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  1. Article ; Online: Talus Osteochondral Defect Treatment With Biological Scaffold.

    Baumfeld, Daniel Soares / Fagundes, Addller Oliveira / Gajo, Marcela de Melo / Percope de Andrade, Marco Antonio / Baumfeld, Tiago Soares

    Foot & ankle specialist

    2024  , Page(s) 19386400241247654

    Abstract: Talus Osteochondral defects (OCDs) are challenging and there is no consensus in literature regarding which is the best method of treatment. New techniques coming from regenerative medicine are being considered good alternatives of treatment and are being ...

    Abstract Talus Osteochondral defects (OCDs) are challenging and there is no consensus in literature regarding which is the best method of treatment. New techniques coming from regenerative medicine are being considered good alternatives of treatment and are being used exponentially in orthopaedic surgery. Platelet-rich fibrin (PRF) is the second generation of platelet concentrates. It has a convenient method of acquisition and can be used to create a biological scaffold which is able to seal up cavitary lesions. In this article, the authors describe a talus OCD treated with a biological scaffold, reporting the technique details and its results clinical and radiological results. The case report objective is to portray the use of this kind of biological material, its advantages, and limitations.
    Language English
    Publishing date 2024-04-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2488579-4
    ISSN 1938-7636 ; 1938-6400
    ISSN (online) 1938-7636
    ISSN 1938-6400
    DOI 10.1177/19386400241247654
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Translation, cross-cultural adaptation and validation of the Brazilian Portuguese version of the Victorian Institute of Sports Assessment for Gluteal Tendinopathy patient reported-outcome measure (VISA-G.BR).

    Paiva, Edson Barreto / Azevedo, Daniel Câmara / Pereira, André Lourenço / Garcia, Alessandra N / Percope de Andrade, Marco Antônio

    Musculoskeletal science & practice

    2021  Volume 52, Page(s) 102341

    Abstract: Background: Different outcome measures can be used to assess pain and disability in individuals with Greater Trochanteric Pain Syndrome (GTPS), including the Victorian Institute of Sports Assessment for Gluteal Tendinopathy (VISA-G), Oswestry Disability ...

    Abstract Background: Different outcome measures can be used to assess pain and disability in individuals with Greater Trochanteric Pain Syndrome (GTPS), including the Victorian Institute of Sports Assessment for Gluteal Tendinopathy (VISA-G), Oswestry Disability Index (ODI), Patient Specific Functional Scale (PSFS) and Global Perceived Effect (GPE).
    Objective: To translate, cross-culturally adapt and validate VISA-G to Brazilian Portuguese and to evaluate the measurement properties of the VISA-G.BR, ODI, GPE, and PSFS in individuals with GTPS.
    Design: This is a longitudinal clinimetric study.
    Methods: Sixty-eight individuals with GTPS participated in this study. The questionnaires VISA-G.BR, ODI, PSFS, and GPE were administered to participants at the initial assessment, 24-48 h and 30 days after the initial assessment. Internal consistency and construct validity for the VISA-G.BR were assessed. Reliability, agreement, ceiling and floor effect, and responsiveness were described for all instruments.
    Results: The Cronbach Alpha for internal consistency value for VISA-G.BR was 0.65. The construct validity analysis showed a strong correlation value between ODI and VISA-G.BR (r = -0.77). The agreement analysis performed for all questionnaires showed standard error of measurement values ranging from 0.64 (PSFS) to 4.2 (VISA-G.BR). GPE scale had a floor effect. The responsiveness analysis performed for all questionnaires showed low values of effect size ranging from -0.07 to 0.3.
    Conclusion: The VISA-G.BR is a valid and reliable instrument to assess the disability of individuals with GTPS. The ODI and PSFS instruments can also be used in the evaluation of this population.
    MeSH term(s) Brazil ; Cross-Cultural Comparison ; Humans ; Patient Reported Outcome Measures ; Reproducibility of Results ; Tendinopathy/diagnosis
    Language English
    Publishing date 2021-02-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2888772-4
    ISSN 2468-7812
    ISSN (online) 2468-7812
    DOI 10.1016/j.msksp.2021.102341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Bone Marrow Aspirate Matrix: A Convenient Ally in Regenerative Medicine.

    Lana, José Fábio / da Fonseca, Lucas Furtado / Azzini, Gabriel / Santos, Gabriel / Braga, Marcelo / Cardoso Junior, Alvaro Motta / Murrell, William D / Gobbi, Alberto / Purita, Joseph / Percope de Andrade, Marco Antonio

    International journal of molecular sciences

    2021  Volume 22, Issue 5

    Abstract: The rise in musculoskeletal disorders has prompted medical experts to devise novel effective alternatives to treat complicated orthopedic conditions. The ever-expanding field of regenerative medicine has allowed researchers to appreciate the therapeutic ... ...

    Abstract The rise in musculoskeletal disorders has prompted medical experts to devise novel effective alternatives to treat complicated orthopedic conditions. The ever-expanding field of regenerative medicine has allowed researchers to appreciate the therapeutic value of bone marrow-derived biological products, such as the bone marrow aspirate (BMA) clot, a potent orthobiologic which has often been dismissed and regarded as a technical complication. Numerous in vitro and in vivo studies have contributed to the expansion of medical knowledge, revealing optimistic results concerning the application of autologous bone marrow towards various impactful disorders. The bone marrow accommodates a diverse family of cell populations and a rich secretome; therefore, autologous BMA-derived products such as the "BMA Matrix", may represent a safe and viable approach, able to reduce the costs and some drawbacks linked to the expansion of bone marrow. BMA provides -it eliminates many hurdles associated with its preparation, especially in regards to regulatory compliance. The BMA Matrix represents a suitable alternative, indicated for the enhancement of tissue repair mechanisms by modulating inflammation and acting as a natural biological scaffold as well as a reservoir of cytokines and growth factors that support cell activity. Although promising, more clinical studies are warranted in order to further clarify the efficacy of this strategy.
    MeSH term(s) Bone Marrow/metabolism ; Bone Marrow Cells/metabolism ; Extracellular Matrix/metabolism ; Extracellular Matrix/transplantation ; Humans ; Regenerative Medicine
    Language English
    Publishing date 2021-03-09
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms22052762
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A new methodology for patient education in total knee arthroplasty: a randomized controlled trial.

    Percope de Andrade, Marco Antonio / Moreira de Abreu Silva, Guilherme / de Oliveira Campos, Tulio Vinicius / Guen Kasuya Barbosa, David / da Silva Leite, Danilo / Teodoro Rezende, Marcus Vinicius / Maciel Santos, Felipe / Galo Magalhaes, Tauam Filipe

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2021  Volume 32, Issue 1, Page(s) 107–112

    Abstract: Background: We established a method in which patients are instructed before total knee arthroplasty (TKA) in a differentiated way without the necessity of reading any self-orientation, which can be applied even for illiterate patients METHODS: We ... ...

    Abstract Background: We established a method in which patients are instructed before total knee arthroplasty (TKA) in a differentiated way without the necessity of reading any self-orientation, which can be applied even for illiterate patients METHODS: We developed a multidisciplinary approach to improve patient education in TKA comprising of a differentiated orientation conducted by an orthopedic surgeon, a nurse and a physiotherapist. It consists of standardized lectures regarding on pre-, intra- and postoperative issues in a randomized controlled trial of 79 consecutive patients undergoing primary TKA. Thirty-four patients received the standard education (control group), and 45 patients received the differentiated education (intervention group). The patients were evaluated during at least 6 months.
    Results: After a 6-month follow-up period, the Short Form Health Survey (SF-36), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the visual analogue pain scale (VAS) and knee range of motion (ROM) improved significantly in both groups. Range of motion was better in the intervention group (mean and SD-106.9 ± 5.7 versus 92.5 ± 12.1 degrees, p = 0.02). Moreover, walk ability (more than 400 m) was better in the intervention group compared with the control group (97.4% versus 72.4%, p = 0.003). In the intervention and control groups, respectively, 10.5% and 31% of patients reported the need for some walking devices (p = 0.03).
    Conclusions: A differentiated educational program with a multidisciplinary team had a positive impact on functional outcomes, improving ROM and walk ability of patients undergoing TKA in a short-term evaluation.
    MeSH term(s) Arthroplasty, Replacement, Knee ; Humans ; Knee Joint/surgery ; Osteoarthritis, Knee/surgery ; Patient Education as Topic ; Range of Motion, Articular ; Treatment Outcome
    Language English
    Publishing date 2021-03-19
    Publishing country France
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-021-02936-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Supplementary methods in the nonsurgical treatment of osteoarthritis.

    Percope de Andrade, Marco Antônio / Campos, Túlio Vinícius de Oliveira / Abreu-E-Silva, Guilherme Moreira de

    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

    2015  Volume 31, Issue 4, Page(s) 785–792

    Abstract: Purpose: This article discusses current evidence in nutraceuticals and viscosupplementation uses in osteoarthritis (OA) treatment.: Methods: A search was carried out to identify systematic reviews, randomized controlled trials, review articles, and ... ...

    Abstract Purpose: This article discusses current evidence in nutraceuticals and viscosupplementation uses in osteoarthritis (OA) treatment.
    Methods: A search was carried out to identify systematic reviews, randomized controlled trials, review articles, and original articles (PubMed and Cochrane Database) about nutraceuticals and viscosupplementation. The keywords used were nutraceuticals, glucosamine, chondroitin, diacerein, avocado, soybean unsaponifiables, nutraceuticals, and viscosupplementation, independently or combined with the terms "review" and "randomized."
    Results: Glucosamine hydrochloride has no effect on pain management, although the sulfate formulation has a moderate effect. Diacerein leads to pain relief, with a superior carryover effect when compared with placebo. Avocado and soybean unsaponifiables may have positive effects on knee and hip OA, but long-term results could not be confirmed. Despite the American Academy of Orthopaedic Surgeons' recommendation against the use of hyaluronic acid in OA, some systematic reviews found some benefits in the knee.
    Conclusions: There is no evidence that nutraceuticals or viscosupplementation influences OA's natural progression. However, some of these agents seem to reduce pain and improve function.
    Level of evidence: Level IV, systematic review of studies with Level I through Level IV evidence.
    MeSH term(s) Arthralgia/therapy ; Dietary Supplements ; Humans ; Osteoarthritis, Hip/therapy ; Osteoarthritis, Knee/therapy ; Viscosupplementation
    Language English
    Publishing date 2015-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632528-2
    ISSN 1526-3231 ; 0749-8063
    ISSN (online) 1526-3231
    ISSN 0749-8063
    DOI 10.1016/j.arthro.2014.11.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Determining Reliability of Arthroscopic Classifications for Hip Labral Tears.

    Guimarães Barros, Antônio Augusto / Vassalo, Carlos César / Costa, Lincoln Paiva / de Oliveira Paganini, Vinícius / de Carvalho Guedes, Euler / Percope de Andrade, Marco Antônio

    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine

    2019  Volume 31, Issue 2, Page(s) e95–e100

    Abstract: Objective: Evaluate interobserver and intraobserver reliability of hip arthroscopic classifications for labral tears.: Design: Retrospective diagnostic study of nonconsecutive patients.: Setting: Institutional study.: Patients: From a database ... ...

    Abstract Objective: Evaluate interobserver and intraobserver reliability of hip arthroscopic classifications for labral tears.
    Design: Retrospective diagnostic study of nonconsecutive patients.
    Setting: Institutional study.
    Patients: From a database of 278 hip arthroscopy videos for treatment of femoroacetabular impingement, 70 videos were chosen by simple random sampling. Exclusion criteria included presence of radiological arthrosis (Tonnis > 2), previous hip surgery, inadequate lesion palpation, poor image quality, and refusal to participate in the study. The final sample included 60 videos.
    Interventions: Four hip surgeons evaluated the videos twice at 1-month intervals and classified the lesions according to Lage, Seldes, and Beck classifications for hip labral tears.
    Main outcome measures: Interobserver and intraobserver reliability with the percent of agreement and weighted Cohen kappa values.
    Results: Patients had a mean age of 33 years (SD, 7; range, 18-47 years), and 32 (53%) were men. Femoroacetabular impingement types included combined (CAM and pincer) in 31 (52%), CAM in 27 (45%), and pincer in 2 (3%). For interobserver reliability, the average weighted kappa values were 0.68, 0.65, and 0.78 for the Lage, Seldes, and Beck classifications, respectively. For intraobserver reliability, the mean weighted kappa values were 0.87, 0.64, and 0.93 for the Lage, Seldes, and Beck classifications, respectively.
    Conclusions: Beck classification had the highest average values for interobserver and intraobserver agreements. Lage, Seldes, and Beck scores for acetabular labrum tears showed substantial interobserver agreement. In the intraobserver evaluation, the Seldes system presented substantial agreement, whereas Lage and Beck classifications were considered excellent agreement.
    MeSH term(s) Adolescent ; Adult ; Arthroscopy ; Cartilage, Articular/injuries ; Cartilage, Articular/surgery ; Female ; Femoracetabular Impingement/classification ; Femoracetabular Impingement/diagnosis ; Femoracetabular Impingement/surgery ; Hip Injuries/classification ; Hip Injuries/diagnosis ; Hip Injuries/surgery ; Humans ; Male ; Middle Aged ; Observer Variation ; Reproducibility of Results ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2019-01-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1062530-6
    ISSN 1536-3724 ; 1050-642X
    ISSN (online) 1536-3724
    ISSN 1050-642X
    DOI 10.1097/JSM.0000000000000717
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Conference proceedings: New technique for reconstruction of DRUJ in chronic instability without arthrosis

    Pacheco Martins Ferreira, Gustavo / Rodrigues Costa, Marcella / Oliveira De Freitas Junior, Haroldo / Meira De Oliveira, Werlley / Brum De Castro, Ubiratan / Percope De Andrade, Marco Antônio

    2020  , Page(s) IFSSH19–852

    Event/congress 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT); Berlin; ; International Federation of Societies for Hand Therapy; 2019
    Keywords Medizin, Gesundheit ; distal radioulnar joint ; triangular fibrocartilage complex ; instability ; reconstruction
    Publishing date 2020-02-06
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/19ifssh1278
    Database German Medical Science

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