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Arquivos Brasileiros de Ciências da Saúde
Article . 2010 . Peer-reviewed
Data sources: Crossref
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Classificação angular para protrusão acetabular utilizada no serviço de ortopedia da Faculdade de Medicina do ABC

Authors: Edson Hidenori Miashiro; Takeshi Chikude; Eduardo Nagashigue Yamaguchi; Nelson Keiske Ono; Fausto Boccatto Rosa; Ocilmar Dias do Amaral Junior; Gustavo Martins Fontes; +3 Authors

Classificação angular para protrusão acetabular utilizada no serviço de ortopedia da Faculdade de Medicina do ABC

Abstract

Introducao: a protrusao acetabular foi inicialmente descrita por Otto, em 1824. A incidencia e maior no sexo feminino e a bilateralidade, mais comum, e maior nas protrusoes de etiologia primaria. Sotelo-Garza e Charnley definiram uma classificacao que considera a distância da parede medial em relacao a linha de Kohler. Objetivo: apresentar a classificacao angular para protrusao acetabular e demonstrar sua aplicabilidade. Metodo: a classificacao da Faculdade de Medicina do ABC (FMABC) foi determinada a partir da medida do ângulo P (ângulo de protrusao), formado pela interseccao de tres linhas. Foram avaliadas radiografias de bacia em dois grupos de pacientes: o primeiro, com pacientes sem protrusao acetabular, em que foram definidos os valores de normalidade, e o segundo, com pacientes com protrusao acetabular. Destes, foram medidos o ângulo P e o tamanho da protrusao de acordo com Sotelo-Garza e Charnley, sendo os resultados comparados. Dezenove quadris com protrusao foram submetidos a artroplastia total e comparados os valores do ângulo P no pre e pos-operatorio. Resultados: o valor medio do ângulo P, em pacientes sem protrusao acetabular, foi -1,22°. No segundo grupo, observou-se semelhanca quando foram comparados os valores da classificacao FMABC e os da classificacao de Sotelo-Garza e Charnley. A comparacao entre os valores do ângulo P pre e pos-operatorios resultou em diferenca estatisticamente significante (p<0,001). A classificacao angular foi dividida em leve, moderada e grave. Conclusoes: o ângulo P foi sempre superior a zero nas protrusoes acetabulares, os valores numericos das duas classificacoes foram estatisticamente significativos, possibilitando a utilizacao dos mesmos valores da classificacao de Sotello-Garza e Charnley para a classificacao FMABC, e o uso de enxerto causou uma lateralizacao do componente acetabular.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold