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rev bras ortop.2014;49(4):319–320

w w w . r b o . o r g . b r

Editorial

Donato

D’Angelo

–

a

pioneer

夽

Donato

D’Angelo

–

um

pioneiro

Thebeginningsoforthopedicsasanacademicinstitutionand specificprofessionalactivityinBrazildatesbackto approxi-mately60yearsago.

Beforethen,patientswithclinicalproblemsofthe loco-motorapparatuswere treatedbysurgeonsorpediatricians, andthosewithproblemsresultingfromtraumabysurgeons orcuriousindividualswhohadtheskillofputtingbonesand joints“backintoplace”.

Orthopedicsbeganthroughtheactionsofsomeself-taught physiciansandotherswhohadthepossibilityofundergoing trainingabroadandbroughtknowledgeacquiredatclinicsin othercountries.

Thedisseminationofthisknowledgewasveryslow.Itwas donethroughbooksandaverysmallnumberofjournalsin for-eignlanguagesthatweresenttoBrazil.Inthismanner,these gentlemenhadgreatpower:thepowerofknowledge.Jealous of this power, some of these pioneers shared this knowl-edgeveryparsimoniouslyandonlyallowedcloseassistants toacquirepartofthisknowledge,whichhad beenbrought backwith“suchdifficulty”.

Thepowerofsomeofthesefirstprofessorsresembledthat ofa“king”,sincetheydeterminedapproachesandtreatments inawaythatdidnotallowquestioningandtheyactedon theirassistants’livesinanauthoritarianmanner.Theyeven decidedwheretheirassistantsshouldwork.

Therelationshipinmostclinicswasoneofunquestioning obedienceordismissal,andtherelationshipbetweenclinics wassimilartowhatexistedinEuropeatthetimeofthesmall fiefdoms:respectformypowerorwar.

Orthopedicslostoutgreatlyduringthoseyears,sinceany formofdevelopmentwasregardedasathreat.Someofthese augustprofessorsdidnotacceptbeingquestionedand, with-outthestimulusofquestioning,becamemediocre.Itwasrare forthemtoreturntothemajorcentersofEuropeortheUnited Statesforupdates.Exchange ofinformationwas seenas a threat.

夽

Pleasecitethisarticleas:CamanhoGL.DonatoD’Angelo–apioneer.RevBrasOrtop.2014;49:319–320.

There were disputes between clinics in the same city, betweenclinicsinneighboringcitiesand,evenworse,between clinicsindifferentstates.

There were several exceptions among the pioneers of orthopedics.Evensomeoftheold“kings”renewedthemselves overthecourseoftheirprofessionallivesandcreatedclinics thattodayaresomeofthefoundationsofBrazilian orthope-dics.

There was one pioneering professor who lived through thosetimeswithahistoryverysimilartothatoftheothers, butwhowasamanaheadofhistime.Hetookpartinthisera oforthopedicswithouteverbecomingcontaminatedwiththe “powerofknowledge”andalwaysbelievedintheevolutionof Brazilianorthopedicsthroughcontinuingmedicaleducation. AttheBrazilianSocietyofOrthopedicsandTraumatology (SBOT),andinotherbodiesthatusedhiscontactswithforeign clinicspositively,healwaysdefendedmedicalresidencyasa formoftraining.

HefoundedtheBrazilianJournalofOrthopedics(Revista BrasileiradeOrtopedia,RBO)andleditfor28yearswiththe aimofhavingameansofdisseminationoforthopedic knowl-edgeinPortugueseforBrazilians.Heaimedtoformastrong andrepresentativeBrazilianorthopedicscommunity.

ThiswasProfessorDonatoD’Angelo,whosuffereda dev-astatingstrokein2006andpassedawaythisyear.However, themarksthatheleftwillbewithusforever.

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320

rev bras ortop.2014;49(4):319–320

The medical world has evolved, since knowledge has become accessible. Orthopedics has also grown and has becomeabroadspecialtythatismuchsoughtbyyoung physi-cians.

TodayinBrazil,wehaveanactiveorthopedicscommunity, whichhas alreadyhosted severalinternational congresses. Ithas also been represented atmany societies within our specialtyaroundtheworld,byverywellselectedyoung pro-fessionals.Wehavecentersofexcellencethatprovidetraining andwecanbeproudofbeingBrazilianorthopedists,asDonato D’Angelodesired.

GilbertoLuisCamanho

RevistaBrasileiradeOrtopedia

E-mail:gilbertocamanho@uol.com.br

http://dx.doi.org/10.1016/j.rboe.2014.07.007

2255-4971/©2014SociedadeBrasileiradeOrtopediae Traumatologia.PublishedbyElsevierEditoraLtda. Allrightsreserved.

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