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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(01): 061-068
DOI: 10.1055/s-0040-1713393
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Análise clínica e radiológica do resultado placa ponte versus fixador externo na fratura cominutiva do rádio distal[*]

Article in several languages: português | English
Beatriz Canhoto Carula 
1   Instituto de Ortopedia e Traumatologia de Joinville, Hospital Municipal São José, Joinville, SC, Brasil
,
Matheus da Silva Pereira
1   Instituto de Ortopedia e Traumatologia de Joinville, Hospital Municipal São José, Joinville, SC, Brasil
,
Ana Paula Bonilauri Ferreira 
2   Curso de Odontologia, Universidade da Região de Joinville (UNIVILLE), Joinville, SC, Brasil
,
Henrique Ayzemberg
3   Serviço de Residência Médica, Instituto de Ortopedia e Traumatologia de Joinville, Hospital Municipal São José, Joinville, SC, Brasil
,
Valdir Steglich
3   Serviço de Residência Médica, Instituto de Ortopedia e Traumatologia de Joinville, Hospital Municipal São José, Joinville, SC, Brasil
,
Tiago Salati Stangarlin
3   Serviço de Residência Médica, Instituto de Ortopedia e Traumatologia de Joinville, Hospital Municipal São José, Joinville, SC, Brasil
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Resumo

Objetivo Avaliar e comparar os resultados clínicos e radiológicos de pacientes com fraturas cominutivas distais do rádio tratados com fixador externo ou placa ponte dorsal.

Métodos Foram analisados 45 pacientes, sendo 18 tratados com fixador externo, e 25, com placa ponte dorsal, após 1 ano de pós-operatório. Aplicou-se uma escala analógica de dor e o questionário Disabilities of the Arm, Shouder and Hand (DASH), além de análise radiográfica, da avaliação de força, e da amplitude de movimento. As análises estatísticas foram realizadas utilizando o teste qui-quadrado e o teste não paramétrico de Mann-Whitney.

Resultados A fratura foi mais comum em mulheres acima de 60 anos por queda do mesmo nível. Ambos os métodos demonstraram resultados funcional e radiológico similares. A infecção foi mais prevalente com o uso do fixador externo, mas a força de preensão residual foi melhor. Neuropatia simpático-reflexa foi mais comum com o uso da placa ponte dorsal.

Conclusão Não houve consenso da superioridade de um método em relação ao outro em nossa análise. Cada um dos métodos apresenta vantagens e desvantagens, mas ambos mostraram resultados bons e semelhantes. A escolha do tratamento deve ser atribuída ao perfil do trauma, às condições clínicas do paciente, à experiência do profissional, e à disponibilidade de materiais.

Palavras-chave

rádio distal - placas ósseas - fixadores externos

* Trabalho desenvolvido no Instituto de Ortopedia e Traumatologia de Joinville, Hospital Municipal São José, Joinville, SC, Brasil.




Publication History

Received: 16 August 2019

Accepted: 15 April 2020

Article published online:
24 September 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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