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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e456-e461
DOI: 10.1055/s-0044-1785514
Artigo Original
Trauma

Uso da impressão tridimensional para auxílio diagnóstico e terapêutico das fraturas de pilão tibial

Artikel in mehreren Sprachen: português | English
Leonardo Wustro
1   Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
João Luiz Vieira da Silva
2   Complexo Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil
,
Bruno Arnaldo Bonacin Moura
1   Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
Helena Squizatto Schoenberger 
3   Hospital da Santa Casa de Curitiba, Curitiba, PR, Brasil
,
Debora Takito
1   Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
Júlio César Honório D'Agostini
2   Complexo Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil
› Institutsangaben Suporte Financeiro O Dr. Leonardo Wustro declarou apoio do Complexo Hospitalar do Trabalhador e do Complexo Hospital das Clínicas da Universidade Federal do Paraná (UFPR) a este manuscrito.
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Resumo

Objetivo Avaliar se a impressão tridimensional (3D) aumenta a concordância na classificação de fraturas do pilão tibial.

Métodos Foram selecionadas radiografias, tomografias com reconstrução 3D e impressão de prototipagem em impressora 3D. Os exames foram apresentados a profissionais da área de Ortopedia e Traumatologia que classificaram as fraturas com base nas classificações da Arbeitsgemeinschaft für Osteosynthesefragen (AO, Associação para o Estudo da Fixação Interna) Foundation/Orthopedic Trauma Association (AO/OTA) e de Rüedi-Allgöwer. Posteriormente, os dados foram avaliados pelos coeficientes de concordância de Kappa.

Resultados O uso do modelo 3D não melhorou a concordância na fratura do pilão tibial quanto ao tratamento proposto pelos grupos. Em relação aos sistemas de classificação, somente a concordância na classificação AO/OTA melhorou quando foi utilizado o modelo 3D na avaliação pelos especialistas em pé e tornozelo.

Conclusão Apesar de o uso da impressão 3D ter relevância estatística para os cirurgiões especialistas em pé e tornozelo, ainda apresenta valores menores do que os ideais.

Palavras-chave

fraturas da tíbia - fraturas ósseas - impressão tridimensional

Trabalho desenvolvido no Hospital da Santa Casa de Curitiba, Curitiba, Paraná, Brasil.




Publikationsverlauf

Eingereicht: 08. August 2023

Angenommen: 06. November 2023

Artikel online veröffentlicht:
22. Juni 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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