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Revista Brasileira de Ortopedia

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https://www.readbyqxmd.com/read/27818987/total-knee-arthroplasty-with-subvastus-approach-in-patient-with-chronic-post-traumatic-patellar-dislocation
#1
Jader Joel Machado Junqueira, Camilo Partezani Helito, Marcelo Batista Bonadio, Jose Ricardo Pécora, Marco Kawamura Demange
Chronic lateral dislocation of the patella is a rare condition and acquired causes are usually secondary to knee trauma. The neglected chronic dislocation leads to progressive genu valgum and external tibial torsion deformities with subsequent gonarthrosis, which becomes painful and debilitating. There is no consensus regarding treatment of these patients, but total knee arthroplasty (TKA) is a useful therapy in cases of painful symptomatic gonarthrosis. Few reports have shown that subvastus approach and lateral release may be a valid option for TKA, since it allows the correction of valgus deformity and patellar tracking without interrupting vascular blood supply of patella...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818986/anterior-avulsion-fracture-of-the-tibial-tuberosity-in-adolescents-two-case-reports
#2
Aleilimar Teixeira da Silva Júnior, Leonardo Jorge da Silva, Ulbiramar Correia da Silva Filho, Edmundo Medeiros Teixeira, Helder Rocha Silva Araújo, Frederico Barra de Moraes
The objective here was to report two rare cases of anterior avulsion fracture of the tibial tuberosity in adolescents. Case 1 was a 15-year-old male who became injured through landing on his left knee and presented limited extension. Case 2 was a 16-year-old basketball player who presented sudden pain in the right knee and functional incapacity, after a jump. Imaging examinations (radiographs and computed tomography) showed anterior avulsion fractures of the tibial tuberosity. Surgical fixation was performed using screws and anchors, while avoiding growth plate injury...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818985/bilateral-distal-femoral-fracture-after-total-knee-arthroplasty
#3
Fabrício Bolpato Loures, Jorge Rafael Wenck Motta, Rodrigo Sattamini Pires E Albuquerque, João Maurício Barretto, Naason Trindade Cavanellas
The number of total knee arthroplasties has increased exponentially and their indications have been expanded. This procedure presents challenging complications for orthopedic surgeons that are potentially catastrophic for patients. Here, a rare case of simultaneous bilateral periprosthetic fracture of the knee is reported, with discussion of the causal factors, possible management and prophylaxis.
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818984/posterior-dislocation-of-the-sternoclavicular-joint-report-of-two-cases
#4
Pedro José Labronici, Fabrício Cardoso de Souza, Robinson Esteves Santos Pires, Fernando Claudino Dos Santos Filho, Vinicius Schott Gameiro, Gustavo José Labronici
The authors report the cases of two young patients who had suffered a sporting accident with posterior traumatic dislocation of sternoclavicular joint. In one of the patients closed reduction was accomplished by keeping the limb in a sling. The second patient, after reduction was done, presented recurrence of the dislocation, thus requiring surgical treatment. It is important to observe the relevance of computed tomography to help diagnosing, as well as monitoring the reduction procedure. The objective of this study was to demonstrate two different types of treatment in a rare injury such as the posterior dislocation of sternoclavicular joint...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818983/tibial-shaft-fracture-and-ankle-injury-case-report
#5
Caio Zamboni, Felipe Augusto Garcez de Campos, Noel Oizerovici Foni, Rafael Carboni Souza, Ralph Walter Christian, Marcelo Tomanik Mercadante
The authors report on a case of tibial shaft fracture associated with ankle injury. The clinical, radiological and surgical characteristics are discussed. Assessment of associated injuries is often overlooked and these injuries are hard to diagnose. When torque occurs in the lower limb, the ankle becomes susceptible to simultaneous injury. It is essential to make careful assessment based on clinical, radiographic, intraoperative and postoperative characteristics in order to attain functional recovery.
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818982/total-hip-arthroplasty-complications-in-patients-with-or-without-controlled-diabetes-mellitus-during-hospitalization
#6
Fernanda Rezende Campos Falcão, Bruno Anderson Gomes Dias, Liz Araujo Wolfovitch, David Sadigursky
INTRODUCTION: Total hip arthroplasty (THA) is a procedure that aims to restore the function of the hip joint. Diabetes mellitus (DM) is one of the most prevalent comorbidities among patients undergoing THA. DM involves various immunological and metabolic aspects, which lead to limitations and surgical complications. OBJECTIVE: To evaluate the association between THA complications and controlled DM during hospitalization period. METHODS: Cross-sectional research through the analysis of retrospective records of a private hospital in Salvador, Bahia...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818981/elderly-with-proximal-hip-fracture-present-significantly-lower-levels-of-25-hydroxyvitamin-d
#7
Marcelo Teodoro Ezequiel Guerra, Eduardo Terra Feron, Roberto Deves Viana, Jonathan Maboni, Stéfany Ignêz Pastore, Cyntia Cordeiro de Castro
OBJECTIVE: To compare serum 25-hydroxyvitamin D (25[OH]D) levels, a serum marker of vitamin D3, between patients with and without proximal hip fracture. METHODS: This was a case-control study in which serum samples of 25(OH)D were obtained from 110 proximal hip fracture inpatients and 231 control patients without fractures, all over 60 years of age. Levels of 25(OH)D lower than or equal to 20 ng/mL were considered deficient; from 21 ng/mL to 29 ng/mL, insufficient; and above 30 ng/mL, sufficient...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818980/randomized-clinical-trial-between-proximal-row-carpectomy-and-the-four-corner-fusion-for-patients-with-stage-ii-snac
#8
Marcio Aurelio Aita, Edison Kenji Nakano, Henrique de Lazari Schaffhausser, Walter Yoshinori Fukushima, Edison Noboru Fujiki
OBJECTIVE: To compare the outcomes of patients with stage II SNAC submitted to surgical treatment by proximal row carpectomy (PRC) or four-corner fusion (FCF). METHOD: Twenty-seven patients aged 18-59 years (mean 37.52 years) were included. Thirteen patients underwent PRC in Group A, and 14 underwent FCF of the wrist in Group B. Evaluations were made before and after surgery with follow-up between 45 and 73 months. Range of motion (ROM); pain assessment with a visual analog scale (VAS); grip strength; disability of the arm, shoulder, and hand (DASH); and return to work were evaluated...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818979/functional-assessment-of-endoprosthesis-in-the-treatment-of-bone-tumors
#9
Denis Kiyoshi Fukumothi, Hiran Pupo, Luciano Augusto Reganin, Silvia Raquel Fricke Matte, Bruno Spagnuolo de Lima, Carlos Augusto de Mattos
OBJECTIVES: Evaluate the functional grade of these patients and to identify the types of complications found that influenced the average life span of endoprostheses the functions of the operated limb. METHODS: We analyzed 14 post-operative cases of endoprosthesis, patients with malignant bone tumors and aggressive benign bone tumors submitted to surgery between 2004 and 2014. The evaluation system used was proposed by Enneking, recommended by the Musculoskeletal Tumor Society (MSTS), in addition to the radiologic evaluation...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818978/functional-and-radiological-evaluation-of-acute-acromioclavicular-dislocation-treated-with-anchors-without-eyelet-comparison-with-other-techniques
#10
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
OBJECTIVE: To assess the repair results of acromioclavicular dislocations (ACJD) grades III and V, with anchors without eyelet, when compared with other techniques, and to evaluate factors that can affect the final result. METHODS: A retrospective study of 36 patients with ACJD grades III and V in the Rockwood classification, 12 treated with anchors without eyelet, 11 with one tightrope, six with two tightropes, and six with subcoracoid cerclage, operated from September 2012 to February 2015...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818977/functional-evaluation-of-repairs-to-circumferential-labral-lesions-of-the-glenoid-case-series
#11
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
OBJECTIVE: To evaluate the clinical results among patients undergoing arthroscopic repair of circumferential labral lesions. METHODS: This was a retrospective study on 10 patients who underwent arthroscopic repair to circumferential labral lesions of the shoulder, between September 2012 and September 2015. The patients were evaluated by means of the Carter-Rowe score, DASH score, UCLA score, visual analog scale (VAS) for pain and Short-Form 36 (SF36). The average age at surgery was 29...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818976/does-the-suction-drain-diameter-matter-bleeding-analysis-after-total-knee-replacement-comparing-different-suction-drain-gauges
#12
Marcos George de Souza Leao, Gladys Martins Pedroza Neta, Thiago Montenegro da Silva, Yacov Machado Costa Ferreira, Waryla Raissa Vasconcelos Dias
OBJECTIVES: To evaluate bleeding and the estimated blood loss in patients who underwent total knee replacement (TKR) with different closed suction drains (3.2-mm and 4.8-mm gauge). METHODS: This was a randomized controlled trial with 22 patients who underwent TKR and were divided into two groups: Group I, with 11 patients in whom the 3.2-mm suction drain was used, and Group II, with 11 patients in whom the 4.8-mm suction drain was used. The hematocrit was measured after 24, 48 and 72 h after surgery in order to calculate the estimated blood loss...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818975/effect-of-muscle-contractions-on-cartilage-morphological-and-functional-magnetic-resonance-imaging-evaluation-of-the-knee-after-spinal-cord-injury
#13
Marco Kawamura Demange, Camilo Partezani Helito, Paulo Victor Partezani Helito, Felipe Ferreira de Souza, Riccardo Gomes Gobbi, Alexandre Fogaça Cristante
OBJECTIVE: To evaluate the effect of complete absence of muscle contractions on normal human cartilage in the presence of joint motion. METHODS: Patients with complete acute spinal cord injuries were enrolled. All patients underwent magnetic resonance imaging (MRI) on both knees as soon as their medical condition was stable and at six months after the primary lesion. All patients received rehabilitation treatment that included lower-limb passive motion exercises twice a day...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818974/index-of-fatigue-quadriceps-in-soccer-athletes-after-anterior-cruciate-ligament-reconstruction
#14
Maria Luzete Costa Cavalcante, Paulo Renan Lima Teixeira, Tamara Cristina Silva Sousa, Pedro Olavo de Paula Lima, Rodrigo Ribeiro Oliveira
OBJECTIVE: The present study aimed to evaluate the muscle fatigue of the quadriceps muscle in high-performance soccer players undergoing (anterior cruciate ligament) ACL reconstruction. METHODS: We evaluated 17 high-performance soccer players from three professional soccer teams of a state in Brazil from August 2011 to July 2012. All subjects were evaluated between 5.5 and 7 months after ACL reconstruction with a Biodex® isokinetic dynamometer (System 4 Pro) with test protocol CON/CON at 60°/s and 300°/s with 5 and 15 repetitions, respectively...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818973/outcomes-of-non-arthroplasty-surgical-treatment-of-proximal-humeral-head-fractures
#15
Alberto Naoki Miyazaki, Pedro Doneux Santos, Guilherme do Val Sella, Denis Cabral Duarte, Giovanni Di Giunta, Sergio Luiz Checchia
OBJECTIVE: This study aimed to assess the outcomes of patients with humeral head fractures treated by reduction and osteosynthesis. METHOD: A total of 53 shoulders (52 patients) with humeral head fractures were operated between October 1996 and December 2009. Patients previously treated with primary arthroplasty and/or those who had less than two years follow-up were excluded. A total of 34 shoulders of 34 patients were therefore reassessed. In the sample studied, 23 patients were male and mean age was 47 years...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818972/clinical-evaluation-of-patients-submitted-to-osteogenic-distraction-in-the-lower-limb-at-a-university-hospital
#16
Francisco Macruz Baltazar Sampaio, Leilane Passoni Marçal, Diogo Gontijo Dos Reis, Adolfo Watanabe Kasuo, Carlos Eduardo Cabral Fraga, Frederico Barra de Moraes
OBJECTIVE: To evaluate the clinical characteristics from patients submitted to osteogenic distraction to correct bone gap at a university hospital. METHODS: Retrospective transversal study, with a convenience sample, from 2000 to 2012, evaluating clinical aspects of patients treated, submitted to osteogenic distraction (bone transport) with Ilizarov's external fixation device. The chi-squared, Fisher's, and Mann-Whitney's U tests were used with a 5% level of significance (p < 0...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818971/the-brazilian-version-of-the-constant-murley-score-cms-br-convergent-and-construct-validity-internal-consistency-and-unidimensionality
#17
Rodrigo Py Gonçalves Barreto, Marcus Levi Lopes Barbosa, Marcos Alencar Abaide Balbinotti, Fernando Carlos Mothes, Luís Henrique Telles da Rosa, Marcelo Faria Silva
OBJECTIVES: To translate and culturally adapt the CMS and assess the validity of the Brazilian version (CMS-BR). METHODS: The translation was carried out according to the back-translation method by four independent translators. The produced versions were synthesized through extensive analysis and by consensus of an expert committee, reaching a final version used for the cultural adaptation. A field test was conducted with 30 subjects in order to obtain semantic considerations...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818970/factors-associated-with-mortality-among-elderly-people-hospitalized-due-to-femoral-fractures
#18
Léo Graciolli Franco, Amanda Loffi Kindermann, Lucas Tramujas, Kelser de Souza Kock
OBJECTIVE: To analyze factors associated with mortality among elderly people hospitalized in a single-center regional hospital due to femoral fractures. METHODS: This was a retrospective cohort study. Patients aged 60 years or over who were hospitalized with a diagnosis of femoral fracture (ICD S72) between 2008 and 2013 were selected through the electronic medical records. RESULTS: The study evaluated 195 individuals of mean age 78.5 ± 9...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818969/surgical-treatment-of-neglected-clubfoot-using-external-fixator
#19
Rodrigo Mota Pacheco Fernandes, Maurilio Darcy Dos Santos Mendes, Renato Amorim, Marcus Aurélio Preti, Marcelo Back Sternick, Guilherme Pelosini Gaiarsa
The definition of neglected clubfoot (NC) includes a variable range of complex deformities of the foot that are refractory to conventional treatments or are treated inappropriately. Several etiologies may be related to this. The Ilizarov method has become established as a tool for treating these deformities. It minimizes soft-tissue damage through gradual correction of the deformity, with a high success rate in relation to achieving a plantigrade foot, with low incidence of recurrence. The indications for treatment include severe rigid deformities (Dimeglio III and IV), or adverse skin conditions...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27818968/diagnosis-and-treatment-of-osteochondral-lesions-of-the-ankle-current-concepts
#20
REVIEW
Marcelo Pires Prado, John G Kennedy, Fernando Raduan, Caio Nery
We conducted a wide-ranging review of the literature regarding osteochondral lesions of the ankle, with the aim of presenting the current concepts, treatment options, trends and future perspectives relating to this topic.
September 2016: Revista Brasileira de Ortopedia
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