Fatores que influenciam o resultado da osteossíntese na fratura do colo do fêmur em pacientes adultos jovens^[*]

Resumo

Objetivos Avaliar os fatores que influenciam o resultado da osteossíntese pela redução fechada da fratura do colo femoral nos pacientes jovens.

Métodos Foi feito um estudo retrospectivo com revisão dos dados dos pacientes operados em um hospital ortopédico de grande porte, de 2003 a 2011, com um total de 81 pacientes que atenderam aos critérios de inclusão. O intervalo de tempo entre a fratura e a cirurgia, o desvio inicial da fratura, a qualidade da redução e o posicionamento dos implantes foram os fatores avaliados.

Resultados O estudo encontrou forte relação entre a qualidade da redução e o sucesso terapêutico. O grau de desvio inicial e o tempo entre o trauma inicial e a osteossíntese não influenciaram o desfecho cirúrgico em relação à consolidação óssea. O correto posicionamento dos implantes mostrou relação com a evolução satisfatória no pós-operatório dos pacientes.

Conclusão A qualidade da redução e o posicionamento dos implantes são fatores que influenciam o resultado da osteossíntese na fratura do colo do fêmur no paciente adulto jovem.

Palavras-chave

colo do fêmur - necrose da cabeça do fêmur - fraturas do colo femoral - pseudoartrose

^* Trabalho desenvolvido no Centro de Atenção Especializada de Trauma (CAE Trauma), Instituto Nacional de Traumatologia e Ortopedia (Into), Rio de Janeiro, RJ, Brasil. Publicado originalmente por Elsevier Editora Ltda.

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