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RANDOMIZED CLINICAL TRIAL OF ASPIRIN AS PROPHYLAXIS FOR THROMBOEMBOLISM IN HIP ARTHROPLASTY. 阿司匹林作为髋关节置换术血栓栓塞预防药物的随机临床试验。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e272229
Raul Carneiro Lins, Epitacio Rolim, Yago Andrade Lima, Rodrigo Rodrigues de Sousa Moura

Objective: This study aims to evaluate aspirin as a chemical prophylaxis (200 mg) in total hip arthroplasty.

Methods: the study compared two groups and used ultrasonography (USG) to screen for low-deep venous thrombosis. Group 1 received 600 mg (control), and Group 2 received 200 mg of (intervention), associated with the use of elastic compression stockings and early walking.

Results: fourteen patients were allocated to Group A (200mg), and 16 to Group B (600mg); in group A (200mg), 3 cases with thrombus below the popliteal vein were detected at the first USG examination. All of them are in the left lower limb (21.4%). In group B (600 mg), 5 cases were identified after the first exam (31.2%). All cases were asymptomatic and followed the protocol with prophylaxis only with Aspirin.

Conclusion: In the statistical data, there were no differences in the presence of thrombus between the 200- and 600 mg groups, which is credited to using low-dose aspirin in low doses (200mg). Hematimetric levels returned to baseline levels and suggested there was no chronic or acute bleeding related to the use of aspirin. The manuscript was prepared according to the CONSORT guideline 2010. Level of Evidence I; Longitudinal Randomized Comparative Clinical Study.

研究目的本研究旨在评估阿司匹林作为全髋关节置换术的化学预防药物(200 毫克)的效果。方法:本研究对两组患者进行了比较,并使用超声波检查(USG)筛查低位深静脉血栓。结果:14 名患者被分配到 A 组(200 毫克),16 名患者被分配到 B 组(600 毫克);在 A 组(200 毫克)中,首次 USG 检查发现 3 例腘静脉以下血栓。所有病例均位于左下肢(21.4%)。在 B 组(600 毫克)中,第一次检查后发现了 5 个病例(31.2%)。所有病例均无症状,并按照方案仅使用阿司匹林进行预防:从统计数据来看,200 毫克组和 600 毫克组在出现血栓方面没有差异,这归功于使用了小剂量阿司匹林(200 毫克)。血液化验水平恢复到基线水平,表明没有出现与使用阿司匹林有关的慢性或急性出血。稿件根据 2010 年 CONSORT 指南编写。证据等级 I;纵向随机比较临床研究。
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引用次数: 0
LEARNING CURVE IN PONSETI METHOD - EVOLUTION IN 5 YEAR-INTERVALS. Ponseti 法的学习曲线 - 5 年间隔的演变。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e273739
Tatiana de Moura Guerschman, Monica Paschoal Nogueira

Objective: Evaluate whether the experience of the surgeon could reduce Ponseti treatment time, and a number of cast changes, and the evolution of the Pirani Score.

Methods: 2 reference centers were evaluated. At Institution 1, 254 patients with idiopathic clubfoot (403 feet) were included, and at Institution 2, 32 patients (51 feet). At institution 1 (mentor), 3 intervals of 5 years each were analyzed. At the Institution 2 (trainee), 1 interval of 5 years was analyzed.

Results: Patients treated by the mentor had fewer casts compared with the trainee (p < 0.001). At Institution 1, the three mentor intervals showed differences in the number of casts (p < 0.05). A statistically significant difference was observed only in the first mentor interval (2000 to 2005, average of 3.47 casts) compared with the 2 other intervals (2005 to 2010; average of 2.6 casts and 2011 to 2015; average of 2.79 casts; p < 0.0001). Pirani score decreases the most until the third clinic visit.

Conclusion: The mentor's greater expertise was associated with fewer casts and shorter time to obtain correction in isolated clubfoot, especially right after the first 5 years of practice. Progression of the Pirani score in both institutions occurs between the first and the third casts. Level of Evidence III; Therapeutic Study, Retrospective Comparative Study.

目的评估外科医生的经验是否能缩短 Ponseti 治疗时间、减少石膏更换次数以及皮拉尼评分的变化。方法:对两个参考中心进行评估。第一参考中心有 254 名特发性马蹄内翻足患者(403 只脚),第二参考中心有 32 名患者(51 只脚)。在机构 1(导师),分析了 3 个间隔期,每个间隔期为 5 年。结果:结果:与受训者相比,接受指导者治疗的患者石膏数量更少(P < 0.001)。在第一医院,三个导师间隔期的石膏数量存在差异(P < 0.05)。只有第一个导师间隔期(2000 年至 2005 年,平均 3.47 个铸模)与其他两个间隔期(2005 年至 2010 年,平均 2.6 个铸模;2011 年至 2015 年,平均 2.79 个铸模;p < 0.0001)相比,出现了明显的统计学差异。皮拉尼评分在第三次门诊前下降幅度最大:结论:指导者的专业知识越丰富,孤立型马蹄内翻足的石膏用量就越少,矫正时间就越短,尤其是刚开始工作 5 年后。两家机构的皮拉尼评分都在第一次和第三次石膏固定之间有所提高。证据等级 III;治疗研究,回顾性比较研究。
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引用次数: 0
THE EFFECTS OF DRAINAGE TUBE ON PAIN AND FUNCTIONAL RECOVERY AFTER UNICOMPARTMENTAL KNEE ARTHROPLASTY. 引流管对单间室膝关节置换术后疼痛和功能恢复的影响。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e266853
Ting Fu, Shuzhen Ren, Yu Nie

Objective: The objective of this study was to evaluate the impact of drainage tube placement on postoperative pain, recovery, and opioid consumption within a 72-hour period following unicompartmental knee arthroplasty (UKA).

Methods: Patients with medial knee osteoarthritis who underwent UKA from January 2019 to August 2020 were enrolled in the study and divided into two groups based on whether they received a drain postoperatively.

Results: The drainage group had significantly lower VAS scores on day 1, day 2, and day 3, in addition to significantly smaller changes in the circumference of the knee joint within 3 days postoperatively (P <0.05). The ROM in the drainage group significantly increased at 3 days and 1 month post-surgery, with a statistically significant difference in morphine consumption between the two groups at 3 days (P<0.05). The incidence of postoperative nausea and vomiting (5 cases) and wound bleeding (1 case) was lower in the drainage group compared to the non-drainage group (P<0.05).

Conclusions: The placement of a drainage tube in UKA may reduce the swelling of knee joint and pain, which not only reduces the use of Opioid but also facilitates early functional activities of the knee joint. Level of Evidence III; Retrospective Comparative Study.

研究目的本研究旨在评估单关节膝关节置换术(UKA)后72小时内放置引流管对术后疼痛、恢复和阿片类药物消耗的影响:2019年1月至2020年8月期间接受UKA的膝关节内侧骨关节炎患者被纳入研究,并根据术后是否接受引流管分为两组:引流组在术后第1天、第2天和第3天的VAS评分均明显降低,此外,术后3天内膝关节周径的变化也明显较小(P 结论:UKA术中放置引流管对膝关节骨性关节炎患者的术后恢复具有重要意义:UKA术中放置引流管可以减轻膝关节肿胀和疼痛,这不仅可以减少阿片类药物的使用,还有利于膝关节早期功能活动。证据等级 III;回顾性比较研究。
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引用次数: 0
COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF CLINICAL DATA COLLECTION THROUGH ONLINE AND PHYSICAL ELECTRONIC QUESTIONNAIRE IN ORTHOPEDIC PATIENTS. 通过在线电子问卷和物理电子问卷收集骨科患者临床数据的有效性对比分析。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e268380
Andre Vitor Kerber Cavalcanti Lemos, Lucas Plens DE Britto Costa, Eduardo Souza Maciel, Nacime Salomão Barbachan Mansur, Moises Cohen

The collection of clinical data is an essential step for the development of any scientific research. Online digital data collection can optimize this step.

Objective: To compare the response rate and the accuracy of the clinical data collection date through the online and physical digital questionnaire in orthopedic patients.

Methods: Comparative study, level III of evidence, with forty patients who had ankle sprains were evaluated, followed up for a period of 12 weeks with the application of physical and digital Visual Analogue Scale, Foot Function Index and Cumberland Ankle Instability Tool questionnaires, and data were collected about the moment of collection of each questionnaire.

Results: We obtained a response rate of 83.3% in the digital collection group and 60% in the physical collection group (p < 0.05), and the response rate in the digital collection group was higher at all times of collection (3, 6 and 12 weeks). Analysis of the time of collection shows greater variability in the larger physical collection group at all times of the study (2.8 vs 1.5; 4.0 vs 2.4; 8.6 vs 1.5).

Conclusion: Digital data collection is effective for obtaining clinical data in patients with ankle sprains. Level of Evidence III, Comparative, Prospective, Longitudinal Study in Parallel Groups.

收集临床数据是开展任何科学研究的必要步骤。在线数字数据收集可以优化这一步骤:比较骨科患者通过在线和物理数字问卷收集临床数据的响应率和准确性:比较研究,III级证据,对40名踝关节扭伤患者进行评估,应用物理和数字视觉模拟量表、足部功能指数和坎伯兰踝关节不稳定性工具问卷进行为期12周的随访,并收集有关每份问卷收集时间的数据:数字收集组的回复率为 83.3%,物理收集组为 60%(P < 0.05),数字收集组在所有收集时间(3、6 和 12 周)的回复率都更高。对收集时间的分析表明,在研究的所有时间段,物理收集组的变异性更大(2.8 vs 1.5;4.0 vs 2.4;8.6 vs 1.5):结论:数字数据采集能有效获取踝关节扭伤患者的临床数据。证据等级 III,平行组比较性、前瞻性、纵向研究。
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引用次数: 0
LOW BACK PAIN ESTIMATES IN PROFESSIONAL SOCCER: A SYSTEMATIC REVIEW AND META-ANALYSIS. 职业足球运动中腰痛的估计值:系统回顾和荟萃分析。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e266012
Juliano Bergamaschine Mata Diz, Maria Theresa Pereira Dutra, Isabella Cheremetta Feijó, Ana Luíza Morais Sogno, Fernanda Rezende Silva, Giovanna DE Faria Carnevale, Bruno DE Souza Moreira, Carlos Fernando Moreira Silva

Objective: To evaluate the epidemiological and clinical characteristics of low back pain (LBP) in adult professional soccer players.

Methods: Systematic review and meta-analysis.

Results: The review included 44 studies. The pooled prevalence of LBP during ≤ 1 season was 1% (95%CI = 0-4%) in men. The pooled point prevalence of LBP was 25% (95%CI = 16-36%) in men and 28% (95%CI = 20-37%) in women. The pooled past-year prevalence of LBP was 34% (95%CI = 24-44%) in men. The pooled lifetime prevalence of LBP was 32% (95%CI = 25-39%) in men and 50% (95%CI = 32-69%) in women. The pooled frequency of LBP/total number of injuries was 2% (95%CI = 1-3%) in men and 4% (95%CI = 2-5%) in women. The pooled incidence rate of LBP/1,000 player-hours of exposure was 0.30 (95%CI = 0.17- 0.53) in men and 0.32 (95%CI = 0.06 -1.87) in women. The recurrence of LBP ranged from 3% to 63% in men. The intensity of LBP ranged from 1.68 (2.39) to 4.87 (2.14) points on a 0-10 scale (minimum = 0 and maximum = 8 points). The severity of LBP (days absent from professional activities due to pain) ranged from 2 (0) to 10 (19) days (minimum = 1 and maximum = 28 days).

Conclusion: Adult elite soccer players have a substantial prevalence of LBP. The frequency and incidence of LBP (compared with other conditions and sports) seems to be low. Estimates of the recurrence, intensity, and severity of LBP are uncertain. Level of Evidence II, Systematic Review of Level II Studies.

目的:评估成年职业足球运动员腰背痛的流行病学和临床特征:评估成年职业足球运动员腰背痛(LBP)的流行病学和临床特征:方法:系统回顾和荟萃分析:结果:综述包括 44 项研究。在≤1个赛季中,男性腰背痛的总患病率为1%(95%CI = 0-4%)。汇总的枸杞多糖症点患病率男性为 25% (95%CI = 16-36%),女性为 28% (95%CI = 20-37%)。汇总过去一年的腰椎间盘突出症患病率,男性为 34% (95%CI = 24-44%)。汇总的终生枸杞多糖症患病率男性为 32% (95%CI = 25-39%),女性为 50% (95%CI = 32-69%)。汇总的腰椎间盘突出症发病率/受伤总次数在男性中为 2% (95%CI = 1-3%),在女性中为 4% (95%CI = 2-5%)。枸杞痛/1,000 球员接触小时的汇总发病率男性为 0.30(95%CI = 0.17-0.53),女性为 0.32(95%CI = 0.06-1.87)。在男性中,腰痛复发率从 3% 到 63% 不等。枸杞痛的强度在 0-10 分(最低 = 0 分,最高 = 8 分)的范围内,从 1.68 (2.39) 到 4.87 (2.14) 分不等。腰痛的严重程度(因疼痛而缺席职业活动的天数)从 2 (0) 天到 10 (19) 天不等(最少 = 1 天,最多 = 28 天):结论:成年精英足球运动员的腰椎间盘突出症发病率很高。结论:成年精英足球运动员的腰椎间盘突出症发病率很高,但与其他疾病和运动相比,腰椎间盘突出症的发病频率和发病率似乎较低。对腰背痛的复发率、强度和严重程度的估计尚不确定。证据等级 II,II 级研究的系统回顾。
{"title":"LOW BACK PAIN ESTIMATES IN PROFESSIONAL SOCCER: A SYSTEMATIC REVIEW AND META-ANALYSIS.","authors":"Juliano Bergamaschine Mata Diz, Maria Theresa Pereira Dutra, Isabella Cheremetta Feijó, Ana Luíza Morais Sogno, Fernanda Rezende Silva, Giovanna DE Faria Carnevale, Bruno DE Souza Moreira, Carlos Fernando Moreira Silva","doi":"10.1590/1413-785220233105e266012","DOIUrl":"10.1590/1413-785220233105e266012","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the epidemiological and clinical characteristics of low back pain (LBP) in adult professional soccer players.</p><p><strong>Methods: </strong>Systematic review and meta-analysis.</p><p><strong>Results: </strong>The review included 44 studies. The pooled prevalence of LBP during ≤ 1 season was 1% (95%CI = 0-4%) in men. The pooled point prevalence of LBP was 25% (95%CI = 16-36%) in men and 28% (95%CI = 20-37%) in women. The pooled past-year prevalence of LBP was 34% (95%CI = 24-44%) in men. The pooled lifetime prevalence of LBP was 32% (95%CI = 25-39%) in men and 50% (95%CI = 32-69%) in women. The pooled frequency of LBP/total number of injuries was 2% (95%CI = 1-3%) in men and 4% (95%CI = 2-5%) in women. The pooled incidence rate of LBP/1,000 player-hours of exposure was 0.30 (95%CI = 0.17- 0.53) in men and 0.32 (95%CI = 0.06 -1.87) in women. The recurrence of LBP ranged from 3% to 63% in men. The intensity of LBP ranged from 1.68 (2.39) to 4.87 (2.14) points on a 0-10 scale (minimum = 0 and maximum = 8 points). The severity of LBP (days absent from professional activities due to pain) ranged from 2 (0) to 10 (19) days (minimum = 1 and maximum = 28 days).</p><p><strong>Conclusion: </strong>Adult elite soccer players have a substantial prevalence of LBP. The frequency and incidence of LBP (compared with other conditions and sports) seems to be low. Estimates of the recurrence, intensity, and severity of LBP are uncertain. <b><i>Level of Evidence II, Systematic Review of Level II Studies.</i></b></p>","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"31 6","pages":"e266012"},"PeriodicalIF":0.7,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10726716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MESENCHYMAL CELLS IN ROTATOR CUFF REPAIR - TECHNIQUE DESCRIPTION AND CASE REPORTS. 间充质细胞在肩袖修复中的应用--技术描述和病例报告。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e268392
Eduardo Angeli Malavolta, Vinicius Lamboglia Miceli, Jorge Henrique Assunção, Fernando Brandao Andrade-Silva, Mauro Emilio Conforto Gracitelli, Nelson Hidekazu Tatsui, Luiz César Espirandelli, Arnaldo Amado Ferreira

Objective: To describe a protocol of obtention of mesenchymal stem cells and to report their use as a biological adjuvant in three patients undergoing arthroscopic rotator cuff repair.

Methods: Case series of patients who underwent arthroscopic repair of isolated full-thickness supraspinatus tear using mesenchymal stem cells obtained from the bone marrow as a biological adjuvant. All patients were operated on at the same institution, by a surgeon with 13 years of experience. The cells were applied at the end of the procedure, at the tendon-bone interface, at an approximate concentration of 2,000,000 mesenchymal cells/mm3 and a total volume of 5 ml.

Results: All patients improved with the procedure, with one excellent and two good results. All cases overcame the minimally important clinical difference. All cases reached tendon healing, without partial or complete re-tears. We observed no complications.

Conclusion: Arthroscopic rotator cuff repair with added mesenchymal cells obtained from bone marrow and submitted to a cell expansion process led to good functional results and healing in all cases in the sample, with no complications. Level of Evidence IV, Case Series.

目的描述间充质干细胞的获取方案,并报告间充质干细胞在三名接受关节镜肩袖修复术的患者中作为生物佐剂的应用情况:方法:使用从骨髓中获得的间充质干细胞作为生物辅助剂,对接受关节镜下孤立性全厚度冈上肌撕裂修复术的患者进行病例系列研究。所有患者均在同一家医疗机构接受手术,由一位拥有13年经验的外科医生主刀。细胞在手术结束后应用于肌腱与骨骼的交界处,浓度约为 2,000,000 间充质干细胞/立方毫米,总容量为 5 毫升:结果:所有患者的疗效都有所改善,其中一名患者疗效极佳,两名患者疗效良好。所有病例都克服了最小临床差异。所有病例都实现了肌腱愈合,没有部分或完全再次撕裂。我们没有观察到并发症:结论:添加了骨髓间充质细胞并经过细胞扩增过程的肩袖关节镜修复术在所有样本病例中均取得了良好的功能效果和愈合,且无并发症。证据等级IV,病例系列。
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引用次数: 0
DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE. 膝关节复发的股骨远端半骺成形术:一种新的手术技术。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e268307
Nei Botter Montenegro, Talissa Oliveira Generoso, Bárbara Lívia Corrêa Serafim, Amâncio Ramalho

Introduction: The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hypermobility. Treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibial osteotomies are the most used for its correction.

Objective: This study aimed to describe a new surgical technique for correcting genu recurvatum.

Methods: This is a prospective clinical study of children who underwent posterior hemiepiphysiodesis of the distal femur with transphyseal screws.

Results: The approach proved to be safe and useful for genu recurvatum deformities, with femoral or articular apex.

Conclusion: This approach shows great potential for correcting genu recurvatum in the developing skeleton, being an excellent alternative to the more aggressive methods currently used to treat this deformity. Level of evidence IV, Case Series.

简介膝关节后凸的特征是膝关节在矢状面上的过度伸展畸形。造成这种畸形的原因包括关节发育不良、脑瘫、脊髓灰质炎、胫骨结节骨折后遗症以及一些全身关节活动过度的综合征。这种畸形的治疗具有挑战性,迄今为止,股骨或胫骨截骨等积极的方法是用于矫正这种畸形的最常用方法:本研究旨在描述一种矫正膝关节后凸的新手术技术:方法:这是一项前瞻性临床研究,研究对象为接受股骨远端后半骺成形术并使用经骺螺钉的儿童:结果:该方法对股骨或关节顶的股骨后凸畸形安全有效:结论:这种方法在矫正发育中骨骼的股骨后凸畸形方面显示出巨大的潜力,是目前治疗这种畸形的激进方法的绝佳替代方案。证据等级 IV,病例系列。
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引用次数: 0
DO OLDER PATIENTS "WARN" THAT THEY WILL SUFFER A NEW FRACTURE? 老年病人是否会 "警告 "他们将遭受新的骨折?
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e266844
Samuel Bichara Melin, Marcela Rodrigues Santos DO Nascimento, Alfredo Dos Santos, Caio Zamboni

Objective: To evaluate whether patients older than 60 years admitted for fracture treatment had a history of previous fracture, a diagnosis of osteoporosis, or were under treatment for bone fragility.

Methods: Retrospective study including 100 patients older than 60 years with fracture. Fracture location, bone densitometry within the past two years, previous diagnosis and osteoporosis treatment, and previous fracture within the past five years were assessed. Using Fisher's test, it was evaluated whether there was an association between previous fracture and osteoporosis treatment.

Results: The most prevalent fracture was in the proximal femur (48%). Of the patients, 18% had fracture in the last five years, with 22% of them diagnosed with osteoporosis, and 22% under treatment. Previous fracture in the last five years was not associated with having a diagnosis of osteoporosis, having had bone densitometry, or being under treatment for osteoporosis.

Conclusion: Among patients with previous fracture, only 22% were aware of their diagnosis of osteoporosis, and less than 25% of them were under bone fragility treatment. Previous fracture in the past five years had no association with having a diagnosis of osteoporosis, having had bone densitometry, or being on osteoporosis treatment. Level of Evidence III, Retrospective Study.

摘要评估入院接受骨折治疗的 60 岁以上患者是否有骨折史、骨质疏松症诊断或正在接受骨脆性治疗:方法:回顾性研究,包括 100 名 60 岁以上骨折患者。对骨折位置、过去两年内的骨密度测量、既往诊断和骨质疏松症治疗以及过去五年内的骨折情况进行了评估。通过费雪检验,评估了既往骨折与骨质疏松症治疗之间是否存在关联:结果:最常见的骨折部位是股骨近端(48%)。其中,18%的患者在过去五年中发生过骨折,22%的患者被诊断为骨质疏松症,22%的患者正在接受治疗。过去五年中曾发生骨折与骨质疏松症诊断、骨密度测量或正在接受骨质疏松症治疗无关:结论:在曾有骨折经历的患者中,只有 22% 的人知道自己被诊断为骨质疏松症,不到 25% 的人正在接受骨质疏松治疗。过去五年中曾发生骨折与骨质疏松症诊断、骨密度测量或接受骨质疏松症治疗没有关系。证据等级 III,回顾性研究。
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引用次数: 0
EFFECTIVENESS OF VISCOSUPPLEMENTATION IN THE TREATMENT OF HEMOPHILIC ARTHROPATHY: A SYSTEMATIC REVIEW. 治疗血友病关节病的粘液补充剂的有效性:系统性综述。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e271857
Samilly Conceição Maia Martins, Erion DE Andrade, Mayara Branco E Silva, Margareth Castro Ozelo, Gustavo Constantino DE Campos, Rodrigo Gonçalves Pagnano

Objective: To describe the efficacy of using viscosupplementation in patients with hemophilic arthropathy (HA), on pain, limb functionality, and quality of life.

Methods: A systematic review of the literature was performed following the PRISMA guidelines without limitations of language or year of publication. The search was performed on the following medical databases: PubMed, Cochrane Library, EMBASE, BVS/BIREME, Scopus, Web of Science, EBSCOhost, and PROQUEST in April 2020. The search used the following word: (hemophilia AND joint diseases) OR (haemophilic arthropathy OR hemophilic arthropathy) AND viscosupplementation.

Results: The systematic review identified 127 articles, 10 of which were selected for data extraction and qualitative analysis. The 10 selected articles included 297 joints with HA in 177 hemophilic subjects. Our review showed positive results in alleviating pain and improving functional capacity, and quality of life. No major adverse effects were observed.

Conclusion: There is a lack of scientific evidence regarding viscosupplementation with hyaluronic acid, but the results presented in this research suggest that it is an effective and safe therapeutic option to alleviate pain and improve functional capacity in patients with HA. Level of Evidence II, Systematic Review.

目的描述血友病关节病(HA)患者使用粘弹剂对疼痛、肢体功能和生活质量的疗效:按照 PRISMA 指南对文献进行了系统性回顾,没有语言或出版年份的限制。在以下医学数据库中进行了检索:PubMed、Cochrane Library、EMBASE、BVS/BIREME、Scopus、Web of Science、EBSCOhost 和 PROQUEST。检索使用了以下词:(血友病和关节疾病)或(血友病关节病或血友病关节病)和粘度补充剂:结果:系统综述发现了 127 篇文章,其中 10 篇被选中进行数据提取和定性分析。所选的 10 篇文章包括 177 名血友病受试者的 297 个患有 HA 的关节。我们的综述显示,在减轻疼痛、提高功能能力和生活质量方面取得了积极效果。没有观察到重大不良反应:关于用透明质酸补充粘度的科学证据尚缺,但本研究的结果表明,用透明质酸补充粘度是一种有效、安全的治疗方法,可减轻血友病患者的疼痛并改善其功能。证据等级 II,系统综述。
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引用次数: 0
CORRELATION BETWEEN TYPES OF MINDSET AND QUALITY OF LIFE EVALUATION IN PATIENTS WITH SCOLIOSIS. 脊柱侧弯症患者的心态类型与生活质量评估之间的相关性。
IF 0.7 4区 医学 Q4 ORTHOPEDICS Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI: 10.1590/1413-785220233105e266234
Wesley Wilian Costa Martins, Leonardo Sardas, Rodolfo Guedes Pereira Nunes Barbosa, Rodrigo Góes Medéa DE Mendonça, Alberto Gotfryd, Maria Fernanda Silber Caffaro, Patrícia Maria DE Moraes Barros Fucs, Robert Meves

Scoliosis is a pathology with multiple etiologies that leads to aesthetic changes, increased morbidity and, especially, psychological damage.

Objective: This work aims to compare two mindset types (fixed and growth) and assess levels of quality of life in individuals with scoliosis.

Methods: Two questionnaires, Scoliosis Research Society-30 (SRS-30) and Early-Onset Scoliosis-24 Questionnaire (EOSQ-24), associated with the "Health Mindset Scale," were used. We applied the SRS-30 to patients who were independent or whose diagnosis of spinal deformity occurred after the age of 10 years. For patients diagnosed before the age of 10 or who presented dependence due to cognitive impairment, caregivers were subjected to the "Health Mindset Scale" and EOSQ-24 questionnaires.

Results: The sample consisted of 35 patients aged from 4 to 46 years, the majority aged from 15 to 18 years old (42.9%), female (71.4%), and with neuromuscular scoliosis (28.6%). The only significant result (p = 0.060) was the increase in pain/discomfort scores in the EOSQ-24 for a patient with a growth mindset. Lastly, there was no statistical difference between groups, however, in patients with a growth mindset, there was a tendency (p = 0.060) to have a higher pain/discomfort score, assessed via the EOSQ-24 score, reported by the caregiver. Level of Evidence III, Retrospective Comparative Study.

脊柱侧弯是一种有多种病因的疾病,会导致美观改变、发病率增加,尤其是心理伤害:本研究旨在比较两种心态类型(固定型和生长型),并评估脊柱侧弯患者的生活质量水平:方法:我们使用了与 "健康心态量表 "相关的两份问卷,即脊柱侧凸研究协会-30(SRS-30)和早发脊柱侧凸-24问卷(EOSQ-24)。我们将 SRS-30 应用于独立患者或在 10 岁后确诊脊柱畸形的患者。对于 10 岁前确诊的患者或因认知障碍而出现依赖性的患者,护理人员则接受了 "健康心态量表 "和 EOSQ-24 问卷调查:样本包括 35 名患者,年龄从 4 岁到 46 岁不等,大多数患者年龄在 15 岁到 18 岁之间(42.9%),女性(71.4%),患有神经肌肉性脊柱侧弯(28.6%)。唯一有意义的结果(p = 0.060)是,具有成长型思维模式的患者在 EOSQ-24 中的疼痛/不适得分有所增加。最后,各组之间没有统计学差异,但在具有成长型思维模式的患者中,护理人员报告的通过 EOSQ-24 评分评估的疼痛/不适得分有较高的趋势(p = 0.060)。证据等级 III,回顾性比较研究。
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Acta Ortopedica Brasileira
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