{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T22:16:22Z","timestamp":1773872182144,"version":"3.50.1"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"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":[[2023,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Este estudo tem como objetivo avaliar a efic\u00e1cia da t\u00e9cnica de infiltra\u00e7\u00e3o periarticular do quadril no p\u00f3s-operat\u00f3rio de artroplastia total do quadril.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo cl\u00ednico randomizado duplo-cego controlado. O estudo foi realizado nos pacientes com fratura de colo femoral ou osteoartrose de quadril, submetidos ao procedimento cir\u00fargico de artroplastia total do quadril em nossa institui\u00e7\u00e3o. A t\u00e9cnica de infiltra\u00e7\u00e3o periarticular consistiu na aplica\u00e7\u00e3o da combina\u00e7\u00e3o de um anest\u00e9sico (levobupivaca\u00edna) com um corticosteroide (dexametasona) nos tecidos ricos em nociceptores do quadril, ap\u00f3s a coloca\u00e7\u00e3o dos implantes ortop\u00e9dicos. No grupo controle, foi realizada infiltra\u00e7\u00e3o de soro fisiol\u00f3gico 0,9% nos mesmos tecidos. Ap\u00f3s 24 e 48 horas do procedimento, foram avaliados os quesitos de dor, amplitude de movimentos, uso de analg\u00e9sicos opi\u00f3ides, presen\u00e7a de efeitos adversos, per\u00edodo do in\u00edcio da deambula\u00e7\u00e3o e o tempo total de hospitaliza\u00e7\u00e3o.<\/jats:p><jats:p>\n          Resultados\u2003Trinta e quatro pacientes foram estatisticamente avaliados no estudo. Foi observada uma redu\u00e7\u00e3o no consumo de opioides entre 24 e 48\u2009h no grupo experimental. Uma redu\u00e7\u00e3o maior da pontua\u00e7\u00e3o de dor foi observada no grupo placebo.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A infiltra\u00e7\u00e3o periarticular anest\u00e9sica como m\u00e9todo de analgesia p\u00f3s-operat\u00f3ria de artroplastia total do quadril, neste estudo, reduziu as taxas de consumo de opioides quando comparamos a evolu\u00e7\u00e3o entre 24 e 48h. N\u00e3o houve benef\u00edcios quanto \u00e0s taxas de dor, mobilidade, tempo de interna\u00e7\u00e3o ou intercorr\u00eancias com este m\u00e9todo.<\/jats:p>","DOI":"10.1055\/s-0042-1744294","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T22:59:01Z","timestamp":1658530741000},"page":"252-256","source":"Crossref","is-referenced-by-count":2,"title":["A efic\u00e1cia da infiltra\u00e7\u00e3o periarticular anest\u00e9sica na analgesia p\u00f3s-operat\u00f3ria de artroplastia total do quadril"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1502-6081","authenticated-orcid":false,"given":"Rafael Wei Min Leal","family":"Chang","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia do Hospital Universit\u00e1rio Get\u00falio Vargas (HUGV), Universidade Federal do Amazonas (UFAM), Manaus, AM, 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