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Revista Brasileira de Ortopedia

José Miguel Francisco da Silva Souza, Anna Luísa Franco de Aquino, Andréa Oliveira Basto
Heterotopic ossification can be defined as the formation of bone in tissues that have no ossification properties, such as in muscles and connective tissue of a periarticular region, without invasion of the joint capsule. This pathology usually has a benign course, but it can cause a reduction in the range of joint movement and hamper the rehabilitation process. Its etiology is still unknown and it usually is originated from posttraumatic complications, affecting 10-20% of patients with traumatic brain injury...
November 2018: Revista Brasileira de Ortopedia
Guilherme Valdir Baldo, Alexandre Casagrande, Diogo Rath Fingerl Barbosa, Waldemar de Souza Junior, Márcio Papaleo de Souza, Zaffer Maito
Spinal cord compression by structures adjacent to the spine is a rare event. The authors present a case of spinal cord compression in an adult caused by a partial herniated lung after a traffic accident. No similar cases were found in the literature.
November 2018: Revista Brasileira de Ortopedia
Fernando Fonseca
Joint preservation surgery is accepted in cases of secondary osteonecrosis of the knee without joint collapse. However, there is no consensus on the best treatment: debridement and drilling, or use of auto- or allograft. The author describes a clinical case with 15 years of evolution where allogeneic osteochondral graft was used in the treatment of osteonecrosis of the lateral femoral condyle in a young woman with systemic lupus. In spite of having other options and of the results reported in the literature, the functional evaluation 15 years later presented excellent results, with total autonomy of the patient for daily life and work tasks, indicating that the option for osteochondral allograft may be a good solution...
November 2018: Revista Brasileira de Ortopedia
João Bosco Sales Nogueira, Abrahão Cavalcante Gomes de Souza Carvalho, Edgar Marçal de Barros Filho, Leonardo Heráclio do Carmo Araújo, Marcelo José Cortez Bezerra, José Alberto Dias Leite
For decades, the main cause of failure in total knee arthroplasty (TKA) is still the malalignment of prosthetic components. The authors present a case of advanced knee arthrosis, treated by TKA. Preoperative planning was performed with a mobile application and the patient was submitted to primary TKA using an implant developed with inspiration from the theory of "modified GAP" with a rotated tibial tray. Neutral mechanical alignment of the lower limbs was obtained and the application proved to be viable regarding its proposed plan for this case...
November 2018: Revista Brasileira de Ortopedia
Andrew Sephien, Francisco Schwartz-Fernandes
Thumb injuries are not as common as those occurring in the fingers. The authors present the case of a patient who had an isolated avulsion of the extensor pollicis brevis that resulted in metacarpophalangeal joint instability, with intact radial and ulnar collateral ligament.
November 2018: Revista Brasileira de Ortopedia
Anmol Sharma, Anisha Sethi, Shardaindu Sharma
Objective: To the best of the authors' knowledge, no studies in the literature have compared the clinical outcome of the three most common implants used to treat basicervical fractures of the femoral neck in young adults, i.e. CCS, DHS, and PFN. The present study attempts to fill the void in the literature and reach a conclusion regarding the usefulness of these implants in these fractures. Methods: This was a prospective interventional study including 90 patients with basicervical fracture of the neck of femur treated randomly with cancellous cannulated lag screws or dynamic hip screw, with a derotation screw or short PFN...
November 2018: Revista Brasileira de Ortopedia
Gustavo Göhringer de Almeida Barbosa, Fabricio Cardozo Vicente, Miguel Antonio Razia Fagundes, Lauro Manoel Etchepare Dornelles, Marcelo Reuwsaat Guimarães, Cristiano Valter Diesel
Objective: The objective of this study was to evaluate the relationship between the neutrophil/lymphocyte ratio and the presence of signs of arthrosis in both hips in patients followed at this medical center. Methods: This was a cross-sectional, retrospective study through the analysis of medical records and database review of patients over 18 years of age with hip arthrosis, followed at the outpatient clinic of this hospital. Results: Regarding the analysis of the Mann-Whitney test to correlate the neutrophil/lymphocyte ratio and laterality, a bi-lateral test result of p  = 0...
November 2018: Revista Brasileira de Ortopedia
Mohammad Reza Abbas-Zadeh, Ali Azizi, Leila Abbas-Zadeh, Farhad Amirian
Objective: Avascular necrosis of the hip is a common debilitating disease during the fourth and fifth decades of life. This study attempted to evaluate quality of life in patients with avascular necrosis of the hip joint before and after surgery. Methods: In this study, 40 patients with avascular necrosis of the hip who underwent total hip arthroplasty, bipolar surgery, or cord compression were examined during 2006-2013. Harris Hip Score was used to assess the hip joint function and quality of life before and after surgery...
November 2018: Revista Brasileira de Ortopedia
Felipe Spinelli Bessa, Ronald Delgadillo Fuentes, Helder de Souza Miyahara, Alberto Tesconi Croci, Leandro Ejnisman, José Ricardo Negreiros Vicente
Objective: To assess the clinical and radiographic outcomes of hip resurfacing arthroplasty for the treatment of hip osteoarthritis. Methods: This study retrospectively assessed 30 patients with hip osteoarthritis who underwent hip resurfacing arthroplasty between 2005 and 2014. Patients of both genders suffering from advanced primary and secondary hip osteoarthritis were included in the study. Data were collected about postoperative complications and the need for revision of the arthroplasty...
November 2018: Revista Brasileira de Ortopedia
Mariana Diana Chaves de Almeida, Rodrigo Pires E Albuquerque, Guilherme Mathias Palhares, Juliana Patrícia Chaves de Almeida, João Mauricio Barretto, Naasson Cavanellas
Objective: Evaluate the efficacy of tranexamic acid in reducing bleeding in patients undergoing total knee arthroplasty. Methods: 101 patients were randomized into two groups: the tranexamic acid group ( n  = 51) and the placebo group ( n  = 50). Patients were compared regarding the following parameters: reduction of hemoglobin, total estimated blood loss, drain output, and postoperative blood transfusion rate. Results: Comparing the groups, there were statistically significant differences ( p  < 0...
November 2018: Revista Brasileira de Ortopedia
Leonardo Antunes Bellot de Souza, Vinícius Magno da Rocha, Max Rogerio Freitas Ramos
Objective: To evaluate the microfracture intervention with tibial valgus osteotomy associated in the treatment of varus gonarthrosis. Methods: From November 2005 to May 2013, 129 patients with medial gonarthrosis, varus deformity (8°-12°), and range of movement greater than 90° were evaluated. Patients with advanced gonarthrosis (Alhbäck 3, 4, and 5), Outerbridge lesion inferior to IV, previous knee surgery, body mass index greater than 35 kg/m2 , and/or cruciate ligament injuries were not included...
November 2018: Revista Brasileira de Ortopedia
Daniel Araujo Fernandes, Lisiane Schilling Poeta, Cesar Antônio de Quadros Martins, Fernando de Lima, Francisco Rosa Neto
Objective: To evaluate the change in balance and quality of life in patients undergoing total knee arthroplasty for primary gonarthrosis. Method: Patients aged 60 years or older were evaluated in relation to the balance and quality of life before total knee arthroplasty and six months after surgery. To assess balance, this study used the Motor Scale Test for the Elderly; quality of life was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire and the Short Form Health Survey...
November 2018: Revista Brasileira de Ortopedia
Glaucus Cajaty Martins, Luiz Felippe Martins Filho, Andre Heringer Raposo, Raphael Barbosa Gamallo, Zarthur Menegazzi, Antônio Vítor de Abreu
Objective: To evaluate the prevalence of pain and radiographic degenerative arthritis in a group of severe obese patients (body mass index [BMI] > 35). Methods: 41 patients with an indication of bariatric surgery were studied. The group of severely obese patients was subdivided into two subgroups: those with BMI < 50 and those with BMI > 50 ( n  = 14). They were compared to control group ( n  = 39). The following parameters were analyzed and correlated: radiographic arthritis by Kellgren-Lawrence's classification, tibiofemoral axis, gender, age, and knee pain (visual analog scale [VAS])...
November 2018: Revista Brasileira de Ortopedia
Diego Costa Astur, Jonathas Costas Lopes, Marcelo Abdulklech Santos, Camila Cohen Kaleka, Joicemar Tarouco Amaro, Moises Cohen
Objectives: To evaluate the clinical and functional results of patients diagnosed with full-thickness chondral defects on symptomatic knees who underwent a biological repair technique using autologous matrix-induced chondrogenesis. Methods: Seven patients who underwent surgical treatment due to chondral lesions in the knee by autologous matrix-induced chondrogenesis were evaluated. The Lysholm, Kujala and visual analog scale of pain questionnaires were applied before and 12 months after the surgery...
November 2018: Revista Brasileira de Ortopedia
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
Objectives: To evaluate the results of patients undergoing arthroscopic surgical treatment for snapping scapula syndrome. Methods: This is a retrospective study of 11 patients undergoing scapulothoracic arthroscopy for the treatment of snapping scapula syndrome. The study included patients with clinical diagnosis of snapping scapula syndrome who did not show pain improvement after at least six months of physical therapy. Patients were assessed using the DASH, UCLA, visual analogue pain assessment (VAS), and Short-Form 36 (SF36) scores...
November 2018: Revista Brasileira de Ortopedia
Leandro Cardoso Gomide, Roberto Araújo Ruzi, Beatriz Lemos Silva Mandim, Vanessa Alves da Rocha Dias, Rogério Henrique Dias Freire
Objective: This trial investigated postoperative analgesia in arthroscopic rotator cuff repair surgery patients under general anesthesia, associated with ultrasound-guided peri-plexus interscalene brachial plexus block (US-IBPB), and compared single injection to elastomeric pump continuous infusion of local anesthetics. Complications associated to both techniques are described. Methods: In this prospective, quasi-randomized controlled clinical trial, 68 adults scheduled for elective arthroscopic rotator cuff repair were assigned to receive Group 1 (G1 = 41) US-IBPB with a 20 mL injection of 0...
November 2018: Revista Brasileira de Ortopedia
Flávio de Oliveira França, José Marcio Alves Freitas, Pedro Couto Godinho, Dermerson Martins Gonçalves, Tertuliano Vieira, Ulisses Silva Pereira
Objective: To assess the clinical and functional results of patients submitted to reverse arthroplasty with a minimum follow-up of one year. Methods: Twenty-two patients submitted to shoulder reverse arthroplasty by the Surgery and Shoulder Rehabilitation Group were retrospectively evaluated with pre and postoperative imaging analysis, analog pain scale, range of motion, and ASES functional score. Results: Out of 19 (86.3%) patients with preoperative ASES classified as poor/bad, 11 (57...
November 2018: Revista Brasileira de Ortopedia
Jorge Henrique Assunção, Guilherme Guelfi Noffs, Eduardo Angeli Malavolta, Mauro Emilio Conforto Gracitelli, Ana Lucia Munhoz Lima, Arnaldo Amado Ferreira Neto
Objective: To describe the clinical and epidemiological characteristics of patients with septic arthritis of the shoulder or elbow and to evaluate prognostic factors for complications during treatment. Methods: A retrospective case series was studied with patients treated between 2004 and 2014. The patients' clinical and epidemiological characteristics were collected. The clinical and orthopedic complications were identified and possible prognostic factors were evaluated...
November 2018: Revista Brasileira de Ortopedia
Pedro Henrique de Magalhães Tenório, Marcelo Marques Vieira, Abner Alberti, Marcos Felipe Marcatto de Abreu, João Carlos Nakamoto, Alberto Cliquet
Objective: This study evaluated the intraobserver and interobserver reliability of the AO classification for standard radiographs of wrist fractures. Methods: Thirty observers, divided into three groups (orthopedic surgery senior residents, orthopedic surgeons, and hand surgeons) classified 52 wrist fractures, using only simple radiographs. After a period of four weeks, the same observers evaluated the initial 52 radiographs, in a randomized order. The agreement among the observers, the groups, and intraobserver was obtained using the Kappa index...
November 2018: Revista Brasileira de Ortopedia
Carlos Henrique Fernandes, Lia Miyamoto Meirelles, Marcela Fernandes, Luis Renato Nakachima, João Baptista Gomes Dos Santos, Flavio Fallopa
Objective: The authors performed an intra-individual comparison of surgical results between the open and endoscopic surgical techniques in patients with bilateral carpal tunnel syndrome. Each hand was submitted to surgery using one of these techniques. Methods: Fifteen patients (30 hands) were evaluated by the Boston Questionnaire, visual analogue pain scale, palmar grip strength, and for tip, key, and tripod pinch strengths. These measurements were taken before surgery and at two weeks, one month, three months, and six months after the procedure...
November 2018: Revista Brasileira de Ortopedia
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