http://repositorio.ufc.br/handle/riufc/418 2026-06-11T20:21:47Z http://repositorio.ufc.br/handle/riufc/62870 Título: Avaliação da concordância interobservador das classificações de Fraser e Blake & McBryde para joelho flutuante Autor(es): Alencar Neto, Jonatas Brito de; Osório Neto, Ernane Bruno; Souza, Clodoaldo José Duarte de; Rocha, Pedro Henrique Messias da; Cavalcante, Maria Luzete Costa; Lopes, Márcio Bezerra Gadelha Abstract: Conclusão Comparativamente, as duas classificações apresentaram grau de concordância fraco a moderado. A classificação de Fraser tevemelhor concordância em ambos os grupos. A concordância foi maior quando se avaliou médicos ortopedistas especialistas em trauma ortopédico. Abstract Objective To evaluate the interobserver agreement of two classifications for floating knee: Fraser and Blake & McBryde. Method Thirty-two observers participated in the present study. They were subdivided according to the degree of titration (26 resident physicians and 6 orthopedic physicians specialized in orthopedic trauma). They classified 15 fractures of the ipsilateral femur and tibia. Interobserver agreement was evaluated by using the Kappa coefficient. Result When evaluating the agreement between the 9 R1, a Kappa index of 0.58 was obtained for the Fraser classification and of 0.46 for the Blake & McBryde classification. Among the 7 R2, a rate of 0.59 was obtained for the Fraser rating and 0.51 for the Blake & McBryde rating. Among the 10 R3, the agreement index was higher for both classifications: 0.72 for the Fraser and 0.71 for the Blake & McBryde classification. Considering the 3 groups (R1, R2, R3) as one large group, the general Kappa index was calculated, which resulted in 0.63 for the Fraser classification and 0.56 for the Blake & McBryde classification. In the group of trauma and orthopedic knee specialists, in turn, an agreement of 0.597 was obtained for the Blake and McBryde classification and of 0.843 for the Fraser classification. Conclusion Comparatively, the two classifications presented a weak to moderate degree of agreement. Fraser classification had better agreement in both groups. The agreement was higher when evaluating orthopedic trauma physicians. Tipo: Artigo de Periódico 2021-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/62869 Título: Functional results of surgical treatment for acromioclavicular joint dislocation using the modified weaver-dunn surgical technique Autor(es): Alencar Neto, Jonatas Brito de; Souza, Clodoaldo José Duarte de; Queiroz, Marcel Rolim; Façanha Filho, Fernando Antônio Mendes; Lopes, Márcio Bezerra Gadelha; Girão, Marcos Antônio Silva; Cavalcante, Maria Luzete Costa; Pinto Neto, Luiz Holanda Abstract: Objective: To evaluate the functional outcome of patients who underwent surgical treatment using the modified Weaver-Dunn technique for the treatment of acute acromioclavicular dislocation. Method: Retrospective case series study (level of evidence IV) based on their view of medical records of 20 patients who participated in a 25-week postoperative follow-up, in which they were assessed using the UCLA score and submitted to radiological control. This follow-up was due to surgical treatment for acromioclavicular dislocation using the modified Weaver-Dunn technique, with two 5.5mm-Peek Zip® anchors fixed to the coracoid process, with ties on the clavicle, and transfer of the coracoacromial ligament to the distal clavicle. Results: The patients were followed-up for 25 weeks, and all presented satisfactory functional results, with 70% considered excellent and 30% classified as good. However, a high rate of reduction loss of the acromioclavicular joint was observed, which corresponded to 6 of the 20 cases monitored. The average time before returning to routine activities was 20.7 weeks; the shortest was 16 weeks, and the longest, 30 weeks. Conclusion: In the present study, we found that all patients who were submitted to the described technique presented a low level of morbidity and satisfactory functional results (excellent and good), successfully returning to their everyday activities. Tipo: Artigo de Periódico 2020-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/62868 Título: Bilateral avulsion fracture of the fibula head of the knee associated with avulsion fracture of the Iliotibial band: a rare case of fracture segond associated with arcuate fracture Autor(es): Alencar Neto, Jonatas Brito de; Souza, Clodoaldo José Duarte de; Lopes, Márcio Bezerra Gadelha; Cavalcante, Maria Luzete Costa; Pinto Neto, Luiz Holanda Abstract: Fibular head avulsion fractures are rare and are so-called the arcuate signal. Avulsion fracture of the iliotibial band and anterolateral ligament is known as a Segond fracture, and it is another rare entity. We describe the case of a 27-year-old woman who was hit by a car and suffered polytrauma, mainly suffering injuries to both knees. Radiographs of the knees showed a Segond fracture associated with the arched signal bilaterally. The aim of this study is to present a rare case report and literature review of a bilateral fibular head avulsion fracture associated with an anterolateral tibial avulsion fracture. Tipo: Artigo de Periódico 2020-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/61852 Título: Use of continuous glucose monitoring system in patients with type 2 mellitus diabetic during hemodialysis treatment Autor(es): Hissa, Marcelo Rocha Nasser; Guimarães, Sérgio Botelho; Hissa, Miguel Nasser; Hissa, Priscilla Nogueira Gomes Abstract: Background: Studies highlight the inaccuracy of glycated hemoglobin (HbA1c) for the assessment of glycemic control in dialysis diabetics and suggest the use of continuous glucose monitoring (CGM) as an alternative. Of the CGMs, FreeStyle Libre® is the most used in worldwide, but there is still no consensus on its use in dialysis. Method: A 3-week prospective study was performed with 12 patients comparing capillary and interstitial glucose during dialysis. Results: Comparing capillary and interstitial measurements, similar values were observed in pre-dialysis in the 1st week (184.1±69.5 mg/dl and 173.1±78.9 mg/dl, respectively, p=0.303), in patients with body mass index less than 24.9 kg/m2 (214.2±72.2 mg/dl and 201.3±77.0 mg/dl respectively, p=0.466), in those dialysis fuid loss less than 2 l (185.5±82.6 mg/dl and 183.1±94.0 mg/dl respectively and p=0.805) and in those with hemoglobin greater than 12 g/dl (152.0±35, 5 mg/dl and 129.5±47.4 mg/dl respectively, p=0.016). In the correlation of the capillary measurement with the interstitial sensor, it was observed that the proportions in the Clarke Error Grid of zone A, zone B, zone C, zone D and zone E were 62.5%, 27.1%, 0.0%, 10.4% and 0.0% respectively and in the Parkes error grid in zone A, zone B, zone C, zone D and zone E were 80.6%, 9.7%, 9.7% 0.0% and 0.0%, respectively. Conclusion: The mean absolute relative diference in dialysis patients is higher than the general population without end-stage renal disease. However, clinical decision-making based on the values measured by the system can be made with a good margin based on the correlation between interstitial and capillary measurements. Tipo: Artigo de Periódico 2021-01-01T00:00:00Z