Abstract:
OBJECTIVE:To evaluate and to compare the Spaso and Kocher reduction maneuvers in terms of efficiency, time of reduction, facileness, pain, discomfort to the patient, complications and risks, besides promoting the comparison between the two maneuvers, aiming to ground the emergency conduct. METHODS:A prospective study with 105 patients with acute shoulder dislocations were enrolled in the study between February 2011 and September 2012. The patients were randomized into two groups and they were submitted to the reduction of dislocation using the Spaso maneuver (group A) or the Kocher technique (group B) by first, second or third-year orthopedic surgery residents from our service. The results were evaluated and compared. RESULTS:There was no statistically significant difference between the two groups in terms of age, gender, timing of reduction, number of precedent episodes and complications after reduction. However, reduction was achieved in more cases using the Spaso method than it was among the Kocher group, as well as the mean duration of the reduction maneuver and discomfort were shorter in the group A patients. CONCLUSIONS:Both methods presented good results in terms of dislocation reduction and low complications rates. Nevertheless, the Spaso maneuver was more efficient, fast and easily applicable in comparison with Kocher's method. Level of Evidence I, Therapeutic.
journal_name
Acta Ortop Brasjournal_title
Acta ortopedica brasileiraauthors
Rezende Bda R,de Almeida JI Sr,de Sousa UJ,Bomfim Lde S,Ferreira MS Jrdoi
10.1590/1413-78522015230400701subject
Has Abstractpub_date
2015-07-01 00:00:00pages
192-6issue
4eissn
1413-7852issn
1809-4406journal_volume
23pub_type
杂志文章abstract: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 auxi...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220192701172722
更新日期:2019-01-01 00:00:00
abstract:Objective:To compare the classification of CTS by the Phalen test with electromyography. Methods:Cross-sectional observational study. Patients at orthopedic outpatient clinic with carpal tunnel syndrome were evaluated by the Phalen test and compared with the result of the electroneuromyography. Results:Sample of 33 p...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220202803225744
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:To study the shoulder of this group of patients using magnetic resonance imaging to detect clinical and subclinical disorders and establish a rehabilitation program. METHODS:Nine patients with spinal cord injury followed in the Laboratory of Biomechanics and Rehabilitation of the Locomotive System at HC/UNIC...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522012000500009
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To demonstrate the importance of performing early shoulder tomography in patients with obstetric brachial plexus palsy (OBPP). METHODS:This series of cases retrospective study with level evidence IV was conducted by consulting 76 patient's medical records with OBPP divided into three age groups: ≤12 months, ...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522015230101023
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the value of post-treatment follow-up in osteosarcoma patients. METHODS:Data were collected through a clinical record, with socio-demographic and clinical data, and information relating to the medical appointment. Descriptive analysis of the data was carried out. The Chi-squared test was used to ...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522012000400009
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:Cervical myelopathy is a spinal cord dysfunction related to degeneration typical of aging. Its primary pathology is related to ischemia and spinal cord compression. Patients with myelopathy present many clinical problems; more severe cases may lead to quadriplegia if not treated in a timely manner. Because th...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522012000300009
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:To examine the cellularity and thickness of the articular cartilage of the femur in rats with arthritis after treatment with iontophoresis. METHODS:To evaluate these objectives, a histological analysis was performed on hematoxylin and eosin, where cellularity and cartilage thickness were observed and evalua...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522014220400769
更新日期:2014-01-01 00:00:00
abstract:Objectives:To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. Methods:we performed a literature review of relevant clinical studies in multiple databases, including PubMed, MedLine and Scopus, from January 1989 to October 2020. R...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章,评审
doi:10.1590/1413-785220202806236612
更新日期:2020-11-01 00:00:00
abstract:Objective:The purpose of this study was to investigate the effects of neuromuscular electrical stimulation (NMES) in different frequencies on the quadriceps femoris. A randomized, controlled, blind cross-sectional study. Methods:Thirty subjects (12 men and 18 women), with an average age of 24.67 years, weight of 65.62...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182605178164
更新日期:2018-01-01 00:00:00
abstract::Anterior glenohumeral instability is a frequent cause of professional soccer players' removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly. Ob...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220202802225433
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:Retrospective evaluation of cases of limb replantation after avulsion injuries. Evaluation of the techniques and tactics used, that contributed to success and good functional results. METHODS:Forty-three patients' records were assessed. All the cases had been submitted to limb replantation after avulsion in...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522012000200009
更新日期:2012-01-01 00:00:00
abstract:Background:Distal radius fractures are one of the most common orthopedic injuries and appear in various patterns. Volar plate fixation is not always considered the gold standard treatment. Objective:To measure the resistance of a fragment-specific fixation assembly model obtained by plate fixation associated with diff...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182606190551
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To assess the presence of tibial bone tunnel enlargement after surgical reconstruction of the anterior cruciate ligament using quadruple graft of the flexor tendons and correlate the functional results in their presence. METHODS:The studied lasted six months and included 25 patients, with ages ranging from 1...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522014220500338
更新日期:2014-01-01 00:00:00
abstract:Objective:To evaluate the mechanical behavior of the proximal end of the femur submitted to the X-shaped polymethylmethacrylate (PMMA) reinforcement technique. Methods:Fifteen synthetic femurs, with a Nacional® density of 10 PCF, were divided into two groups: the DX group, with 5 units that were submitted to PMMA rein...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182604187691
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To investigate the influence of low intensity laser irradiation on the regeneration of the fibular nerve of rats after crush injury. METHODS:Twenty-five rats were used, divided into three groups: 1) intact nerve, no treatment; 2) crushed nerve, no treatment; 3) crush injury, laser irradiation applied on the ...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522013000200005
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:The influence of dose of low power lasertherapy (AsGaAl, 830 nm) on the regeneration of the fibular nerve of rats after a crush injury was evaluated by means of the functional gait analysis and histomorphometric parameters. METHODS:Controlled crush injury of the right common fibular nerve, immediately follow...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522013000500005
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:The aim of the treatment of tibial plateau fractures is to obtain a pain-free and fully functional knee with closed reduction, percutaneous cannulated screw fixation and hexapodal external fixator reconstruction for high energy compound upper tibial fractures. METHODS:Patients with comminuted tibial plateau...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522014000100008
更新日期:2014-01-01 00:00:00
abstract:Objectives:To evaluate the regenerative capacity of gracilis (G) and semitendinosus (ST) tendons, to examine the sensitivity and specificity of signs and symptoms in the assessment of hamstring tendons, and to assess the thickness and insertion site of regenerated tendons. Methods:Thirty sequential knees were subjecte...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182606168849
更新日期:2018-01-01 00:00:00
abstract: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...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220172505167473
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To evaluate whether nitric oxide (NO) supplementa-tion is directly related to increased muscle power in response to strength exercise training. METHODS:The study included 36 individuals who underwent training for eight weeks (three times per week) with weights, who were randomly divided into two groups, both...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220152306148249
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:: To evaluate clinically and radiologically the elbows of spinal cord injured patients and compare them to the control group. METHODS:: Twenty patients (10 paraplegics and 10 tetraplegics) were clinically evaluated through assessment of pain scale, measurement of active and passive range of motion, degree o...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220162402154665
更新日期:2016-03-01 00:00:00
abstract::The use of intramedullary nailing to treat proximal femoral fractures has increased in recent years. Nail breakage is a rare complication of intramedullary nailing of the femur, and generally occurs at the non-united fracture site. Removal of the distal fragment of a broken nail is a challenging problem. In this artic...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182601148079
更新日期:2018-01-01 00:00:00
abstract:Objective:To analyze and follow-up patients previously selected by pediatricians at the time of birth who presented altered initial physical examination results to identify the pathological changes in their hips. Methods:A prospective cohort study was conducted involving 34 newborns (68 hips) out of a total of 1273 li...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220192706220630
更新日期:2019-11-01 00:00:00
abstract::Due to the high physical and psychological demands of their work, musicians have a high risk of developing a range of health problems. The main causes of musculoskeletal disorders seen in instrumentalists are overuse, nerve compression and focal dystonia. The aim of this paper is to identify the musculoskeletal disord...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章,评审
doi:10.1590/S1413-78522012000100009
更新日期:2012-01-01 00:00:00
abstract:Objective:Epidural fibrosis is one of the main reasons for requiring repeated surgical intervention. Our objective was to compare the effect of Platelet Rich Plasma (PRP) on the development of epidural fibrosis with collagen dural matrix and free autogenous fat graft. Methods:Male rats were separated into 3 groups. La...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220202801218823
更新日期:2020-01-01 00:00:00
abstract:Objective:This study aims to assess the quality of articles published in the leading orthopedic surgery journals, by measuring the relation between the impact factor and the number studies with a high level of evidence. Methods:A literature review was performed of articles published in four previously selected journal...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182604168767
更新日期:2018-01-01 00:00:00
abstract::The aim of this study was to describe concepts of health economics in order to update and provide the orthopedic practitioner decision making parameters based on preferences. Four basic types of studies of economical evaluation were presented (cost minimization analysis, cost-benefit, cost-effectiveness and cost-utili...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522014220200456
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the functional outcome of patients with surgically treated terrible triad of the elbow. METHODS:A retrospective evaluation was performed using the MEPS score (Mayo Elbow Performance Score) of patients diagnosed with terrible triad of the elbow who underwent surgical treatment. RESULTS:14 patien...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522015230301008
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To determine whether there is a difference on the bone architecture in patients with femoral neck fracture compared to patients with intertrochanteric fractures and assess the importance of aging on bone microarchitecture in patients with proximal femoral fracture. METHODS:Biopsy of the iliac crest was made ...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522015230201056
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:Ginkgo biloba extract (EGb 761) is a plant extract obtained from the leaves of the G. biloba tree. The aim of this study was to assess the histological and radiological effects of G. biloba extract on fracture healing in an experimental fracture model using rat femurs. METHODS:Forty-eight female Sprague-Daw...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220172503156966
更新日期:2017-05-01 00:00:00