{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T17:16:13Z","timestamp":1774026973093,"version":"3.50.1"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>As les\u00f5es do tipo joelho flutuante (FKIs, na sigla em ingl\u00eas) s\u00e3o complexas e s\u00e3o geralmente causadas por trauma de alta velocidade. Estas les\u00f5es s\u00e3o frequentemente associadas a les\u00f5es que causam risco de morte, que devem ter precedente sobre les\u00f5es nas extremidades. Os autores revisaram os resultados das les\u00f5es do tipo joelho flutuante tratadas nesta institui\u00e7\u00e3o entre 2003 e 2015.<\/jats:p><jats:p>Foi realizado um estudo retrospectivo de todos os pacientes com FKIs de 2003 a 2015. Doze pacientes foram inclu\u00eddos no estudo. Os dados relacionados ao tipo de fratura, les\u00f5es associadas, modalidades de tratamento e complica\u00e7\u00f5es foram observados. A avalia\u00e7\u00e3o funcional foi realizada utilizando os crit\u00e9rios de Karlstrom modificados ap\u00f3s a uni\u00e3o \u00f3ssea completa.<\/jats:p><jats:p>O mecanismo de les\u00e3o foi acidente automobil\u00edstico em todos os pacientes. O acompanhamento m\u00e9dio foi de 4 anos. A m\u00e9dia de idade dos pacientes foi de 34,75 anos. O tempo m\u00e9dio de uni\u00e3o \u00f3ssea foi de 6,5 meses nos f\u00eamures e de 6,7 meses nas t\u00edbias. As complica\u00e7\u00f5es foram rigidez do joelho, uni\u00e3o \u00f3ssea tardia e infec\u00e7\u00e3o. De acordo com os crit\u00e9rios modificados de Karlstrom, tr\u00eas resultados foram considerados excelentes, cinco bons, tr\u00eas razo\u00e1veis e um resultado foi considerado ruim.<\/jats:p><jats:p>Les\u00f5es do tipo joelho flutuante s\u00e3o graves e s\u00e3o geralmente associadas a les\u00f5es de v\u00e1rios \u00f3rg\u00e3os. A detec\u00e7\u00e3o precoce e o tratamento adequado das les\u00f5es associadas, a afixa\u00e7\u00e3o precoce das fraturas e a reabilita\u00e7\u00e3o p\u00f3s-operat\u00f3ria s\u00e3o necess\u00e1rios para um bom resultado. As complica\u00e7\u00f5es s\u00e3o frequentes, sob a forma de uni\u00e3o \u00f3ssea tardia, rigidez do joelho e infec\u00e7\u00e3o.<\/jats:p>","DOI":"10.1016\/j.rboe.2017.09.007","type":"journal-article","created":{"date-parts":[[2018,2,3]],"date-time":"2018-02-03T04:24:53Z","timestamp":1517631893000},"page":"053-059","source":"Crossref","is-referenced-by-count":2,"title":["\u201cJoelho flutuante,\u201d uma les\u00e3o incomum: an\u00e1lise de 12 casos"],"prefix":"10.1055","volume":"54","author":[{"given":"Vishal","family":"Yadav","sequence":"additional","affiliation":[{"name":"Departmento de Ortopedia, P.D. Hinduja National Hospital, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harpreet","family":"Suri","sequence":"additional","affiliation":[{"name":"Departmento de Ortopedia, P.D. 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