Acta Ortopedica Brasileira最新文献_第9页

TIBIOCALCANEAL ARTHRODESIS: A COMPARISON OF ANTERIOR APPROACH AND TRANSFIBULAR APPROACH. 胫跟关节融合术:前路入路与经腓骨入路的比较。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e267148

Abdulrahim Dündar, Deniz Ipek

{"title":"TIBIOCALCANEAL ARTHRODESIS: A COMPARISON OF ANTERIOR APPROACH AND TRANSFIBULAR APPROACH.","authors":"Abdulrahim Dündar, Deniz Ipek","doi":"10.1590/1413-785220233105e267148","DOIUrl":"10.1590/1413-785220233105e267148","url":null,"abstract":"Objective: The aim of this study was to evaluate the clinical and radiologic results and complications of patients who underwent ankle arthrodesis performed by the transfibular approach and anterior approach in end-stage ankle osteoarthritis.Methods: Between 2016 and 2022, 41 patients who satisfied the inclusion criteria for this retrospective comparative analysis were included. Of them, 19 patients are included in the anterior approach group and 22 patients are included in the transfibular approach group. The mean age of the participants is 58.9 years. Collected data included the BMI, American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale, visual analogue scale (VAS) score, diabetes, smoking, time to fusion, nonunion, union rate, preoperative and postoperative coronal tibiotalar angle and complications.Result: The mean time to bone union was 14.3 weeks (range 11-17 weeks) in the anterior approach group, and 11.3 weeks in the transfibular approach group. Statistically significant difference was found between the two groups. Nonunion occurred in one case in the transfibular approach group and three cases in the anterior approach group. There was no significant difference in the nonunion rate between the both groups (p = 0.321). VAS score, and AOFAS score of the two groups were similar and no significant differences were found (p = 0.491, p = 0.448, p = 0.146, p = 0.073, p = 0.173, p = 0.506, respectively).Conclusions: A stable and firm ankle arthrodesis and plantigrade foot can be achieved with both transfibular approach and anterior approach technique. Level of Evidence III, Retrospective Comparative Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10592366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159443","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

ASSESSMENT OF THE LEVEL OF SATISFACTION OF PATIENTS SUBMITTED TO LATARJET SURGERY UNDER OUTFIT SYSTEM COMPARED TO HOSPITAL SYSTEM. 装备系统下与医院系统下latarjet手术患者满意度评价。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e264837

Leandro Masini Ribeiro, Fillipe Agra DE Oliveira Cosme, Paulo Henrique Schmidt Lara, Alberto DE Castro Pochini, Benno Ejnisman, Paulo Santoro Belangero

{"title":"ASSESSMENT OF THE LEVEL OF SATISFACTION OF PATIENTS SUBMITTED TO LATARJET SURGERY UNDER OUTFIT SYSTEM COMPARED TO HOSPITAL SYSTEM.","authors":"Leandro Masini Ribeiro, Fillipe Agra DE Oliveira Cosme, Paulo Henrique Schmidt Lara, Alberto DE Castro Pochini, Benno Ejnisman, Paulo Santoro Belangero","doi":"10.1590/1413-785220233105e264837","DOIUrl":"10.1590/1413-785220233105e264837","url":null,"abstract":"Anterior shoulder instability causes functional changes that affect patients' quality of life. The Latarjet procedure is one of the most frequently performed surgeries for cases of recurrent shoulder instability.Objective: To assess the level of satisfaction of patients who underwent the Latarjet procedure in outpatient settings (day hospital) compared with inpatient settings.Methods: A questionnaire was administered to both groups and a descriptive analysis of the results was performed.Results: 51 patients were included, with a mean age of 29.9 years, 82.3% men and 17.6% women. Of the patients who underwent surgery in the day hospital, 46.1% were operated within 100 days of their first outpatient visit; among those in the inpatient group, 76.3% underwent surgery more than 200 days later. Delays occurred in 15.3% of cases in the day hospital compared with 68.4% in the inpatient group. Of the patients in the day hospital, 92.3% felt comfortable contacting the medical team in case of complications and would perform the procedure again in the same setting. Moreover, 63.2% of inpatients would have preferred to have been discharged on the same day. The final satisfaction rate for both groups was 100%.Conclusion: Outpatient surgery guarantees more patient comfort, safety, and can be performed in a timely manner and with fewer delays, which has influenced patients' decision to have surgery during the COVID-19 pandemic. Level of Evidence V, Cross-sectional Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10592333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159423","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

PRIMARY TOTAL HIP ARTHROPLASTIES UNDER BRAZILIAN PUBLIC HEALTH SYSTEM (2012-2021). 巴西公共卫生系统下的初级全髋关节置换术（2012-2021）。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-09-22 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233103e268117

Tarcísio Marconi Novaes Torres, Brenna Kathleen Martins, Alan Almeida da Silva, Carlos Alberto Almeida de Assunção, Enilton de Santana Ribeiro de Mattos, Alex Guedes

{"title":"PRIMARY TOTAL HIP ARTHROPLASTIES UNDER BRAZILIAN PUBLIC HEALTH SYSTEM (2012-2021).","authors":"Tarcísio Marconi Novaes Torres, Brenna Kathleen Martins, Alan Almeida da Silva, Carlos Alberto Almeida de Assunção, Enilton de Santana Ribeiro de Mattos, Alex Guedes","doi":"10.1590/1413-785220233103e268117","DOIUrl":"10.1590/1413-785220233103e268117","url":null,"abstract":"Objectives: To describe the regional distribution of hospital admission authorizations (HAA), hospitalization costs (HC), the average length of stay (LOS), and mortality rates (MR) related to primary total hip arthroplasties (THA) funded by the Brazilian Health Unic System (SUS) from 2012 to 2021.Methods: Descriptive cross-sectional study using secondary data of public domain obtained from the Department of Informatics of SUS (DATASUS) database website.Results: A total of 125,463 HAA were released with HC of 552,218,181.04 BRL in the evaluated period. The average LOS was of 6.8 days. MR was 1.62%.Conclusion: The regional distribution of HAA was 65,756 (52%) in the Southeast; 33,837 (27%) in the South; 14,882 (12%) in the Northeast; 9,364 (8%) in Midwest; and 1,624 (1%) in North - in 2020 there was a sharp decrease of the released HAA, probably due to the COVID-19 pandemic. HC was 293,474,673.20 BRL in the Southeast; 144,794,843.11 BRL in the South; 61,751,644.36 BRL in the Northeast; 45,724,353.80 BRL in the Midwest; and 6,472,666.57 BRL in the North. The average LOS was 6.7 in the Southeast; 5.3 in the South; 9.2 in the Northeast; 7.6 in the Midwest; and, 13.6 in the North. MR was as follows: Southeast=1.88%; South=1.07%; Northeast=1.83%; Midwest=1.44%; and North=1.47%. Evidence Level III; Retrospective Comparative Study .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153674","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 THE EPIDEMIOLOGY OF EXPOSED FRACTURES BEFORE AND DURING THE COVID-19 PANDEMIC. 评估科维德-19 大流行之前和期间暴露性骨折的流行病学。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-07-31 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233104e268179

Vinicius Pagliaro Franco, Gabriel Massarico Gonçalves, Orlando Copetti Fração, Heloisa Yumi Fujiya Sungaila, Luiz Fernando Cocco, Eiffel Tsuyoshi Dobashi

{"title":"EVALUATION OF THE EPIDEMIOLOGY OF EXPOSED FRACTURES BEFORE AND DURING THE COVID-19 PANDEMIC.","authors":"Vinicius Pagliaro Franco, Gabriel Massarico Gonçalves, Orlando Copetti Fração, Heloisa Yumi Fujiya Sungaila, Luiz Fernando Cocco, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220233104e268179","DOIUrl":"10.1590/1413-785220233104e268179","url":null,"abstract":"Objective: To assess the impact of the COVID-19 pandemic on the epidemiology and clinical outcomes of open fractures considering the periods before and during the pandemic.Methods: An observational and retrospective study, which included patients aged over 18 years, admitted to the Orthopedics and Traumatology Ward of Hospital São Paulo, of the Federal University of São Paulo (UNIFESP). Data was collected in two moments: pre-pandemic (March 1, 2019, to February 29, 2020) and during the pandemic (March 1, 2020, to February 28, 2021).Results: In total, 183 patients were evaluated with a mean age of 36 years ± 14 years. In the pre-pandemic period, 94 patients underwent surgery, 81 men (85.37%) and 13 women (14.2%), with a mean age of 36 ± 3 years. During the pandemic period, 89 patients were subjected to surgery, 77 men (86.6%) and 12 women (13.4%), with a mean age of 38 ± 3 years.Conclusion: During the pandemic, open fractures were still more common in men. Regarding hospital indicators, the prevalence of infections in the surgical wound and the length of stay of patients with open fractures increased, however, with little significance. Fractures classified as Gustilo IIIA were the most common, while the most common according to the AO classification were 33, 34, 42, 43, 2R3, and 2R3 + 2U2. The frequency of run overs during the pandemic decreased. However, firearm projectile injuries and falls and occupational injuries increased. Level of Evidence III, Retrospective Comparative Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10309267","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

COMPLICATIONS AFTER SURGICAL TREATMENT OF JUPITER'S MONTEGGIA TYPE II FRACTURES. 手术治疗朱庇特氏畸形 II 型骨折后的并发症。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233103e267308

Emanuelly Ribeiro Guerra, Luiz Roberto Soares DE Araújo Filho, Fernando Kenji Kikuta, Daniel Romano Zogbi, Guilherme Grisi Mouraria, Mauricio Etchebehere

{"title":"COMPLICATIONS AFTER SURGICAL TREATMENT OF JUPITER'S MONTEGGIA TYPE II FRACTURES.","authors":"Emanuelly Ribeiro Guerra, Luiz Roberto Soares DE Araújo Filho, Fernando Kenji Kikuta, Daniel Romano Zogbi, Guilherme Grisi Mouraria, Mauricio Etchebehere","doi":"10.1590/1413-785220233103e267308","DOIUrl":"10.1590/1413-785220233103e267308","url":null,"abstract":"Monteggia fracture-dislocations are rare injuries, affecting about 2-5% of the population. Jesse Jupiter subdivided Bado's Type II fractures into four types, all of which presented an associated radial head fracture. Associated chondral and ligament injuries can evolve with postoperative complications.Objective: To evaluate the incidence of complications and risk factors that may influence the postoperative outcomes of Jupiter lesions.Methods: This retrospective study was conducted with surgically treated patients. The characteristics related to fractures and surgical approaches were evaluated and these variables were correlated with radiographic and functional postoperative complications.Results: A total of 15 patients were evaluated, mostly men and with a higher prevalence of Types IIA and IID. The most frequent complications were heterotopic ossification and osteolysis around the radial head prosthesis. Postoperative instability occurred only in the lateral collateral ligament. According to MEPS functional score, 53% of the patients evolved with unfavorable outcomes.Conclusion: The studied cases evolved with high rates of postoperative complications, mainly in Jupiter's Type IID fractures and associated coronoid fractures. Level of Evidence III, Therapeutic Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9842406","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

SURGICAL TREATMENT OF CLAVICLE FRACTURES: A DESCRIPTIVE ANALYSIS OF 88 CASES. 锁骨骨折的手术治疗：88例病例的描述性分析。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233103e264456

Leandro Marano Rodrigues, Rafael Sampaio Oliveira, Lerud Frosi Nunes, Fernando Furtado Lázaro, Angelo Ton, Anderson Denadai

{"title":"SURGICAL TREATMENT OF CLAVICLE FRACTURES: A DESCRIPTIVE ANALYSIS OF 88 CASES.","authors":"Leandro Marano Rodrigues, Rafael Sampaio Oliveira, Lerud Frosi Nunes, Fernando Furtado Lázaro, Angelo Ton, Anderson Denadai","doi":"10.1590/1413-785220233103e264456","DOIUrl":"10.1590/1413-785220233103e264456","url":null,"abstract":"Clavicle fractures are one of the most common types of bone injuries in adults. Recently, the treatment protocol for these fractures has undergone changes.Objective: To better understand the epidemiological and behavioral profile of these lesions when they require surgical treatment.Methods: This is an analysis of a series of cases. Our sample included individuals undergoing surgical treatment for clavicle fractures.Results: In total, 88 subjects fulfilled the predetermined criteria. Among these, 75 (85.22%) were male; automobile accidents corresponded to the largest etiological group, reaching 48% of prevalence; there was a slight predominance of the right side, totaling 45 cases (51%); most fractures were classified as Allman type I; an infection rate was observed in 1.13% of the cases; and the development of pseudarthrosis was identified in 2.27% of the patients.Conclusion: The incidence of clavicle fracture is higher in young men, mainly caused by car accidents, being mostly located in the middle third. No statistical significance was found between the synthesis material data and the postoperative complication rate, revealing the absence of risk superiority between the different types of surgical approaches used. Level of Evidence IV, Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9842404","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

CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS. 肱骨近端骨折手术治疗中骨坏死发生率与 Neer 和 Hertel 分类的相关性。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-07-17 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233103e268183

Fabio Fabian Buscariolo, Igor Arthur Costa Parron, Elzir Finizola Costa, Marcos Vinicius Felix Santana, Eduardo Misao Nishimura, Eiffel Tsuyoshi Dobashi

{"title":"CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS.","authors":"Fabio Fabian Buscariolo, Igor Arthur Costa Parron, Elzir Finizola Costa, Marcos Vinicius Felix Santana, Eduardo Misao Nishimura, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220233103e268183","DOIUrl":"10.1590/1413-785220233103e268183","url":null,"abstract":"Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up.Methods: This is a retrospective, cross-sectional, and observational cohort study. A total of 44 patients, 16 (36.36%) men and 28 (63.63%) women, with a mean age of 61.36 years, participated in this study. Lesions were categorized according to Neer and Hertel's classifications, considering the preoperative prognosis for ON. After at least a year of follow-up, patients were reassessed. Data were evaluated using IBM SPSS Statistics®.Results: A total of three patients (6.8%) developed osteonecrosis. Comparisons showed no statistically significant difference, but we observed a superior association of osteonecrosis for the Hertel classification than that of Neer.Conclusion: Both classifications showed a similar ability to identify patients at low risk of developing ON. New studies with a greater number of participants and sample homogeneity may intensify the value of the evaluation of clinical applicability and predictive capacity of the studied classifications with greater significance and correlation. Level of Evidence III, Case Control Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9835115","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

CAN THE PERCUTANEOUS CHEVRON AND AKIN (PECA) TECHNIQUE CORRECT THE PRONATION OF THE FIRST METATARSAL IN HALLUX VALGUS? 经皮切弗隆和阿金（PECA）技术能否矫正外翻患者第一跖骨的前倾？

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-06-09 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233102e265206

Gabriel Ferraz Ferreira, Mauro Cesar Mattos E Dinato, Tatiana Ferreira Dos Santos, Paulo Miziara, Miguel Viana Pereira

{"title":"CAN THE PERCUTANEOUS CHEVRON AND AKIN (PECA) TECHNIQUE CORRECT THE PRONATION OF THE FIRST METATARSAL IN HALLUX VALGUS?","authors":"Gabriel Ferraz Ferreira, Mauro Cesar Mattos E Dinato, Tatiana Ferreira Dos Santos, Paulo Miziara, Miguel Viana Pereira","doi":"10.1590/1413-785220233102e265206","DOIUrl":"10.1590/1413-785220233102e265206","url":null,"abstract":"Objective: Pronation of the first metatarsal in hallux valgus has recently been discussed among foot and ankle surgeons. This study aimed to evaluate the potential radiographic correction of moderate and severe hallux valgus using the percutaneous Chevron and Akin (PECA) technique.Methods: We evaluated 45 feet in 38 patients (mean age 65.3 years old [36 - 83]; 4 men; 34 women; 7 bilateral) who underwent surgical correction using the PECA technique. The radiographic images evaluated were anteroposterior radiographs obtained pre- and postoperatively at least 6 months after surgery, including the metatarsophalangeal angle, the intermetatarsal angle, pronation of the first metatarsal, displacement of the distal fragment, medial sesamoid position and bone union.Results: All parameters evaluated showed significant postoperative improvement, including correction of pronation of the first metatarsal (p < .05) and position of the sesamoid (p < .05). There was a union of osteotomies in all feet. No complications were observed, such as screw loosening or necrosis of the first metatarsal head.Conclusion: The PECA technique can correct pronation of the first metatarsal in moderate and severe hallux valgus, and other deformity-associated parameters. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028242","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

MINIMALLY INVASIVE OSTEOSYNTHESIS FOR CLAVICULAR FRACTURE WITH LOCKED PLATE. 用锁定钢板对锁骨骨折进行微创骨合成术。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-05-01 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233102e263742

Felipe Machado DO Amaral, Eduardo Angeli Malavolta, Fernando Brandão DE Andrade E Silva, Leandro Sossai Altoé, Cassio Velloso Nunes, José Ricardo Pécora

{"title":"MINIMALLY INVASIVE OSTEOSYNTHESIS FOR CLAVICULAR FRACTURE WITH LOCKED PLATE.","authors":"Felipe Machado DO Amaral, Eduardo Angeli Malavolta, Fernando Brandão DE Andrade E Silva, Leandro Sossai Altoé, Cassio Velloso Nunes, José Ricardo Pécora","doi":"10.1590/1413-785220233102e263742","DOIUrl":"10.1590/1413-785220233102e263742","url":null,"abstract":"Objective: To evaluate the clinical and radiographic results of the surgical treatment of fractures of the middle third of the clavicle, using the technique of minimally invasive plate osteosynthesis (MIPO) with locking.Methods: Prospective case series, evaluating displaced fractures of the middle third of the clavicle submitted to MIPO with locking, with procedures performed by a single surgeon. Patients were evaluated at 12 months using the University of Los Angeles (UCLA) scale and anteroposterior radiographs of the clavicles with 45° cranial and caudal inclination, as well as reporting complications.Results: In total, 15 patients were evaluated. The median of surgical time was 50 minutes (IQR 35). The UCLA scale had a median of 35 (IQR 2) at 12 months. All patients presented fracture healing. Minor complications occurred in three cases (20%), with two (13.3%) evolving with plate prominence and one (6.7%) with local paresthesia, while major complications occurred in only one case (6.7%), with suture dehiscence requiring surgical re-approach.Conclusion: MIPO with locking is a viable option for the treatment of displaced fractures of the middle third of the clavicle, with excellent results according to the UCLA scale, fracture healing in all cases, and a low rate of complications. Level of Evidence IV, Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435469","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 ANALYSIS OF MOTORCYCLE ACCIDENT VICTIMS AT A UNIVERSITY HOSPITAL: PERSPECTIVES FROM 2017 AND 2020. 某大学医院摩托车事故受害者的成本分析：2017 年和 2020 年的展望。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2023-04-17 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233101e258318

Amanda Baptistella, Henrique Carvalho E Silva Figueiredo, Carlos Augusto de Mattos, Cintia Kelly Bittar

{"title":"COST ANALYSIS OF MOTORCYCLE ACCIDENT VICTIMS AT A UNIVERSITY HOSPITAL: PERSPECTIVES FROM 2017 AND 2020.","authors":"Amanda Baptistella, Henrique Carvalho E Silva Figueiredo, Carlos Augusto de Mattos, Cintia Kelly Bittar","doi":"10.1590/1413-785220233101e258318","DOIUrl":"10.1590/1413-785220233101e258318","url":null,"abstract":"Introduction: Motorcycle accidents constitute a public health problem that affects public and private health services due to the expenses of the victim's treatment and rehabilitation.Objective: Evaluate the impact of motorcycle accident costs in a university hospital in 2020.Method: Comparative analysis of the costs of motorcycle accident patients in 2020 and 2017.Results: Among 151 patients included in the study, the average cost was U$3,083.54, and the average days of hospitalization were 5.3 days. The patient with the highest cost to the hospital spent U$22,504.05, and the patient with the lowest cost spent U$356.72. The longest stay among these patients was 41 days, and the shortest was one day. The average cost per patient per day for the entire sample was U$581.80.Conclusion: The formulation and application of strategies that promote the reduction of motorcycle accidents in the city of Campinas are necessary. Level of evidence II, Retrospective study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9819597","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