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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(04): 490-496
DOI: 10.1055/s-0040-1714226
Artigo Original
Ombro e Cotovelo

Tratamento cirúrgico da fratura multifragmentada da diáfise da clavícula pela técnica minimamente invasiva: Descrição e resultados preliminares[*]

Article in several languages: português | English
Adriano Fernando Mendes Junior 
1   Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Jose da Mota Neto 
1   Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Igor Gerdi Oppe 
1   Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
,
Leandro Furtado de Simoni 
2   Hospital Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brasil
,
Vincenzo Giordano 
3   Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brasil
,
Pedro José Labronici 
4   Universidade Federal Fluminense, Niterói, RJ, Brasil
› Author Affiliations
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Resumo

Objetivo Avaliar os resultados funcionais e radiográficos do tratamento cirúrgico realizado em um grupo de pacientes com fratura multifragmentada da diáfise de clavícula, pela técnica minimamente invasiva, em seguimento mínimo de 12 meses.

Métodos Estudo observacional longitudinal de 32 pacientes consecutivos (31 do sexo masculino, idade média 41 anos) com fratura multifragmentada da diáfise da clavícula tratados cirurgicamente pela técnica minimamente invasiva de osteossíntese com placa de reconstrução de 3,5 mm na posição superior, avaliados clínica e radiologicamente, com seguimento mínimo de 1 ano

Resultados Trinta pacientes (93,72%) evoluíram com consolidação da fratura em tempo médio de 17 semanas (entre 12 e 24 semanas). O tempo de seguimento médio foi de 21 meses (variando de 12 a 45 meses). Não houve quebra de implantes ou pseudoartroses. Não houve queixa de parestesia na região das incisões cirúrgicas. O ombro tratado cirurgicamente apresentou menor elevação passiva e maior comprimento da clavícula (p < 0,05) em relação ao contralateral. Na avaliação funcional, encontramos um valor médio de Disfunções do Braço, Ombro e Mão (DASH, na sigla em inglês) = 1,75, sendo o mesmo considerado satisfatório. Idade > 60 anos apresentou correlação negativa com escore DASH (p < 0,05).

Conclusão A técnica minimamente invasiva de osteossíntese mostrou-se satisfatória para o tratamento da fratura multifragmentada da diáfise da clavícula, com elevada taxa de consolidação e baixo índice de complicações.

Palavras-chave

clavícula - fraturas ósseas - resultado do tratamento - procedimentos cirúrgicos minimamente invasivos

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* Trabalho desenvolvido no Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.




Publication History

Received: 01 November 2019

Accepted: 05 May 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 commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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