Acta Ortopedica Brasileira最新文献_第8页

RETROSPECTIVE ANALYSIS OF THE IMPACT OF NEGATIVE PRESSURE WOUND THERAPY ON COMPLICATIONS OF DELAYED COVERAGE OF IIIB EXPOSED TIBIAL FRACTURES. 负压创面治疗对iiib暴露胫骨骨折延迟复盖并发症影响的回顾性分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e290249

Theodoro da Cunha Gonzalez, Ivan Ribaric, Yuri Macari Gomes, Mbilu Miguel André, Fernando Quissolo Dalaia Zua, Maria Adelaide de Miranda Gonçalves, Mauricio Ivo, Marcos de Camargo Leonhardt, Jorge Dos Santos Silva, Kodi Edson Kojima

{"title":"RETROSPECTIVE ANALYSIS OF THE IMPACT OF NEGATIVE PRESSURE WOUND THERAPY ON COMPLICATIONS OF DELAYED COVERAGE OF IIIB EXPOSED TIBIAL FRACTURES.","authors":"Theodoro da Cunha Gonzalez, Ivan Ribaric, Yuri Macari Gomes, Mbilu Miguel André, Fernando Quissolo Dalaia Zua, Maria Adelaide de Miranda Gonçalves, Mauricio Ivo, Marcos de Camargo Leonhardt, Jorge Dos Santos Silva, Kodi Edson Kojima","doi":"10.1590/1413-785220253303e290249","DOIUrl":"10.1590/1413-785220253303e290249","url":null,"abstract":"Objective: To evaluate whether NPWT in delayed coverage of Gustilo-Anderson Type IIIB open tibial fractures reduces the complication rate, including deep infection, nonunion, and amputation.Methods: Retrospective case series including patients with Gustilo-Anderson Type IIIB open tibial shaft fractures treated between January 2014 and December 2017 with NPWT. The outcome measures were incidence of deep infection, nonunion, and amputation. Analysis of time to coverage (within 7 days vs. after 7 days) and type of soft tissue coverage.Results: 26 patients with open tibial shaft fractures, predominantly male (96.2%), mean age 33.4 ± 13.9 years. Seven patients (26.9%) received coverage within 7 days; 19 patients (73.1%) received delayed coverage. The flap types were Myocutaneous (42.3%), microsurgical (34.6%), fasciocutaneous (23.1%). The overall infection rate was 50%, no significant difference between early (57.1%) and delayed (47.4%) coverage groups (p > 0.999). No amputations in the early coverage group; 2 (10.5%) in the delayed coverage group. Nonunion rates were 42.9% (early) and 36.8% (delayed). Overall complication rate: 85.7% (early) vs. 57.9% (delayed) (p = 0.357).Conclusion: NPWT may exert a protective effect in cases of delayed coverage by isolating the wound and promoting healing. Level of Evidence III; Retrospective f study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e290249"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758560","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

COST AND POLLUTANTS EMISSION REDUCTION WITH A TELEMEDICINE PROGRAM FOR HIP SURGERY IN BRAZIL. 通过巴西髋关节手术远程医疗项目降低成本和污染物排放。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e296058

Fabio Seiji Mazzi Yamaguchi, Hector Fugihara Kroes, Gabriel Benevides Valiate Martins, Gustavo Estefan Lage, Vitor Matheus Silva, Henrique Melo de Campos Gurge

{"title":"COST AND POLLUTANTS EMISSION REDUCTION WITH A TELEMEDICINE PROGRAM FOR HIP SURGERY IN BRAZIL.","authors":"Fabio Seiji Mazzi Yamaguchi, Hector Fugihara Kroes, Gabriel Benevides Valiate Martins, Gustavo Estefan Lage, Vitor Matheus Silva, Henrique Melo de Campos Gurge","doi":"10.1590/1413-785220253303e296058","DOIUrl":"10.1590/1413-785220253303e296058","url":null,"abstract":"Objective: To evaluate the economic and environmental impacts of telemedicine use and the correlation of socioeconomic variables with telemedicine preference in patients with hip pathologies at a tertiary referral center in São Paulo, Brazil.Methods: A cross-sectional study (January-June 2024) analyzed telemedicine patients, collecting data on preferences, socioeconomic profile, travel, and costs (transport and food). Avoided distance, time, and pollutant emissions were calculated using Google Maps and emission factors. The preference for telemedicine was correlated with socioeconomic data. Statistical analyses used Wilcoxon, chi-square, and logistic regression tests.Results: 148 patients were included, of whom 77.7% preferred telemedicine. The mean round-trip distance avoided was 168.84 km, and the mean time saved was 223.97 minutes. Estimated out-of-pocket savings were USD 12.62 for public transport users and USD 28.95 for private car users. Telemedicine also reduced emissions by approximately seven metric tons of carbon dioxide in total. Higher income was positively associated with telemedicine preference (p=0.0283); other variables showed no significant associations.Conclusion: Telemedicine reduced time, costs, and emissions, improving access. Preference was higher among wealthier patients, indicating barriers for low-income groups. Further studies should explore low adherence among socioeconomically disadvantaged populations. Level of Evidence IV; Economic and Decision Analysis.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e296058"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758479","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

MUSCULOSKELETAL ALTERATIONS OF ORTHOPEDIC INTEREST IN MUCOPOLYSACCHARIDOSES. 粘多糖病对骨科肌肉骨骼的影响。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e290442

Marcos Almeida Matos, Paloma Silva Lopes

{"title":"MUSCULOSKELETAL ALTERATIONS OF ORTHOPEDIC INTEREST IN MUCOPOLYSACCHARIDOSES.","authors":"Marcos Almeida Matos, Paloma Silva Lopes","doi":"10.1590/1413-785220253303e290442","DOIUrl":"10.1590/1413-785220253303e290442","url":null,"abstract":"Mucopolysaccharidoses (MPS) are lysosomal storage diseases characterized by the improper accumulation of glycosaminoglycans due to genetic deficiencies in specific enzymes. This accumulation leads to progressive cellular and tissue dysfunction, affecting multiple systems, particularly the musculoskeletal system, resulting in multiple dysostoses with deformities in the spine, thorax, and limbs. Clinically, MPS manifests as recurrent respiratory infections, sleep apnea, severe cardiac lesions, and hydrocephalus, among other symptoms. Bone and joint alterations markedly impair motor function and the quality of life of patients. However, early diagnosis can be achieved by identifying osteoarticular signs, which are crucial for the immediate initiation of treatment. Despite the well-pronounced skeletal manifestations, there is a lack of recognition among specialists, indicating the need for detailed reviews for medical professionals, especially orthopedists, radiologists, pediatricians, and geneticists. This study aims to highlight the orthopedic alterations of MPS, emphasizing their radiographic aspects, which are essential for suspicion, differential diagnosis, and correct identification, contributing to better management of these diseases. Level of Evidence V; Review Article.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 spe3","pages":"e290442"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12696734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758482","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

INTRAOPERATIVE COMPUTED TOMOGRAPHY: AN ADVANCED APPROACH FOR VISUALIZATION OF FIXATION MATERIAL IN DISTAL RADIUS FRACTURES. 术中计算机断层扫描：桡骨远端骨折固定材料可视化的先进方法。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253303e287214

Pedro Henrique Pires, Marcela de Melo Gajo, Matheus Kuffner, Gabriel França Calumby, Caio Caldas Couto

引用次数: 0

WHERE ARE THE ORTHOPEDIC ONCOLOGY CENTERS IN THE BRAZILIAN UNIFIED HEALTH SYSTEM (SUS)? 巴西统一卫生系统（sus）的骨科肿瘤中心在哪里？

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253306e293805

Geraldo Mota Gonçalves, Danilo Arruda de Souza, Edgard Eduard Engel

{"title":"WHERE ARE THE ORTHOPEDIC ONCOLOGY CENTERS IN THE BRAZILIAN UNIFIED HEALTH SYSTEM (SUS)?","authors":"Geraldo Mota Gonçalves, Danilo Arruda de Souza, Edgard Eduard Engel","doi":"10.1590/1413-785220253306e293805","DOIUrl":"10.1590/1413-785220253306e293805","url":null,"abstract":"Objective: To identify and analyze the geographical distribution, surgical volume, and population adequacy of Orthopedic Oncology Centers (OOCs) within the Brazilian Unified Health System (SUS).Methods: We evaluated 11,139 procedures recorded in Hospitalization Authorizations (AIHs) between 2008 and 2019, including \"hemipelvectomy in oncology\" and \"resection of bone tumors with replacement or reconstruction.\" Hospitals performing both procedures and at least three hemipelvectomies during this period were classified as OOCs.Results: A total of 58 OOCs were identified in 18 states, accounting for 79.5% of all procedures. Most patients (93.7%) were treated in their home state. High-Volume Centers (HVCs) performed 95% of the surgeries, while Low-Volume Centers (LVCs) were responsible for only 5%. The Northeast region concentrated 39.1% of procedures, while the South had the highest number of OOCs per population.Conclusion: The geographical distribution of OOCs in Brazil is relatively adequate; however, procedures are highly concentrated in a few high-volume centers. This centralization may be associated with better clinical outcomes, reinforcing the need for policies that encourage specialized treatment in reference units. Level of Evidence III; Cross-Sectional Observational Study .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 6","pages":"e293805"},"PeriodicalIF":0.6,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497273","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

BIOABSORBABLE CAGES IN SPINAL FUSION IN AN ANIMAL MODEL: A SYSTEMATIC REVIEW AND META-ANALYSIS. 动物模型脊柱融合术中生物吸收笼：系统回顾和荟萃分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253306e294038

Sylvio Mistro, Marcelo Italo Risso, Rafael Magalhães Grana, Mauricio Coelho Lima, André Frazão Rosa, Alberto Cliquet

{"title":"BIOABSORBABLE CAGES IN SPINAL FUSION IN AN ANIMAL MODEL: A SYSTEMATIC REVIEW AND META-ANALYSIS.","authors":"Sylvio Mistro, Marcelo Italo Risso, Rafael Magalhães Grana, Mauricio Coelho Lima, André Frazão Rosa, Alberto Cliquet","doi":"10.1590/1413-785220253306e294038","DOIUrl":"10.1590/1413-785220253306e294038","url":null,"abstract":"To evaluate the efficacy of bioabsorbable interbody cages in comparison with conventional techniques in animal models, with emphasis on the impact of follow-up time on developments. A systematic review and meta-analysis was performed including 11 studies on the use of bioabsorbable cages in comparison with conventional techniques. The odds ratio (OR) was calculated for range of motion (ROM), and heterogeneity was assessed by Cochran's Q test. Descriptive statistical analyses and hypothesis tests were performed to evaluate the parameters of fusion rate, intervertebral disc height and ROM. The 11 studies included totaled 244 animals. The analysis revealed a cumulative OR of 1.70 for ROM and fusion rate in the first four months of follow-up. No significant differences were found in height parameters in the study follow-ups. Heterogeneity among studies was low, indicating consistency in the results. The analysis suggests that bioabsorbable cages have advantages in periods of less than four months, and that there is no inferiority in the results in follow-up periods longer than four months in terms of fusion rate, ROM and intervertebral height in long-term experimental studies, and further research is needed to determine their clinical applicability. Level of Evidence ll; Systematic meta-analytical review of non-randomized controlled clinical studies whose results were homogeneous .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 6","pages":"e294038"},"PeriodicalIF":0.6,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496292","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

ULTRASONOGRAPHIC EVALUATION OF BONE HEALING IN METACARPAL AND PHALANGEAL FRACTURES. 掌骨和指骨骨折骨愈合的超声评价。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253306e285764

Antonio Carlos da Costa, Thiago Barros Pinheiro, Anees Salim Saad, Fabio Hideki Nishi Eto, Yussef Ali Abdouni, Diego Figueira Falcochio

{"title":"ULTRASONOGRAPHIC EVALUATION OF BONE HEALING IN METACARPAL AND PHALANGEAL FRACTURES.","authors":"Antonio Carlos da Costa, Thiago Barros Pinheiro, Anees Salim Saad, Fabio Hideki Nishi Eto, Yussef Ali Abdouni, Diego Figueira Falcochio","doi":"10.1590/1413-785220253306e285764","DOIUrl":"10.1590/1413-785220253306e285764","url":null,"abstract":"Objective: This study aimed to evaluate the use of ultrasonography (USG) compared to radiography in identifying callus formation and fracture healing in hand bones (metacarpals and phalanges).Methods: A prospective observational study was conducted with patients who sustained metacarpal and phalangeal fractures and were followed in the hand and microsurgery clinic of a philanthropic hospital in São Paulo between July 2023 and April 2024. Fractures were treated either conservatively or surgically with Kirschner wire fixation. Callus formation was monitored using serial weekly USG and radiographic examinations. Follow-up ended when bone healing was confirmed by both methods.Results: There was a difference in the mean time of callus appearance between ultrasonographic and radiographic evaluations for all analyzed variables.Conclusion: Ultrasonographic callus formation preceded radiographic callus appearance by approximately 18.2 days across all variables studied, suggesting that USG is a useful and alternative tool for the early diagnosis of bone healing in phalangeal and metacarpal fractures. Level of Evidence II; Prospective Observational Study .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 6","pages":"e285764"},"PeriodicalIF":0.6,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497341","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

BIOKINETICS IN ACHILLES TENDINOPATHY: ESSENTIAL FINDINGS AND CLINICAL APPLICATIONS. 跟腱病的生物动力学：基本发现和临床应用。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253306e291432

Leonardo Metsavaht, Felipe F Gonzalez, Talissa Oliveira Generoso, Lucas Valério Pallone, Eliane Celina Guadagnin, Alexandre Leme Godoy-Santos, Gustavo Leporace

{"title":"BIOKINETICS IN ACHILLES TENDINOPATHY: ESSENTIAL FINDINGS AND CLINICAL APPLICATIONS.","authors":"Leonardo Metsavaht, Felipe F Gonzalez, Talissa Oliveira Generoso, Lucas Valério Pallone, Eliane Celina Guadagnin, Alexandre Leme Godoy-Santos, Gustavo Leporace","doi":"10.1590/1413-785220253306e291432","DOIUrl":"10.1590/1413-785220253306e291432","url":null,"abstract":"The Achilles tendon, though the strongest in the human body, is the most commonly ruptured and frequently affected by tendinopathy, particularly in athletes. Achilles tendinopathy (AT) impacts approximately 8% of sports participants, with a lifetime incidence of over 50% in runners. Characterized by pain and tenderness, AT significantly compromises quality of life and functional performance. This narrative review explores biomechanical factors contributing to AT, focusing on both kinematic and kinetic parameters and their clinical relevance, providing a review of AT biomechanics literature, nonoperative interventions, and exercises targeting specific biomechanical risks. Studies have linked abnormal motion to AT. Key biomechanical factors include decreased plantar flexion strength, reduced gluteus medius and maximus activity, decreased peak ankle dorsiflexion, altered peak knee flexion, and decreased forward progression of the center of force, which may increase mechanical load and microtrauma, ultimately resulting in tendon damage. The effectiveness of various interventions was examined, emphasizing the integration of specific exercises aimed at addressing distinct biomechanical deficits. Effective management of AT requires addressing strength deficits and biomechanical abnormalities. Traditional rehabilitation protocols focus on strengthening but often neglect critical biomechanical issues. This review highlights the importance of incorporating specific exercises targeting kinematic and kinetic deficiencies. Level of Evidence V; Expert Opinion .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 6","pages":"e291432"},"PeriodicalIF":0.6,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496839","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 ANALYSIS OF TREATMENTS FOR FOREARM FRACTURES IN CHILDREN: A SYSTEMATIC REVIEW AND META-ANALYSIS. 儿童前臂骨折治疗的比较分析：系统回顾和荟萃分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253306e290231

Airton Pereira da Costa, Erika Tonarelli Rodrigues, Hassan Ahmad Hauache, Mariana Ayumi Fujisaki, Eiffel Tsuyoshi Dobashi

{"title":"COMPARATIVE ANALYSIS OF TREATMENTS FOR FOREARM FRACTURES IN CHILDREN: A SYSTEMATIC REVIEW AND META-ANALYSIS.","authors":"Airton Pereira da Costa, Erika Tonarelli Rodrigues, Hassan Ahmad Hauache, Mariana Ayumi Fujisaki, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220253306e290231","DOIUrl":"10.1590/1413-785220253306e290231","url":null,"abstract":"To compare the clinical outcomes of children with forearm bone fractures undergoing surgical treatment with intramedullary fixation with TEN rods and Kirschner wires. A systematic review of the literature was carried out, conducting a search for data in the Pubmed/Medline, Science Direct and Scielo databases. The quality of the trials was assessed by the MINORS tool and the meta-analysis of the studies was performed using the R software (version 4.4.0). 16 studies were selected, representing 1,075 patients, with a predominance of males, where the mean age range varied from 8.32 to 14.2 years. Applying the MINORS Scale, the quality of the studies was good (≥ 11). The meta-analysis of the studies revealed a statistically significant increase in the risk of adverse events in the experimental group compared to the control group, with a risk ratio (RR) of 1.35 (95% CI: 1.03 to 1.76). The combined mean difference (raw mean) between the experimental group and the control group was -12.42 minutes (95% CI: -13.75 to -11.10) in the fixed-effect model, indicating a significant reduction in surgical time for the experimental group. In the random-effect model, the mean difference was -21.62 minutes (95% CI: -33.30 to -9.94). Regarding fracture consolidation time, the fixed-effect model indicated a raw mean difference of 0.99 (95% CI: 0.61 to 1.36). Furthermore, heterogeneity was moderate to high, with an I² of 73% (p < 0.01). Intramedullary fixation with TEN nails and Kirschner wires presents a diversity of clinical outcomes and complications. The systematic review highlighted the importance of choosing the appropriate treatment method, considering the patient characteristics and the nature of the fracture. Level of Evidence II; Systematic Review .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 6","pages":"e290231"},"PeriodicalIF":0.6,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497092","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

PROPOSAL FOR A REHABILITATION PROTOCOL AFTER CALCANEAL TENDON RECONSTRUCTION: FROM THE IMMEDIATE POST-OPERATIVE PERIOD TO RETURN TO SPORTS PRACTICE. 跟腱重建后的康复方案建议：从术后立即恢复到运动训练。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1413-785220253306e292035

Flavia Cursino de Vicente, Georgia Melges de Souza, Cleidneia Aparecida Clemente, Perola Grinberg Plapler

引用次数: 0