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Acta Ortopedica Brasileira

Glauber Alvarenga, Henry Dan Kiyomoto, Emília Cardoso Martinez, Giancarlo Polesello, Vera Lúcia Dos Santos Alves
Objective: Hand-held dynamometry is a quantitative and accessible means of determining the isometric force of muscle groups. Methods: A total of 52 women aged 20-29 years with no complaints of hip pain who were sedentary or sporadically active and had a body mass index of 18.5-24.99 kg/m2 were included. All participants underwent bilateral assessments using hand-held dynamometry of the flexor, extensor, adductor, and abductor muscles as well as the internal and external rotator hip muscles...
March 2019: Acta Ortopedica Brasileira
Zeliha Cosgun, Emine Dagistan, Yasar Dagistan
Objectives: This study aimed to compare the lumbar lordosis (LL) and spinopelvic parameters of patients with stage 1-2 spondylolisthesis to those of the normal population and demonstrate the importance of these parameters in sagittal balance. Methods: The lumbosacral parameters on the lateral radiographs of a total of 125 patients were retrospectively compared. Lumbosacral parameters including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis angle (LLA), L5 incidence (L5I), L5 slope (L5S), and sacral table angle (STA) were compared between groups...
March 2019: Acta Ortopedica Brasileira
Eduardo Angeli Malavolta, Verônica Yulin Prieto Chang, Marcello Traballi Bozzi Pinto de Castro, Fernando Brandao Andrade-Silva, Jorge Henrique Assunção, Mauro Emilio Conforto Gracitelli, Arnaldo Amado Ferreira
Objective: To evaluate the influence of partial- and full-thickness upper third subscapularis tendon tears on the functional scores of patients undergoing arthroscopic rotator cuff repair. Methods: Patients who underwent arthroscopic rotator cuff repair were divided into three groups according to the subscapularis tendon condition: intact, partial-thickness tear, or full-thickness upper third tear. Functional scores were compared among groups. Second, the influence of biceps and infraspinatus tears on the scores was tested using multivariate regression analysis...
March 2019: Acta Ortopedica Brasileira
Guilherme Grisi Mouraria, Plinio de Almeida Martins de Souza, Ricardo Lucca Cabarite Saheb, Marcio Alves Cruz, Lucas Moratelli, Mauricio Etchebehere
Objective: To evaluate the choice of surgical approach among Brazilian orthopedists and whether shoulder surgery specialty training or duration of experience influences the decision-making. Methods: A questionnaire on the preferred approach and complications was administered to orthopedic surgeons with and without shoulder specialization training. The chi-square test or Fisher's exact test was applied. Results: We interviewed 114 orthopedists, 49 (43...
March 2019: Acta Ortopedica Brasileira
Fernando Flores de Araujo, Douglas Kenji Narazaki, William Gemio Jacobsen Teixeira, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa Barros
Objective: To report the use of two techniques (radiosurgery and en bloc vertebrectomy) on the same patient for the treatment of two metastases in different sites of the spine arising from intracranial hemangiopericytoma. Intracranial hemangiopericytomas are rare, comprising approximately 2.4% of meningeal tumors and <1% of all tumors of the central nervous system. Metastases to the spine are even rarer: The largest case series reported in the literature has 5 and 7 cases. Methods: A 37-year-old man diagnosed with intracranial hemangiopericytoma was referred for a metastatic lesion in T12 and underwent en bloc resection using the Tomita technique...
March 2019: Acta Ortopedica Brasileira
Mariana Tedeschi Benatto, Amira Mohamede Hussein, Nelson Fabrício Gava, Daniel Augusto Maranho, Edgard Eduard Engel
Objective: Hemipelvectomy is a complex surgery with a high complication rate. Here, we aimed to identify factors related to the onset of complications and calculate their impacts on hospital costs. Methods: We evaluated 31 consecutive patients who underwent hemipelvectomy between 1999 and 2015. We assessed the clinical and radiographic data to determine the patients' demographic factors, tumor and surgical characteristics, and complications. The individual hospital stays and financial balances were assessed up to 6 months following the index surgery...
March 2019: Acta Ortopedica Brasileira
Ferdi Göksel, Ayşe Aycan, Cenk Ermutlu, Umut Hatay Gölge, Bartu Sarısözen
Objective: Osteoid osteoma, which is observed in the adolescent and young adult population as benign bone tumors, appears as a single nidus with a diameter < 2 cm and is treated with open surgery. However, technological advances in medicine have made it possible to apply less invasive procedures in surgery. Methods: Between 2006-2014, 24 patients < 18 years of age were treated for osteoid osteoma. Patient demographic data, surgical data, complications, and recurrences were noted...
March 2019: Acta Ortopedica Brasileira
Renato Martins Xavier, Ivan Carvalho Giarola, Guilherme Pereira Ocampos, Pérola Grinberg Plapler, Olavo Pires de Camargo, Márcia Uchôa de Rezende
Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention. Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA. Results: Patients in the OF group were older (p < 0.001); had a lower body mass index (p < 0.001); were less literate (p = 0.012); were more frequently Caucasian (p = 0...
March 2019: Acta Ortopedica Brasileira
Angelica Castilho Alonso, Rita de Cássia Ernandes, Regina Helena Marques Pereira, Ricardo André Becker, Adriana Machado-Lima, Paulo Roberto Silva-Santos, Julia Maria D'Andréa Greve, Luiz Eugênio Garcez-Leme
Objective: To evaluate bone mineral density (BMD) and body composition over a six-year period in elderly long-distance runners. Methods: We analyzed the medical records of elderly athletes who were long-distance runners, were participants of the IOT-HCFMUSP Orthogeriatric Group, and had their BMD evaluated between 2001 and 2007; of these athletes, 11 were included in the study. Inclusion criteria: athletes should be long-distance runners, should not stop long-distance running during the six-year period, and should have undergone BMD and body composition evaluations...
March 2019: Acta Ortopedica Brasileira
Gustavo Jum Yamamoto, Guilherme Pereira Ocampos, Maria Candidade Miranda Luzo, Cleidnéia Aparecida Clemente da Silva, Fabiane Elize Sabino de Farias, Marcia Uchoa de Rezende
Objective: To compare the effect of a brace designed to stabilize the patellofemoral joint to that of a patella-shaped neoprene sleeve with patella cut out in patients with patellofemoral osteoarthritis. Methods: Fifty-seven patients with femoro-patellar osteoarthritis were allocated to two groups: patients with femoro-patellar functional brace and those with a neoprene knee with a patellar orifice. Both groups underwent clinical treatment of osteoarthritis and used medications daily 1 month before and up to 3 months after brace placement...
March 2019: Acta Ortopedica Brasileira
Hakan Sarman, Cengiz Isik, Mustafa Uslu, Mustafa Erkan Inanmaz
Objective: To postoperatively evaluate knee scores, radiological assessment results, deficit correction, patellar height change, bone healing time, and weight bearing time in patients undergoing high tibial osteotomy (HTO) with/without autologous iliac bone grafting. Methods: This retrospective examination of treated controls from a randomized controlled study included 63 knees of 58 patients aged 46-59 years who underwent HTO with locking open wedge osteotomy plates...
March 2019: Acta Ortopedica Brasileira
(no author information available yet)
[This corrects the article DOI: 10.1590/1413-785220182601179926.].
January 2019: Acta Ortopedica Brasileira
Carlos Julio Montaño, Tarcisio Passos Ribeiro de Campos
Polymethylmetacrylte (PMMA) is used in the fields of dentistry and biomedicine as a constituent of bone cements. Hydroxyapatite (HAp) is a bioceramic produced naturally in the bones. PMMA and HAp are fundamental constituents in the preparation of bone cements. Bisphosphonates have also been used as radiopharmaceutical in dental implants and nuclear medicine, or as palliative systemic treatment for pain reduction in bone metastasis. Vertebroplasty and kyphoplasty are bone cement-based techniques used in orthopedics, being minimally invasive procedures with low risks of infections, applied in osteoporosis and high-impact fractures...
January 2019: Acta Ortopedica Brasileira
Jaime J Morales De Cano, Llorenç Guillamet, Arturo Perez Pons
Objectives: Severe pelvic deficiency presents a difficult problem in hip arthroplasty. Specifically, the goals are to restore the pelvic bone stock, place the acetabular component in the correct anatomical position, and optimize joint stability. Currently, many surgical techniques have been developed for prosthetic revision surgery for acetabular complex defects, but no consensus has been reached on the best treatment. The objective of this study was to review mid-term cases of severe bone defect (Paprosky type III) treated with a bone allograft and ring Bursch-Schneider anti-protrusion cage (BSAC)...
January 2019: Acta Ortopedica Brasileira
Leonardo Kurebayashi, Adauto Telino de Melo, Fernando Brandão Andrade-Silva, Kodi Edson Kojima, Jorge Dos Santos Silva
Objective: There is no consensus in the literature regarding the time taken to remove antibiotic spacers in the treatment of bone infections. The aim of this study is to evaluate the clinical results of patients with prolonged retention of the same. Methods: Patients selected were diagnosed with post-osteosynthesis infection and/or osteomyelitis and were submitted to treatment using an orthopedic cement spacer (polymethylmethacrylate) with vancomycin, retaining it for a period of more than 12 months...
January 2019: Acta Ortopedica Brasileira
Fernando Brandão Andrade-Silva, Renan Lyuji Takemura, Renato Tavares Bellato, Marcos de Camargo Leonhardt, Kodi Edson Kojima, Jorge Dos Santos Silva
Objectives: To describe the clinical utility of the Manchester triage scale adapted for orthopedic emergency departments and to evaluate its validity in identifying patients with the need for hospital care and its reliability when reproduced by different professionals. Methods: Five triage flowcharts were developed based on the Manchester scale for the following orthopedic disorders: traumatic injuries, joint pain, vertebral pain, postoperative disorders, and musculoskeletal infections...
January 2019: Acta Ortopedica Brasileira
Alexandre Fogaça Cristante, Fábio Barbieri, Almy Anacleto Rodrigues da Silva, José Claudio Dellamano
Objective: To evaluate the radiation dose received by staff in spine surgeries, including those who are not considered occupationally exposed workers. Methods: All spinal surgeries performed in the same department during a period of 12 months were evaluated with regard to the exposure of surgeons, scrub nurses, and auxiliary personnel working in the operating room to radiation from C-arm fluoroscopy. Radiation was measured by 15 film badge dosimeters placed on the professionals' lapels, gloves, and room standardized sites...
January 2019: Acta Ortopedica Brasileira
Fernando Flores de Araujo, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa de Barros, Olavo Biraghi Letaif
Objective: Adolescent idiopathic scoliosis (AIS) is characterized by rotational and lateral deformity of the spine. The measurement of vertebral rotation is important for prognosis and treatment. Our objective was to evaluate whether the Nash-Moe method can be used to measure axial deformity correction with surgical treatment using the rod derotation maneuver at both the apex and extremities of the deformity in patients with AIS. Methods: Rotation was assessed using the Nash and Moe criteria, on preoperative and postoperative radiographs...
January 2019: Acta Ortopedica Brasileira
Oswaldo Roberto Nascimento, Leonardo Yukio Jorge Asano, André Nunes Machado, André Evaristo Marcondes Cesar, Luciano Miller Reis Rodrigues
Objectives: To compare the clinical outcomes and quality of life of patients surgically treated for lumbar spinal stenosis with decompression and posterolateral fusion, and decompression with interbody fusion. Methods: The study included 88 patients with lumbar canal stenosis who underwent surgery treatment (decompression and interbody fusion in 36 patients and decompression and posterolateral fusion [PL] in 52 patients). The clinical outcomes were assessed using the Oswestry Disability Index (ODI), Roland-Morris (RM) functional disability scale, and visual analog scale (VAS) for pain...
January 2019: Acta Ortopedica Brasileira
Bekir Eray Kilinc, Dong Phuong Tran, Charles Johnston
Objective: To compare radiographic and surgical outcomes of Lenke 1B and 1C patterns. Methods: One hundred twenty patients with Lenke 1B and 1C scoliosis were grouped according to implant density as follows: low density (LD) of ≤1.4 and high density (HD) of >1.4. Matched subgroups (30 patients each) based on age, curve magnitude, and body mass index (BMI) were analyzed. Radiographic parameters were evaluated before operation, immediately after operation (ipo), and at 2 years' follow-up...
January 2019: Acta Ortopedica Brasileira
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