Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal

Detalhes bibliográficos
Autor(a) principal: Pires, Robinson Esteves Santos [UNIFESP]
Data de Publicação: 2006
Outros Autores: Fernandes, Hélio Jorge Alvachian [UNIFESP], Belloti, Joao Carlos [UNIFESP], Balbachevsky, Daniel [UNIFESP], Faloppa, Flávio [UNIFESP], Reis, Fernando Baldy dos [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S1413-78522006000300010
http://repositorio.unifesp.br/handle/11600/2869
Resumo: A cross-sectional study was performed during the 36th Brazilian Congress of Orthopaedics and Traumatology, where the opinions of Brazilian orthopaedic surgeons addressing the treatment of femoral diaphyseal fractures in adults were surveyed. Five hundred and seven questionnaires were fully completed and the results show agreement in the following topics: fracture trace configuration and injuries of soft parts or neurovascular structures as key parameters for determining treatment; fractures classification, in which AO was most frequently adopted; milled blocked anterograde intramedullary nail for treating cross-sectioned and short oblique factures at the isthmus; bridge plate for treating complex trace fractures; pre-operative skeletal traction; infection as the most frequent complication, and; postoperative low molecular weight heparin. There were opinion conflicts for the following topics: use of traction table for performing intramedullary osteosynthesis, time interval between trauma and surgery; time of antibiotics use, and; mean hospitalization time. Regarding literature, there was agreement concerning key parameters for determining treatment; fixation method for simple-traces fractures at the isthmus; adopted classification; antithrombotic prophylaxis. Issues such as fixation method for complex-traced fractures; time of antibiotics use; average interval between trauma and osteosynthesis, and; hospitalization time were different from literature.
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spelling Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversalHow are closed femoral diaphyseal fractures treated in Brazil? A cross-sectional studyFemoral fracturesCross-sectional studiesFracturesFraturas do fêmurEstudos transversaisFraturasA cross-sectional study was performed during the 36th Brazilian Congress of Orthopaedics and Traumatology, where the opinions of Brazilian orthopaedic surgeons addressing the treatment of femoral diaphyseal fractures in adults were surveyed. Five hundred and seven questionnaires were fully completed and the results show agreement in the following topics: fracture trace configuration and injuries of soft parts or neurovascular structures as key parameters for determining treatment; fractures classification, in which AO was most frequently adopted; milled blocked anterograde intramedullary nail for treating cross-sectioned and short oblique factures at the isthmus; bridge plate for treating complex trace fractures; pre-operative skeletal traction; infection as the most frequent complication, and; postoperative low molecular weight heparin. There were opinion conflicts for the following topics: use of traction table for performing intramedullary osteosynthesis, time interval between trauma and surgery; time of antibiotics use, and; mean hospitalization time. Regarding literature, there was agreement concerning key parameters for determining treatment; fixation method for simple-traces fractures at the isthmus; adopted classification; antithrombotic prophylaxis. Issues such as fixation method for complex-traced fractures; time of antibiotics use; average interval between trauma and osteosynthesis, and; hospitalization time were different from literature.Realizou-se um estudo transversal no 36º Congresso Brasileiro de Ortopedia e Traumatologia, onde foi pesquisada a opinião de ortopedistas brasileiros sobre aspectos do tratamento de fraturas diafisárias do fêmur no adulto. Quinhentos e sete questionários foram respondidos integralmente e encontrou-se concordância entre os ortopedistas em relação aos seguintes aspectos: configuração do traço de fratura e lesão de partes moles ou de estruturas neurovasculares como parâmetros principais para decisão sobre o tratamento; classificação das fraturas, em que a AO foi a mais adotada; haste intramedular anterógrada bloqueada fresada para tratamento das fraturas transversas e oblíquas curtas no istmo; placa ponte para o tratamento das fraturas com traço complexo; tração esquelética pré-operatória; infecção como complicação mais freqüente e uso de heparina de baixo peso molecular no pós-operatório. Houve conflito de opiniões nas seguintes questões: uso de mesa de tração para realização de osteossíntese intramedular; intervalo de tempo entre o trauma e a cirurgia; tempo de utilização de antibióticos e tempo médio de hospitalização. Em relação à literatura, houve concordância em relação aos parâmetros principais para decisão sobre o tratamento; método de fixação das fraturas com traço simples no istmo; classificação adotada; profilaxia antitrombótica. Diferiram da literatura questões como o método de fixação das fraturas com traço complexo; tempo de utilização dos antibióticos, intervalo médio entre o trauma e a osteossíntese e tempo de internação.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de Ortopedia e TraumatologiaHospital Felício RochoUNIFESP, EPM, Depto. de Ortopedia e TraumatologiaSciELOSociedade Brasileira de Ortopedia e TraumatologiaUniversidade Federal de São Paulo (UNIFESP)Hospital Felício RochoPires, Robinson Esteves Santos [UNIFESP]Fernandes, Hélio Jorge Alvachian [UNIFESP]Belloti, Joao Carlos [UNIFESP]Balbachevsky, Daniel [UNIFESP]Faloppa, Flávio [UNIFESP]Reis, Fernando Baldy dos [UNIFESP]2015-06-14T13:31:55Z2015-06-14T13:31:55Z2006-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion165-169application/pdfhttp://dx.doi.org/10.1590/S1413-78522006000300010Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 14, n. 3, p. 165-169, 2006.10.1590/S1413-78522006000300010S1413-78522006000300010.pdf1413-7852S1413-78522006000300010http://repositorio.unifesp.br/handle/11600/2869porActa Ortopédica Brasileirainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T23:24:39Zoai:repositorio.unifesp.br/:11600/2869Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T23:24:39Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
How are closed femoral diaphyseal fractures treated in Brazil? A cross-sectional study
title Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
spellingShingle Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
Pires, Robinson Esteves Santos [UNIFESP]
Femoral fractures
Cross-sectional studies
Fractures
Fraturas do fêmur
Estudos transversais
Fraturas
title_short Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
title_full Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
title_fullStr Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
title_full_unstemmed Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
title_sort Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal
author Pires, Robinson Esteves Santos [UNIFESP]
author_facet Pires, Robinson Esteves Santos [UNIFESP]
Fernandes, Hélio Jorge Alvachian [UNIFESP]
Belloti, Joao Carlos [UNIFESP]
Balbachevsky, Daniel [UNIFESP]
Faloppa, Flávio [UNIFESP]
Reis, Fernando Baldy dos [UNIFESP]
author_role author
author2 Fernandes, Hélio Jorge Alvachian [UNIFESP]
Belloti, Joao Carlos [UNIFESP]
Balbachevsky, Daniel [UNIFESP]
Faloppa, Flávio [UNIFESP]
Reis, Fernando Baldy dos [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Hospital Felício Rocho
dc.contributor.author.fl_str_mv Pires, Robinson Esteves Santos [UNIFESP]
Fernandes, Hélio Jorge Alvachian [UNIFESP]
Belloti, Joao Carlos [UNIFESP]
Balbachevsky, Daniel [UNIFESP]
Faloppa, Flávio [UNIFESP]
Reis, Fernando Baldy dos [UNIFESP]
dc.subject.por.fl_str_mv Femoral fractures
Cross-sectional studies
Fractures
Fraturas do fêmur
Estudos transversais
Fraturas
topic Femoral fractures
Cross-sectional studies
Fractures
Fraturas do fêmur
Estudos transversais
Fraturas
description A cross-sectional study was performed during the 36th Brazilian Congress of Orthopaedics and Traumatology, where the opinions of Brazilian orthopaedic surgeons addressing the treatment of femoral diaphyseal fractures in adults were surveyed. Five hundred and seven questionnaires were fully completed and the results show agreement in the following topics: fracture trace configuration and injuries of soft parts or neurovascular structures as key parameters for determining treatment; fractures classification, in which AO was most frequently adopted; milled blocked anterograde intramedullary nail for treating cross-sectioned and short oblique factures at the isthmus; bridge plate for treating complex trace fractures; pre-operative skeletal traction; infection as the most frequent complication, and; postoperative low molecular weight heparin. There were opinion conflicts for the following topics: use of traction table for performing intramedullary osteosynthesis, time interval between trauma and surgery; time of antibiotics use, and; mean hospitalization time. Regarding literature, there was agreement concerning key parameters for determining treatment; fixation method for simple-traces fractures at the isthmus; adopted classification; antithrombotic prophylaxis. Issues such as fixation method for complex-traced fractures; time of antibiotics use; average interval between trauma and osteosynthesis, and; hospitalization time were different from literature.
publishDate 2006
dc.date.none.fl_str_mv 2006-01-01
2015-06-14T13:31:55Z
2015-06-14T13:31:55Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S1413-78522006000300010
Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 14, n. 3, p. 165-169, 2006.
10.1590/S1413-78522006000300010
S1413-78522006000300010.pdf
1413-7852
S1413-78522006000300010
http://repositorio.unifesp.br/handle/11600/2869
url http://dx.doi.org/10.1590/S1413-78522006000300010
http://repositorio.unifesp.br/handle/11600/2869
identifier_str_mv Acta Ortopédica Brasileira. Sociedade Brasileira de Ortopedia e Traumatologia, v. 14, n. 3, p. 165-169, 2006.
10.1590/S1413-78522006000300010
S1413-78522006000300010.pdf
1413-7852
S1413-78522006000300010
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Acta Ortopédica Brasileira
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 165-169
application/pdf
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 reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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