Evaluation of intra- and interobserver reliability of the AO classification for wrist fractures
ConclusionThe data obtained suggests fair levels of interobserver agreement and moderate levels of intraobserver agreement for the AO classification for wrist fractures.ResumoObjetivoEste estudo avaliou a confiabilidade interobservador e intraobservador da classificação AO para radiografias simples em fraturas do terço distal do punho.MétodosTrinta observadores, divididos em três grupos (residentes de ortopedia e traumatologia, ortopedistas e cirurgiões de mão), classificaram 52 fraturas do terço distal do antebraço com radiografias simples. Após quatro semanas, os mesmos observadores avaliaram as mesmas 52 fratu...
Source: Revista Brasileira de Ortopedia - October 13, 2018 Category: Orthopaedics Source Type: research
Intra-individual evaluation of results between open and endoscopic release in bilateral carpal tunnel syndrome
ConclusionNo differences were observed by using the intra-individual evaluation in the results between open and endoscopic techniques for the treatment of carpal tunnel syndrome.ResumoObjetivoFoi feito um estudo de comparação intraindividual dos resultados cirúrgicos entre as técnicas cirúrgica aberta e endoscópica de um portal em pacientes com síndrome do túnel do carpo bilateral, cada uma das mãos operada por uma das técnicas citadas.MétodosQuinze pacientes (30 mãos) foram avaliados no pré-operatório, na segunda semana e no primeiro, terceiro e sexto mês pós-operatório pelo questionário de Boston, escal...
Source: Revista Brasileira de Ortopedia - October 10, 2018 Category: Orthopaedics Source Type: research
The role of microfractures with tibial osteotomy in the treatment of knee osteoarthritis with a varus deformity
ConclusionThe association of microfractures and tibial valgus osteotomy was correlated to lower functional outcomes than tibial valgus osteotomy alone, and may be related to the risk of worsening in the first two postoperative years.ResumoObjetivoAvaliar a intervenção de microfratura associada a osteotomia tibial valgizante no tratamento de gonartrose medial com geno varo.MétodosEntre novembro de 2005 e maio de 2013, foram avaliados 129 pacientes portadores de gonartrose medial, geno varo entre 8° e 12° e arco de movimento superior a 90°. Não foram incluídos pacientes com gonartrose avançada (Alhbäck 3, 4 e 5), l...
Source: Revista Brasileira de Ortopedia - October 10, 2018 Category: Orthopaedics Source Type: research
Clinical and radiographic outcomes of hip resurfacing arthroplasty after eight years – a retrospective study
ConclusionUsing the appropriate technique, hip resurfacing arthroplasty can present good results in well-selected patients.ResumoObjetivoAvaliar o resultado clínico e radiográfico dos pacientes submetidos à prótese de recapeamento de quadril para o tratamento da osteoartrose de quadril.MétodosForam avaliados retrospectivamente 30 pacientes com coxartrose tratados com prótese de recapeamento de quadril entre 2005 e 2014. Foram incluídos no estudo pacientes de ambos os sexos portadores de osteoartrose de quadril avançada, primária ou secundária. Foram coletados dados sobre complicações pós-operatórias e necessi...
Source: Revista Brasileira de Ortopedia - October 10, 2018 Category: Orthopaedics Source Type: research
Snapping scapula syndrome: arthroscopic surgical treatment
ConclusionsThe arthroscopic approach for the treatment of snapping scapula syndrome presents excellent functional results.ResumoObjetivoAvaliar os resultados funcionais de pacientes submetidos ao tratamento cirúrgico artroscópico para ressalto de escápula.Métodos Estudo retrospectivo de 11 pacientes submetidos a artroscopia escapulotorácica para tratamento de ressalto de escápula. Foram incluídos no estudo pacientes com diagnóstico de ressalto de escápula que não apresentaram melhoria da dor com tratamento fisioterápico por no mínimo seis meses. Os pacientes foram avaliados pelo escore de Dash, UCLA, pela class...
Source: Revista Brasileira de Ortopedia - October 10, 2018 Category: Orthopaedics Source Type: research
The use of pediatric locked plates in the paralytic hip: preliminary results of 61 cases
ConclusionThe locked plate is a safe resource, with low complication rates and reproducible technique for OVRF in the cerebral palsy population classified as gross motor functional classification system IV and V. Greater cervicodiaphyseal angles and Reimers migration index are associated with greater chances of postoperative complications, as well as gross motor functional classification system V classification.ResumoObjetivoAvaliar os resultados clínicos e radiológicos da osteotomia varizante, de rotação e encurtamento da extremidade proximal do fêmur (OVRF) com uso de placa bloqueada em pacientes com paralisia cereb...
Source: Revista Brasileira de Ortopedia - October 10, 2018 Category: Orthopaedics Source Type: research
Biplanar carpal wedge osteotomy in the treatment of the arthrogrypotic patients
ConclusionsCarpal osteotomy with biplanar dorsal resection wedge was useful and effective in helping to correct the deformities in flexion and ulnar deviation of the wrist, maintaining a reasonable mobility. It is a preservation surgery, which has low morbidity and avoids the progression of deformity and future degenerative changes.ResumoObjetivoDescrever os resultados do tratamento cirúrgico de pacientes portadores de artrogripose congênita com deformidade do punho através da osteotomia intracárpica biplanar.MétodoPor meio de uma avaliação retrospectiva, entre janeiro de 2004 e dezembro de 2009, o estudo avaliou no...
Source: Revista Brasileira de Ortopedia - October 10, 2018 Category: Orthopaedics Source Type: research
Septic arthritis of the shoulder and elbow: one decade of epidemiological analysis at a tertiary referral hospital
ConclusionsSeptic arthritis of the shoulder and elbow primarily affects individuals who are immunocompromised and/or have clinical comorbidities. S. aureus is the most common pathogen in Brazil. Leukocytosis at hospital admission and the presence of clinical comorbidities are factors associated with the presence of clinical complications. Longer time between onset of symptoms and surgical treatment was correlated with orthopedic complications.ResumoObjetivoDescrever as características clínicas e epidemiológicas de pacientes com artrite séptica do ombro ou cotovelo e buscar fatores prognósticos para complicações dura...
Source: Revista Brasileira de Ortopedia - October 9, 2018 Category: Orthopaedics Source Type: research
Is there a relationship between the neutrophil/lymphocyte ratio and bilaterality in patients with coxarthrosis?
ConclusionConsidering the interactions between the inflammatory mechanisms in osteoarthritis and the fact that the interaction between neutrophils and lymphocytes has differences in relation to the laterality of the coxarthrosis, it is hypothesized that the inflammatory etiology of unilateral and bilateral osteoarthritis could have different dynamics. However, more in-depth studies with flow cytometry are needed to assess the possible impact of these differences in the inflammatory mechanisms observed in this study.ResumoObjetivoAvaliar a relação entre a razão neutrófilo/linfócito e a presença de sinais de artrose em...
Source: Revista Brasileira de Ortopedia - October 9, 2018 Category: Orthopaedics Source Type: research
Clinical and functional evaluation of patients submitted to reverse arthroplasty with minimum one year of follow-up
ConclusionDespite being a relatively new procedure in Brazil, reverse shoulder arthroplasty can be used effectively and safely in patients who were previously without treatment options such as rotator cuff arthropathy and revisions providing pain relief, improvement of function, and mobility of the upper limb.ResumoObjetivoAvaliar os resultados clínicos e funcionais de pacientes submetidos a artroplastia reversa com seguimento mínimo de um ano.MétodosForam avaliados retrospectivamente 22 pacientes submetidos a artroplastia reversa de ombro pelo grupo de cirurgia e reabilitação de ombro da nossa instituição com anál...
Source: Revista Brasileira de Ortopedia - October 9, 2018 Category: Orthopaedics Source Type: research
Balance and quality of life after total knee arthroplasty
ConclusionTotal knee arthroplasty is effective at improving balance six months after surgery, as well as all domains of quality of life. However, it is not able to restore balance to a level comparable to that of healthy individuals.ResumoObjetivoAvaliar o equilíbrio e a qualidade de vida em pacientes submetidos a artroplastia total do joelho por gonartrose primária.MétodoPacientes com 60 anos ou mais foram avaliados em relação ao equilíbrio e à qualidade de vida antes da artroplastia total de joelho e seis meses após a cirurgia. Para avaliar o equilíbrio, foi usado o teste da Escala Motora para a Terceira Idade; ...
Source: Revista Brasileira de Ortopedia - October 9, 2018 Category: Orthopaedics Source Type: research
Surgical treatment of chondral knee defects using a collagen membrane – autologus matrix-induced chondrogenesis
ConclusionThe use of the collagen I/III porcine membrane was favorable for the treatment of chondral and osteochondral lesions of the knee when assessing the results using the VAS, Lysholm, and Kujala scores 1 year after surgery, as well as when assessing the magnetic resonance image of the lesion 6 months after surgery.ResumoObjetivosAvaliar os resultados clínicos e funcionais dos pacientes com diagnóstico de lesões condrais de espessura total em joelhos sintomáticos submetidos a um método de reparação biológica por meio da técnica de condrogênese autóloga induzida por matriz.MétodosForam avaliados sete pacien...
Source: Revista Brasileira de Ortopedia - September 22, 2018 Category: Orthopaedics Source Type: research
Radiographic evaluation and pain symptomatology of the knee in severely obese individuals – controlled transversal study
ConclusionA higher incidence of knee pain was observed in the severely obese group when compared with the control group. In the severely obese group, there increasing levels of pain with aging. A positive relation between the incidence of arthritis and increasing age was observed in the severely obese and control groups. The WOMAC index results were worse in the severely obese group.ResumoObjetivoAvaliar a prevalência de queixas álgicas no joelho e de alterações radiográficas degenerativas (artrose) em grupo obesos graves (índice de massa corporal [IMC]> 35).MétodosForam avaliados 41 pacientes com obesidade grave ac...
Source: Revista Brasileira de Ortopedia - September 22, 2018 Category: Orthopaedics Source Type: research
Treatment of heterotopic ossification of the hip with use of a plaster cast: case report
The objective of this report is to describe a case of heterotopic ossification in the hip after traumatic brain injury, presenting the clinical manifestations and discussing the treatment instituted with a long leg plaster cast.ResumoA ossificação heterotópica pode ser definida como a formação de osso em tecidos que não têm propriedade de ossificação, como em músculos e tecido conjuntivo da região periarticular, sem invasão da cápsula. Essa patologia costuma ter evolução benigna, mas pode causar redução da amplitude do movimento articular e dificultar o processo de reabilitação. A sua etiologia ainda é ...
Source: Revista Brasileira de Ortopedia - September 21, 2018 Category: Orthopaedics Source Type: research
Osteochondral allograft in a patient with avascular necrosis of the knee secondary to lupus
Publication date: Available online 19 September 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): Fernando FonsecaAbstractJoint preservation surgery is accepted in cases of secondary osteonecrosis of the knee without joint collapse. However, there is no consensus on the best treatment: debridement and drilling, or use of auto- or allograft. The author describes a clinical case with 15 years of evolution where allogeneic osteochondral graft was used in the treatment of osteonecrosis of the lateral femoral condyle in a young woman with systemic lupus. In spite of having other options and of the results ...
Source: Revista Brasileira de Ortopedia - September 21, 2018 Category: Orthopaedics Source Type: research
