Objective:Clubfoot is one of the most common congenital deformities affecting the musculoskeletal system. The main conservative treatment for clubfoot includes the Ponseti's and Kite's methods. This study aimed to perform a comparative evaluation of the effectiveness of the Ponseti and Kite approaches for the conservative treatment of clubfoot.Methods:One hundred children with clubfoot abnormality, visiting the Martagão Gesteira Hospital, were divided in two groups. The first group received conservative treatment using the Kite method and the second group received conservative treatment using the Ponseti method. At the end of the treatment, both groups were evaluated based on the Pirani classification to verify whether there had been an adequate correction of the deformity. The variables studied included correction of deformity, age, sex, and laterality.Results:The effectiveness of the Kite and Ponseti methods of conservative treatment showed significant statistical differences.Conclusion:The present study shows that the efficacy of conservative treatment using the Ponseti method was 18% higher than that of the Kite method. Level of evidence II, randomized clinical trial.

As fraturas de fêmur são causadas, principalmente, por traumas de alta energia em indivíduos jovens e adultos e por quedas entre os idosos. Mulheres idosas são mais susceptíveis, devido ao maior risco de osteoporose, já os homens jovens são mais expostos por causa de acidentes. Mediante o quadro exposto, o objetivo da pesquisa foi descrever o perfil epidemiológico dos internados com fraturas de fêmur em Salvador, Bahia, no período de 2003 a 2012. Para tanto, utilizou-se como método um estudo descritivo, retrospectivo, usando dados secundários do Sistema de Internações Hospitalares do Sistema Único de Saúde, tendo como local a cidade de Salvador, Bahia, analisando o período de 2003 a 2012. Os resultados indicaram que ocorreram 10.721 internações, predominando no terceiro trimestre do ano, e 195 óbitos hospitalares. Foram mais acometidos os indivíduos de 20-49 anos e maiores de 70 anos, do sexo masculino, com maior mortalidade hospitalar entre as mulheres. O tempo médio de permanência foi 12,2 dias, com valor médio da Autorizações de Internamento Hospitalar de R$ 1.901,18. Assim, concluiu-se que predominam as internações em jovens e adultos do sexo masculino. Os acidentes de trânsito e o consumo de álcool provavelmente contribuem para esse perfil. Não foi possível estabelecer uma relação entre tempo e taxa de internação por fratura de fêmur, porém a mortalidade hospitalar tende ao crescimento com o passar dos anos. Palavras-chave: Fraturas do fêmur. Hospitalização. Epidemiologia.

ObjectiveUsing biomechanical studies, this research aims to compare hip capsulorrhaphy in rabbits, carried out with two different techniques: capsulorrhaphy with simple sutures and with anchors.MethodThirteen New Zealand Albino (Oryctolaguscuniculus) male rabbits, twenty-six hip joints, were used. First, a pilot project was performed with three rabbits (six hip joints). This experiment consisted of ten rabbits divided into two groups: group 1 underwent capsulorrhaphy on both right and left hips with simple suture using polyglycolic acid absorbable thread, and group 2 underwent capsulorrhaphy with titanium anchors. After a four-week postoperative period, the animals were euthanized and the hip joints were frozen. On the same day of the biomechanical studies, after the hip joints were previously unfrozen, the following parameters were evaluated: rigidity, maximum force, maximum deformity and energy.ResultsThere was no relevant statistical difference in rigidity, maximum force, maximum deformity and energy between the simple suture and anchor groups.ConclusionThrough biomechanical analyses, using parameters of rigidity, maximum force, maximum deformity and energy, it has been shown that capsulorrhaphy with simple suture and with anchors has similar results in rabbit hip joints. Level of Evidence II, Prospective Comparative Study.

The motorcycle accident, its social and economic costs to society are topics widely debated and discussed today, since the trauma disease is responsible for numerous cases of hospitalization, injuries in target organs and sequelae. In addition, it presents itself as the main cause of death in young people and the economically active population. The present study aims to characterize the profile of hospitalizations due to traffic accidents involving motorcyclists in Brazil, reported in the DATASUS database. This is an epidemiological, retrospective, descriptive and analytical study of a historical series from 2011 to 2021. Education and prevention is essential in actions to control motorcycle accidents, seeking to reduce mortality and physical disability of victims after trauma. Epidemiological surveillance and preventive campaigns must be active and continuously intensified, seeking to eliminate accidents for the benefit of the individual and society.