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- ItemSomente MetadadadosEstudo das propriedades mecânicas da diáfise radial humana sob compressão axial(Universidade Federal de São Paulo (UNIFESP), 1987) Ulson, Heitor José Rizzardo [UNIFESP]; Koberle, Gottfried [UNIFESP]
- ItemAcesso aberto (Open Access)Estudo prospectivo e randomizado de pacientes com fraturas expostas da diáfise do fêmur submetidos a osteossíntese com placa e haste intramedular bloqueada a foco aberto(Sociedade Brasileira de Ortopedia e Traumatologia, 2008-01-01) Ferracini, Antonio Marcos; Faloppa, Flávio [UNIFESP]; Daltro, Gildasio de Cerqueira; Crisóstomo Júnior, Dalton de Castro; Reis, Fernando Baldy dos [UNIFESP]; Belloti, Joao Carlos [UNIFESP]; Universidade Federal da Bahia Faculdade de Medicina; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina Hospital Universitário Professor Edgard Santos Serviço de Ortopedia; HUPES Serviço de Ortopedia e TraumatologiaWe assessed the complications and treatment outcomes in a prospective and randomized study of two osteosynthesis techniques in open femoral shaft fractures. Between January 2002 and April 2004, 40 patients with open fractures of the femoral shaft were assessed, with 20 being treated with open reamed intramedullary locked nail and 20 with plate. Twenty-six (65%) fractures were classified as Gustilo type -I open fractures; ten (25%) as type II and four (10%), as type IIIA. There were 21 blunt injuries and 19 gunshot injuries. Three patients were excluded from the final assessment. Complications were observed in 12 (32.4%) patients, 4 in the plate group and 8 in the nail group. Reamed intramedullary locked nail resulted in two deep infections (10%), two superficial infections (10%), and one nonunion (5%). With plate techniques, we had one deep infection associated to nonunion (5,8%) and one superficial infection (5.8%). Good and excellent outcomes were found in 28 fractures (75.7%), fair (7.5%) in three cases, and poor (15%) in six, according to Thorensen s criteria. In this study, the stabilization with plate results in lower complications rate when compared to the open intramedullary nail, although with no statistical significance.
- ItemAcesso aberto (Open Access)Estudo transversal sobre os diferentes pontos de entrada na osteossíntese intramedular femoral anterógrada(Sociedade Brasileira de Ortopedia e Traumatologia, 2011-10-01) Kanas, Michel [UNIFESP]; Wajnsztejn, Andre [UNIFESP]; Roucourt, Danilo [UNIFESP]; Fiorentino, Eduardo [UNIFESP]; Fernandes, Hélio Jorge Alvachian [UNIFESP]; Reis, Fernando Baldy dos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To analyze the degree of knowledge among professionals who treat fractures using the recommended technique, with regard to correlating the nail with the entry point that is considered appropriate. METHODS: A questionnaire that presented five types of nail and simulated a transverse diaphyseal fracture of the femur was developed. RESULTS: Responses regarding the entry points corresponding to choosing the type of nail were obtained from 370 orthopedists who were participating in the 41st Brazilian Congress of Orthopedics and Traumatology. It was observed that only 20% correctly identified the entry point and that there was no difference between the professionals within the specialty of Traumatology and the others. CONCLUSION: It was concluded that the majority of the physicians attending the congress were unaware of the entry points.