Novo Parafuso (Acutrak®) No tratamento cirúrgico de jogadores de futebol de elite com fraturas do quinto metatarso

Öztürk, Hayati; Kaygusuz, Kenan

doi:10.1590/s1413-78522009000500001

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Clinically, this fully threaded screw is often used for in situ xation of some fractures, such as scaphoid fractures and ankle fractures 22,23 . In recent years, the application of this fully threaded screw has been promoted into the xation of fractures in various parts of the body and some joint fusion surgeries [24][25][26][27] . This screw is both minimally invasive and biomechanically strong, and therefore offers a new possible solution to the femoral neck shortening and hip varus after femoral neck fracture.…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Cohort Study of the Variable Pitch Fully Threaded Headless Screws and Partially Threaded Screws in the Treatment of Femoral Neck Fractures

Wang¹,

Han²,

Zhang³

et al. 2020

Preprint

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(1) Introduction: The choices of the treatments for femoral neck fractures remain controversial. The purpose of this study is to evaluate the prognoses of the variable pitch fully threaded headless screws in the fixation of femoral neck fractures and to compare them with those of partially threaded cannulated screws. (2) Materials and Methods: Between 1st January 2012 and 31st December 2016, there were 89 patients with the main diagnose of femoral neck fracture who accepted the treatment of closed reduction cannulated screw fixation in Peking University People’s Hospital. 34 cases of partially threaded screws and 23 cases of fully threaded screws met the criterion. The characteristics, prognoses and the imaging changes of all cases were described and the differences between the two groups were compared. Statistical analyses were performed using SPSS version 23.0 (SPSS Inc., USA). Mann-Whitney U test, Analysis of Variance and Chi-square test were used. Statistical significance was defined as P value (two sided) less than 0.05. (3) Results: There was no significant difference in the general characteristics, fracture classifications and reduction quality between the two groups. The fully threaded group had a significant lower angle decrease rate (30.4% vs. 58.8%, P = 0.035), femoral neck shortening rate (26.1% vs. 52.9%, P = 0.044) and screw back-sliding rate (21.7% vs. 50.0%, P = 0.032), but a higher screw cut-out rate (21.7% vs. 0.0%, P = 0.008). No significant difference was found in the nonunion rate (8.7% vs. 0.0%, P = 0.159), avascular necrosis rate (17.4% vs. 23.5%, P = 0.744) and the good and excellent rate of Harris score (73.9% vs. 82.4%, P = 0.443). (4) Conclusion: Compared with the partially threaded screws, the variable pitch fully threaded headless screws had a lower screw back-sliding rate, femoral shortening rate, angle decrease rate and similar function score, but would result in more screw cut-outs and nonunions in Garden III-IV and Pauwels III fractures. As a conclusion, the variable pitch full threaded screws are recommended in stable undisplaced fractures rather than displaced unstable fractures. Further qualified investigations with a larger scale of patients and longer follow-up are needed in the future.

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Section: Introductionmentioning

confidence: 99%

A Retrospective Cohort Study of the Variable Pitch Fully Threaded Headless Screws and Partially Threaded Screws in the Treatment of Femoral Neck Fractures

Wang¹,

Han²,

Zhang³

et al. 2020

Preprint

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Comparison between headless cannulated screws and partially threaded screws in femoral neck fracture treatment: a retrospective cohort study

Wang

Han

Zhang

et al. 2022

Sci Rep

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The choices of the treatments for femoral neck fractures (FNF) remain controversial. The purpose of this study is to evaluate the prognoses of the variable pitch fully threaded headless cannulated screws (HCS) in the fixation of femoral neck fractures and to compare them with those of partially threaded cannulated screws (PCS). Between 1st January 2012 and 31st December 2016, there were 89 patients with the main diagnose of FNF who accepted the treatment of closed reduction cannulated screw fixation in Peking University People’s Hospital. 34 cases of PCS and 23 cases of HCS met the criterion. The characteristics, prognoses and the imaging changes of all cases were described and the differences between the two groups were compared. Statistical analyses were performed using SPSS version 23.0 (SPSS Inc., USA). Mann–Whitney U test, Analysis of Variance and Chi-square test were used. Statistical significance was defined as P value (two sided) less than 0.05. There was no significant difference in the general characteristics, fracture classifications and reduction quality between the two groups. HCS group had a significant lower angle decrease rate (30.4% vs. 58.8%, P = 0.035), femoral neck shortening rate (26.1% vs. 52.9%, P = 0.044) and screw back-sliding rate (21.7% vs. 50.0%, P = 0.032), but a higher screw cut-out rate (21.7% vs. 0.0%, P = 0.008). In non-displacement fracture subgroup, HCS had significant higher Harris Score (92 vs. 90, P = 0.048). Compared with PCS, HCS had a lower screw back-sliding rate, femoral shortening rate, angle decrease rate and similar function score, but would result in more screw cut-outs in displaced FNF. As a conclusion, HCS should not be used in displaced FNF due to its higher screw cut-out rate, and its potential advantage in non-displaced FNF needs to be further proved. Further qualified investigations with a larger scale of patients and longer follow-up are needed in the future.

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The locomotor system as seen in Brazilian scientific journals: a mini review

Silva

2010

Clinics

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OBJECTIVE:To make recent selected publications on the locomotor system available to the readership of Clinics.METHOD:A general survey of articles published in selected Brazilian journals was inspected and 91 articles were critically analyzed. They were categorized and briefly described. A final summary of themes is reproduced here.RESULTS:Papers fall into two main categories: articular and muscular pathology and therapeutics; medical sports. A number of papers are not classifiable under these headings.CONCLUSION:The locomotor system has been extensively analyzed and discussed in the Brazilian scientific press in recent years. Not surprisingly, knee and ankle pathology, soccer and running are dominant themes.

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Novo Parafuso (Acutrak®) No tratamento cirúrgico de jogadores de futebol de elite com fraturas do quinto metatarso

Cited by 3 publications

References 10 publications

A Retrospective Cohort Study of the Variable Pitch Fully Threaded Headless Screws and Partially Threaded Screws in the Treatment of Femoral Neck Fractures

A Retrospective Cohort Study of the Variable Pitch Fully Threaded Headless Screws and Partially Threaded Screws in the Treatment of Femoral Neck Fractures

Comparison between headless cannulated screws and partially threaded screws in femoral neck fracture treatment: a retrospective cohort study

The locomotor system as seen in Brazilian scientific journals: a mini review

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