Navegando por Palavras-chave "Fracture fixation intramedullary"

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    Estudo do desvio rotacional da tíbia
    (Sociedade Brasileira de Ortopedia e Traumatologia, 2008-01-01) Labronici, Pedro José; Franco, José Sergio; Lourenço, Paulo Roberto Barbosa De Toledo; Tevês, André Do Vale; Saturnino, Ubiratan Stefani De Oliveira; Hoffmann, Rolix; Reis, Fernando Baldy dos [UNIFESP]; Hospital Santa Teresa Prof. Dr. Donato D'Ângelo Serviço de Ortopedia e Traumatologia; UFRJ Faculdade de Medicina; Hospital de Ipanema; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: to evaluate the postoperative rotational deviation of diaphyseal tibial fractures in patients treated with non-reamed, interlocking intramedullary nailing and bridge plate, using computerized tomography for measurement. METHOD: one hundred and thirteen patients with diaphyseal tibial fractures were treated; 42 fractures were treated with non-reamed, interlocking intramedullary nailing, and 71 fractures were treated with bridge plate. Tibial rotation measurements were obtained by using the CT scan. All of the fractures were classified by the AO scale, by their presentation (closed and open) and the percentage of deviation on internal and external rotation. RESULTS: no significant difference in tibial rotation was found as a function of fracture location, internal or external rotation, and types A or B of fractures. However, in the case of type C fractures and open fractures, the treatment with non-reamed, interlocking intramedullary nailing resulted in a much smaller rotation in comparison to the treatment with bridge plate (p = 0.028 and p = 0.05, respectively). CONCLUSIONS: rotational deviations, regardless of the location of the diaphyseal tibial fractures, are associated to the trauma energy, thus presenting a greater challenge to control it by using the bridge plate.
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    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 Traumatologia
    We 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.