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Approach towards total knee arthroplasty in Brazil: cross-sectional study.

作者信息

Almeida Raul Frankllim de Carvalho, Queiroz Antônio Altenor Bessa de, Belloti João Carlos, Castro Filho José Maria Bedran de, Cohen Moisés, Navarro Ricardo Dizioli

机构信息

Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, São Paulo, Brazil.

出版信息

Sao Paulo Med J. 2009 Jul;127(4):190-7. doi: 10.1590/s1516-31802009000400003.

DOI:10.1590/s1516-31802009000400003
PMID:20011923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11448720/
Abstract

CONTEXT AND OBJECTIVE

Total knee arthroplasty (TKA) has evolved particularly since the 1970s, with improvements in implants and surgical instruments, and has thus become an effective intervention for treating knee arthrosis. Many studies have presented rates of satisfactory clinical and radiological results greater than 90%, from follow-ups of over ten years. Nevertheless, despite scientific evidence showing the efficacy of TKA, the approaches taken present controversies in certain respects. The objective of this study was to evaluate how the Brazilian orthopedists deal with TKA, with investigation of the main aspects of this procedure.

DESIGN AND SETTING

Cross-sectional survey conducted during the 39th Brazilian Congress of Orthopedics and Traumatology, in São Paulo, Brazil, in November 2007.

METHODS

We applied a questionnaire to orthopedists registered at the congress. The questionnaire was randomly distributed and participation was voluntary; 858 completed questionnaires were included in the analysis.

RESULTS

Most of the Brazilian orthopedists were members of SBOT and worked in the southeastern region. They used imported cemented implants through an anterior access route centered on the patella, with replacement of the joint surface of the patella and preservation of the posterior cruciate ligament. They did not have experience with simultaneous bilateral TKA. Postoperatively, they used antibiotics and suction drains for 48 hours. There was no consensus regarding prophylaxis for venous thromboembolism or the frequency of the main complications.

CONCLUSION

The majority of Brazilian orthopedists work in the southeastern region of the country and agree about the main aspects of the approaches towards TKA.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/864af0c888f1/1806-9460-spmj-127-04-190-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/96ce94fe2ce5/1806-9460-spmj-127-04-190-gch1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/5a3639e83598/1806-9460-spmj-127-04-190-gch2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/f0833190c6d3/1806-9460-spmj-127-04-190-gch3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/6576cbe3b991/1806-9460-spmj-127-04-190-gch4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/9876e71842a4/1806-9460-spmj-127-04-190-gch5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/1fe81ebfab1c/1806-9460-spmj-127-04-190-gch6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/cdee3338f010/1806-9460-spmj-127-04-190-gch7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/a3ac45086576/1806-9460-spmj-127-04-190-gch8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/95970e118c5a/1806-9460-spmj-127-04-190-gch9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/73e6d7077286/1806-9460-spmj-127-04-190-gch10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/390e90594d4b/1806-9460-spmj-127-04-190-gch11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/4c3019d77e9d/1806-9460-spmj-127-04-190-gch12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/b0a2a8338631/1806-9460-spmj-127-04-190-gch13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/92a7c8f4d40e/1806-9460-spmj-127-04-190-gch14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/864af0c888f1/1806-9460-spmj-127-04-190-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/96ce94fe2ce5/1806-9460-spmj-127-04-190-gch1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/5a3639e83598/1806-9460-spmj-127-04-190-gch2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/f0833190c6d3/1806-9460-spmj-127-04-190-gch3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/6576cbe3b991/1806-9460-spmj-127-04-190-gch4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/9876e71842a4/1806-9460-spmj-127-04-190-gch5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/1fe81ebfab1c/1806-9460-spmj-127-04-190-gch6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/cdee3338f010/1806-9460-spmj-127-04-190-gch7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/a3ac45086576/1806-9460-spmj-127-04-190-gch8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/95970e118c5a/1806-9460-spmj-127-04-190-gch9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/73e6d7077286/1806-9460-spmj-127-04-190-gch10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/390e90594d4b/1806-9460-spmj-127-04-190-gch11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/4c3019d77e9d/1806-9460-spmj-127-04-190-gch12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/b0a2a8338631/1806-9460-spmj-127-04-190-gch13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/92a7c8f4d40e/1806-9460-spmj-127-04-190-gch14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a7/11448720/864af0c888f1/1806-9460-spmj-127-04-190-gf1.jpg

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Cochrane Database Syst Rev. 2012 Oct 17;10(10):CD006193. doi: 10.1002/14651858.CD006193.pub2.
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Closed suction surgical wound drainage after orthopaedic surgery.骨科手术后的闭式吸引手术伤口引流
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The practice of bilateral, simultaneous total knee replacement in Scotland over the last decade. Data from the Scottish Arthroplasty Project.
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Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals.公立和私立医院关节置换术中血栓预防模式的比较。
Einstein (Sao Paulo). 2015 Jul-Sep;13(3):410-6. doi: 10.1590/S1679-45082015GS3057. Epub 2015 Aug 25.
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A meta-analysis of patellar replacement in total knee arthroplasty.全膝关节置换术中髌骨置换的荟萃分析。
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