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[PMID]:29377921
[Au] Autor:Caixeta DC; Teixeira RR; Peixoto LG; Machado HL; Baptista NB; de Souza AV; Vilela DD; Franci CR; Salmen Espindola F
[Ad] Endereço:Institute of Biotechnology, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.
[Ti] Título:Adaptogenic potential of royal jelly in liver of rats exposed to chronic stress.
[So] Source:PLoS One;13(1):e0191889, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Restraint and cold stress increase both corticosterone and glycemia, which lead to oxidative damages in hepatic tissue. This study assessed the effect of royal jelly (RJ) supplementation on the corticosterone level, glycemia, plasma enzymes and hepatic antioxidant system in restraint and cold stressed rats. Wistar rats were allocated into no-stress, stress, no-stress supplemented with RJ and stress supplemented with RJ groups. Initially, RJ (200mg/Kg) was administered for fourteen days and stressed groups were submitted to chronic stress from the seventh day. The results showed that RJ supplementation decreases corticosterone levels and improves glycemia control after stress induction. RJ supplementation also decreased the body weight, AST, ALP and GGT. Moreover, RJ improved total antioxidant capacity, SOD activity and reduced GSH, GR and lipoperoxidation in the liver. Thus, RJ supplementation reestablished the corticosterone levels and the hepatic antioxidant system in stressed rats, indicating an adaptogenic and hepatoprotective potential of RJ.
[Mh] Termos MeSH primário: Ácidos Graxos
Fígado/fisiopatologia
Estresse Fisiológico
[Mh] Termos MeSH secundário: Animais
Glicemia/metabolismo
Peso Corporal
Doença Crônica
Temperatura Baixa
Corticosterona/sangue
Imobilização
Fígado/enzimologia
Fígado/metabolismo
Masculino
Ratos
Ratos Wistar
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Fatty Acids); L497I37F0C (royal jelly); W980KJ009P (Corticosterone)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191889


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[PMID]:28454185
[Au] Autor:Höhne S; Gerlach K; Irlenbusch L; Schulz M; Kunze C; Finke R
[Ad] Endereço:Department of Surgical and Conservative Pediatrics and Adolescent Medicine/Pediatric Surgery, Martin-Luther-University Halle-Wittenberg, Halle.
[Ti] Título:Patella Dislocation in Children and Adolescents.
[Ti] Título:Patellaluxation bei Kindern und Jugendlichen ­ 136 Ereignisse bei 88 Patienten und Literaturübersicht..
[So] Source:Z Orthop Unfall;155(2):169-176, 2017 Apr.
[Is] ISSN:1864-6743
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Patellar dislocation is one of the commonest knee injuries in adolescents. Although treatment usually leads to good results, the influence of anatomical and functional factors on therapeutic strategy has been underestimated, especially in cases of recurrence. The course of treatment has been analysed in 88 patients with 136 patellar dislocations. The importance of anatomical conditions was studied using X-ray and MRI findings. The treatment results were critically evaluated in comparison with current recommendations. From 2000 to 2015, 109 patellar dislocations occurred in 88 patients; a further 27 previous dislocations were reported by the patients (mean age 14 years, 47 boys and 41 girls). About one-third of patients (35.2 %) suffered one or more recurrences. Almost half (48.6 %) of the dislocations occurred during physical exercise, particularly ball sports. Osteochondral flake fracture was found in 9 % of the patients, and a lesion of the medial patellofemoral ligament in 96 %. There was an anatomical predisposition to patellar dislocation in almost all cases. The sulcus angle, patellar and trochlear dysplasia, and patellar height were highly significantly different between the patient group and controls. The TT-TG distance was subsequently calculated, but had no impact on therapy. Seventy-seven patients were treated conservatively and 32 patients surgically. The conservative procedure included partial immobilisation for six weeks. Surgical reconstruction or tightening was performed in 27 cases; in five, in combination with other surgical procedures. Plasty of the medial patellofemoral ligament with a tendon graft was performed in five patients, and osteochondral or meniscal lesions were repaired in 10 patients. Recurrences occurred in 41.7 % of conservatively treated knees and in 29.6 % of surgically treated knees (without reconstruction with a tendon graft). No recurrence was seen after reconstruction of the medial patellofemoral ligament with a tendon graft. Fifty-four patients underwent a follow-up examination. Fourteen of these (25.9 %) had suffered a recurrence. The outcome 16 months after the end of treatment was mostly good, as were the results of self-assessment (Larson-Lauridsen Score). An anatomical predisposition is detectable in almost all cases of patellar dislocation, but frequently occurs with an accident event, e.g. in ball sports. Primary patellar dislocations without serious concomitant injuries may be treated conservatively. In the event of recurrence, the indication for surgery is given, even in young patients and in any patient with an osteochondral flake fracture. Tightening reconstruction of the MPFL used to be frequently performed, but is associated with a high rate of recurrence.
[Mh] Termos MeSH primário: Artroplastia/utilização
Traumatismos em Atletas/diagnóstico
Traumatismos em Atletas/terapia
Luxação Patelar/diagnóstico
Luxação Patelar/terapia
Modalidades de Fisioterapia/utilização
[Mh] Termos MeSH secundário: Adolescente
Traumatismos em Atletas/epidemiologia
Terapia Combinada/utilização
Feminino
Alemanha/epidemiologia
Seres Humanos
Imobilização/utilização
Masculino
Luxação Patelar/epidemiologia
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/prevenção & controle
Prevalência
Recuperação de Função Fisiológica
Recidiva
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-122855


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[PMID]:28449698
[Au] Autor:Contesini M; Guberti M; Saccani R; Braglia L; Iotti C; Botti A; Abbati E; Iemmi M
[Ad] Endereço:Human Resource Development - Training, Azienda Unità Sanitaria Locale, Reggio Emilia, Italy.
[Ti] Título:Setup errors in patients with head-neck cancer (HNC), treated using the Intensity Modulated Radiation Therapy (IMRT) technique: how it influences the customised immobilisation systems, patient's pain and anxiety.
[So] Source:Radiat Oncol;12(1):72, 2017 Apr 27.
[Is] ISSN:1748-717X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In patients with head-neck cancer treated with IMRT, immobility of the upper part of the body during radiation is maintained by means of customised immobilisation devices. The main purpose of this study was to determine how the procedures for preparation of customised immobilisation systems and the patients characteristics influence the extent of setup errors. METHODS: A longitudinal, prospective study involving 29 patients treated with IMRT. Data were collected before CT simulation and during all the treatment sessions (528 setup errors analysed overall); the correlation with possible risk factors for setup errors was explored using a linear mixed model. RESULTS: Setup errors were not influenced by the patient's anxiety and pain. Temporary removal of the thermoplastic mask before carrying out the CT simulation shows statistically borderline, clinically relevant, increase of setup errors (+24.7%, 95% CI: -0.5% - 55.8%). Moreover, a unit increase of radiation therapists who model the customised thermoplastic mask is associated to a -18% (-29.2% - -4.9%) reduction of the errors. The setup error is influenced by the patient's physical features; in particular, it increases both in patients in whom the treatment position is obtained with 'Shoulder down' (+27.9%, 2.2% - 59.7%) and in patients with 'Scoliosis/kyphosis' problems (+65.4%, 2.3% - 164.2%). Using a 'Small size standard plus customized neck support device' is associated to a -52.3% (-73.7% - -11.2%) reduction. The increase in number of radiation therapists encountered during the entire treatment cycle does not show associations. Increase in the body mass index is associated with a slight reduction in setup error by (-2.8%, -5% - -0.7%). CONCLUSION: The position of the patient obtained by forcing the shoulders downwards, clinically significant scoliosis or kyphosis and the reduction of the number of radiation therapists who model the thermoplastic mask are found to be statistically significant risk factors that can cause an increase in setup errors, while the use of 'Small size' neck support device and patient BMI can diminish them.
[Mh] Termos MeSH primário: Ansiedade/etiologia
Neoplasias de Cabeça e Pescoço/radioterapia
Imobilização/instrumentação
Dor/etiologia
Lesões por Radiação/etiologia
Erros de Configuração em Radioterapia/efeitos adversos
Radioterapia de Intensidade Modulada/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Prognóstico
Estudos Prospectivos
Dosagem Radioterapêutica
Planejamento da Radioterapia Assistida por Computador/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1186/s13014-017-0807-y


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[PMID]:29324797
[Au] Autor:Fuentes S; Carrasco J; Hatto A; Navarro J; Armario A; Monsonet M; Ortiz J; Nadal R
[Ad] Endereço:Institut de Neurociències, Universitat Autònoma de Barcelona, Barcelona, Spain.
[Ti] Título:Sex-dependent impact of early-life stress and adult immobilization in the attribution of incentive salience in rats.
[So] Source:PLoS One;13(1):e0190044, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Early life stress (ELS) induces long-term effects in later functioning and interacts with further exposure to other stressors in adulthood to shape our responsiveness to reward-related cues. The attribution of incentive salience to food-related cues may be modulated by previous and current exposures to stressors in a sex-dependent manner. We hypothesized from human data that exposure to a traumatic (severe) adult stressor will decrease the attribution of incentive salience to reward-associated cues, especially in females, because these effects are modulated by previous ELS. To study these factors in Long-Evans rats, we used as an ELS model of restriction of nesting material and concurrently evaluated maternal care. In adulthood, the offspring of both sexes were exposed to acute immobilization (IMO), and several days after, a Pavlovian conditioning procedure was used to assess the incentive salience of food-related cues. Some rats developed more attraction to the cue predictive of reward (sign-tracking) and others were attracted to the location of the reward itself, the food-magazine (goal-tracking). Several dopaminergic markers were evaluated by in situ hybridization. The results showed that ELS increased maternal care and decreased body weight gain (only in females). Regarding incentive salience, in absolute control animals, females presented slightly greater sign-tracking behavior than males. Non-ELS male rats exposed to IMO showed a bias towards goal-tracking, whereas in females, IMO produced a bias towards sign-tracking. Animals of both sexes not exposed to IMO displayed an intermediate phenotype. ELS in IMO-treated females was able to reduce sign-tracking and decrease tyrosine hydroxylase expression in the ventral tegmental area and dopamine D1 receptor expression in the accumbens shell. Although the predicted greater decrease in females in sign-tracking after IMO exposure was not corroborated by the data, the results highlight the idea that sex is an important factor in the study of the long-term impact of early and adult stressors.
[Mh] Termos MeSH primário: Imobilização
Motivação
Estresse Fisiológico
[Mh] Termos MeSH secundário: Animais
Comportamento Animal
Biomarcadores/metabolismo
Dopamina/metabolismo
Feminino
Masculino
Ratos
Ratos Long-Evans
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Biomarkers); VTD58H1Z2X (Dopamine)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180210
[Lr] Data última revisão:
180210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190044


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[PMID]:29319941
[Au] Autor:Food and Drug Administration, HHS.
[Ti] Título:Medical Devices; Radiology Devices; Classification of the Rectal Balloon for Prostate Immobilization. Final order.
[So] Source:Fed Regist;82(247):61170-1, 2017 Dec 27.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Food and Drug Administration (FDA or we) is classifying the rectal balloon for prostate immobilization into class II (special controls). The special controls that apply to the device type are identified in this order and will be part of the codified language for the rectal balloon for prostate immobilization's classification. We are taking this action because we have determined that classifying the device into class II (special controls) will provide a reasonable assurance of safety and effectiveness of the device. We believe this action will also enhance patients' access to beneficial innovative devices, in part by reducing regulatory burdens.
[Mh] Termos MeSH primário: Segurança de Equipamentos/classificação
Imobilização/instrumentação
Radioterapia/classificação
Radioterapia/instrumentação
Tecnologia Radiológica/classificação
Tecnologia Radiológica/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Próstata
Reto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180122
[Lr] Data última revisão:
180122
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE


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[PMID]:29310322
[Au] Autor:Gordillo Martin R; Alcaráz PE; Rodriguez LJ; Fernandez-Pacheco AN; Marín-Cascales E; Freitas TT; Rios MP
[Ad] Endereço:Doctoral Program in Health Sciences and Professor of the Faculty of Nursing of the Catholic University of Murcia (UCAM) and Nurse in the Emergency Services 061 (112) of Murcia, Spain.
[Ti] Título:Effect of training in advanced trauma life support on the kinematics of the spine: A simulation study.
[So] Source:Medicine (Baltimore);96(48):e7587, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:More than 7.5 million people in the world are affected by spinal cord injury (SCI). In this study, we aimed to analyze the effect of training in advanced trauma life support (ATLS) on the kinematics of the spine when performing different mobilization and immobilization techniques on patients with suspected SCI. A quasi-experimental study, clinical simulation, was carried out to determine the effect of training in ATLS on 32 students enrolled in the Master's program of Emergency and Special Care Nursing. The evaluation was performed through 2 maneuvers: placing of the scoop stretcher (SS) and spinal board (SB), with an actor who simulated a clinical situation of suspected spinal injury. The misalignment of the spine was measured with the use of a Vicon 3D motion capture system, before (pre-test) and after (post-test) the training. In the overall misalignment of both maneuvers, statistically significant differences were found between the pre-test misalignment of 62.1°â€Š±â€Š25.9°, and the post-test misalignment of 32.3°â€Š±â€Š10.0°, with a difference between means of 29.7° [(95% confidence interval, 95% CI 22.8-36.6°), (P = .001)]. The results obtained for the placing of the SS showed that there was a pre-test misalignment of 65.1°â€Š±â€Š28.7°, and a post-test misalignment of 33.2°â€Š±â€Š10.1°, with a difference of means of 33.9° [(95% CI, 23.1-44.6°), (P = .001)]. During the placing of the SB, a pre-test misalignment of 59.0°â€Š±â€Š28.7° and a post-test misalignment of 33.4°â€Š±â€Š10.0° were obtained, as well as a difference of means of 25.6° [(95% CI 16.6-34.6°), (P = .001)]. The main conclusion of this study is that training in ATLS decreases the misalignment provoked during the utilization of the SS and SB, regardless of the device used.
[Mh] Termos MeSH primário: Cuidados de Suporte Avançado de Vida no Trauma/normas
Educação de Pós-Graduação em Enfermagem/métodos
Treinamento por Simulação/métodos
Traumatismos da Coluna Vertebral/enfermagem
Traumatismos da Coluna Vertebral/fisiopatologia
Traumatologia/educação
[Mh] Termos MeSH secundário: Adulto
Fenômenos Biomecânicos
Feminino
Seres Humanos
Imobilização
Masculino
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007587


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[PMID]:29182136
[Au] Autor:Jones S; Khandekar S; Siraj F; Talaseela B; Mohammed SA; Kamhawy A
[Ti] Título:Titanium elastic nailing in femoral diaphyseal fractures in children of 6-14 years age.
[So] Source:Acta Orthop Belg;82(4):896-900, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study is to report our experience of fractures in children riding Hoverboards. METHODS: We undertook a prospective review of all children attending our hospital who sustained fractures whilst riding a Hoverboard. Data such as patient demographics, type of fracture sustained, treatment received, complications and outcome were collected. RESULTS: Twelve children, 5 males and 7 females with ages ranging from 5.5 to 15.3 years were included in this study. All patients sustained upper limb fractures and the distal radius was the commonest fracture site (30%). Surgery was required in 6 (50%) out of the 12 patients because the respective fractures were displaced. No patient had any ongoing complaints or disability at the last clinic review.   Conclusion : Children riding Hoverboards are predisposed to upper limb fractures and parents who purchase Hoverboards should be warned about this.
[Mh] Termos MeSH primário: Fraturas do Úmero/epidemiologia
Fraturas do Rádio/epidemiologia
Patinação/lesões
[Mh] Termos MeSH secundário: Adolescente
Fios Ortopédicos
Moldes Cirúrgicos
Criança
Pré-Escolar
Redução Fechada
Feminino
Fixação Interna de Fraturas
Seres Humanos
Fraturas do Úmero/terapia
Imobilização
Masculino
Redução Aberta
Estudos Prospectivos
Fraturas do Rádio/terapia
Extremidade Superior/lesões
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29182132
[Au] Autor:Kailis V; Hariga H; Docquier PL
[Ti] Título:Prevention of re-fractures of both bones of the forearm in children.
[So] Source:Acta Orthop Belg;82(4):872-875, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of this study was to observe if the re-fracture rate after forearm both bones was decreased by protecting the forearm with a preventive brace for 6 months following the fracture and by ceasing all physical activities. METHODS: We performed a retrospective study in 75 consecutive cases of diaphyseal fracture of both bone of forearms, in 52 boys and 23 girls aged from 6 months to 11 years. It concerned a first episode of fracture in 84% of cases and a re-fracture in 17%. RESULTS: Re-fracture rate was 0% in the group where a protective brace was worn while it was 20% in the group without brace. CONCLUSIONS: Both the wearing of a protective brace and absence of sport for 6 months may decrease the re-fracture rate to 0%, if the patient is compliant by wearing it and by ceasing all physical activities.
[Mh] Termos MeSH primário: Braquetes
Fraturas do Rádio/prevenção & controle
Volta ao Esporte
Prevenção Secundária/métodos
Fraturas da Ulna/prevenção & controle
[Mh] Termos MeSH secundário: Moldes Cirúrgicos
Criança
Pré-Escolar
Redução Fechada/métodos
Diáfises/lesões
Diáfises/cirurgia
Feminino
Traumatismos do Antebraço/diagnóstico por imagem
Traumatismos do Antebraço/prevenção & controle
Traumatismos do Antebraço/cirurgia
Seres Humanos
Imobilização/métodos
Lactente
Masculino
Fraturas do Rádio/complicações
Fraturas do Rádio/diagnóstico por imagem
Fraturas do Rádio/cirurgia
Recidiva
Estudos Retrospectivos
Fraturas da Ulna/complicações
Fraturas da Ulna/diagnóstico por imagem
Fraturas da Ulna/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29182128
[Au] Autor:Frik S
[Ti] Título:Management of birth-associated subtrochanteric femur fractures.
[So] Source:Acta Orthop Belg;82(4):850-853, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:In daily clinical practice most orthopedic surgeons suffer from doubt about treatment of rare injuries. The aim of this study is to enlighten the management of birth related femoral subtrochanteric fractures of neonates. Four birth-related femoral subtrochanteric fractures of neonates were treated and followed up. Difficult caesarian breech delivery seems to be a risk factor. All patients were treated with Pavlik harness and union was achieved by the fourth week. None of the patients suffer any angulation or limb length discrepancy. Adequate management of this type of fractures lead to good results.
[Mh] Termos MeSH primário: Traumatismos do Nascimento/terapia
Fraturas do Fêmur/terapia
Fraturas do Quadril/terapia
Imobilização
[Mh] Termos MeSH secundário: Traumatismos do Nascimento/diagnóstico por imagem
Apresentação Pélvica
Cesárea
Recesariana
Parto Obstétrico
Feminino
Fraturas do Fêmur/diagnóstico por imagem
Consolidação da Fratura
Fraturas do Quadril/diagnóstico por imagem
Seres Humanos
Recém-Nascido
Masculino
Gravidez
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29182120
[Au] Autor:Vandergugten S; Traore SY; Docquier PL
[Ti] Título:Risk factors for additional surgery after closed reduction of hip developmental dislocation.
[So] Source:Acta Orthop Belg;82(4):787-796, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: to evaluate the risk factors for additional surgery after closed reduction of hip developmental dislocation Methods : closed reduction for developmental hip dislocation was performed on 72 patients, with a total of 82 hips (10 bilateral). Were included only patients with irreducible hip dislocation who were treated by overhead traction followed by closed reduction under general anaesthesia and spica casting. The mean age at the time of closed reduction was 10 months, with 82% of dislocation diagnosed after the age of 6 months. In 28 hips (34.1%), no additional surgical procedure was necessary, while 54 hips (65.9%) needed an additional surgery, consisting in Salter osteotomy in 40 hips (48.8%) or open hip reduction in 14 (17.1%). RESULTS: risk factors for the need of additional surgery were: older age at the time of reduction, male sex, high grade of hip dislocation (Tönnis grade 3 and 4, versus grade 1 and 2), and quality of hip reduction. All the patients older than 17 months at the time of closed reduction needed additional surgery. Bilateral hip dislocation had poorer Severin grading than unilateral dislocation. Poorer Kalamchi scoring was associated with older age and with the presence of the cephalic nucleus at the time of reduction. CONCLUSION: this study confirmed delayed diagnosis of hip dislocation leads to a more extensive treatment with poorer issue.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/cirurgia
Articulação do Quadril/cirurgia
Imobilização/métodos
Osteotomia/utilização
Reoperação/utilização
Tração/métodos
[Mh] Termos MeSH secundário: Fatores Etários
Moldes Cirúrgicos
Pré-Escolar
Feminino
Necrose da Cabeça do Fêmur/epidemiologia
Luxação Congênita de Quadril/diagnóstico por imagem
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Lactente
Masculino
Complicações Pós-Operatórias/epidemiologia
Modelos de Riscos Proporcionais
Radiografia
Fatores de Risco
Índice de Gravidade de Doença
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE



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