Tratamento das fraturas diafisárias da tíbia com fixador externo comparado com a haste intramedular bloqueada

Cardozo, Rodrigo Tavares; Silva, Luís Gustavo; Bragante, Leandro Augusto; Rocha, Murilo Antônio

doi:10.1016/j.rbo.2012.09.002

Cited by 9 publications

(7 citation statements)

References 9 publications

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“… 12 One possible explanation for the extensive use of external fixators as a form of temporary and definitive treatment in Brazil had already been raised by other authors, namely that they are more practical, implant costs are lower, and they are widely available in the public health network. 12 , 13 …”

Section: Discussionmentioning

confidence: 99%

Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center

et al. 2018

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Introduction Tibia shaft fractures are among the most common in orthopedic practice, but Brazilian literature remains limited on the subject.Objective To evaluate the characteristics of tibia shaft fractures and conduct a comparison between exposed and closed fractures of the tibia.Methods This comparative prospective study examined all tibia shaft fractures admitted to our services over a twelve-month period. The cases were evaluated according to age, trauma mechanism, sex, associated fractures, treatment, hospital stay, and readmission rate during the six months after discharge.Results Fifty-three cases met the inclusion criteria. The average age was 36 years (SD 14.3) and 83% were males (p<0.001). Traffic accidents were responsible for 73.6% of fractures (p<0.001). Exposed fractures were found in 52.8% of the cases (p=0.56). When initial treatment consisted of stabilization with external fixation, these cases were more likely to be rehospitalized (p=0.009). Cases of open fracture also had longer hospital stays (p<0.001) and a higher readmission rate (p=0.028).Conclusion Open fractures are associated with more severe trauma, expressed in longer hospital stays and high rates of readmission. Cases of fracture which were initially treated with external fixation had a higher readmission rate. Level of Evidence II; Prospective comparative study.

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Section: Discussionmentioning

confidence: 99%

Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center

et al. 2018

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“…Isenta subespecialistas, fluoroscopia e não requer material especial, apresentando grande versatilidade de uso. Portanto, seu uso torna menos provável as lesões iatrogênicas (CARDOZO et al, 2013).…”

Section: Discussionunclassified

Controle De Danos Em Fraturas Expostas: Relato De Caso

Bresolin

Rempel

Otharan

2018

Destaques Acadêmicos

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Pacientes gravemente traumatizados, principalmente aqueles que apresentam hipotensão sistêmica ou traumatismo craniano, são casos em que existem controvérsias quanto à melhor oportunidade de intervenção terapêutica, de modo que, dependendo da ação realizada, pode-se desencadear respostas imunes e/ou inflamatórias. A realização do controle de danos reduz o trauma cirúrgico adicional através da fixação externa e cirurgia definitiva secundária. Será exposto um relato de caso com seguimento de 10 anos de um atendimento de uma fratura exposta de tíbia distal, atendido na emergência de um hospital da região do Vale do Rio Taquari/RS, onde foi realizado Controle de Danos, com aplicação de fixador externo inicial, com posterior conversão para osteosíntese definitiva de forma minimamente invasiva. Essa técnica demonstra evolução, melhora clínica e consolidações rápidas e eficientes das fraturas, fazendo com que a maioria dos pacientes volte às suas atividades laborais brevemente e sem prejuízos significativos.

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“…In routine practice, the quality of the fracture reduction is not so important in considering postoperative infection, given that the use of external fixation is temporary. 8 However, in some situations in which the fixator remains in place for a prolonged period, this factor needs to be taken into account. In our sample, the longest time that elapsed until conversion was 30 days.…”

Section: Discussionmentioning

confidence: 99%

“…Presence of these factors contributes toward infectious complications subsequent to conversion to definitive internal osteosynthesis, irrespective of whether this will involve an intramedullary nail or a plate. 7 , 8 …”

Section: Introductionmentioning

confidence: 99%

Postoperative infection in patients undergoing inspection of orthopedic damage due to external fixation

Foni

Batista

Rossato

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo conduct a retrospective analysis on cases undergoing inspection of orthopedic damage, at an orthopedic emergency service in a teaching hospital, with the aim of evaluating patients with postoperative infection after conversion to internal osteosynthesis.MethodsThis was a retrospective analysis covering the period from June 2012 to June 2013, on patients who underwent inspection of orthopedic damage due to external fixation and subsequently were converted to definitive osteosynthesis using a nail or plate.ResultsWe found an infection rate of 13.3% in our sample and, furthermore, found that there had been technical errors in setting up the fixator in 60.4% of the cases.ConclusionWe found an infection rate that we considered high, along with inadequacies in constructing the external fixator. We emphasize that this procedure is not risk-free and that training for physicians who perform this procedure should be mandatory.

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Tratamento das fraturas diafisárias da tíbia com fixador externo comparado com a haste intramedular bloqueada

Cited by 9 publications

References 9 publications

Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center

Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center

Controle De Danos Em Fraturas Expostas: Relato De Caso

Postoperative infection in patients undergoing inspection of orthopedic damage due to external fixation

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