{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:21:16Z","timestamp":1788186076533,"version":"build-2803163510"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"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>As les\u00f5es esquel\u00e9ticas mais frequentes s\u00e3o as fraturas que ocorrem nas m\u00e3os, que representam aproximadamente 20% de todas as fraturas. As mais comuns s\u00e3o as fraturas falangeanas, que abrangem 6% de todas as fraturas. As fraturas da falange proximal aparecem com mais frequ\u00eancia. O principal objetivo do atendimento \u00e9 corrigir a anatomia, reduzir os danos aos tecidos moles, e mobilizar os dedos atingidos assim que a estabiliza\u00e7\u00e3o da fratura permitir. Este relato tem como objetivo examinar os efeitos cl\u00ednicos e da radia\u00e7\u00e3o nas fraturas da falange proximal, em pacientes infectados com a fixa\u00e7\u00e3o de parafuso intramedular que foram submetidos a redu\u00e7\u00e3o fechada. Este \u00e9 o relato de tr\u00eas casos consecutivos de fratura da falange: duas fraturas da base e uma fratura simples da di\u00e1fise. Todos foram submetidos a redu\u00e7\u00e3o fechada com parafuso intramedular de compress\u00e3o sem cabe\u00e7a. A magnitude pr\u00e9-operat\u00f3ria da angula\u00e7\u00e3o da falange proximal foi em m\u00e9dia 30,3\u00b0 (varia\u00e7\u00e3o de 13\u00b0 a 42\u00b0). Dois pacientes apresentaram deformidade rotacional. Os achados cl\u00ednicos foram medidos com a vers\u00e3o abreviada do question\u00e1rio de Disfun\u00e7\u00f5es do Bra\u00e7o, Ombro e M\u00e3o (Quick Disabilities of the Arm, Shoulder and Hand, QuickDash, em ingl\u00eas), em que foram avaliados a amplitude de movimento e os resultados funcionais. Complica\u00e7\u00f5es foram observadas em um per\u00edodo m\u00ednimo de 3 meses. Os pacientes apresentavam flexo-extens\u00e3o ativa total na articula\u00e7\u00e3o interfalangiana proximal e na articula\u00e7\u00e3o metacarpofalangiana de flexo-extens\u00e3o sem deformidade rotacional. A pontua\u00e7\u00e3o no Quick-DASH foi satisfat\u00f3ria (m\u00e9dia: 2,3; varia\u00e7\u00e3o: 0 a 4,5). N\u00e3o houve cirurgias secund\u00e1rias, e n\u00e3o se observaram complica\u00e7\u00f5es. A fixa\u00e7\u00e3o intramedular das fraturas da falange proximal com o parafuso de tens\u00e3o canulado tem se mostrado uma cirurgia segura, com excelente desempenho funcional e recupera\u00e7\u00e3o precoce. A fratura \u00e9 minimizada e consolidada adequadamente pelos pacientes.<\/jats:p>","DOI":"10.1055\/s-0041-1739405","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:22:59Z","timestamp":1639441379000},"page":"e34-e38","source":"Crossref","is-referenced-by-count":2,"special_numbering":"S","title":["Parafuso intramedular de redu\u00e7\u00e3o fechada em fraturas das falanges proximais dos dedos da m\u00e3o: Uma s\u00e9rie de tr\u00eas casos"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6118-8340","authenticated-orcid":false,"given":"Arsanto","family":"Triwidodo","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Universitas Indonesia, Koja Public Regional Hospital, Jacarta, Indon\u00e9sia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1248-3233","authenticated-orcid":false,"given":"Hendar Nugrahadi","family":"Priambodo","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Universitas Indonesia, Koja Public Regional Hospital, Jacarta, Indon\u00e9sia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9287-1230","authenticated-orcid":false,"given":"Yogi Ismail","family":"Gani","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Universitas Indonesia, Koja Public Regional Hospital, Jacarta, Indon\u00e9sia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1007\/s00238-012-0775-2","article-title":"The distribution of hand fractures: A British perspective","volume":"36","author":"E Laugharne","year":"2013","journal-title":"Eur J Plast Surg"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"1724","DOI":"10.1016\/j.jhsa.2008.07.011","article-title":"Comparison of intramedullary nailing versus plate-screw fixation of extra-articular metacarpal fractures","volume":"33","author":"K Ozer","year":"2008","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"342","DOI":"10.4103\/0019-5413.39573","article-title":"Multiple intramedullary nailing of proximal phalangeal fractures of hand","volume":"42","author":"H Patankar","year":"2008","journal-title":"Indian J Orthop"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.jhsa.2014.11.023","article-title":"Minimally invasive fixation of fractures of the phalanges and metacarpals with intramedullary cannulated headless compression screws","volume":"40","author":"F del Pi\u00f1al","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/J.JHSB.2005.09.013","article-title":"External fixation of closed metacarpal and phalangeal fractures of digits. A prospective study of one hundred consecutive patients","volume":"31","author":"K Margi\u0107","year":"2006","journal-title":"J Hand Surg Br"},{"issue":"03","key":"ref6","first-page":"199","article-title":"[Analysis and prevention of the complications after treatment of metacarpal and phalangeal fractures with internal fixation]","volume":"24","author":"Y M Yan","year":"2011","journal-title":"Zhongguo Gu Shang"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.hcl.2006.02.017","article-title":"The treatment of unstable metacarpal and phalangeal shaft fractures with flexible nonlocking and locking intramedullary nails","volume":"22","author":"J L Orbay","year":"2006","journal-title":"Hand Clin"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1177\/1753193416641330","article-title":"Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures","volume":"41","author":"T Giesen","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1142\/S0218810413500287","article-title":"Conservative treatment of fractures of the proximal phalanx: an option even for unstable fracture patterns","volume":"18","author":"M Held","year":"2013","journal-title":"Hand Surg"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.hcl.2006.02.018","article-title":"Fixation choices for closed simple unstable oblique phalangeal and metacarpal fractures","volume":"22","author":"K Kawamura","year":"2006","journal-title":"Hand Clin"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1739405.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:19:37Z","timestamp":1730823577000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1739405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,13]]},"references-count":10,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2024,7,17]]},"published-print":{"date-parts":[[2024,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1739405","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,13]]}}}