Approach towards total knee arthroplasty in Brazil: cross-sectional study
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 radiologica...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Paulista de Medicina
|
| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802009000400003&lng=en&tlng=en |
| _version_ | 1818315277122666496 |
|---|---|
| author | Raul Frankllim de Carvalho Almeida Antônio Altenor Bessa de Queiroz João Carlos Belloti José Maria Bedran de Castro Filho Moisés Cohen Ricardo Dizioli Navarro |
| author_facet | Raul Frankllim de Carvalho Almeida Antônio Altenor Bessa de Queiroz João Carlos Belloti José Maria Bedran de Castro Filho Moisés Cohen Ricardo Dizioli Navarro |
| author_sort | Raul Frankllim de Carvalho Almeida |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T09:02:58Z |
| format | Article |
| id | doaj.art-436238fafaeb4924956a552467646740 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-13T09:02:58Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-436238fafaeb4924956a5524676467402022-12-21T23:53:08ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460127419019710.1590/S1516-31802009000400003S1516-31802009000400003Approach towards total knee arthroplasty in Brazil: cross-sectional studyRaul Frankllim de Carvalho Almeida0Antônio Altenor Bessa de Queiroz1João Carlos Belloti2José Maria Bedran de Castro Filho3Moisés Cohen4Ricardo Dizioli Navarro5Universidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloCONTEXT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802009000400003&lng=en&tlng=enKneeKnee jointArthroplastyKnee prosthesisBrazil |
| spellingShingle | Raul Frankllim de Carvalho Almeida Antônio Altenor Bessa de Queiroz João Carlos Belloti José Maria Bedran de Castro Filho Moisés Cohen Ricardo Dizioli Navarro Approach towards total knee arthroplasty in Brazil: cross-sectional study São Paulo Medical Journal Knee Knee joint Arthroplasty Knee prosthesis Brazil |
| title | Approach towards total knee arthroplasty in Brazil: cross-sectional study |
| title_full | Approach towards total knee arthroplasty in Brazil: cross-sectional study |
| title_fullStr | Approach towards total knee arthroplasty in Brazil: cross-sectional study |
| title_full_unstemmed | Approach towards total knee arthroplasty in Brazil: cross-sectional study |
| title_short | Approach towards total knee arthroplasty in Brazil: cross-sectional study |
| title_sort | approach towards total knee arthroplasty in brazil cross sectional study |
| topic | Knee Knee joint Arthroplasty Knee prosthesis Brazil |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802009000400003&lng=en&tlng=en |
| work_keys_str_mv | AT raulfrankllimdecarvalhoalmeida approachtowardstotalkneearthroplastyinbrazilcrosssectionalstudy AT antonioaltenorbessadequeiroz approachtowardstotalkneearthroplastyinbrazilcrosssectionalstudy AT joaocarlosbelloti approachtowardstotalkneearthroplastyinbrazilcrosssectionalstudy AT josemariabedrandecastrofilho approachtowardstotalkneearthroplastyinbrazilcrosssectionalstudy AT moisescohen approachtowardstotalkneearthroplastyinbrazilcrosssectionalstudy AT ricardodiziolinavarro approachtowardstotalkneearthroplastyinbrazilcrosssectionalstudy |