{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:21:29Z","timestamp":1774437689019,"version":"3.50.1"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Estudo retrospectivo observacional em pacientes submetidos \u00e0 fixa\u00e7\u00e3o com haste intramedular de fratura patol\u00f3gica tumoral consumada ou iminente da di\u00e1fise do \u00famero em contexto de doen\u00e7a tumoral disseminada ao longo de 22 anos na mesma institui\u00e7\u00e3o.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Amostra com 82 pacientes e 86 fixa\u00e7\u00f5es do \u00famero com haste intramedular r\u00edgida bloqueada est\u00e1tica n\u00e3o fresada anter\u00f3grada ou retr\u00f3grada.<\/jats:p><jats:p>\n          Resultados\u2003Os tumores prim\u00e1rios mais prevalentes foram carcinoma da mama (30,49%), mieloma m\u00faltiplo (24,39%), adenocarcinoma do pulm\u00e3o (8,54%) e carcinoma das c\u00e9lulas renais (6,10%). O tempo m\u00e9dio de interven\u00e7\u00e3o cir\u00fargica para fixa\u00e7\u00e3o com haste foi 90,16\u2009\u00b1\u200942,98 minutos (40-135). Todos os pacientes referiram melhoria das queixas \u00e1lgicas no n\u00edvel do bra\u00e7o e velicou-se melhoria do score MSTS m\u00e9dio de 26% no pr\u00e9-operat\u00f3rio para 72,6% na avalia\u00e7\u00e3o efetuada nos pacientes ainda vivos aos tr\u00eas meses de p\u00f3s-operat\u00f3rio. A taxa de sobreviv\u00eancia aos tr\u00eas meses ap\u00f3s a cirurgia foi de 69,50%, 56,10% aos seis meses, 26,70% em um ano e 11,90% em dois anos. Nenhuma das mortes decorreu da cirurgia ou de complica\u00e7\u00f5es dela. Apenas se registaram quatro complica\u00e7\u00f5es relacionadas com a cirurgia, uma intraoperat\u00f3ria e tr\u00eas tardias, corresponderam a risco de complica\u00e7\u00f5es de 4,65%.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003O uso de haste intramedular n\u00e3o fresada est\u00e1tica bloqueada (anter\u00f3grado ou retr\u00f3grado) no \u00famero \u00e9 um m\u00e9todo r\u00e1pido, seguro, eficaz e com baixa morbilidade no tratamento das fraturas patol\u00f3gicas da di\u00e1fise umeral, garante fixa\u00e7\u00e3o est\u00e1vel do bra\u00e7o e consequentemente melhora a funcionalidade e a qualidade de vida desses pacientes durante a sua curta expectativa de vida.<\/jats:p>","DOI":"10.1016\/j.rbo.2017.10.012","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T23:37:33Z","timestamp":1518478653000},"page":"149-155","source":"Crossref","is-referenced-by-count":8,"title":["Tratamento de fraturas patol\u00f3gicas tumorais diafis\u00e1rias do \u00famero com haste intramedular r\u00edgida bloqueada est\u00e1tica \u2013 Experi\u00eancia de 22 anos"],"prefix":"10.1055","volume":"54","author":[{"given":"Diogo Lino","family":"Moura","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe","family":"Alves","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00faben","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Freitas","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Casanova","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Centro Hospitalar e Universit\u00e1rio de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,3,25]]},"reference":[{"issue":"4","key":"10.1016\/j.rbo.2017.10.012_bib0135","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1007\/s00264-009-0833-y","article-title":"Treatment of pathological humeral shaft fractures with intramedullary nailing. 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