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 subjected to anterior cruciate ligament reconstruction with semitendinosus and gracilis tendons. After surgery, the patients were followed up clinically with physical examination and magnetic resonance imaging (MRI). Results:Overall, 36.66% of the tendons were visible on MRI, whereas 83.33% were palpable. On MRI, the distal insertion site of the regenerated semitendinosus tendon was visible proximal to the landmark of the medial femoral condyle in 28%, at the same level in 16%, and distally in 56% of the cases. Gracilis tendon insertion was visible proximally in 36.66% of cases, at the same level in 10%, and distally in 53.33%. Eleven knees exhibited complete regeneration. Conclusion:Partial or total regeneration of the ST and G tendons was apparent on MRI. Palpation is effective for evaluating regeneration of the ST and G tendons; however, MRI is still the gold standard. ST and G tendons regenerated completely in only a small percentage of patients, limiting reuse as a graft in cases with new ligament injuries of the knee. Level of Evidence II, Prospective comparative study. Objetivo:Avaliar a capacidade de regeneração dos tendões Grácil e Semitendíneo; Identificar a sensibilidade e especificidade da manobra semiológica para detecção da presença dos tendões isquiotibiais; verificar espessura e região de inserção dos tendões regenerados. Métodos:30 pacientes foram submetidos à cirurgia para reconstrução do LCA, com retirada dos tendões do semitendíneo e grácil. Após a cirurgia, os pacientes foram acompanhados clinicamente por exame físico e por RM. Resultados:Observou-se que em 36,66% eles se apresentavam visíveis, enquanto 83,33% os tendões estavam palpáveis. Observou-se à RM, quanto a região da inserção distal dos tendões regenerados: Semitendíneos, 28% proximal ao ponto padronizado do MFC, 16% se apresentaram ao nível e 56% distal. Já quanto aos tendões do Grácil, 36,66% apresentavam-se proximais, 10% ao nível e 53,33% distal. Onze tendões do ST e do G tiveram regeneração completa. Conclusões:Ficaram caracterizadas, por RM, as regenerações parciais ou totais dos tendões ST e G;a palpação, é eficaz para avaliar a regeneração dos tendões, porém RM mantem-se como padrão ouro; apenas parte dos pacientes os tendões ST e G se regeneraram de maneira completa, limitando a sua reutilização como enxerto nos casos de nova lesão ligamentar. Nível de Evidência II, Estudo prospectivo comparativo.
journal_name
Acta Ortop Brasjournal_title
Acta ortopedica brasileiraauthors
Albertoni LJB,Debieux P,Franciozi CEDS,Novaretti JV,Granata GSM Jr,Luzo MVMdoi
10.1590/1413-785220182606168849subject
Has Abstractpub_date
2018-01-01 00:00:00pages
379-383issue
6eissn
1413-7852issn
1809-4406pii
1413-785220182606168849journal_volume
26pub_type
杂志文章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
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更新日期:2016-09-01 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:: 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
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abstract:Objective:To assess whether Bare Spot is previously displaced by proportion (MEASURE BP-A × 1.25/MEASURE BP-P = 1). Methods:35 patients with surgical indication for rotator cuff injury repair were evaluated. The distances from the Bare Spot to the anterior edge of the glenoid cavity (BS-A) and to the posterior edge (B...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
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abstract:Objective:It is difficult to achieve proper alignment after total knee arthroplasty (TKA) in patients with extra-articular deformity (EAD) because of altered anatomical axis and distorted landmarks. As of this writing, only case series have been reported with regard to the usefulness of computer-assisted navigation sys...
journal_title:Acta ortopedica brasileira
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更新日期:2018-05-01 00:00:00
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 ...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-78522015230400701
更新日期:2015-07-01 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
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更新日期:2018-01-01 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
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更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:Evaluate the static positioning of the scapula on the rib cage in healthy subjects by means of clinical and radiographic evaluation to assess inter-examiner reliability of clinical examination and verify the reliability of this evaluation method compared to the radiographic examination. METHODS:We selected 3...
journal_title:Acta ortopedica brasileira
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更新日期:2013-07-01 00:00:00
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 Fa...
journal_title:Acta ortopedica brasileira
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更新日期:2017-01-01 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
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更新日期:2016-01-01 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::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
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更新日期:2020-03-01 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
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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: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
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更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To assess the adequacy to the Brazilian population of orthopedic implants used for treatment of proximal femoral fractures. METHODS:The neck-shaft angle of the femur of 101 patients was measured in anteroposterior pelvis radiographs and these measurements were correlated to gender, age, height, weight and et...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
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更新日期:2016-11-01 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
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doi:10.1590/1413-78522014220500338
更新日期:2014-01-01 00:00:00
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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
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更新日期:2020-05-01 00:00:00
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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 evaluate the age in which the secondary ossification centers of the elbow appear and fuse in the Brazilian population. Methods:Nearly thirty radiographs were randomly selected for each age group from 0 to 18 years, with a total of 544 radiographs from 439 patients, between 2010 and 2015, without abnormali...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
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更新日期:2017-11-01 00:00:00
abstract:Objective:To evaluate the association between bone mineral density (BMD) and body composition in healthy older adults at different skeletal sites. Methods:We analyzed 87 medical records and BMD along with the body composition of men ranging from 60 to 87 years of age (mean: 68.5, standard deviation: 6.5). Inclusion cr...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182601182340
更新日期:2018-01-01 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: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
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更新日期:2019-05-01 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
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更新日期:2013-01-01 00:00:00
abstract:Objective:To analyze 10 consecutive cases of microsurgical arteriovenous loops created to reconstruct complex injuries from March 2011 to May 2012. Methods:This observational cohort-type study conducted by the Hand and Microsurgery Group at the HC-FMUSP included patients who were candidates for microsurgical reconstru...
journal_title:Acta ortopedica brasileira
pub_type: 杂志文章
doi:10.1590/1413-785220182602187220
更新日期:2018-03-01 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
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更新日期:2017-09-01 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