{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:36:58Z","timestamp":1767033418558,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T00:00:00Z","timestamp":1600905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar os resultados funcionais e radiogr\u00e1ficos do tratamento cir\u00fargico realizado em um grupo de pacientes com fratura multifragmentada da di\u00e1fise de clav\u00edcula, pela t\u00e9cnica minimamente invasiva, em seguimento m\u00ednimo de 12 meses.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo observacional longitudinal de 32 pacientes consecutivos (31 do sexo masculino, idade m\u00e9dia 41 anos) com fratura multifragmentada da di\u00e1fise da clav\u00edcula tratados cirurgicamente pela t\u00e9cnica minimamente invasiva de osteoss\u00edntese com placa de reconstru\u00e7\u00e3o de 3,5\u2009mm na posi\u00e7\u00e3o superior, avaliados cl\u00ednica e radiologicamente, com seguimento m\u00ednimo de 1 ano<\/jats:p><jats:p>\n          Resultados\u2003Trinta pacientes (93,72%) evolu\u00edram com consolida\u00e7\u00e3o da fratura em tempo m\u00e9dio de 17 semanas (entre 12 e 24 semanas). O tempo de seguimento m\u00e9dio foi de 21 meses (variando de 12 a 45 meses). N\u00e3o houve quebra de implantes ou pseudoartroses. N\u00e3o houve queixa de parestesia na regi\u00e3o das incis\u00f5es cir\u00fargicas. O ombro tratado cirurgicamente apresentou menor eleva\u00e7\u00e3o passiva e maior comprimento da clav\u00edcula (p\u2009&lt;\u20090,05) em rela\u00e7\u00e3o ao contralateral. Na avalia\u00e7\u00e3o funcional, encontramos um valor m\u00e9dio de Disfun\u00e7\u00f5es do Bra\u00e7o, Ombro e M\u00e3o (DASH, na sigla em ingl\u00eas)\u2009=\u20091,75, sendo o mesmo considerado satisfat\u00f3rio. Idade\u2009&gt;\u200960 anos apresentou correla\u00e7\u00e3o negativa com escore DASH (p\u2009&lt;\u20090,05).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A t\u00e9cnica minimamente invasiva de osteoss\u00edntese mostrou-se satisfat\u00f3ria para o tratamento da fratura multifragmentada da di\u00e1fise da clav\u00edcula, com elevada taxa de consolida\u00e7\u00e3o e baixo \u00edndice de complica\u00e7\u00f5es.<\/jats:p>","DOI":"10.1055\/s-0040-1714226","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T23:04:38Z","timestamp":1601507078000},"page":"490-496","source":"Crossref","is-referenced-by-count":4,"title":["Tratamento cir\u00fargico da fratura multifragmentada da di\u00e1fise da clav\u00edcula pela t\u00e9cnica minimamente invasiva: Descri\u00e7\u00e3o e resultados preliminares"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1877-8155","authenticated-orcid":false,"given":"Adriano Fernando","family":"Mendes Junior","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2919-0971","authenticated-orcid":false,"given":"Jose da","family":"Mota Neto","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2782-5806","authenticated-orcid":false,"given":"Igor Gerdi","family":"Oppe","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9786-4662","authenticated-orcid":false,"given":"Leandro Furtado","family":"de Simoni","sequence":"additional","affiliation":[{"name":"Hospital Maternidade Therezinha de Jesus, Juiz de Fora, MG, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4429-312X","authenticated-orcid":false,"given":"Vincenzo","family":"Giordano","sequence":"additional","affiliation":[{"name":"Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4967-7576","authenticated-orcid":false,"given":"Pedro Jos\u00e9","family":"Labronici","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, Niter\u00f3i, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,24]]},"reference":[{"key":"ref1","first-page":"1106","volume-title":"Fraturas da clav\u00edcula","author":"M D McKee","year":"2014"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.otsr.2014.11.018","article-title":"Intrinsic and extrinsic risk factors for nonunion after nonoperative treatment of midshaft clavicle fractures","volume":"101","author":"W Liu","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"issue":"05","key":"ref3","first-page":"353","article-title":"The aetiology and epidemiology of clavicular fractures. 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