Haste intramedular de fíbula nas fraturas maleolares do tornozelo - técnica cirúrgica e revisão da literatura

Abstract

<jats:p>RESUMO Nosso objetivo é descrever a técnica de fixação intramedular (IM) da fíbula no tratamento cirúrgico das fraturas maleolares do tornozelo. A redução é realizada sempre de forma percutânea: quando o traço de fratura é oblíquo simples, utilizamos uma pinça de redução de pontas e quando a fratura apresenta padrão multifragmentar, usa-se tração longitudinal e rotação. Isso reduz as complicações relacionadas à redução aberta e fixação interna com placa. A técnica demonstrou ser simples e reprodutível. Além disso, essa forma de fixação permite apoio precoce do peso corporal, o que acelera o processo de reabilitação e potencialmente acelera a cicatrização da fratura. A fixação IM da fíbula mostrou-se uma opção viável para a fixação do maléolo lateral nas fraturas do tornozelo, devendo ser considerada no arsenal do cirurgião.</jats:p>

Clinical study of intramedullary nailing fixation for the treatment of Danis-Weber B in lateral malleolus fracture

“…17 Intramedullary fixation can maintain good biomechanics, restore the coordination of the fibula height and lateral wall of ankle point, has good anti-rotation effects on the distal fracture and provides good fixation for injury of the distal tibiofibular ligament. 13,18–20…”

“…11–13 In addition, it provides good mechanical stability and reduces internal fixation loosening for patients with osteoporosis. 11–13…”

“…10 Fibula interlocking intramedullary nail is another fixation method for lateral malleolus fracture, which can enable early surgery in patients with poor soft tissue condition. [11][12][13] The smaller incision is approximately 1 cm, which can protect the blood supply of the fracture end, and is conducive to fracture healing, reduces incision complications and internal fixation discomfort. [11][12][13] In addition, it provides good mechanical stability and reduces internal fixation loosening for patients with osteoporosis.…”

“…[11][12][13] The smaller incision is approximately 1 cm, which can protect the blood supply of the fracture end, and is conducive to fracture healing, reduces incision complications and internal fixation discomfort. [11][12][13] In addition, it provides good mechanical stability and reduces internal fixation loosening for patients with osteoporosis. [11][12][13] This current study compared the clinical effects of anatomical locking plates and interlocking intramedullary nails in treating Danis-Weber B fractures of the lateral malleolus.…”

“…[11][12][13] In addition, it provides good mechanical stability and reduces internal fixation loosening for patients with osteoporosis. [11][12][13] This current study compared the clinical effects of anatomical locking plates and interlocking intramedullary nails in treating Danis-Weber B fractures of the lateral malleolus.…”