RESUMO Os recentes estudos anatômicos e biomecânicos sobre o ligamento anterolateral (LAL) do joelho evidenciam que essa estrutura apresenta função relevante para a estabilidade articular principalmente quando associada à lesão do ligamento cruzado anterior (LCA). No entanto, os critérios para sua reconstrução ainda não estão totalmente estabelecidos, assim como as técnicas cirúrgicas descritas apresentam variações sobre os pontos anatômicos e materiais de fixação. O estudo apresenta uma técnica reprodutível para a reconstrução do LAL e LCA com os tendões flexores que usa três parafusos de interferência para as fixações.

ABSTRACT Recent anatomical and biomechanical studies on the anterolateral ligament (ALL) of the knee have shown that this structure has an important function in relation to joint stability, especially when associated with anterior cruciate ligament (ACL) injury. However, the criteria for its reconstruction have not yet been fully established and the surgical techniques that have been described present variations regarding anatomical points and fixation materials. This study presents a reproducible technique for ALL and ACL reconstruction using hamstring tendons, in which three interference screws are used for fixation.

INTRODUÇÃO: As doenças cardiovasculares (DCV) constituem a principal causa de óbito no Brasil. OBJETIVO: Avaliar a frequência dos fatores de risco para DCV em indivíduos participantes de evento de educação em saúde na comunidade. MÉTODOS: Foram analisados retrospectivamente 428 formulários contendo informações clínicas e demográficas de voluntários participantes de evento em saúde, realizado em maio de 2006. Comparações entre proporções foram realizadas pelo teste do Qui quadrado e entre grupos pelo teste t de Student. As associações entre hipertensão arterial (HAS) e diabetes mellitus (DM) e variáveis clínicas foram avaliadas pelo modelo de regressão logística multivariado. O nível de significância adotado foi p<0,05. RESULTADOS: A idade média foi 57±14 anos, sendo 58% mulheres. Os principais fatores de risco cardiovascular observados foram HAS (39,5%), DM (15,4%) e dislipidemia (25,8%), sendo que 8,4%, 17,5% e 33,1%, respectivamente, não sabiam informar sobre esses antecedentes. Antecedentes familiares de DCV ocorreram em 41% dos indivíduos e somente 67% referiram ter algum acesso a informações sobre DM ou dislipidemia. Entre os obesos (IMC>30 Kg/m², 27,3% da casuística), a pressão arterial sistólica (133±16mmHg) e diastólica (84±11,5mmHg) e a glicemia casual (124±52,5mg/dl) foram maiores que nos não obesos (p<0,05). Houve associação entre obesidade e dislipidemia (p=0,04). Idade e IMC foram associados de forma independente com a presença de HAS e DM. CONCLUSÃO: A alta prevalência de fatores de risco modificáveis na população avaliada sugere a necessidade de medidas de saúde pública que promovam educação e prevenção primária dirigida, principalmente, para indivíduos idosos e com sobrepeso.

INTRODUCTION: Cardiovascular diseases (CVD) are the main cause of death in Brazil. OBJECTIVE: To evaluate the frequency of CVD risk factors in a population attending a health education community event. METHODS. Retrospective study that included 428 completed forms with clinical and demographic information of volunteers attending a public event, in May, 2006. Data were expressed by means and standard deviation or proportions and compared by Student´s t test or Chi-square test. Associations between Arterial Hypertension (AH), Diabetes Mellitus (DM) and clinical variables were analyzed by multinomial logistic regression. Significance level was p <0.05. RESULTS: Mean age was 57±14 years, and women represented 58% of the total population. The main cardiovascular risk factors were AH (39.5%), DM (15.4%) and dyslipidemia (25.8%). The frequency of unawareness about these risk factors was respectively 8.4%, 17.5% and 33.1%.. Family history of CVD was reported by 41% while only 67% reported having any information about DM or dyslipidemia. Among obese individuals (IMC>30 Kg/m2, 27.3% of the population), systolic blood pressure (133±16mmHg), diastolic blood pressure (84±11.5mmHg) and casual glycemia (124±52.5mg/dl) were higher when compared to non-obese (p<0.05). There was a significant association between obesity and dyslipidemia (p=0.04). Age and IMC were independently associated with AH and DM. CONCLUSION: The high frequency of modifiable cardiovascular risk factors in this population suggests the need for educational programs to promote primary prevention, mainly for the elderly and overweight.

OBJECTIVE: To evaluate quality of life in a population that attended a specific community event on health care education, and to investigate the association of their quality of life with the presence of cardiovascular risk factors INTRODUCTION: Interest in health-related quality of life is growing worldwide as a consequence of increasing rates of chronic disease. However, little is known about the association between quality of life and cardiovascular risk factors. METHODS: This study included 332 individuals. Demographics, blood pressure, body mass index, and casual glycemia were evaluated. The brief version of the World Health Organization Quality of Life questionnaire on quality of life was given to them. The medians of the scores obtained for the physical, psychological, emotional, and environmental domains were used as cutoffs to define "higher" and "lower" scores. A multinomial logistic regression model was used to define the parameters associated with lower scores. RESULTS: Diabetes mellitus, dyslipidemia, and obesity were associated with lower scores in the physical domain. Dyslipidemia was also associeted with lower scores in the psychological domain. Male gender and regular physical activity had protective effects on quality of life. Aging was inversely associated with decreased quality of life in the environmental domain. CONCLUSION: The presence of cardiovascular risk factors is related to a decreased quality of life. Conversely, male gender and regular physical activity had protective effects on quality of life. These findings suggest that exercising should be further promoted by health-related public programs, with a special focus on women.