{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:16Z","timestamp":1740148636201,"version":"3.37.3"},"reference-count":55,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T00:00:00Z","timestamp":1671148800000},"content-version":"vor","delay-in-days":15,"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\u2003Nas \u00faltimas d\u00e9cadas, a placa volar bloqueada (PVB) tem sido o tratamento principal para fraturas do r\u00e1dio distal (FRDs). Com o crescente conjunto de evid\u00eancias, revisamos sistematicamente estudos sobre modifica\u00e7\u00f5es recentes na PVB.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Uma pesquisa sistem\u00e1tica foi realizada utilizando o banco de dados PubMed\/MEDLINE por estudos publicados em ingl\u00eas nos \u00faltimos cinco anos. Os crit\u00e9rios de inclus\u00e3o foram ensaios cl\u00ednicos controlados e randomizados (ECCRs) sobre o tratamento cir\u00fargico de FRDs. Exclu\u00edmos ensaios e estudos em andamento que n\u00e3o abordavam diretamente a FRD. Os desfechos prim\u00e1rios avaliados foram desfechos cl\u00ednicos subjetivos (como as pontua\u00e7\u00f5es no question\u00e1rio de Defici\u00eancias do Bra\u00e7o, Ombro e M\u00e3o [Disabilities of the Arm, Shoulder and Hand, DASH, em ingl\u00eas], na Avalia\u00e7\u00e3o do Punho Classificada pelo Paciente [Patient-rated Wrist Evaluation, PRWE, em ingl\u00eas], no question\u00e1rio Qualidade de Vida Europeia \u2013 5 Dimens\u00f5es [European Quality of Life\u20135 Dimensions, EQ-5D, em ingl\u00eas], na Pesquisa de Sa\u00fade por Formul\u00e1rio Curto de 36 Itens [36-item Short Form Health Survey, SF-36, em ingl\u00eas], e na Escala Visual Anal\u00f3gica [EVA]) e objetivos (taxa de complica\u00e7\u00f5es).<\/jats:p><jats:p>\n          Resultados\u2003Identificamos 29 artigos publicados entre 2016 e 2020 com alta qualidade de evid\u00eancia, exceto por um, de qualidade moderada. Ao todo, foram analisadas 3.079 FRDs neste estudo, Todos os estudos analisados, exceto por um, tinham maior propor\u00e7\u00e3o de participantes do g\u00eanero feminino, e somente em 1 estudo a idade m\u00e9dia da amostra foi\u2009&lt;\u200940 anos. N\u00e3o houve diferen\u00e7a significativa entre a PVB e fixa\u00e7\u00e3o externa (FE) em termos das pontua\u00e7\u00f5es no DASH (p\u2009=\u20090,18) e na PRWE (p\u2009=\u20090,77). Os resultados da PVB isolada, sem qualquer reparo do pronador quadrado (PQ), foram significativamente melhores.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Em fraturas inst\u00e1veis, a PVB e a FE produziram resultados compar\u00e1veis no longo prazo. N\u00e3o h\u00e1 um benef\u00edcio claro em se adicionar reparo do PQ \u00e0 t\u00e9cnica cir\u00fargica atual da PVB.<\/jats:p><jats:p>\n          N\u00edvel de Evid\u00eancia\u2003N\u00edvel I<\/jats:p>","DOI":"10.1055\/s-0042-1754379","type":"journal-article","created":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T23:50:03Z","timestamp":1671234603000},"page":"899-910","source":"Crossref","is-referenced-by-count":0,"title":["Resultados do manejo de fraturas do r\u00e1dio distal nos \u00faltimos 5 anos: metan\u00e1lise de ensaios cl\u00ednicos controlados e randomizados"],"prefix":"10.1055","volume":"57","author":[{"given":"Anak Agung Gede Yuda","family":"Asmara","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Udayana University, Sanglah General Hospital, Bali, Indon\u00e9sia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Made Bramantya","family":"Karna","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Udayana University, Sanglah General Hospital, Bali, Indon\u00e9sia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Putu Feryawan","family":"Meregawa","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Udayana University, Sanglah General Hospital, Bali, Indon\u00e9sia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8726-3425","authenticated-orcid":false,"given":"Maria Florencia","family":"Deslivia","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Udayana University, Sanglah General Hospital, Bali, 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