{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:19Z","timestamp":1740148639224,"version":"3.37.3"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"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":[[2024,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Descrever o procedimento e avaliar os resultados de uma s\u00e9rie de pacientes com pseudartroses est\u00e1veis e inst\u00e1veis dos escafoides tratados com o uso de artroscopia associado a enxerto \u00f3sseo esponjoso e parafuso de compress\u00e3o.<\/jats:p><jats:p>\n          M\u00e9todo\u2003Foram tratados 23 pacientes com esta t\u00e9cnica. O acompanhamento m\u00ednimo no p\u00f3s-operat\u00f3rio foi de 12 meses, e foram realizadas an\u00e1lises funcionais, cl\u00ednicas e de imagem pr\u00e9 e p\u00f3s-operat\u00f3rias.<\/jats:p><jats:p>\n          Resultados\u2003O tempo m\u00e9dio desde a fratura at\u00e9 a cirurgia foi de 26 meses (12-60). Par\u00e2metros cl\u00ednicos e radiol\u00f3gicos pr\u00e9-operat\u00f3rio e p\u00f3s-operat\u00f3rio foram analisados. O seguimento m\u00e9dio foi de 24,2 (12-60) meses. A consolida\u00e7\u00e3o ocorreu em 22 pacientes (95,6%) em uma m\u00e9dia de 7,5 (4-12) semanas. A amplitude m\u00e9dia de movimento de flex\u00e3o melhorou de 73,6\u00b0 (60-80\u00b0) a 79,5\u00b0 (60-90\u00b0); a extens\u00e3o de 68,6\u00b0 (50-80\u00b0) a 71,9\u00b0 (45-85\u00b0); o desvio ulnar de 20,6\u00b0(15-30\u00b0) a 26,9\u00b0 (20-35\u00b0); e o desvio radial de 17,3\u00b0 (15-25\u00b0) em 20,4\u00b0 (10-25\u00b0). A dor (Escala Visual Anal\u00f3gica [EVA] 0-10) melhorou de 7,3 (4-9) para 0,7 (0-6) e a escala funcional DASH melhorou de 49 (32-75) para 6 (2-12). O \u00e2ngulo escafolunar melhorou de 69,1\u00b0(55-85\u00b0) para 48,4\u00b0 (40-55\u00b0) e o \u00e2ngulo radiolunar melhorou de 30\u00b0(10-40\u00b0) a 2,6\u00b0 (0-8\u00b0).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003O tratamento das pseudartrose est\u00e1veis e inst\u00e1veis do escafoide com enxerto \u00f3sseo esponjoso e fixa\u00e7\u00e3o interna percut\u00e2nea, preferencialmente com parafuso de compress\u00e3o sem cabe\u00e7a, assistidos por artroscopia, mostrou bons resultados cl\u00ednicos e radiogr\u00e1ficos na nossa casu\u00edstica, com curto tempo de consolida\u00e7\u00e3o e recupera\u00e7\u00e3o funcional.<\/jats:p>","DOI":"10.1055\/s-0043-1770969","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:32:14Z","timestamp":1706574734000},"page":"e719-e729","source":"Crossref","is-referenced-by-count":0,"title":["Tratamento da pseudoartrose do escafoide com uso de artroscopia: Descri\u00e7\u00e3o da t\u00e9cnica e s\u00e9rie de casos"],"prefix":"10.1055","volume":"59","author":[{"given":"Ricardo","family":"Kaempf","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7521-3823","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Brunelli","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leohnard","family":"Bayer","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio","family":"Aita","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina do ABC, Santo Andr\u00e9, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santhiago Pereira","family":"Schneider","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de Porto Alegre, Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro J.","family":"Delgado","sequence":"additional","affiliation":[{"name":"Hospital Universit\u00e1rio Madrid Montepr\u00edncipe, Universidad CEU San Pablo, Boadilla del Monte, Madri, Espanha"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/0363-5023(94)90178-3","article-title":"Surgical treatment of scapholunate advanced collapse","volume":"19","author":"J D Krakauer","year":"1994","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/S0363-5023(84)80025-8","article-title":"A technique for anterior wedge-shaped grafts for 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