Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?

Detalhes bibliográficos
Autor(a) principal: Labronici,Pedro José
Data de Publicação: 2017
Outros Autores: Santos Filho,Fernando Claudino dos, Reis,Tales Bregalda, Pires,Robinson Esteves Santos, Mendes Junior,Adriano Fernando, Kojima,Kodi Edson
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400410
Resumo: ABSTRACT OBJECTIVE: To evaluate the decision of orthopedics surgeons regarding which cases they would indicate surgery or non-surgical treatment. METHODS: 20 images of radiographs with fracture in the middle third of the collar bone (AO/OTA 15-B) in anteroposterior view were analyzed, and divided into four groups: group 1 - fracture type AO/OTA 15-B1 without displacement; group 2 - fracture type AO/OTA 15-B1 with displacement; group 3 - fracture type AO/OTA 15-B2; group 4 - fracture type AO/OTA 15-B3. The evaluator was requested to indicate the choice of treatment, surgical or non-surgical. RESULTS: There was no strong correlation between the amount of surgical indications and the working experience or age of the medical evaluator. It was observed that the average of surgical indications in the total sample was 52%. When indications were studied in different areas of Brazil, there was no significant difference among them. No pattern for the Brazilian regions studied was observed in the case analysis. Even within a group (cases of the same complexity), no specific pattern of surgical indication was observed. CONCLUSION: No association between surgical indication and the length of professional experience was found. The Southern and Southeastern regions were those that most recommended surgeries in groups 2, 3, and 4. In no region the same level of surgical indication for cases of the same complexity rate was kept.
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spelling Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?Fractures, bone surgeryFractures, bone radiographyClavicule/surgeryClavicule/radiographyBone platesABSTRACT OBJECTIVE: To evaluate the decision of orthopedics surgeons regarding which cases they would indicate surgery or non-surgical treatment. METHODS: 20 images of radiographs with fracture in the middle third of the collar bone (AO/OTA 15-B) in anteroposterior view were analyzed, and divided into four groups: group 1 - fracture type AO/OTA 15-B1 without displacement; group 2 - fracture type AO/OTA 15-B1 with displacement; group 3 - fracture type AO/OTA 15-B2; group 4 - fracture type AO/OTA 15-B3. The evaluator was requested to indicate the choice of treatment, surgical or non-surgical. RESULTS: There was no strong correlation between the amount of surgical indications and the working experience or age of the medical evaluator. It was observed that the average of surgical indications in the total sample was 52%. When indications were studied in different areas of Brazil, there was no significant difference among them. No pattern for the Brazilian regions studied was observed in the case analysis. Even within a group (cases of the same complexity), no specific pattern of surgical indication was observed. CONCLUSION: No association between surgical indication and the length of professional experience was found. The Southern and Southeastern regions were those that most recommended surgeries in groups 2, 3, and 4. In no region the same level of surgical indication for cases of the same complexity rate was kept.Sociedade Brasileira de Ortopedia e Traumatologia2017-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400410Revista Brasileira de Ortopedia v.52 n.4 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.06.012info:eu-repo/semantics/openAccessLabronici,Pedro JoséSantos Filho,Fernando Claudino dosReis,Tales BregaldaPires,Robinson Esteves SantosMendes Junior,Adriano FernandoKojima,Kodi Edsoneng2017-10-03T00:00:00Zoai:scielo:S0102-36162017000400410Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-10-03T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
title Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
spellingShingle Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
Labronici,Pedro José
Fractures, bone surgery
Fractures, bone radiography
Clavicule/surgery
Clavicule/radiography
Bone plates
title_short Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
title_full Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
title_fullStr Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
title_full_unstemmed Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
title_sort Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?
author Labronici,Pedro José
author_facet Labronici,Pedro José
Santos Filho,Fernando Claudino dos
Reis,Tales Bregalda
Pires,Robinson Esteves Santos
Mendes Junior,Adriano Fernando
Kojima,Kodi Edson
author_role author
author2 Santos Filho,Fernando Claudino dos
Reis,Tales Bregalda
Pires,Robinson Esteves Santos
Mendes Junior,Adriano Fernando
Kojima,Kodi Edson
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Labronici,Pedro José
Santos Filho,Fernando Claudino dos
Reis,Tales Bregalda
Pires,Robinson Esteves Santos
Mendes Junior,Adriano Fernando
Kojima,Kodi Edson
dc.subject.por.fl_str_mv Fractures, bone surgery
Fractures, bone radiography
Clavicule/surgery
Clavicule/radiography
Bone plates
topic Fractures, bone surgery
Fractures, bone radiography
Clavicule/surgery
Clavicule/radiography
Bone plates
description ABSTRACT OBJECTIVE: To evaluate the decision of orthopedics surgeons regarding which cases they would indicate surgery or non-surgical treatment. METHODS: 20 images of radiographs with fracture in the middle third of the collar bone (AO/OTA 15-B) in anteroposterior view were analyzed, and divided into four groups: group 1 - fracture type AO/OTA 15-B1 without displacement; group 2 - fracture type AO/OTA 15-B1 with displacement; group 3 - fracture type AO/OTA 15-B2; group 4 - fracture type AO/OTA 15-B3. The evaluator was requested to indicate the choice of treatment, surgical or non-surgical. RESULTS: There was no strong correlation between the amount of surgical indications and the working experience or age of the medical evaluator. It was observed that the average of surgical indications in the total sample was 52%. When indications were studied in different areas of Brazil, there was no significant difference among them. No pattern for the Brazilian regions studied was observed in the case analysis. Even within a group (cases of the same complexity), no specific pattern of surgical indication was observed. CONCLUSION: No association between surgical indication and the length of professional experience was found. The Southern and Southeastern regions were those that most recommended surgeries in groups 2, 3, and 4. In no region the same level of surgical indication for cases of the same complexity rate was kept.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400410
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2017.06.012
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.52 n.4 2017
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron:SBOT
instname_str Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron_str SBOT
institution SBOT
reponame_str Revista Brasileira de Ortopedia (Online)
collection Revista Brasileira de Ortopedia (Online)
repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
repository.mail.fl_str_mv ||rbo@sbot.org.br
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