{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T13:24:37Z","timestamp":1747488277433,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"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":[[2022,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar os resultados a longo prazo da osteotomia intertrocant\u00e9rica valgizante, fixada com parafuso din\u00e2mico de quadril (DHS, na sigla em ingl\u00eas) de \u00e2ngulo duplo, em fraturas n\u00e3o consolidadas do colo femoral em adultos jovens. Este implante permite uma liberdade maior de fixa\u00e7\u00e3o no plano sagital. Muito poucos estudos avaliaram o desfecho do tratamento a longo prazo da fratura n\u00e3o consolidada do colo femoral.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Trata-se de um estudo prospectivo de interven\u00e7\u00e3o que incluiu 20 pacientes com fratura n\u00e3o consolidada do colo femoral com idade\u2009&lt;\u200960 anos, sem necrose avascular da cabe\u00e7a femoral e significativa reabsor\u00e7\u00e3o do colo femoral. Foi realizada uma osteotomia em cunha de fechamento lateral logo acima do troc\u00e2nter menor ap\u00f3s a inser\u00e7\u00e3o do parafuso tipo Richard no s\u00edtio do retardo da consolida\u00e7\u00e3o \u00f3ssea, sendo fixada com uma placa cil\u00edndrica de \u00e2ngulo duplo de 120\u00b0. O resultado foi avaliado com o uso da taxa de consolida\u00e7\u00e3o e da escala Harris Hip Score quanto ao desfecho funcional.<\/jats:p><jats:p>\n          Resultados\u2003Foi obtida uma redu\u00e7\u00e3o p\u00f3s-operat\u00f3ria m\u00e9dia de 28,9\u00b0 do \u00e2ngulo de Pauwels. Os casos que evolu\u00edram para a consolida\u00e7\u00e3o alcan\u00e7aram 80%, em um per\u00edodo m\u00e9dio de 7,53 meses. A m\u00e9dia da escala Harris Hip Score foi de 86,45 no acompanhamento final.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A osteotomia intertrocant\u00e9rica valgizante e a fixa\u00e7\u00e3o com DHS de \u00e2ngulo duplo \u00e9 um m\u00e9todo confi\u00e1vel e eficaz para a preserva\u00e7\u00e3o da cabe\u00e7a do f\u00eamur, promovendo a consolida\u00e7\u00e3o de uma fratura n\u00e3o consolidada do colo femoral em pacientes jovens.<\/jats:p>","DOI":"10.1055\/s-0041-1732391","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T23:00:34Z","timestamp":1654124434000},"page":"962-967","source":"Crossref","is-referenced-by-count":1,"title":["Desfecho a longo prazo da osteotomia valgizante e fixa\u00e7\u00e3o com parafuso din\u00e2mico de quadril de \u00e2ngulo duplo de fratura n\u00e3o consolidada do colo femoral em adultos jovens"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2429-3496","authenticated-orcid":false,"given":"Anmol","family":"Sharma","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Govt. 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Medical College and Hospital, Chandigarh, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,1]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/S0030-5898(20)31031-2","article-title":"Delayed treatment of subcapital and transcervical fractures of the neck of the femur with internal fixation and a muscle pedicle bone graft","volume":"5","author":"M H Meyers","year":"1974","journal-title":"Orthop Clin North Am"},{"issue":"294","key":"ref2","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1097\/00003086-199309000-00023","article-title":"Ununited femoral neck fractures by open reduction and vascularized iliac bone graft","author":"S M Hou","year":"1993","journal-title":"Clin Orthop Relat Res"},{"volume-title":"Der Schenkelhalsbruch ein mechanisches Problem : Grundlagen des Heilungsvorganges, Prognose and kausale Therapie","year":"1935","author":"F Pauwels","key":"ref3"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1302\/0301-620X.71B5.2584247","article-title":"Intertrochanteric osteotomy for non-union of the femoral neck","volume":"71","author":"R K Marti","year":"1989","journal-title":"J Bone Joint Surg Br"},{"issue":"341","key":"ref5","first-page":"175","article-title":"Intertrochanteric osteotomy for failed internal fixation of femoral neck fracture","author":"J O Anglen","year":"1997","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/S0030-5898(20)31516-9","article-title":"Pauwels osteotomy for nonunions of the femoral neck","volume":"21","author":"F T Ballmer","year":"1990","journal-title":"Orthop Clin North Am"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1007\/s11999-008-0695-4","article-title":"Modified Pauwels' intertrochanteric osteotomy in neglected femoral neck fracture","volume":"467","author":"N K Magu","year":"2009","journal-title":"Clin Orthop Relat Res"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.injury.2004.10.020","article-title":"Role of valgus osteotomy and fixation by double-angle blade plate in neglected displaced intracapsular fracture of neck of femur in younger patients","volume":"36","author":"T Sringari","year":"2005","journal-title":"Injury"},{"issue":"01","key":"ref9","first-page":"88","article-title":"Valgus osteotomy for nonunion fracture neck femur","volume":"38","author":"M Sharma","year":"2004","journal-title":"Indian J Orthop"},{"issue":"01","key":"ref10","first-page":"92","article-title":"Repositioning osteotomy with dynamic hip screw with 120\u00b0 double angled barrel plate fixation in fracture neck femur","volume":"38","author":"K K Pruthi","year":"2004","journal-title":"Indian J Orthop"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s10195-009-0049-3","article-title":"Role of valgus osteotomy and fixation with dynamic hip screw and 120 degrees double angle barrel plate in the management of neglected and ununited femoral neck fracture in young patients","volume":"10","author":"A Q Khan","year":"2009","journal-title":"J Orthop Traumatol"},{"issue":"42","key":"ref12","first-page":"147","article-title":"A convenient way to do valgus osteotomy for neglected fracture neck of femur","volume":"11","author":"P Bansal","year":"2013","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"35","DOI":"10.4103\/1597-1112.179212","article-title":"Long term outcomes of neglected intracapsular fracture neck in young adults managed by modified double angle barrel plate (DABP) with intertrochanteric valgus osteotomy","volume":"4","author":"S Gill","year":"2015","journal-title":"Afr J Trauma"},{"issue":"12","key":"ref14","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.2106\/00004623-199412000-00005","article-title":"Intracapsular fractures of the femoral neck. 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