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Revista Brasileira de Ortopedia

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https://www.readbyqxmd.com/read/28884112/translation-and-validation-of-the-new-version-of-the-knee-society-score-the-2011-ks-score-into-brazilian-portuguese
#1
Adriana Lucia Pastore E Silva, Alberto Tesconi Croci, Riccardo Gomes Gobbi, Betina Bremer Hinckel, José Ricardo Pecora, Marco Kawamura Demange
OBJECTIVE: Translation, cultural adaptation, and validation of the new version of the Knee Society Score - The 2011 KS Score - into Brazilian Portuguese and verification of its measurement properties, reproducibility, and validity. In 2012, the new version of the Knee Society Score was developed and validated. This scale comprises four separate subscales: (a) objective knee score (seven items: 100 points); (b) patient satisfaction score (five items: 40 points); (c) patient expectations score (three items: 15 points); and (d) functional activity score (19 items: 100 points)...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884111/rotator-cuff-repair-in-the-brazilian-unified-health-system-brazilian-trends-from-2003-to-2015
#2
Eduardo Angeli Malavolta, Jorge Henrique Assunção, Rodrigo Alves Beraldo, Gustavo de Mello Ribeiro Pinto, Mauro Emilio Conforto Gracitelli, Arnaldo Amado Ferreira Neto
OBJECTIVE: To assess the historical trend of rotator cuff repairs in Brazil between 2003 and 2015, using the database of the Brazilian Unified Health System's (Sistema Único de Saúde [SUS]) Department of Informatics (DataSUS). METHODS: Historical series using DataSUS. Surgeries performed between 2003 and 2015 were included and data relating to cuff tear repair were assessed, including decompression procedures were included. The numerator was the total number of rotator cuff repair and the denominator, the total population of the assessed locality...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884110/malignant-triton-tumor-a-rare-cause-of-sciatic-pain-and-foot-drop
#3
Maribel R Gomes, Alexandre M P Sousa, Roberto J A Couto, Marco M B Oliveira, João L M Moura, Carlos A Vilela
Malignant peripheral nerve sheath tumors (MPNST) are very rare and are frequently localized in the buttocks, thigh, arm, or paraspinal region; one variant is the malignant Triton tumor, with rhabdomyosarcomatous differentiation. The authors present a challenging differential diagnosis of a sciatic pain and foot drop in a woman with history of lumbar disk herniation, which was found to be caused by a Triton tumor of the sciatic nerve. She underwent surgical excision, followed by radiation and chemotherapy. Malignant Triton tumor cases have rarely been described and reported in the literature...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884109/brachial-plexus-injury-secondary-to-pseudoaneurysm-of-axillary-artery-after-glenohumeral-dislocation-case-report
#4
Douglas Ribas Schumann, Mauro José Superti, Felipe Candido Seyboth, Gabriella Eduarda Jacomel
Lesions of the axillary artery and consequent compression of the brachial plexus are extremely rare in patients with glenohumeral dislocation and may have greatly varying clinical manifestations. This joint is one of the most affected by dislocation in the human body, accounting for approximately 45% of cases. Less than 1% of patients with shoulder dislocation have vascular complications; however, when there is damage in the axillary artery, the incidence of associated brachial plexus injury is 27% to 44%. The authors report on a case of brachial plexus compression by an axillary artery pseudoaneurysm after a glenohumeral dislocation, aiming to highlight the existence of this association, in order to make an early diagnosis and avoid serious complications, such as neurologic injury...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884108/characteristics-and-clinical-aspects-of-patients-with-spinal-cord-injury-undergoing-surgery
#5
João Simão de Melo-Neto, Lara Eduarda Leite Vidotto, Fabiana de Campos Gomes, Dionei Freitas de Morais, Waldir Antonio Tognola
OBJECTIVE: To identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery. METHODS: Previously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected. RESULTS: A total of 211 patients were submitted to surgery. Fall and injuries in the upper cervical and lumbosacral regions were associated with conservative treatment. Patients with lesions in the lower cervical spine, worse neurological status, and unstable injuries were associated with surgery...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884107/giant-cell-tumor-locally-advanced-around-the-knee-treatment-and-literature-review
#6
REVIEW
Ana Valeria Rigollino, Thiago Santos Fernando, Marcos Hajime Tanaka, Marcello Martins Souza
Giant cell tumor (GCT) is a benign bone tumor with aggressive characteristics. They are more prevalent in the third decade of life and demonstrate a preference for locating in the epiphyseal region of long bones. They have a high local recurrence rate, which depends on the type of treatment and initial tumor presentation. The risk of lung metastases is around 3%. Between October 2010 and August 2014, nine patients diagnosed with locally advanced GCT or with pathological fracture to the knee level underwent surgical treatment...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884106/understanding-posterior-meniscal-roots-lesions-from-basic-science-to-treatment
#7
REVIEW
Raphael Serra Cruz, Marcio Balbinotti Ferrari, Leonardo Metsavaht, Robert F LaPrade
The variability of symptoms and the fact that they are not easily recognized in imaging studies make the diagnosis and treatment of posterior meniscal roots lesions a challenging task to the orthopedist. In recent years, a more precise understanding of the anatomy and biomechanical impair of the knee joint in these cases has enabled great advances in therapeutic approaches. Well-documented studies have shown that the repair of these lesions presents superior functional and clinical improvement when compared with meniscectomy...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884105/analysis-of-postoperative-monitoring-of-patients-undergoing-shoulder-arthroscopy-for-anterior-instability
#8
Alexandre Almeida, Samuel Millán Menegotto, Nayvaldo Couto de Almeida, Ana Paula Agostini, Letícia Agostini de Almeida
OBJECTIVE: Analyze the postoperative follow-up of patients undergoing shoulder arthroscopy for treatment of anterior instability and correlate with the prevalence of recurrence. METHODS: A six-question survey was applied by phone and mail to 65 patients, seeking information on the current result of the surgical procedure. All patients were treated arthroscopically for anterior shoulder instability, with at least 12 months of postoperative time. Patients with associated posterior labial lesions and revision surgeries were not included...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884104/diffuse-pigmented-villonodular-synovitis-in-knee-joint-diagnosis-and-treatment
#9
Eduardo Frois Temponi, Antônio Augusto Guimarães Barros, Vinícius Oliveira Paganini, Victor Atsushi Kasuya Barbosa, Roger Badet, Lúcio Honório de Carvalho Júnior
Pigmented villonodular synovitis is a rare proliferative condition of the synovium. Although the condition can present in any joint, the knee is the most commonly affected site. Despite being a benign condition, pigmented villonodular synovitis is often aggressive, with marked extra-articular extension in some cases. Monoarticular involvement occurs in two forms: localized and diffuse. The latter is more common, with a high recurrence rate. There is no standard method of management of this lesion. Open surgery is a classical and effective method for treatment...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884103/lateral-patellar-retinacular-release-changes-over-the-last-ten-years
#10
REVIEW
Leonardo Pini Rosalem Marciano da Fonseca, Ednei Haruo Kawatake, Alberto de Castro Pochini
Lateral retinacular release is a useful resource in knee surgery that can be used for disorders of the extensor mechanism. For many years, it was indiscriminately used in the treatment of the various patellofemoral joint alterations, with conflicting functional results. This study aimed to analyze the changes that have occurred in the indications and clinical effectiveness of lateral retinacular release by reviewing the relevant literature of the past ten years, comparing it to the classic literature on the subject...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884102/effects-of-preoperative-walking-ability-and-patient-s-surgical-education-on-quality-of-life-and-functional-outcomes-after-total-knee-arthroplasty
#11
Sunil K Dash, Nishit Palo, Geetanjali Arora, Sidharth S Chandel, Mithilesh Kumar
OBJECTIVE: Prospectively analyze the effect of preoperative walking status and the patient's surgical education on functional outcomes and the three dimensions of quality of life (QoL) (pain, physical function, and mental health) after elective total knee arthroplasty (TKA). METHODS: A comparative analysis on the QoL and functional outcomes in patients who underwent total knee arthroplasty between January 2014 and June 2015. To compare effects of the patient's walking status and knowledge of the surgical procedure on QoL and functional outcomes following TKA by means of SF-36 questionnaire, CES D10, VAS, KSS, KSFS, WOMAC, as well as Friedmann and Wyman scores, 10MWT, and 30-second timed chair test, assessed before the operation and one, three, and six months after the operation...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884101/what-is-the-best-fixation-technique-for-the-treatment-of-supracondylar-humerus-fractures-in-children
#12
Gyoguevara Sol Queiroz Andrade Patriota, Carlos Alberto Assunção Filho, Carlos Alberto Assunção
OBJECTIVE: To define the best technique for the surgical treatment of supracondylar fracture of the humerus (SFH) in children, evaluating percutaneous pinning with side wires vs. cross-pinning. METHODS: Randomized controlled trials using the Medline, CAPES, and BIREME. The criteria for inclusion of articles criteria were: (1) randomized controlled trials (RCTs) comparing percutaneous wire fixation techniques, (2) SFH Gartland II B, III, and IV, and (3) children aged 1-14 years...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884100/relationship-between-the-critical-shoulder-angle-and-the-development-of-rotator-cuff-lesions-a-retrospective-epidemiological-study
#13
Leandro Cardoso Gomide, Thiago Correa do Carmo, Guilherme Henrique Moreira Bergo, Glauber Araújo Oliveira, Igor Severino Macedo
OBJECTIVE: To perform a retrospective epidemiological study of radiographs in order to evaluate the relationship between the anatomy of the scapula and the development of rotator cuff injuries (RCIs). METHODS: This study retrospectively evaluated the relation of the critical shoulder angle (CSA) and RCIs from January 2011 to November 2013; patients were examined in the Orthopedics and Traumatology Department of a university hospital. The CSA was measured by radiographic standardization of two groups: a control group of 34 asymptomatic shoulders and a study group of 44 shoulders with complete RCIs...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884099/medial-patellofemoral-ligament-and-medial-patellotibial-ligament-reconstruction-in-children-preliminary-results
#14
David Sadigursky, Lucas Cortizo Garcia, Maurício Armede, Lucas Rodrigues de Oliveira, Rogério Jamil Fernandes Carneiro, Paulo Oliveira Colavolpe
OBJECTIVE: The aim of this study was to evaluate the reconstruction of the medial patellofemoral ligament associated with the medial patellotibial ligament in skeletally immature patients. METHOD: This is a case series study in patients with patellar instability with open physis. In total, seven patients were evaluated: four males and three females were operated using the proposed technique. Patients with open physis who had more than two episodes of recurring patellar dislocation were included...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884098/are-diaphyseal-clavicular-fractures-still-treated-traditionally-in-a-non-surgical-way
#15
Pedro José Labronici, Fernando Claudino Dos Santos Filho, Tales Bregalda Reis, Robinson Esteves Santos Pires, Adriano Fernando Mendes Junior, Kodi Edson Kojima
OBJECTIVE: To evaluate the decision of orthopedics surgeons regarding which cases they would indicate surgery or non-surgical treatment. METHODS: 20 images of radiographs with fracture in the middle third of the collar bone (AO/OTA 15-B) in anteroposterior view were analyzed, and divided into four groups: group 1 - fracture type AO/OTA 15-B1 without displacement; group 2 - fracture type AO/OTA 15-B1 with displacement; group 3 - fracture type AO/OTA 15-B2; group 4 - fracture type AO/OTA 15-B3...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884097/perilunate-carpal-dislocation-clinical-evaluation-of-patients-operated-with-reduction-and-percutaneous-fixation-without-capsular-ligament-repair
#16
Adriano Bastos Pinho, Roberto Luiz Sobania
OBJECTIVE: To qualitatively assess surgeries performed in patients with perilunate dislocations without associated fractures, who were operated using the closed reduction and percutaneous fixation method. The follow-up time ranged from one to seven years. METHODS: 628 patient records with traumatic wrist injuries, operated by the same group of Hand Surgeons between 2008 and 2014 due to acute trauma were collected, with a mean follow-up of 3.2 years. Of these, 51 were cases of perilunate fracture-dislocations, and 38 were pure perilunate dislocations without associated fractures; of these, only 32 underwent percutaneous fixation without ligamentous repair, thus meeting the inclusion criteria...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884096/finite-element-analysis-of-the-equivalent-stress-distribution-in-schanz-screws-during-the-use-of-a-femoral-fracture-distractor
#17
Vincenzo Giordano, Alexandre Leme Godoy-Santos, William Dias Belangero, Robinson Esteves Santos Pires, Pedro José Labronici, Hilton Augusto Koch
To evaluate the mechanical stress and elastic deformation exercised in the thread/shaft transition of Schanz screws in assemblies with different screw anchorage distances in the entrance to the bone cortex, through the distribution and location of tension in the samples. An analysis of 3D finite elements was performed to evaluate the distribution of the equivalent stress (triple stress state) in a Schanz screw fixed bicortically and orthogonally to a tubular bone, using two mounting patterns: (1) thread/shaft transition located 20 mm from the anchorage of the Schanz screws in the entrance to the bone cortex and (2) thread/shaft transition located 3 mm from the anchorage of the Schanz screws in entrance to the bone cortex...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884095/hand-and-wrist-surgery-without-suspending-warfarin-or-oral-antiplatelet-systematic-review
#18
REVIEW
Trajano Sardenberg, Francisco Simões Deienno, Raffaello de Freitas Miranda, Denis Varanda, Andréa Christina Cortopassi, Paulo Roberto de Almeida Silvares
To assess, through a systematic literature review, whether or not it is necessary to suspend antithrombotic medications (warfarin, aspirin, and clopidogrel) to perform elective wrist and hand surgeries. The search for articles was performed using a combination of keywords in the databases available, without scientific design constraints, being selected series with five or more surgeries; the selected articles were analyzed regarding serious (need for surgical treatment) and mild complications (without surgery)...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884094/is-it-safe-to-use-local-anesthesia-with-adrenaline-in-hand-surgery-walant-technique
#19
Pedro José Pires Neto, Leonardo de Andrade Moreira, Priscilla Pires de Las Casas
In the past it was taught that local anesthetic should not be used with adrenaline for procedures in the extremities. This dogma is transmitted from generation to generation. Its truth has not been questioned, nor the source of the doubt. In many situations the benefit of use was not understood, because it was often thought that it was not necessary to prolong the anesthetic effect, since the procedures were mostly of short duration. After the disclosure of studies of Canadian surgeons, came to understand that the benefits went beyond the time of anesthesia...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28884093/hamstring-injuries-update-article
#20
Lucio Ernlund, Lucas de Almeida Vieira
Hamstring (HS) muscle injuries are the most common injury in sports. They are correlated to long rehabilitations and have a great tendency to recur. The HS consist of the long head of the biceps femoris, semitendinosus, and semimembranosus. The patient's clinical presentation depends on the characteristics of the lesion, which may vary from strain to avulsions of the proximal insertion. The most recognized risk factor is a previous injury. Magnetic resonance imaging is the method of choice for the injury diagnosis and classification...
June 2017: Revista Brasileira de Ortopedia
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