Tratamento das fraturas do terço distal do rádio pela fixação externa e enxerto ósseo

Abstract

Treatment of radius distal third fracture through external fixation and bone graft SUMMARYThe author presents a prospective study in which he uses the external fixation method associated with the autogenous bone graft for the management of articular and metacarpal distal radius fractures. Thirty-six patients with a mean age of 52,2 years were treated. The follow-up had an average duration of 36,2 months. The stability of the reduction and its maintenance were assured by the external fixation with the autogenous bone graft. In the patients who underwent a densitometric analysis of the bone mass, the presence of the autogenous mass showed statistically steady in the long run. With this technique the rehabilitation could be antecipated and began in the immediate postoperative period, thus favoring the mobilization. In the fourth week the external fixation device is removed, this restoring the free movement of the wrist, except for the extension which is hampered by a splint of dorsal situation for two additional weeks. In the review of the data resulting from the treatment the anatomical and functional features were considered. The anatomical findings were obtained from radiographic examinations on the patients. The analysis of these outcomes were based on the Scheck method (1962) and were graded excellent in 72% of the cases, and good in 28%, satisfactory as a whole. The data related to the function obtained were evaluated based on the Green And O'Brien system (1978) modified by Cooney et al.(1987). In the 24 th week, 14% were considered unsatisfactory and 86% satisfactory. At 12 months and in December,1999, they were considere satisfactory as a whole. The complications detected during the treatment were: pin site infections in 8,31% of the cases, and transient symptoms of post-traumatic sympathetic dystrophy in 8,33%, all of them thoroughly resolved with appropriate therapy. In 33% of the patients there were also identified signs of post-traumatic pseudoarthrosis of the ulnal styloid process which however evolved asymptomatically in all cases under review. K K K

<b>Reabilitação fisioterapêutica ambulatorial pós fratura distal de rádio: proposta de protocolo em estudo de caso</b> - doi: 10.512/ucs.v11i2.2298

“…Na formulação do tratamento para tratar esses sinais e sintomas, deve-se considerar fatores como: idade, qualidade óssea, grau de atividade do paciente, sua cooperação, além da fratura propriamente dita, pois é uma lesão complexa, de prognóstico variável, que depende do tipo de tratamento adotado (ALBERTONI et al, 2002;ANGELINI;ALBERTONI;FALOPPA, 2002 flexão do cotovelo e punho, extensão do cotovelo e punho, pronação do antebraço, supinação do antebraço, desvio ulnar e radial (quadro 1).…”

A mobilização articular como acelerador do processo de reabilitação: resultados preliminares

“…Entre as fraturas que ocorrem no membro superior, as do rádio distal são as mais frequentes, e estima-se que correspondem a 16% de todas as fraturas do esqueleto chegando a representar 74,5% das fraturas do antebraço [4].…”

Resultados do tratamento cirúrgico das fraturas do rádio distal: estudo clínico com técnica de osteossíntese percutânea e minimamente invasiva

“…Aita MA, Ikeuti DH, Mota RT, Moraes GBB, Credidio MV, Costa EF, Carvalho FL introDUÇÃo As fraturas que acometem o rádio distal estão entre as mais frequentes dentre aquelas que atingem o membro superior, representando 74,5% das fraturas de antebraço com incidência de uma em cada dez mil pessoas 1 , sendo mais prevalente o acometimento dos membros dominantes 2 .…”