion deformity of the interphalangeal distal (IFD) joint, known as bony mallet finger (BMF) Albertoni Type C2, addressing a common condition that may cause functional impairment if not adequately treated.</p><p><strong>Methods: </strong>All cases of patients with Albertoni Type C2 bony mallet finger (BMF) who underwent the Ishiguro method between March 2018 and February 2023 were included, with a minimum postoperative follow-up of five months; cases of patients who did not complete the minimum five-month postoperative follow-up were excluded. Epidemiological data (age, sex, dominance) and fracture-related information (affected finger, fragment size, time from trauma to surgery, follow-up duration) were analyzed. Outcomes included anatomic reduction, union, return to activities, pain, flexion deficit, passive extension of the affected finger, passive extension of the contralateral finger, and Crawford criteria.</p><p><strong>Results: </strong>None of the analyzed characteristics-such as age, affected finger, interval between trauma and surgery, fragment size, and union-significantly influenced anatomic reduction (p > 0.05). The Crawford scale, as well as anatomic reduction, showed no significant impact (p > 0.05). However, all patients with positive results on the Crawford scale demonstrated union (p = 0.063).</p><p><strong>Conclusion: </strong>In our series, more than half of the patients achieved good or excellent results, predominantly characterized by anatomic reduction. No significant associations were identified with variables such as age, affected finger, time from trauma to surgery, fragment size, bone union, or anatomic reduction. These findings suggest that the Ishiguro technique may be effective in the treatment of BMF Albertoni Type C2. <b><i>Level of Evidence III; Retrospective Study</i></b> .</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e290553"},"PeriodicalIF":0.6,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596351","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}

{"title":"Can Telemedicine Support the Management of Osteogenesis Imperfecta?","authors":"Paulo Humberto Mem Martendal Vallandro Costa, Fernando Henrique Vilella Nakamuta, Vivian Yumi Aoki Nishida, Ellen de Oliveira Goiano, Miguel Akkari, Cláudio Santili","doi":"10.1590/1413-785220263401e295240","DOIUrl":"10.1590/1413-785220263401e295240","url":null,"abstract":"<p><strong>Objective: </strong>Considering the need for specialized care in Osteogenesis Imperfecta (OI), we investigated whether the use of a digital platform could optimize treatment and improve patients' quality of life.</p><p><strong>Methods: </strong>A guidance and data collection app was developed, complemented by a YouTube channel with physiotherapy instructions. The interventional clinical trial without a control group was carried out for 12 months with patients with OI. Patient functionality was assessed using the Functional Independence Measure (FIM) scale. Patients were monitored via telemedicine, receiving remote multidisciplinary support.</p><p><strong>Results: </strong>Thirteen participants completed the study. Significant improvements were observed in self-care, transfers, and mobility subitems (p<0.05). Program adherence was high, and no patient sustained injuries during the intervention. Additionally, a total transportation cost savings of R$ 113,852.00 was recorded, reducing direct expenses for patients and their families.</p><p><strong>Conclusion: </strong>Telemedicine proved effective in the rehabilitation of OI patients, providing both clinical and financial benefits. The digital platform facilitated treatment adherence, optimizing medical and physiotherapy support. Future studies should explore its large-scale application and integration into public health policies. <b><i>Level of Evidence II; Therapeutic Studies- Investigating the Results of Treatment</i></b> .</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e295240"},"PeriodicalIF":0.6,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596363","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}

{"title":"ANALYSIS OF INTRINSIC FOOT MUSCLE STRENGTH IN DIABETIC PATIENTS WITH AND WITHOUT DIABETIC PERIPHERAL NEUROPATHY COMPARED WITH HEALTHY CONTROLS.","authors":"Danielle Moreira de Oliveira, Alan Almeida da Silva, Tarcísio Marconi Novaes Torres, Fabrício Luz Cardoso, Lucas de Menezes Figueiredo, Thiago Batista Faleiro","doi":"10.1590/1413-785220263401e289938","DOIUrl":"10.1590/1413-785220263401e289938","url":null,"abstract":"<p><strong>Objective: </strong>to evaluate the strength of the intrinsic foot muscles in diabetic patients with and without diabetic peripheral neuropathy, compared to healthy controls.</p><p><strong>Methods: </strong>a prospective experimental study was conducted with 63 patients divided into three groups: diabetics with peripheral neuropathy (20), diabetics without neuropathy (23), and healthy controls (20). Muscle strength was measured using a digital handheld dynamometer, assessing plantar flexion of the hallux and toes in two positions (neutral and maximum plantar flexion). Statistical analyses were performed using R software, with α=0.05 and β=0.2.</p><p><strong>Results: </strong>the groups had a mean age of 66 years. Variables with statistically significant differences (p < 0.05) included Right Hallux - Neutral Position, All Toes (Right) - Neutral Position, All Toes (Right) - Plantar Flexion, and Left Toes - Plantar Flexion. Diabetic patients with neuropathy showed lower medians and interquartile ranges in these variables, indicating reduced muscle strength compared to controls.</p><p><strong>Conclusions: </strong>this study explored the strength of the intrinsic foot muscles in diabetic patients, using dynamometry as an assessment tool. Although no conclusive evidence was found, it is suggested that dynamometry may be useful in the early detection of muscle weakness in diabetic neuropathy. Expanding the study with a larger sample and more data is necessary to validate and refine the preliminary conclusions, contributing to the monitoring of muscle deterioration and the effectiveness of treatments. <b><i>Level of Evidence II; Prospective^d comparative study^e</i> .</b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e289938"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203851","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}

{"title":"BIOMECHANICAL EVALUATION OF FIXATION METHODS IN PATELLAR FRACTURES (AO 34-C3): AN IN VITRO ANALYSIS.","authors":"Marcelo de Almeida Ferrer, Silvio Leite de Macedo, Hebe Soledad Simões Gomes de Moura, Leonardo Rigobello Battaglion, Anderson Freitas, Bruno do Nascimento Ohashi","doi":"10.1590/1413-785220263401e291017","DOIUrl":"10.1590/1413-785220263401e291017","url":null,"abstract":"<p><strong>Objective: </strong>To describe the biomechanical outcomes of five different fixation models, namely: tension band wiring (TB), anterior star-shaped locking plate (PS), lateral orthogonal locking plates (LP), and two additional models using BT and LP combined with a circumferential cerclage wire around the patella, referred to as BTO and PSO, respectively, in a comminuted patellar fracture (AO34C3).</p><p><strong>Methods: </strong>This study analyzed, using the finite element method (FEM), the following variables: total displacement, fragment displacement, maximum and minimum principal stresses, and total and localized von Mises stresses, under loading conditions of 1,500 N (R1) and 3,000 N (R2).</p><p><strong>Results: </strong>Results were presented as absolute values and percentiles, as well as through observational analysis of individual stress distributions. From a biomechanical perspective, critical results in both absolute and percentile values were observed for most variables in the TB group compared with the PS and LP groups. While maximum and minimum principal stresses were similar among groups, differences in intensity and location were found for total and localized von Mises stresses. In addition, the inferior pole of the patella exhibited critical stress conditions across all groups.</p><p><strong>Conclusions: </strong>Tension band wiring demonstrated inferior outcomes compared with locking plates. Biomechanical benefits were observed with the use of two orthogonal locking plates compared with an anterior locking plate; however, both constructs still showed deficiencies in stabilizing the distal pole of the patella. <b><i>Level of Evidence II; Prospective Study.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e291017"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203896","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}

{"title":"PATIENTS WITH SOFT TISSUE SARCOMA AFTER TREATMENT BY NON ORTHOPEDIC ONCOLOGIC SURGEONS: EPIDEMIOLOGICAL PROFILE, STAGING, AND THERAPEUTIC CHALLENGES.","authors":"Fernando Brasil do Couto, Eduardo Sadao Yonamine, Felipe Guimarães Magno, Luciano Elias Barboza, Vicente Magalhães de Araujo, Ana Beatriz Favacho Silva","doi":"10.1590/1413-785220263401e293900","DOIUrl":"10.1590/1413-785220263401e293900","url":null,"abstract":"<p><strong>Objective: </strong>this study analyzed patients with soft tissue sarcoma treated by non-orthopedic oncologists, evaluating their epidemiological profile, staging, and therapeutic challenges.</p><p><strong>Method: </strong>an analytical study in the form of a retrospective cohort, conducted through a review of medical records of patients treated at the hospital from January 1, 2011, to December 31, 2021.</p><p><strong>Results: </strong>a total of 61 patients were included, mostly male (55.7%), with a mean age of 42.8 years. The most frequent histological subtypes were synovial sarcoma (29.5%) and undifferentiated pleomorphic sarcoma (21.3%), with a predominance of high-grade tumors (75.4%). The majority of cases (77%) underwent resection, but without proper planning, leading to high recurrence rates (77%) and metastases (49.2%), with the lungs being the primary metastatic site. The mortality rate was 47.5%, with an average time to death of 3.1 years.</p><p><strong>Conclusion: </strong>the findings highlight the need for early diagnosis, specialized treatment, and multidisciplinary management to optimize clinical outcomes for patients. The adoption of standardized protocols in referral centers may reduce inadequate interventions and improve survival and quality of life for patients with soft tissue sarcoma. <b><i>Level of Evidence III; Retrospective^f comparative study^e</i> </b> .</p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 1","pages":"e293900"},"PeriodicalIF":0.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203878","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}