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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(04): 408-415
DOI: 10.1016/j.rbo.2017.12.021
Artigo Original | Original Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

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

Article in several languages: português | English
Daniel Alves Ramallo
1   Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Leandro Lemgruber Kropf
1   Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Alexandre Dreifus Zaluski
1   Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Amanda dos Santos Cavalcanti
2   Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Maria Eugenia Leite Duarte
2   Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
João Antonio Matheus Guimarães 
1   Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
2   Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
› Author Affiliations
Further Information

Publication History

28 September 2017

22 December 2017

Publication Date:
20 August 2019 (online)

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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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