{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:39Z","timestamp":1740148599130,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":9,"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":[[2024,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Comparar os resultados funcionais entre duas t\u00e9cnicas de fixa\u00e7\u00e3o externa circular utilizadas no tratamento de fraturas complexas da extremidade proximal da t\u00edbia.<\/jats:p><jats:p>\n          Materiais e M\u00e9todos\u2003Trata-se de um estudo de coorte retrospectivo, com 51 pacientes submetidos ao tratamento cir\u00fargico de fraturas complexas do planalto tibial com fixador externo circular. Os pacientes foram divididos em dois grupos: 12 pacientes tratados com a t\u00e9cnica cl\u00e1ssica e 39 pacientes tratados com a t\u00e9cnica simplificada. As vari\u00e1veis analisadas inclu\u00edram idade, sexo, mecanismo da les\u00e3o, energia do trauma, les\u00f5es associadas, tipo de fixador, tempo de uso do fixador e resultados cl\u00ednico-radiogr\u00e1ficos. A t\u00e9cnica cl\u00e1ssica lan\u00e7a m\u00e3o principalmente de fios de Kirschner transfixantes, e a simplificada substitui os fios de Kirschner por pinos de Schanz no bloco distal do fixador externo circular.<\/jats:p><jats:p>\n          Resultados\u2003A partir da compara\u00e7\u00e3o das montagens, n\u00e3o encontramos diferen\u00e7as estatisticamente significativas (p\u2009&gt;\u200900,5) entre os dois grupos em rela\u00e7\u00e3o aos resultados cl\u00ednico-radiogr\u00e1ficos, incluindo a consolida\u00e7\u00e3o da fratura, a qualidade da redu\u00e7\u00e3o da fratura articular, a amplitude de movimento, a discrep\u00e2ncia residual na medida dos membros inferiores e a dor do paciente no p\u00f3s-operat\u00f3rio.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003Sugerimos que a t\u00e9cnica simplificada, utilizando pinos de Schanz no lugar dos fios de Kirschner, pode ser uma alternativa vi\u00e1vel e eficaz no tratamento de fraturas complexas da extremidade proximal da t\u00edbia com fixador externo circular. Essa abordagem simplificada pode oferecer benef\u00edcios, como menor taxa de infec\u00e7\u00e3o e maior conforto para o paciente, sem comprometer os resultados cl\u00ednicos e radiogr\u00e1ficos, o que justifica, o seu uso.<\/jats:p>","DOI":"10.1055\/s-0044-1785203","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T23:49:07Z","timestamp":1712792947000},"page":"e206-e212","source":"Crossref","is-referenced-by-count":0,"title":["Tratamento de fraturas do planalto tibial com fixador externo circular: Uma an\u00e1lise comparativa de duas formas de montagem"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0512-2771","authenticated-orcid":false,"given":"Leonardo","family":"Berto","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Governador Celso Ramos, Florian\u00f3polis, SC, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5334-9351","authenticated-orcid":false,"given":"Gustavo Henrique de Barros","family":"Palma","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Governador Celso Ramos, Florian\u00f3polis, SC, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9448-666X","authenticated-orcid":false,"given":"Andr\u00e9 Crippa da","family":"Silva","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Governador Celso Ramos, Florian\u00f3polis, SC, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3305-5572","authenticated-orcid":false,"given":"Mauro Remulo Grinfelder Brunel","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Posto M\u00e9dico de Guarni\u00e7\u00e3o da 16\u00aa Brigada de Infantaria de Selva, Ex\u00e9rcito Brasileiro, Tef\u00e9, AM, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9308-9777","authenticated-orcid":false,"given":"Renato","family":"Amorim","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Governador Celso Ramos, Florian\u00f3polis, SC, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2956-6625","authenticated-orcid":false,"given":"Gracielle Silva","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital Governador Celso Ramos, Florian\u00f3polis, SC, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/BOT.0b013e3180500359","article-title":"Biomechanical analysis of bicondylar tibial plateau fixation: how does lateral locking plate fixation compare to dual plate fixation?","volume":"21","author":"T F Higgins","year":"2007","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.cuor.2007.02.007","article-title":"Current management of high-energy tibial plateau fractures","volume":"21","author":"R D Zura","year":"2007","journal-title":"Curr Orthop"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"74","DOI":"10.2106\/JBJS.G.01165","article-title":"Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. 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