Abstract:
OBJECTIVE:To analyze the characteristics of patients with Lisfranc injuries and their associated fractures . METHODS:This is a retrospective analysis on 42 patients with Lisfranc injuries hospitalized at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, between 2006 and 2010. Parameters on patient profile, risk factors, fracture characteristics, data on treatment and acute complications were analyzed . RESULTS:Analysis of 42 cases showed that in our sample, men were more affected than women, with a ratio of 4.25:1. The most frequent trauma mechanism was car accident, followed by motorcycle accident. The most frequent type of injury was isolated lesion type B of Quenu and Kuss classification, representing 50% of cases. The most common fracture on the sample was the second metatarsal bone, with 16 cases, followed by cuboid bone fracture. Among the 42 cases, 17% had exposed fractures and 33 patients presented other associated fractures. The mean time elapsed between the trauma and definitive treatment was 6.7 days, while the mean length of hospital stay was 13.8 days. Six patients presented acute postoperative complications . CONCLUSION:Lisfranc injuries are more common in men undergoing automobile trauma. The prevalence of associated fractures is a frequent finding and the hospital stay may be longstanding. Level of Evidence IV, Case Series. OBJETIVO: Analisar o perfil de pacientes com lesões de Lisfranc, as características das lesões e fraturas associadas. MÉTODOS: Trata-se de uma análise retrospectiva com 42 pacientes com lesões de Lisfranc internados no Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo entre 2006 e 2010. O perfil dos pacientes, características das lesões, fraturas associadas, dados sobre o tratamento e complicações agudas foram analisados. RESULTADOS: Nesta amostra, os homens foram mais afetados do que as mulheres, com uma proporção de 4,25:1. O mecanismo de trauma mais frequente foi acidente de carro, seguido por acidente com moto. O tipo de lesão mais frequente foi a lesão isolada tipo B de Quenu e Kuss, representando 50% dos casos. A fratura mais comumente encontrada foi a do segundo metatarso, com 16 casos, seguido pela fratura do osso cubóide. Entre os 42 casos estudados, sete foram fraturas expostas e 33 pacientes apresentaram fraturas associadas. O tempo médio entre o trauma e o tratamento definitivo foi de 6,7 dias. O tempo médio de permanência hospitalar foi de 13,8. Seis pacientes apresentaram complicações pós-operatórias agudas. CONCLUSÃO: As lesões de Lisfranc são mais comuns em homens submetidos a trauma automobilístico. A prevalência de fraturas associadas é um achado frequente e o tempo de permanência hospitalar pode ser prolongado. Nível de Evidência IV, Série de Casos .
journal_name
Acta Ortop Brasjournal_title
Acta ortopedica brasileiraauthors
Sobrado MF,Saito GH,Sakaki MH,Pontin PA,Santos ALGD,Fernandes TDdoi
10.1590/1413-785220172501168995subject
Has Abstractpub_date
2017-01-01 00:00:00pages
44-47issue
1eissn
1413-7852issn
1809-4406journal_volume
25pub_type
杂志文章abstract:OBJECTIVES:Retrospective clinical evaluation of 31 patients who underwent ulnar nerve decompression at the elbow and subcutaneous anterior transposition. METHODS:From January 2000 to December 2013, 71 patients underwent subcutaneous anterior transposition of the ulnar nerve. Thirty-one patients returned for evaluation...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220162404157171
更新日期:2016-07-01 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: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: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: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
abstract:OBJECTIVE:To determine intra and interobserver agreement of the grading system for femoral cementation in hip arthroplasty proposed by Barrack. METHODS:Immediate anteroposterior and lateral postoperative radiographs of 55 primary total hip arthroplasties were assessed by two observers familiar with the use of this gra...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522013000100006
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:OBJECTIVE:To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). METHODS:A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address ...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220162405156380
更新日期:2016-09-01 00:00:00
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::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:This study aims to establish the current panorama of the anterior cruciate ligament reconstruction surgery in Brazil. Methods:A survey that consisted of a 24-item questionnaire including surgeon's demographics, preferred technique, graft selection, graft positioning, use of braces, drains, antibiotic prophyl...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220192703182208
更新日期:2019-05-01 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 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:OBJECTIVE:The objective of this study was to analyze the functional status of adult and older adult individuals with lower back pain . METHODS:Eighty-three individuals were recruited, 42 older adults (20 with lower back pain and 22 control group) and 41 younger adults (21 with lower back pain and 20 control group). Fu...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220172504156564
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To report clinical and epidemiological characteristics and risk factors of patients with Carpal Tunnel Syndrome (CTS) on sick leave admitted in a University Hospital. METHODS:This is a transversal study conducted with patients admitted sequentially over 18 years of age, without distinction of gender and race...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220152305145784
更新日期:2015-09-01 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:: Analyze the effects of physical exertion during a soccer match on the functional capacity and stability of the lower limbs of young soccer players. METHODS:: We analyzed 10 soccer players who underwent functional capacity assessment of the lower limbs by a Hop Test protocol and evaluation of the level of p...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522013000300005
更新日期:2013-05-01 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: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:OBJECTIVE:To evaluate whether distal rectus femoris transfer (DRFT) is related to postoperative increase of knee flexion during the stance phase in cerebral palsy (CP). METHODS:The inclusion criteria were Gross Motor Function Classification System (GMFCS) levels I-III, kinematic criteria for stiff-knee gait at baselin...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220162401145765
更新日期:2016-01-01 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: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:Objective:To compare postoperative radiographic outcomes of Schatzker type V and VI tibial plateau fractures treated with double-plate or single lateral locked plate. Methods:Sixty-three patients operated from December 2011 to February 2016 were selected, 47 from the double-plate group and 16 from the single lateral l...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220202804233122
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To establish the radiographic images of the femoral insertion of the posterior cruciate ligament (PCL), in order to assist the creation of anatomical femoral tunnels during surgeries, and to be used as parameters in postoperative evaluation of the location of these tunnels. METHODS:Thirty adult cadaver knees...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/S1413-78522013000600005
更新日期:2013-01-01 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: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: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: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: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::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