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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 667-674
DOI: 10.1055/s-0041-1739171
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Fixação externa do anel de Ilizarov para fraturas complexas do platô tibial

Article in several languages: português | English
Anil Ghimire 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
,
Pramod Devkota 
2   Departamento de Ortopedia e Cirurgia de Trauma, Patan Hospital, Academia Patan de Ciências da Saúde, Lalitpur, Kathmandu, Nepal
,
Kailash Kumar Bhandari 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
,
Yubaraj Kharel 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
,
Saju Pradhan 
1   Hospital Ortopédico do Nepal, Jorpati, Kathmandu 44601, Nepal and Patan Academy of Health Sciences, Patan Hospital, Lalitpur 44700 Nepal
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Resumo

Objetivo Analisar os resultados clínicos, radiológicos e funcionais da fratura do planalto tibial (Schatzker Tipo V, VI) tratada com fixador externo do anel Illizarov com ou sem abertura mínima.

Métodos Um total de 52 fraturas do planalto tibial dos tipos V e VI foram tratadas com fixador externo do anel Ilizarov com ou sem fixação interna mínima. A avaliação do desfecho funcional foi feita utilizando-se o escore da American Knee Society (AKS, na sigla em inglês) com consolidação clínica, radiológica e complicações encontradas.

Resultados Foram 37 (71,15%) pacientes do sexo masculino e 15 (28,84%) do sexo feminino, com idade média de 39,07 ± 12,58 anos. Acidentes de trânsito (ATs) foram a principal causa das fraturas, contabilizando 32 casos (61,53%), seguidos por lesão por queda, com 16 casos (30,76%), e impacto direto, com 4 casos (7,69%). Foram 21 (40,38%) casos de fraturas tipo V, 31 (59,61%) casos do tipo VI e 24 (46,15%) casos de fratura exposta. Os escores médios da AKS para as fraturas tipo V e VI foram de 82,8 e 80,70, respectivamente, mas não foi estatisticamente significativo em p <0,05. O escore médio da AKS para fraturas fechadas e abertas também não foi estatisticamente significativo em p <0,05.

Conclusões Para a fratura do planalto tibial complexa dos tipos V e VI de Schatzker, a fixação externa de Ilizarov é um método de tratamento seguro, econômico e eficiente que resulta em resultados satisfatórios.

Palavras-chave

técnica de Ilizarov - fixadores externos - fraturas da tíbia - classificação de Schatzker

Contribuições dos Autores

Ghimire A., Devkota P. e Bhandari K. K. contribuíram igualmente para a concepção e design da obra. Ghimire A. coletou os dados e Devkota P. e Bhandari K. K. participaram da análise e interpretação dos dados, da elaboração do manuscrito para conteúdo intelectual importante, e concordando em serem responsáveis por todos os aspectos do trabalho relacionados à sua exatidão e integridade. Kharel Y. e Pradhan S. contribuíram para a concepção da obra e a aquisição, análise e interpretação dos dados. Todos os autores leram e aprovaram o manuscrito final.


Trabalho desenvolvido no Departamento de Ortopedia e Cirurgia de Trauma, Hospital Ortopédico do Nepal, Jorpati, Kathmandu, Nepal.




Publication History

Received: 06 September 2020

Accepted: 25 June 2021

Article published online:
11 November 2021

© 2021. 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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