{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T13:28:56Z","timestamp":1762608536549,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T00:00:00Z","timestamp":1638835200000},"content-version":"vor","delay-in-days":6,"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":[[2021,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Comparar a amplitude de movimento (ADM), o tempo de retorno de trabalho, a pontua\u00e7\u00e3o na escala visual anal\u00f3gica (EVA), o escore no question\u00e1rio abreviado incapacidade do bra\u00e7o, ombro e m\u00e3o (QuickDASH, na sigla em ingl\u00eas) e os resultados radiogr\u00e1ficos de dois m\u00e9todos de fixa\u00e7\u00e3o interna definitiva em pacientes ativos com fraturas do boxer; operados na primeira semana.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Este foi um ensaio prospectivo randomizado, no qual 50 pacientes, com idade mediana na faixa de 18 a 40 anos, foram randomizados e tratados com fixa\u00e7\u00e3o intramedular definitiva utilizando 2 parafusos de compress\u00e3o (n\u2009=\u200920) ou buqu\u00ea (2 ou 3 fios de Kirschner) (n\u2009=\u200920). Os pacientes foram avaliados em rela\u00e7\u00e3o ao tempo de retorno ao trabalho, \u00e0 ADM, ao desfecho relatado pelo paciente no question\u00e1rio QuickDASH, \u00e0 EVA e \u00e0 avalia\u00e7\u00e3o radiogr\u00e1fica aos 6 meses.<\/jats:p><jats:p>\n          Resultados\u2003Aos 6 meses, n\u00e3o houve diferen\u00e7as entre os 2 grupos em termos de ADM, dor p\u00f3s-operat\u00f3ria (EVA) ou escore no QuickDASH. A taxa global de complica\u00e7\u00f5es foi de 4,76% no grupo de fixa\u00e7\u00e3o com parafusos, em compara\u00e7\u00e3o com 5% no grupo de fixa\u00e7\u00e3o com a t\u00e9cnica do buqu\u00ea.<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003Parafusos de compress\u00e3o e fixa\u00e7\u00e3o com buqu\u00eas provaram ser tratamentos seguros e confi\u00e1veis para pacientes ativos com fraturas inst\u00e1veis. Os resultados foram semelhantes nos dois grupos.<\/jats:p>","DOI":"10.1055\/s-0041-1729568","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T23:54:32Z","timestamp":1638921272000},"page":"717-725","source":"Crossref","is-referenced-by-count":4,"title":["Fixa\u00e7\u00e3o intramedular com parafusos de compress\u00e3o versus t\u00e9cnica do buqu\u00ea em fraturas inst\u00e1veis do colo do metacarpo em pacientes ativos: Ensaio cl\u00ednico randomizado"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9062-265X","authenticated-orcid":false,"given":"Marcio Aurelio","family":"Aita","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia da M\u00e3o, Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8120-136X","authenticated-orcid":false,"given":"Ricardo Kaempf de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de M\u00e3o, Hospital Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4973-8466","authenticated-orcid":false,"given":"Bruno Gianordoli","family":"Biondi","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Cirurgia da M\u00e3o e Microcirurgia, Departamento de Cirurgia - Ortopedia e Trauma, Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7521-3823","authenticated-orcid":false,"given":"Jo\u00e3o Pedro Farina","family":"Brunelli","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia De M\u00e3o, Hospital Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4817-139X","authenticated-orcid":false,"given":"Gustavo Mantovanni","family":"Ruggiero","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Pl\u00e1stica, Universita Degli Studi Di Milano, Milano, It\u00e1lia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6448-1294","authenticated-orcid":false,"given":"Pedro Jose","family":"Delgado","sequence":"additional","affiliation":[{"name":"Unidade de Cirurgia De M\u00e3o, Hospital Universitario Madrid Montepr Pr\u00edncipe, CEU San Pablo University, Boadilla del Monte, Madrid, Espanha"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,7]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/0266-7681(93)90161-8","article-title":"Patterns of hand fractures and dislocations in a district general hospital","volume":"18","author":"G J Packer","year":"1993","journal-title":"J Hand Surg [Br]"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.2106\/00004623-195840050-00025","article-title":"A review and analysis of 11,000 fractures seen in a private practice of orthopaedic surgery, 1937-1956","volume":"40-A","author":"J E Emmett","year":"1958","journal-title":"J Bone Joint Surg Am"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/0020-1383(94)90127-9","article-title":"Fractures of the metacarpals. 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