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Acta Ortopedica Brasileira

Irocy Guedes Knackfuss, Vincenzo Giordano, Alexandre Leme Godoy-Santos, Nurimar Conceição Fernandes, Olavo Pires DE Camargo
Objectives: To report a case series of squamous cell carcinoma (SCC) in the foot, describing previous risk factors, surgical treatment, histopathological findings, and functional and oncological results. Methods: Nine consecutive patients diagnosed with SCC of the foot were treated at a single institution and prospectively analyzed for risk factors related to the disease, surgical outcome, and histopathological, functional and oncological results. All patients had identifiable risk factors for SCC...
March 2018: Acta Ortopedica Brasileira
Raul Carneiro Lins, Epitácio Leite Rolim, Fernando DE Santa Cruz Oliveira, Saulo Monteiro Dos Santos, Tale Lucas Vieira Rolim, Flávio Kreimer
Objectives: To evaluate the effectiveness of aspirin as prophylaxis for deep venous thrombosis (DVT) in patients undergoing total hip arthroplasty (THA), and to analyze the incidence of bleeding during the post-operative period. Methods: This prospective study carried out in 2017 consisted of 37 patients indicated for THA with high risk for DVT. Immediately after the procedure, aspirin, elastic compression socks and early deambulation were initiated. Doppler ultrasound was performed in the legs 6 days and 6 weeks post-procedure to rule out venous thromboembolism...
March 2018: Acta Ortopedica Brasileira
(no author information available yet)
[This corrects the article DOI: 10.1590/1413-785220172504167561.].
November 2017: Acta Ortopedica Brasileira
Henrique DE Barros Pinto, Suzilaine Ramos DE Oliveira, Flavia Curvo Pereira, Nilton Mazzer
Objective: This article provides details and tips on the dry arthroscopic technique, based on our experience and its clinical applications. Method: The technique was applied to 65 patients (33 men and 32 women) aged between 20 and 62 years (average of 35.4 years) for treating: synovial cyst resection, scapholunate ligament injury repair, ulnocarpal impact correction, triangular fibrocartilage injury repair, and assisted reduction of distal radius fractures. Results: A minimally invasive intra-articular evaluation has been observed as a benefit, with low infection rate, small scars, and high rates of early recovery, without affecting intra-articular fluid use, reducing the risk of compartment syndrome and infiltrated soft tissues, in the case of need for associated open surgery...
November 2017: Acta Ortopedica Brasileira
Giovanna Damm Raphael Junqueira, André Luiz Machado Lima, Robison Boni, Joelmar César DE Almeida, Rafael Souza Ribeiro, Leandro Azevedo DE Figueiredo
Objectives: A retrospective statistical data gathering of wrist and hand complaints assisted over two years in the orthopedic emergency department of a regional referral hospital, seeking to know the profile of these patients. Methods: Information obtained by analysis of 31.356 orthopedic visits from May 2013 to April 2015, of which 6.754 related to hand complaints and/or wrist, at the Hospital Estadual Doutor Jayme dos Santos Neves (HDJSN) and analyzed by IBM SPSS Statistics software version 21...
November 2017: Acta Ortopedica Brasileira
Roberto Yukio Ikemoto, Joel Murachovsky, Rogério Serpone Bueno, Luis Gustavo Prata Nascimento, Adriano Bordini Carmargo, Vitor Elias Corrêa
Objective: To evaluate the functional and radiographic results of patients who underwent surgical treatment for terrible triad-type elbow injuries (TTE). Methods: We retrospectively evaluated 20 patients, including one case with bilateral injuries (total of 21 elbows) that were surgically treated from January 2004 to July 2014. We evaluated the functional results of treatment by measuring the restored range of motion (ROM) of the elbow, using the DASH (Disabilities of the Arm, Shoulder and Hand) and MEPS (Mayo Elbow Performance Score) scores...
November 2017: Acta Ortopedica Brasileira
Cesar Satoshi Miyazaki, Daniel Augusto Maranho, Paulo Moraes Agnollitto, Marcello Henrique Nogueira-Barbosa
Objective: To evaluate the age in which the secondary ossification centers of the elbow appear and fuse in the Brazilian population. Methods: Nearly thirty radiographs were randomly selected for each age group from 0 to 18 years, with a total of 544 radiographs from 439 patients, between 2010 and 2015, without abnormalities secondary to trauma, metabolic or bone tumor diseases. Radiographs were retrospectively evaluated by two blind and independent observers, according to the presence or not of the ossification centers, and the fusion between them...
November 2017: Acta Ortopedica Brasileira
Arnaldo Amado Ferreira, Eduardo Angeli Malavolta, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Guilherme Pereira Ocampos, Evelinda Marramon Trindade
Objective: To compare quality of life (according to the SF-12) in patients with rotator cuff arthropathy with controls paired by sex and age. Secondary objectives are to compare the groups according to the ASES and VAS scales. Methods: This cross-sectional study with controls paired by sex and age compared patients with rotator cuff arthropathy with surgical indication for reverse shoulder arthroplasty. The groups were compared according to the SF-12, ASES, and VAS scales...
November 2017: Acta Ortopedica Brasileira
Haluk Celik, Mustafa Faik Seckin, Mehmet Akif Akcal, Adnan Kara, Bekir Eray Kilinc, Senol Akman
Objective: Surgical treatment options should be discussed in cases of frozen shoulder, which is usually treated in a conservative manner. In this study, we evaluated the efficacy of manipulation and arthroscopic release in cases of frozen shoulder which resisted conservative treatment. Methods: A total of 32 patients who underwent manipulation and arthroscopic capsular release in 34 shoulders were included in the study. The average follow-up period was 49.5 months (range: 24-90 months)...
November 2017: Acta Ortopedica Brasileira
Roberto Yukio Ikemoto, Joel Murachovsky, Luis Gustavo Prata Nascimento, Rogerio Serpone Bueno, Luiz Henrique Oliveira Almeida, Claudio Kojima
Objective: To evaluate the results of arthroscopic surgery in patients with traumatic anterior shoulder dislocation. Methods: This retrospective study analyzed 76 patients with a mean age of 28 and mean postoperative follow-up period of 62 months. Evaluation consisted of physical examination, and X-rays; results were classified according to the UCLA and Rowe scales. Results: Patients showed decrease of range of motion in all planes, except elevation and lateral rotation with 90º abduction...
November 2017: Acta Ortopedica Brasileira
Aasis Unnanuntana, Pojchong Chotiyarnwong
Objective: To identify the prevalence of osteoporosis and hypovitaminosis D among patients at the Siriraj Metabolic Bone Disease (MBD) Clinic, and to compare initial vitamin D levels in patients with and without a history of fragility fractures. Methods: Medical records of patients who attended our MBD clinic between 2012 and 2015 were retrospectively reviewed. Patient baseline demographic, clinical, bone mineral density (BMD), and laboratory data were collected and analyzed...
November 2017: Acta Ortopedica Brasileira
Ilky Pollansky Silva E Farias, Ítalo DE Macedo Bernardino, Lorena Marques DA Nóbrega, Rafael Grotta Grempel, Sérgio D'Avila
Objective: To describe the profile of patients with facial trauma admitted in a hospital located in a metropolitan area of Northeast Brazil. Methods: A cross-sectional and exploratory study was performed. A total of 244 cases were in agreement with the eligibility criteria. The variables include the sociodemographic characteristics of patients, etiology, type of trauma, treatment modalities, length of stay in a hospital and quarter of care. Descriptive statistics and Cluster Analysis were performed...
November 2017: Acta Ortopedica Brasileira
Pedro Guilme Teixeira DE Sousa, Yuri Lubiana Chisté, Rodrigo Sattamini Pires E Albuquerque, Hugo Alexandre DE Araújo Barros Cobra, João Maurício Barretto, Naasson Trindade Cavanellas
Objective: We compared gains in range of motion in patients who underwent manipulation within 12 weeks of total knee arthroplasty (TKA) and after this period. We also evaluated maintenance of the arc obtained from knee manipulation in late follow-up, along with factors associated with poorer outcomes. Method: The study was divided into two groups according to the time after TKA; the surgeries took place between January 2008 and December 2014. Results: When comparing the range of motion between early and late manipulations, the group that underwent manipulation within 12 weeks of the TKA exhibited better outcomes, but these were not statistically significant...
November 2017: Acta Ortopedica Brasileira
Serkan Bakirhan, Ozgur Bozan, Bayram Unver, Vasfi Karatosun
Objective: This study evaluated the physical and functional characteristics of Turkish patients with knee osteoarthritis and how this disease affects their physical and functional status. Methods: This study included 320 patients, who were evaluated to assess body mass index (BMI) and Hospital for Special Surgery (HSS) score in terms of age, sex and functional characteristics. Results: Mean patient age was 66.92±8.89 years and mean BMI was 31...
November 2017: Acta Ortopedica Brasileira
Gustavo Palmeiro Walter, William Seidel, Renata Della Giustina, Jorge Bins-Ely, Rosemeri Maurici, Janaína Luz Narciso-Schiavon
Objective: Despite advances in medical care, patients who are hospitalized or have spinal cord injuries often develop pressure sores. The objective of this study was to describe the epidemiological characteristics of pressure sores and evaluate factors associated with recurrence and cure. Methods: In this historical cohort study, clinical and laboratory data were collected from medical records between 1997 and 2016. Results: Sixty individuals with pressure ulcers were included; mean patient age was 38...
November 2017: Acta Ortopedica Brasileira
Ahmet Salduz, Gökhan Polat, Turgut Akgül, Omer Naci Ergin, Koray Şahin, Önder Yazicioğlu
OBJECTIVE: The aim of this study was to evaluate the functional results, complications, and morbidity and mortality rates in patients with end-stage chronic renal failure (ESCRF) with collum femoris fractures who were treated with hemiarthroplasty. METHODS: From 2005 to 2013, patients with ESCRF admitted to our hospital with collum femoris fracture and treated with hemiarthroplasty were retrospectively evaluated, and 44 hips in 42 patients were included in the study...
September 2017: Acta Ortopedica Brasileira
Rafael Fonseca Rodrigues DE Souza, Sergio Mainine, Fabiano Fonseca Rodrigues DE Souza, Enrico Montorsi Zanon, Alexandre Yukio Nishimi, Eiffel Tsuyoshi Dobashi, Fábio Araújo Fernandes
OBJECTIVE: To analyze the incidence of orthopedic injuries which occurred during a professional soccer championship in São Paulo, Brazil in 2010. METHODS: This assessment collected data from the pre-season until the final stage of the championship. RESULTS: We analyzed 227 professional players from eight of the top teams in this championship. Data were obtained for 71.02% of all games. The athletes were all male with a mean age of 23.1 years; the average number of injuries was 1...
September 2017: Acta Ortopedica Brasileira
Gustavo Gonçalves Arliani, Paulo Henrique Schmidt Lara, Diego Costa Astur, André Pedrinelli, Jorge Roberto Pagura, Moisés Cohen
OBJECTIVE: To identify the incidence of injuries, their main characteristics, and the way they were managed throughout 2016 in two major series of a professional soccer championship in São Paulo, Brazil. METHODS: This prospective study used an electronic questionnaire previously developed by the Medical Committee of the Paulista Soccer Federation which was sent to the team doctors after each match. RESULTS: Two hundred and fifty-nine injuries occurred during 361 matches, and the incidence of injury per 1000 hours of game play was 21...
September 2017: Acta Ortopedica Brasileira
Thiago Bernardo Carvalho DE Almeida, Eiffel Tsuyoshi Dobashi, Alexandre Yukio Nishimi, Eduardo Bernardo DE Almeida, Luciano Pascarelli, Luciano Miller Reis Rodrigues
OBJECTIVE: The objective of this study was to analyze elbow injuries and their probable mechanism in Jiu-Jitsu fighters resulting from the armbar-type armlock. METHODS: We evaluated 5 high-performance Jiu-Jitsu fighters from the Gracie Elite gym who were injured during a tournament. All were healthy males with a mean age of 28.8 years. The right arm was involved in three patients (60%). The athletes were followed for approximately 4.6 months, and pain was present in all cases...
September 2017: Acta Ortopedica Brasileira
Abdul Fettah Buyuk, Eray Kilinc, Ismet Yalkin Camurcu, Savas Camur, Hanifi Ucpunar, Adnan Kara
OBJECTIVE: To compare the effect of two different corticosteroid types in bilateral and symmetrical knee osteoarthritis (OA). METHODS: One hundred and twenty-six patients received injections of methylprednisolone acetate (MP) in one knee and triamcinolone hexacetonide (TH) in the contralateral knee. Patients were evaluated before injection and 2, 4, 8, 12, and 24 weeks after. RESULTS: Mean patient age was 68.5±9 years. Mean BMI was 26.3±2...
September 2017: Acta Ortopedica Brasileira
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