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UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL

Objective: The aim of this study was to evaluate the approaches and procedures used by Brazilian orthopedic surgeons for treating osteoarthrosis by means of unicompartmental knee arthroplasty and high tibial osteotomy of the knee. Methods: A questionnaire with 14 closed questions was developed and a...

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Autores principales: Arliani, Gustavo Gonçalves, Júnior, João Alberto Yazigi, Angelini, Felipe Bertelli, Ferlin, Fernando, Hernandes, Andrea Canizares, Astur, Diego da Costa, Cohen, Moises
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799474/
https://www.ncbi.nlm.nih.gov/pubmed/27047891
http://dx.doi.org/10.1016/S2255-4971(15)30029-X
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author Arliani, Gustavo Gonçalves
Júnior, João Alberto Yazigi
Angelini, Felipe Bertelli
Ferlin, Fernando
Hernandes, Andrea Canizares
Astur, Diego da Costa
Cohen, Moises
author_facet Arliani, Gustavo Gonçalves
Júnior, João Alberto Yazigi
Angelini, Felipe Bertelli
Ferlin, Fernando
Hernandes, Andrea Canizares
Astur, Diego da Costa
Cohen, Moises
author_sort Arliani, Gustavo Gonçalves
collection PubMed
description Objective: The aim of this study was to evaluate the approaches and procedures used by Brazilian orthopedic surgeons for treating osteoarthrosis by means of unicompartmental knee arthroplasty and high tibial osteotomy of the knee. Methods: A questionnaire with 14 closed questions was developed and applied to Brazilian knee surgeons during the three days of the 43(rd) Brazilian Congress of Orthopedics and Traumatology. Results: A total of 113 surgeons filled out the questionnaire completely and became part of the sample analyzed. In this study, the majority of the surgeons performed fewer than five unicompartmental knee arthroplasty procedures/year (61.1%) and between 5 and 15 high tibial osteotomy procedures/year (37.2%). Use of computerized navigation systems during surgery remains uncommon in our environment, since only 0.9% of the specialists were using it. 65.5% of the surgeons reported that they had chosen to use total knee arthroplasty rather than partial arthroplasty due to lack of familiarity with the surgical technique. When asked about the possibility that the number of unicompartmental prostheses used in Brazil would grow as surgeons in this country become increasingly familiar with the technique, 80.5% of the respondents believed in this hypothesis. In this sample, we found that the greater the surgeon's experience was, the greater the numbers of unicompartmental prostheses and tibial osteotomies performed annually were (r = 0.550 and r = 0.465, respectively; p < 0.05). Conclusions: There is a clear evolutional trend towards treatment of unicompartmental osteoarthritis using partial knee arthroplasty in Brazil. However, further prospective controlled studies are needed in order to evaluate the clinical and scientific benefits of these trends.
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spelling pubmed-47994742016-04-04 UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL Arliani, Gustavo Gonçalves Júnior, João Alberto Yazigi Angelini, Felipe Bertelli Ferlin, Fernando Hernandes, Andrea Canizares Astur, Diego da Costa Cohen, Moises Rev Bras Ortop Original Article Objective: The aim of this study was to evaluate the approaches and procedures used by Brazilian orthopedic surgeons for treating osteoarthrosis by means of unicompartmental knee arthroplasty and high tibial osteotomy of the knee. Methods: A questionnaire with 14 closed questions was developed and applied to Brazilian knee surgeons during the three days of the 43(rd) Brazilian Congress of Orthopedics and Traumatology. Results: A total of 113 surgeons filled out the questionnaire completely and became part of the sample analyzed. In this study, the majority of the surgeons performed fewer than five unicompartmental knee arthroplasty procedures/year (61.1%) and between 5 and 15 high tibial osteotomy procedures/year (37.2%). Use of computerized navigation systems during surgery remains uncommon in our environment, since only 0.9% of the specialists were using it. 65.5% of the surgeons reported that they had chosen to use total knee arthroplasty rather than partial arthroplasty due to lack of familiarity with the surgical technique. When asked about the possibility that the number of unicompartmental prostheses used in Brazil would grow as surgeons in this country become increasingly familiar with the technique, 80.5% of the respondents believed in this hypothesis. In this sample, we found that the greater the surgeon's experience was, the greater the numbers of unicompartmental prostheses and tibial osteotomies performed annually were (r = 0.550 and r = 0.465, respectively; p < 0.05). Conclusions: There is a clear evolutional trend towards treatment of unicompartmental osteoarthritis using partial knee arthroplasty in Brazil. However, further prospective controlled studies are needed in order to evaluate the clinical and scientific benefits of these trends. Elsevier 2015-11-04 /pmc/articles/PMC4799474/ /pubmed/27047891 http://dx.doi.org/10.1016/S2255-4971(15)30029-X Text en © 2012 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Arliani, Gustavo Gonçalves
Júnior, João Alberto Yazigi
Angelini, Felipe Bertelli
Ferlin, Fernando
Hernandes, Andrea Canizares
Astur, Diego da Costa
Cohen, Moises
UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL
title UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL
title_full UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL
title_fullStr UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL
title_full_unstemmed UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL
title_short UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL
title_sort unicompartmental knee arthroplasty: current perspectives and trends in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799474/
https://www.ncbi.nlm.nih.gov/pubmed/27047891
http://dx.doi.org/10.1016/S2255-4971(15)30029-X
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