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Objective: The aim of the study is to analyze and correlate functional and radiographic results and quality of life in patients undergoing cementless total hip arthroplasty with ceramic surface, performed at Hospital Servidor Publico de Sao Paulo from 2001 to 2006. Methods: We retrospectively analyzed 35 hips treated with cementless total hip arthroplasty with ceramic surfaces with a minimum follow-up of 5 years. Functional evaluation was based on the Harris Hip Score (HHS). Radiographic evaluation was based on the method proposed by Charles Engh for evaluation of femoral osseointegration and on DeLee and Charnley zones for acetabulum. Quality of life was assessed by SF-36 questionnaire. Results: The HHS presented excellent and good results in 91% of patients postoperatively (mean of 93.14 points HHS). As for radiographic evaluation, we found excellent results in 100% of evaluated hips (proven osseointegration). SF-36 scores were not compared to the control group for the following components: pain, vitality, mental health and social aspects. The difference between HHS pre and postoperatively had a statistically significant correlation with physical functioning of the SF-36. Conclusion: Total hip arthroplasty with ceramic surface is a treatment that enables functional improvement of the hip and increases quality of life of patients to levels close to those of people without joint diseases.

OBJETIVO: Analisar e correlacionar os resultados clínicos e radiográficos de pacientes com fratura do rádio distal submetidos ao tratamento cirúrgico com placa volar bloqueada de ângulo fixo. MÉTODOS: Avaliou-se 64 pacientes com fraturas do rádio distal submetidos ao tratamento cirúrgico com placa volar bloqueada de rádio distal, com mínimo de seis meses de acompanhamento pós-operatório. Foram submetidos a exame físico com medida do arco de movimento e força de preensão, ao questionário Disabilities of the Arm, Shoulder, and Hand (DASH) e a exames radiográficos. RESULTADOS: No exame físico dos pacientes houve redução de todas as medidas de amplitude de movimento. A força de preensão em kgf medida foi em média 85,8% do valor obtido em relação ao lado não acometido. O valor médio do DASH foi de 15,99. As perdas de extensão e de força de preensão tiveram relação significativa com um DASH inferior. Nas radiografias, as médias dos valores, quando comparados ao do lado não fraturado, foram 84,0% da inclinação radial, 85,4% do comprimento radial e 86,8% do desvio volar do rádio. Perda de comprimento radial se relacionou com perda de extensão e força de preensão. Conclusão: A diminuição da amplitude do movimento está associada à perda do comprimento radial na radiografia. Os resultados subjetivos dos pacientes (DASH) são modificados pela amplitude de extensão e força de preensão, porém não se relacionam com medidas radiográficas.OBJECTIVES: To analyze and correlate the clinical and radiographic results from patients with distal radius fractures who underwent surgical treatment with a fixed-angle volar locked plate. METHODS: Sixty-four patients with distal radius fractures were evaluated. They all underwent surgical treatment with a volar locked plate for the distal radius, with a minimum of six months of postoperative follow-up. They underwent a physical examination that measured range of motion and grip strength, answered the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and underwent radiographic examination. RESULTS: In the physical examination on the patients, all the range-of-motion measurements were reduced. Grip strength measured in kgf was on average 85.8% of the strength on the unaffected side. The mean DASH score was 15.99. A significant relationship was found between lower DASH scores and losses of extension and grip strength. On the radiographs, the mean values in relation to the unfractured side were 84.0% for radial inclination, 85.4% for radial length and 86.8% for volar deviation of the radius. Loss of radial length was correlated with losses of extension and grip strength.