Estudo prospectivo randomizado comparativo entre os tratamentos cirúrgico utilizando placa anterior e o não cirúrgico das fraturas do terço médio da clavícula

Figueiredo, Eduardo Antônio de; Neves, Eduardo Junqueira; Júnior, Haguemu Yoshizawa; Neto, Alfredo Dall'Ara; Nascimento, Luiz Fernando Costa; Faria, Gustavo Henrique da Matta; Corrêa, Wellington Manfio

doi:10.1590/s0102-36162008001000001

Cited by 12 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Twenty-two studies were included, of which 10 came from AOB 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 and 12 from RBO 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ( Table 1 ). Evaluation of the inter-observer reliability (S1 and S2) for the Jadad score resulted in a kappa value of 0.611 (substantial, excellent).…”

Section: Resultsmentioning

confidence: 99%

Randomized Controlled Trials in Orthopedics and Traumatology: Systematic Analysis on the National Evidence

Moraes

Moreira

Tamaoki

et al. 2010

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

Objective: To assess whether there has been any improvement in the quality and quantity of randomized controlled trials (RCTs) in nationally published journals through the application of standardized and validated scores. Methods: We electronically selected all RCTs published in the two indexed Brazilian journals that focus on orthopedics, over the period 2000-2009: Acta Ortopédica Brasileira (AOB) and Revista Brasileira de Ortopedia (RBO). These RCTs were identified and scored by two independent researchers in accordance with the Jadad scale and the Cochrane Bone, Joint and Muscle Trauma Group score. The studies selected were grouped as follows: 1) publication period (2000-2004 or 2004-2009); 2) journal of publication (AOB or RBO). Results: Twenty-two papers were selected: 10 from AOB and 12 from RBO. No statistically significant differences were found between the proportions (nRCT/nTotal of published papers) of RCTs published in the two journals (p = 0.458), or in the Jadad score (p = 0.722) and Cochrane score (p = 0.630). Conclusion: The relative quality and quantity of RCTs in the journals analyzed were similar. There was a trend towards improvement of quality, but there was no increase in the number of RCTs between the two periods analyzed.

show abstract

Section: Resultsmentioning

confidence: 99%

Randomized Controlled Trials in Orthopedics and Traumatology: Systematic Analysis on the National Evidence

Moraes

Moreira

Tamaoki

et al. 2010

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…Foram incluídos 22 trabalhos, sendo destes 10 provenientes da AOB (22)(23)(24)(25)(26)(27)(28)(29)(30)(31) e 12 da RBO (32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43) (Tabela1). A avaliação da confiabilidade interobservadores (E1 e E2), para o escore de JADAD resultou em um valor de Kappa de 0,611 (substancial, ótima).…”

Section: Resultsunclassified

Ensaios Clínicos Randomizados na ortopedia e traumatologia: avaliação sistemática da evidência nacional

Moraes¹,

Moreira²,

Tamaoki³

et al. 2010

Rev. bras. ortop.

View full text Add to dashboard Cite

Trabalho recebido para publicação: 02/03/10, aceito para publicação: 09/03/10. RESuMOObjetivo: Verificar se houve melhora da qualidade e quantidade dos ensaios clínicos randomizados (ECRs) publicados na literatura nacional, por meio da aplicação de escores estruturados e validados na literatura. Métodos: Selecionamos, eletronicamente, todas as edições das duas revistas indexadas e de escopo ortopédico da literatura nacional -Acta Ortopédica Brasileira (AOB) e Revista Brasileira (2000-2004 and 2004-2009)

show abstract

“…11 In these cases, surgical treatment has advantages in consolidation rates, lower shortening rates, lower persistence of pain, earlier return to daily activities, greater mobility and shoulder strength, and better aesthetic satisfaction. [1][2][3][4]8,9,[12][13][14] Different techniques have been described for clavicle fixation, among which the two most used are the plate and the intramedullary nail. 1,2,7,8,14,15 The two fixation techniques have advantages, and plate fixation is considered the gold standard due to its better stabilization when compared with the nail.…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of the Treatment of Clavicle Fractures: Intramedullary Nail × Plate

Storti¹,

Camilo

Silva

et al. 2021

Acta ortop. bras.

View full text Add to dashboard Cite

Objective: Studies confirm the benefit of surgical treatment for fixation of displaced midshaft clavicle fractures. Plate fixation and intramedullary nail are the two most used techniques. Our study seeks to compare these two surgical techniques. Methods: This is a retrospective study, conducted by the evaluation of patients treated for displaced midshaft clavicle fracture with intramedullary nail, and plate and screws. Socioeconomic variables were collected, a visual pain scale questionnaire was applied, the shoulder function was measured using CONSTANT and UCLA scores, and radiography was performed to verify the consolidation and evaluation of the final clavicle shortening. Results: Sixty-five patients were evaluated, 36 (55.4%) of which were subjected to clavicle fixation with plate and screws and 29 (44.6%) with intramedullary nail. The median shortening was 0.1mm for plate and 5.8mm for nail (p = 0.001). The UCLA score shows an average of 35 in the plate group and 35 in the intramedullary group. The median CONSTANT scores were 96.5 for plate and 95 for nail, without significance. In all groups, 13 (20%) complications were registered, 9 fixed with plate and 4 fixed with intramedullary nail. The most common complication was skin erosion with exposure of the synthetic material. Conclusion: The two techniques present satisfactory results for the treatment of displaced midshaft clavicle fractures. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment.

show abstract

Estudo prospectivo randomizado comparativo entre os tratamentos cirúrgico utilizando placa anterior e o não cirúrgico das fraturas do terço médio da clavícula

Cited by 12 publications

References 20 publications

Randomized Controlled Trials in Orthopedics and Traumatology: Systematic Analysis on the National Evidence

Randomized Controlled Trials in Orthopedics and Traumatology: Systematic Analysis on the National Evidence

Ensaios Clínicos Randomizados na ortopedia e traumatologia: avaliação sistemática da evidência nacional

Clinical Evaluation of the Treatment of Clavicle Fractures: Intramedullary Nail × Plate

Contact Info

Product

Resources

About