Evaluation of three methods of suture for skin closure in total knee arthroplasty: a randomized trial.

BACKGROUND: There are several studies comparing techniques and different materials, yet the results are not unanimous. We compared three methods of skin closure in total knee arthroplasty (TKA), including suture with single stitches and unabsorbable MonoNylon®, as well as continuous subcuticular suture with Monocryl® or barbed Stratafix® absorbable suture. METHODS: A prospective, randomized study was conducted with 63 patients undergoing TKA between March 2016 and December 2016. Patients were divided into three groups: traditional suture MonoNylon® (n 22), subcuticular continuous suture with Monocryl® (n 20), and another barbed with Stratafix® (n 21). The closure time, length of wire used, pain intensity, possible complications, and cosmeses were evaluated. RESULTS: Subcuticular continuous suture using Monocryl® was superior to traditional suture using MonoNylon® as less thread was used (p 0.01) and a better cosmetic effect was achieved (p < 0.01), which was equal to Stratafix® aspects analyzed (p > 0.05). Complications were observed mostly in patients who used Stratafix®. CONCLUSIONS: This study concluded that the subcuticular suture with absorbable monofilament Monocryl® proved to be advantageous compared to the others because it presented results equal to the barbed Stratafix®, however with fewer complications. Furthermore, Monocryl® was shown to be equal or superior to traditional MonoNylon® suture regarding in relation pain intensity, aesthetic result, and effective cost. TRIAL REGISTRATION: WHO ICTRP identifier RBR78dh5d. Retrospectively registered: 07/29/2020.

Brittle bone disease: a case report / Doenca dos ossos frageis: relato de caso

We report a case of a female patient, 27 years old, with several episodes of fractures after low energy trauma and the first documented episode only to 18 years of age. Extensive research has not found the exact etiology of the disease. The orthopedic monitoring has targeted prevention and treatment of fractures.

Relata-se caso de paciente feminina, de 27 anos, com diversos episódios de fraturas após traumas de baixa energia, o primeiro documentado aos 18 anos. A extensiva investigação até o momento não concluiu a exata etiologia da doença. O acompanhamento ortopédico tem visado à prevenção e ao tratamento das fraturas.

Brittle bone disease: A case report.

We report a case of a female patient, 27 years old, with several episodes of fractures after low energy trauma and the first documented episode only to 18 years of age. Extensive research has not found the exact etiology of the disease. The orthopedic monitoring has targeted prevention and treatment of fractures.

Avaliaçäo da força dos rotadores externos e internos do ombro em atletas de voleibol / Evaluation of external and internal rotator muscle strengh in volleyball athletes

Os autores fizeram estudo comparativo do pico de força de rotaçao externa e interna do ombro, comparando membro dominante e nao dominante de 48 atletas jovens de vôlei, de alto potencial. Os resultados mostraram que 21 atletas (43,750 por cento) tinham força de rotaçao externa diminuída no lado dominante e 33 (68,750 por cento) apresentaram essa força maior no mesmo lado. Desses atletas, 27 já haviam apresentado episódio de dor em seu ombro dominante (56,250 por cento) e dos 21 atletas que tinham força de rotaçao externa diminuída no lado dominante, 15 (71,429 por cento) já haviam apresentado episódio de dor no ombro.