{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:08Z","timestamp":1740148628091,"version":"3.37.3"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T00:00:00Z","timestamp":1639612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A artroplastia total do joelho (ATJ) \u00e9 uma das cirurgias mais eficazes para al\u00edvio da dor e melhora da fun\u00e7\u00e3o no est\u00e1gio final da artrose (quando ocorre contato entre os ossos). As v\u00e1rias complica\u00e7\u00f5es intraoperat\u00f3rias da ATJ incluem fratura, les\u00e3o em tend\u00e3o ou ligamentos, e complica\u00e7\u00f5es nervosas ou vasculares. Neste artigo, descrevemos uma complica\u00e7\u00e3o incomum: a migra\u00e7\u00e3o do pino intramedular dentro do canal femoral durante a ATJ. Um paciente do sexo masculino de 72 anos foi submetido a ATJ com sistema de estabiliza\u00e7\u00e3o posterior e sacrif\u00edcio do ligamento cruzado posterior. A por\u00e7\u00e3o distal do f\u00eamur foi seccionada, e o equil\u00edbrio foi verificado em extens\u00e3o. Em seguida, um bloco anteroposterior (AP) cinco em um foi utilizado para se\u00e7\u00e3o anterior, posterior, de chanfro, e entalhe. Por apresentar uma sali\u00eancia medial, o bloco foi deslocado em sentido lateral. Ao faz\u00ea-lo, os pinos tamb\u00e9m tiveram de ser deslocados, e um deles foi inadvertidamente inserido na abertura do canal medular do f\u00eamur criado. Como instrumentos ortop\u00e9dicos usuais, como pin\u00e7a reta longa e saca-bocado pituit\u00e1rio n\u00e3o conseguiram remover o pino migrado, uma pin\u00e7a laparosc\u00f3pica extralonga foi usada sob controle fluorosc\u00f3pico para localizar, agarrar e remover o pino migrado.<\/jats:p>","DOI":"10.1055\/s-0041-1739173","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T01:33:51Z","timestamp":1639704831000},"page":"e39-e42","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Complica\u00e7\u00e3o incomum de migra\u00e7\u00e3o do pino intramedular durante a artroplastia total de joelho \u2013 Relato de caso"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2059-9765","authenticated-orcid":false,"given":"Sanjay Bhalchandra","family":"Londhe","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Holy Spirit Hospital, Mumbai, Maharashtra, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7923-9596","authenticated-orcid":false,"given":"Ravi Vinod","family":"Shah","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Criticare Superspeciality Hospital, Mumbai, Maharashtra, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3505-2535","authenticated-orcid":false,"given":"Paras","family":"Banka","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, Holy Spirit Hospital, Mumbai, Maharashtra, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,16]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"e000435","DOI":"10.1136\/bmjopen-2011-000435","article-title":"What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? 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