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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e839-e846
DOI: 10.1055/s-0044-1792118
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Avaliação dos parâmetros angulares radiográficos no plano coronal dos membros inferiores em indivíduos sem osteoartrite de joelho em um hospital de referência do Sistema Único de Saúde

Article in several languages: português | English
Diego Perez da Motta 
1   Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Larissa da Silva 
2   Programa de Residência Médica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Leandro Lemgruber Kropf 
1   Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Fernando dos Santos Cerqueira 
1   Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Bruno Domenico Leonetti 
1   Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Flavio dos Santos Cerqueira 
1   Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
› Author Affiliations Suporte Financeiro Os autores declaram que não receberam suporte financeiro de agências nos setores público, privado ou sem fins lucrativos para realizar este estudo.
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Resumo

Objetivo Este estudo pretende demonstrar os parâmetros angulares radiológicos de uma amostra de pacientes atendidos em nossa instituição e comparar as alterações radiológicas com outras classificações ou parâmetros presentes na literatura.

Métodos Avaliar uma amostra de pacientes submetida ao exame radiográfico panorâmico de membros inferiores. Os critérios de inclusão utilizados foram: (1) Pacientes sem osteoartrite de joelho avaliados por ortopedista. (2) Avaliação radiográfica bilateral no exame panorâmico de membros inferiores. (3) Exame radiográfico panorâmico de membros inferiores realizado previamente a qualquer procedimento cirúrgico. (4) Pacientes com idade superior a 18 anos.

Resultados Foram avaliados 1.242 membros inferiores. O eixo neutro foi observado em 875 membros inferiores (70.4%) da amostra total. A etiologia não traumática foi a mais frequente observada, apresentando o desvio em varo do segmento tibial em 253 casos e localização do ápice da deformidade no terço proximal do segmento tibial. O desvio em valgo do eixo mecânico também foi observado mais comumente na etiologia não traumática (82.3%). Na comparação pela classificação Coronal Plane Alignment of the Knee (CPAK), o tipo I foi o mais frequente (44.8%), seguido pelo tipo III (37.1%) na amostra total.

Conclusão Foram identificadas alterações nos parâmetros angulares apresentadas pela amostra de pacientes de um hospital de referência do Sistema Único de Saúde (SUS) com características diferentes de amostras populacionais de outros países.

Palavras-chave

deformidades articulares adquiridas - deformidades congênitas dos membros - geno valgo - geno varo - osteoartrite

Trabalho desenvolvido no Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.




Publication History

Received: 17 March 2024

Accepted: 05 September 2024

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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