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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 235-243
DOI: 10.1055/s-0040-1713757
Artigo Original
Pé e Tornozelo

Avaliação funcional e de sintomatologia dolorosa do pé e tornozelo em indivíduos com obesidade grave – Estudo controlado transversal[*]

Article in several languages: português | English
Glaucus Cajaty Martins 
1   Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil
3   Serviço de Estatística Médica, Hospital Universitário da Universidade Federal do Rio de Janeiro, RJ, Brasil
,
Pedro Henrique Gomes Fraga 
1   Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil
,
Lucas Braga Teixeira 
1   Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil
,
Bruno Rodrigues Guterres Valle 
1   Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil
,
Luiz Felippe Martins Filho 
1   Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil
,
Maurício de Pinho Gama 
3   Serviço de Estatística Médica, Hospital Universitário da Universidade Federal do Rio de Janeiro, RJ, Brasil
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Resumo

Objetivo Avaliar a prevalência de queixas álgicas no pé e tornozelo, parâmetros radiográficos e o desempenho funcional de indivíduos com obesidade grave, Índice de Massa Corpórea (IMC) com valor > 40 e indicação de cirurgia bariátrica.

Métodos Foram avaliados 40 pacientes com obesidade grave acompanhados em ambulatório de cirurgia bariátrica. Este grupo de obesos graves (IMC > 40) foi subdividido em dois subgrupos: obesos com IMC < 50 (n = 24); e outro de obesos com IMC > 50 (n = 16). Foi realizada comparação com grupo controle de 42 indivíduo voluntários com IMC médio de 24. Foram avaliados a presença de dor no pé pela escala visual (EVA), o desempenho funcional pela escala da Associação Americana de Cirurgia do Pé e Tornozelo (AOFAS, na sigla em inglês) (domínios antepé, mediopé e retropé), idade, gênero, ângulo (âng) metatarso-falangeano do hálux, âng intermetatarsal do hálux , âng talocalcaneano, “pitch” calcaneano e âng de Meary.

Resultados Foi observada maior incidência de dor no pé no grupo de obesos graves em relação ao controle (p < 0,0001, razão de chances [odds ratio, OR]: 4,2). O desempenho funcional pela escala AOFAS foi inferior no grupo de obesos em relação ao controle (p < 0,0001, retropé com OR = 4,81; mediopé com OR = 3,33).

Conclusão Houve maior incidência de dor no pé no grupo de obesos graves em relação ao controle. Houve pior desempenho funcional pela escala AOFAS nas regiões do antepé, mediopé e retropé no grupo de obesos graves.

Palavras-chave

pé - obesidade - dor - escala AOFAS

* Trabalho desenvolvido no Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil.




Publication History

Received: 08 August 2019

Accepted: 15 April 2020

Article published online:
29 October 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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