Avaliação clínica do tratamento cirúrgico das fraturas do terço médio da clavícula em um hospital do sul de Santa Catarina^[*]

Resumo

Objetivo Avaliar o resultado do tratamento cirúrgico de fraturas do terço médio da clavícula.

Métodos Estudo transversal retrospectivo, em que foram avaliados 36 pacientes que sofreram fratura do terço médio da clavícula, que foram tratados cirurgicamente no período de janeiro de 2012 a fevereiro de 2017. Eles foram avaliados quanto aos tipos de fratura, idade, tabagismo, material de síntese, e escores de Constant-Murley e Modified-University of California at Los Angeles Shoulder Rating Scale (UCLA-M).

Resultados As médias dos escores de Constant-Murley e UCLA-M foram de 91,59 e 31,29, respectivamente. A idade média foi de 37,62 anos, e apresentou relação estatística com o tipo de síntese (p < 0,05), mas o material de síntese não apresentou significância com a melhora de pontuação dos escores funcionais.

Conclusão O tratamento cirúrgico ocasiona bons resultados funcionais após a fratura diafisária de clavícula, independente do traço da fratura, com baixa taxa de pseudoartrose.

Palavras-chave

clavícula/cirurgia - resultado do tratamento - fraturas ósseas

^* Trabalho desenvolvido no Ambulatório de Ortopedia e Traumatologia, Hospital Nossa Senhora da Conceição, Tubarão, SC, Brasil.

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