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Anterior tibial tension band plating leads to prompt fracture consolidation and is a good alternative for the treatment of anterior tibial cortex stress fractures. Bone grafts were shown to be unnecessary.

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Objective: To assess the correlation between kyphosis and post-traumatic symptoms in patients undergoing conservative treatment for thoracolumbar burst fractures. Methods: A retrospective study was carried out with 36 patients meeting the inclusion criteria for this kind of fracture classified as Denis and Magerl's subtype A3 and treated with anti-gravitational casting or TLSO. The mean age of patients was 50.83 years, ranging from 13 to 83 years, being 20 male and 16 female subjects. The treatment outcome was evaluated based on the SF-36 questionnaire, on Denis scores for pain and work and Frankel clinical and neurological scale. The quantification of pain was based on the visual analogue scale for pain. The measurement of the residual kyphosis was obtained by the Cobb method at admission and at the end of the follow-up. Results: A weak positive correlation (r = 0.563; p > 0.001) was found between residual kyphosis and pain score (EVA). No correlation was found between final kyphosis and SF-36 and Denis scores (p > 0.05). Conclusion: There is no evident correlation between residual kyphosis, functional outcome and patients' symptoms.

All the authors declare that there is no potential conflict of interest referring to this article. Original articleActa Ortop Bras. 2010;18(6):349-52 ABSTRACTObjective: To evaluate clinical outcomes of the osteochondral autologous transplantation technique for treatment of osteochondral defects of the knee in athletes. Methods: For an average follow-up period of 52 months (30 to 82 months), 19 patients were evaluated pre and post-operatively by using subjective IKDC scores, modified Cincinnati Scores, and rate of return to sports activities. Prognosis according to age, duration of symptoms and location of the lesion was also evaluated. Results: Subjective IKDC scores were 64.6 + 6.8 pre-operatively and 81.8 + 20.1 post-operatively. Modified Cincinnati score was 5.3 + 0.8 preoperatively and 7.5 + 1.7 post-operatively. Fifty-three percent of the patients returned to pre-operative level of sports activity, 29% returned to a lower level, and 17% did not return to sports. Better results were observed in patients younger than 35 years, with less than one year of symptoms, in patients with femoral condyle defects and without concomitant meniscus or ACL tear. Throclear lesions had inferior results to condylar defects. Conclusion: Osteochondral autologous transplantation promoted a subjective improvement of the knee in athletes. Return to sports activity occurred in a specific group of patients