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Acta Ortopedica Brasileira

Allan Quadros Garcês, Igor Bonifacio Andrade Coimbra, Diego Salvador Muniz DA Silva
OBJECTIVE: To evaluate the transport of children in automobiles and the use of child restraints systems (CRS). METHODS: This is a transversal descriptive study which included 200 vehicle drivers who carried 0-10 year old children in the city of São Luis, MA, Brazil. The drivers' passengers' and children's features were properly identified. The children's transportation using CRS were analyzed according to the Resolution 277/8 of the Brazilian National Traffic Department...
September 2016: Acta Ortopedica Brasileira
Petr Obruba, Stefan Rammelt, Lubomir Kopp, Karel Edelmann, Jakub Avenarius
OBJECTIVE: The aim of the study was to identify factors contributing to the development of non-union after fixation of diaphyseal humeral fractures using Hackethal's intramedullary nailing technique. METHODS: In the time period from 2001 to 2010 156 patients with diaphyseal humeral fractures were treated surgically using Hackethal's technique. Six of them (3.8%) developed non-union. This group included three women and two men aged 63-69 years and one woman aged 37 years...
September 2016: Acta Ortopedica Brasileira
Mohammed El Idrissi, Abdelhalim Elibrahimi, Mohammed Shimi, Abdelmajid Elmrini
OBJECTIVE: The aim of our study is to present the benefit of using the transvers acetabular ligament for intraoperative determination of the anteversion of acetabular component. METHODS: Twenty-one total hip arthroplasties were performed. The transverse acetabular ligament was identified and used as a guide to position the acetabular component. RESULTS: The mean anteversion angle was 16.9. None of the patients studied sustained a postoperative dislocation during this short follow-up period...
September 2016: Acta Ortopedica Brasileira
Suelen Cristina Sartoretto, Marcelo José Uzeda, Fúlvio Borges Miguel, Jhonathan Raphaell Nascimento, Fabio Ascoli, Mônica Diuana Calasans-Maia
OBJECTIVE: Based on a literature review and on our own experience, this study proposes sheep as an experimental model to evaluate the bioactive capacity of bone substitute biomaterials, dental implant systems and orthopedics devices. The literature review covered relevant databases available on the Internet from 1990 until to date, and was supplemented by our own experience. METHODS: For its resemblance in size and weight to humans, sheep are quite suitable for use as an experimental model...
September 2016: Acta Ortopedica Brasileira
Maira Rech Folle, Ana Paula Tedesco, Renata D Agostini Nicolini-Panisson
OBJECTIVE: To verify the correlation between visual gait analysis (VGA) by the Edinburgh visual gait score (EVGS) and functional aspects using the Timed Up and Go Test (TUG) and Gross Motor Function Classification System (GMFCS) in individuals with cerebral palsy (CP). METHODS: Retrospective cross sectional study of 35 patients with CP. The mean age 12.61 years old, 94.3% were spastic; 34.4% hemiplegic, 54.3% diplegic, 11.4% triplegic; 45.7% were level II GMFCS, 42...
September 2016: Acta Ortopedica Brasileira
Epitácio Leite Rolim, Marcelo Raul Cavalcanti Torres, Mauriston Renan Martins Silva, Filipe Ramos Lima, José Lamartine DE Andrade Aguiar
OBJECTIVES: To present a simplified calculation for the measurement of osteotomy wedges used for the correction of angular uniplanar deformities of long bones and to compare the simplified calculation proposed (circumferential calculation) with the classical trigonometric calculations, as well as with the exact calculation performed by computer software AutoCADtm. METHODS: The software AutoCADtm was used to calculate the bone wedges, for mathematical comparison of the three main groups, each one of them containing 18 hypothetical bone deformities which angles ranging from 5 to 90 degrees, with 5 degrees intervals between them...
September 2016: Acta Ortopedica Brasileira
Alexandre Yukio Nishimi, Demetrio Simão Arbex, Diogo Lucas Campos Martins, Carlos Vinicius Buarque DE Gusmão, Roberto Rangel Bongiovanni, Luciano Pascarelli
OBJECTIVE: To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). METHODS: A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address acute ACD. RESULTS: Thirty specialists and forty-five general orthopedists joined the study. Most specialists preferred the endobutton technique, while most general orthopedists preferred the modified Phemister procedure for coracoclavicular ligament repair using anchors...
September 2016: Acta Ortopedica Brasileira
Hugo Machado Sanchez, Eliane Gouveia DE Morais Sanchez, Larissa Ingreddy Tavares
OBJECTIVE: To analyze the position of the scapula and its influence on shoulder pain. METHODS: In this study, 30 sedentary young adults of both genders, aged 20-35 years were evaluated. The sample was divided into two groups with the same number of subjects, one group with shoulder pain and the other pain free. The analysis of the positioning of the scapula in six angles of shoulder abduction was taken 0º, 30º, 60º, 90º, 120º and 180º. RESULTS: Comparison the left and right scapular movements in males of the pain group, there was a significant difference at 30º (p = 0...
September 2016: Acta Ortopedica Brasileira
Alexandre Yukio Nishimi, Paulo Santoro Belangero, Rafael DE Souza Mesquita, Carlos Vicente Andreoli, Alberto DE Castro Pochini, Benno Ejnisman
OBJECTIVE: To evaluate the prevalence of clavicle fractures in professional and amateur cyclists and evaluate the factors associated with its occurrence. METHOD: One hundred and forty professional and amateur athletes were interviewed through a questionnaire regarding age and time practicing bicycling, among others. RESULTS: Among the 140 evaluated cyclists, there were 19 (13.5%) clavicle fractures associated with this sports modality. CONCLUSION: There was a positive association between time practicing bicycling and frequency of clavicle fractures, as well as between hours of weekly training and clavicle fractures...
September 2016: Acta Ortopedica Brasileira
Helena Ribeiro Souza, Ana Paula Girol, Adriana Paula Sanchez Schiaveto, Mairto Roberis Geromel, Melina Mizusaki Iyomasa, Maurício Ferraz DE Arruda
OBJECTIVE: To investigate whether swimming could prevent bone loss and could be indicated to assist in treatment of osteoporosis. METHODS: Female rats were divided into 4 groups (n=6), two of them were oophorectomized. Animals from two groups, one oophorectomized and another not oophorectomized, underwent aquatic training for eight weeks. After training, the animals were sacrificed and their blood was collected for calcium and alkaline phosphatase serum dosage; the femur was removed and subjected to radiological and histological densitometry analysis to assess bone loss and osteoclast counting on femoral head and neck...
September 2016: Acta Ortopedica Brasileira
Anderson Freitas, Sílvio Leite De Macedo
The apophyseal fracture or avulsion of the greater trochanter occurs in skeletally immature patients. It has at etiological factors indirect mechanisms (avulsion) and direct mechanisms (trauma on the trochanter), the latter being the most common. The clinical presentation is easily identified and a simple X- ray can confirm the diagnosis. Regardless of the treatment chosen, this pathology has a high correlation with osteonecrosis of the femoral head, even as a rare fact, however with innocent appearance, on this pathology...
May 2016: Acta Ortopedica Brasileira
Antonio Tufi Neder, Eduardo Traldi Franceschini, Arlindo Gomes Pardini, Marcelo Riberto, Nilton Mazzer
OBJECTIVE: To evaluate the outcome of olecranon bone graft and compression screw for the treatment of nonunion of the Lichtman type I scaphoid. METHOD: We evaluated 15 patients of 32 who underwent surgical treatment for nonunion of the Lichtman type I scaphoid with olecranon bone graft and screw compression. RESULTS: We obtained 100% consolidation in our sample. The mean flexion of the wrist on the affected side was 68° and 75° on the non-affected side...
May 2016: Acta Ortopedica Brasileira
María Roxana Viamont Guerra, Susana Reis Braga, Miguel Akkari, Claudio Santili
OBJECTIVE: The purpose of this study was to assess the importance of pelvic fractures in childhood by analyzing epidemiological characteristics and associated injuries. METHODS: This is a retrospective study performed between 2002 and 2012 at two trauma referral centers in São Paulo. We identified 25 patients aged 16 years old or younger with pelvic fracture. RESULTS: The main mechanism of trauma was traffic accident (80%), followed by fall from height (16%)...
May 2016: Acta Ortopedica Brasileira
André Mathias Baptista, Sylvio Cesar Sargentini, Juan Pablo Zumárraga, André Ferrari De França Camargo, Olavo Pires De Camargo
OBJECTIVE: To obtain epidemiological data from the tumors of the patella diagnosed and treated at the Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo (IOT-HC-FMUSP) between 1998 and 2015. METHODS: Series of cases with retrospective evaluation of patients diagnosed with tumors located in the patella. The data was obtained from the records and patients' charts at the Department of Pathology of IOT-HC-FMUSP. RESULTS: A total of 2220 medical records from patients with anatomopathological reports were included in the study...
May 2016: Acta Ortopedica Brasileira
Luiz Eduardo Moreira Teixeira, Eugênio Costa Arantes, Rafael Freitas Villela, Claudio Beling Gonçalves Soares, Roberto Bitarães De Carvalho Costa, Marco Antônio Percope De Andrade
OBJECTIVE: To evaluate the rate of local recurrence of extra-abdominal desmoid tumor and compare the outcomes of surgical treatment and conservative treatment. METHODS: Twenty one patients (14 women and seven men), mean age 33.0±8.7 years old, with a diagnosis of desmoid tumor were evaluated. The mean follow-up period was 58.5±29.0 months. Fourteen cases involved the lower limbs, four cases involved the upper limbs, and three cases involved the trunk. The average tumor size was 12...
May 2016: Acta Ortopedica Brasileira
Juan Pablo Zumárraga, André Mathias Baptista, Luis Pablo De La Rosa, Marcelo Tadeu Caiero, Olavo Pires De Camargo
OBJECTIVE: To study the relationship between the pre and post chemotherapy (CT) serum levels of alkaline phosphatase (AP) and lactate dehydrogenase (LDH), and the percentage of tumor necrosis (TN) found in specimens after the pre surgical CT in patients with osteosarcoma. METHODS: Series of cases with retrospective evaluation of patients diagnosed with osteosarcoma. Participants were divided into two groups according to serum values of both enzymes. The values of AP and LDH were obtained before and after preoperative CT...
May 2016: Acta Ortopedica Brasileira
Gustavo Leporace, Leonardo Metsavaht, Glauber Ribeiro Pereira, Liszt Palmeira De Oliveira, Bernardo Crespo, Luiz Alberto Batista
OBJECTIVE: To compare the activation of the vastus lateralis (VL) and biceps femoris (BF) muscles during gait, as well VL/BF muscular co-contraction (MCC) between healthy (CG) and anterior cruciate ligament reconstructed (ACL-R) subjects. METHODS: Nineteen subjects, ten controls and nine ACL-R patients had a VL and BF electromyogram (EMG) captured to calculate the MCC ratio. A Principal Component (PC) Analysis was applied to reduce the dimensionality effect of each of the MCC, VL and BF curves for both healthy and ACL reconstructed groups...
May 2016: Acta Ortopedica Brasileira
David Sadigursky, Daniel Andion, Péricles Boureau, Maria Cordulina Ferreira, Rogério Jamil Fernandes Carneiro, Paulo Oliveira Colavolpe
OBJECTIVES: To analyze the effectiveness of intravenous (IV) tranexamic acid (TA) in reducing blood loss in total knee arthroplasty (TKA). METHOD: The population sample was composed of patients with a diagnosis of primary knee osteoarthritis. The patients undergoing TKA were divided in two groups. Group A: comprised patients who used IV TA and B group, formed by patients who did not use TA in the intra or post-operative period. For descriptive analysis, quantitative variables were represented by mean and standard deviations when their distribution was normal and interquartile ranges and medians for non-normal variables...
May 2016: Acta Ortopedica Brasileira
Marcelo Batista Bonadio, Júlio Augusto Do Prado Torres, Vicente Mazzaro, Camilo Partezani Helito, Riccardo Gomes Gobbi, Marco Kawamura Demange
OBJECTIVE: To compare the plateau-patella angle method to the methods already established for patellar height measurement in patients undergoing high tibial osteotomy. METHODS: This is a retrospective study of 13 patients undergoing medial opening tibial osteotomy. The patellar height was measured in pre and post-operative radiographs by the methods from Insall-Salvati, Caton-Deschamps, Blackburne-Peel and patella-plateau angle, as well as the tibial slope and length of the patellar tendon...
May 2016: Acta Ortopedica Brasileira
Tarcísio Eloy Pessoa Barros, Fernando Flores De Araujo, Lucas Da Paz Higino, Raphael Martus Marcon, Alexandre Fogaça Cristante
OBJECTIVE: To evaluate the effect of monosialoganglioside (GM-1) in spinal cord trauma patients seen in our service who have not been treated with methylprednisolone. METHODS: Thirty patients with acute spinal cord trauma were randomly divided into two groups. In Group 1, patients received 200 mg GM-1 in the initial assessment and thereafter received 100 mg intravenous per day for 30 days and Group 2 (control) received saline. Patients were evaluated periodically (at 6 weeks, 6 months, one year and two years), using a standardized neurological assessment of the American Spinal Injury Association / International Spinal Cord Society...
May 2016: Acta Ortopedica Brasileira
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