{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T03:43:50Z","timestamp":1767066230081,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T00:00:00Z","timestamp":1635984000000},"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":[[2021,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar o potencial melhor resultado funcional e controle \u00e1lgico no tratamento de fraturas patol\u00f3gicas e fixa\u00e7\u00f5es profil\u00e1ticas tratadas com haste intramedular associada ao polimetilmetacrilato (PMMA) em compara\u00e7\u00e3o com o uso de haste intramedular em les\u00f5es tumorais em ossos longos.<\/jats:p><jats:p>\n          M\u00e9todos\u2003De janeiro de 2012 a setembro de 2017, 38 pacientes com 42 les\u00f5es patol\u00f3gicas (fraturas ou imin\u00eancia segundo os crit\u00e9rios de Mirels) foram tratados cirurgicamente. Dezesseis pacientes submetidos a fixa\u00e7\u00e3o com haste intramedular bloqueada foram alocados ao grupo controle e 22 pacientes com les\u00f5es patol\u00f3gicas foram alocados para tratamento com haste intramedular associada ao PMMA. No p\u00f3s-operat\u00f3rio, foi realizada a submiss\u00e3o dos pacientes ao escore da Musculoskeletal Tumor Society (MSTS, na sigla em ingl\u00eas) e \u00e0 avalia\u00e7\u00e3o radiogr\u00e1fica do tratamento realizado, assim como \u00e0 avalia\u00e7\u00e3o de intercorr\u00eancias e complica\u00e7\u00f5es relacionadas ao tratamento.<\/jats:p><jats:p>\n          Resultados\u2003A avalia\u00e7\u00e3o atrav\u00e9s do question\u00e1rio MSTS demonstrou melhor resultado funcional do grupo associado com PMMA quando comparado com o grupo controle, o qual obteve uma pontua\u00e7\u00e3o m\u00e9dia de 16,375 em um m\u00e1ximo de 30 pontos (54,6%), enquanto o grupo em estudo com associa\u00e7\u00e3o do PMMA obteve uma m\u00e9dia de 22,36 pontos (74,5%). O procedimento mostrou-se seguro, taxas de complica\u00e7\u00f5es e gravidade semelhantes e sem diferen\u00e7a estat\u00edstica quando comparado com o tratamento padr\u00e3o.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A estabiliza\u00e7\u00e3o de les\u00f5es tumorais com fixa\u00e7\u00e3o associada ao PMMA demonstrou reabilita\u00e7\u00e3o precoce e melhora na qualidade de vida, permitindo r\u00e1pida recupera\u00e7\u00e3o funcional. A utiliza\u00e7\u00e3o do PMMA apresenta vantagens como diminui\u00e7\u00e3o do sangramento e da necrose tumoral e maior estabilidade mec\u00e2nica.<\/jats:p>","DOI":"10.1055\/s-0041-1735171","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T23:49:15Z","timestamp":1636069755000},"page":"772-776","source":"Crossref","is-referenced-by-count":1,"title":["Avalia\u00e7\u00e3o de m\u00e9todos intramedulares com polimetilmetacrilato para fixa\u00e7\u00e3o em les\u00f5es \u00f3sseas de extremidades"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9873-930X","authenticated-orcid":false,"given":"Marcio","family":"Moura","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia, Universidade Federal do Paran\u00e1, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5765-9020","authenticated-orcid":false,"given":"Diego 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