{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:50:06Z","timestamp":1791366606834,"version":"4.3.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":127,"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":[[2026,6]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>A mobiliza\u00e7\u00e3o precoce \u00e9 fundamental para a recupera\u00e7\u00e3o funcional ap\u00f3s fraturas das falanges, mas muitos m\u00e9todos de fixa\u00e7\u00e3o ainda exigem imobiliza\u00e7\u00e3o prolongada, o que aumenta o risco de rigidez articular. Descrevemos uma t\u00e9cnica simples, segura e de baixo custo, que combina fios de Kirschner intramedulares e liga\u00e7\u00e3o externa, adaptada do m\u00e9todo de Ulson, originalmente desenvolvido para fraturas do r\u00e1dio distal. O procedimento consiste em redu\u00e7\u00e3o fechada sob fluoroscopia, seguida da introdu\u00e7\u00e3o de 2 fios intramedulares de 1,0\u2009mm, cujas extremidades externas s\u00e3o dobradas e conectadas, e formam um quadro est\u00e1vel que permite mobiliza\u00e7\u00e3o imediata sem necessidade de imobiliza\u00e7\u00e3o. A t\u00e9cnica proporcionou fixa\u00e7\u00e3o est\u00e1vel, consolida\u00e7\u00e3o \u00f3ssea confi\u00e1vel e reabilita\u00e7\u00e3o precoce, com baixa taxa de complica\u00e7\u00f5es. Trata-se de uma op\u00e7\u00e3o pr\u00e1tica e reprodut\u00edvel, especialmente \u00fatil em contextos com recursos limitados.<\/jats:p>","DOI":"10.1055\/s-0046-1824572","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:39:45Z","timestamp":1791362385000},"page":"001-005","source":"Crossref","is-referenced-by-count":0,"title":["Fixa\u00e7\u00e3o combinada intramedular-externa com fios de Kirschner para fraturas das falanges: Descri\u00e7\u00e3o de t\u00e9cnica cir\u00fargica"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4375-4393","authenticated-orcid":false,"given":"Gabriel Ifran","family":"Alves","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia (IOT), Hospital S\u00e3o Vicente de Paulo (HSVP), Passo Fundo, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8329-4619","authenticated-orcid":false,"given":"Ant\u00f4nio Louren\u00e7o","family":"Severo","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia (IOT), Hospital S\u00e3o Vicente de Paulo (HSVP), Passo Fundo, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7186-6456","authenticated-orcid":false,"given":"Marcelo Barretos de","family":"Lemos","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia (IOT), Hospital S\u00e3o Vicente de Paulo (HSVP), Passo Fundo, RS, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9727-2330","authenticated-orcid":false,"given":"Osvandr\u00e9","family":"Lech","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia (IOT), Hospital S\u00e3o Vicente de 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