Comparative study between blocked intramedular rod and DHS / DCS / DCP plates in the treatment of fractures in the lower member at the University Hospital Presidente Dutra
DOI:
https://doi.org/10.33448/rsd-v11i5.28328Keywords:
Intramedullary Fracture Fixation; Lower extremity; Fracture fixation.Abstract
Introduction: With the increase in the incidence of fractures resulting from high-impact accidents, the locked nail system started to be used, becoming the method of choice in countries where the material is available. Objective: To compare total hospitalization, need to stay in the intensive care unit, use of blood concentrate, drainage tubes, postoperative infection, rehabilitation and quality of life in patients with lower limb fracture fixation methods. President Dutra University. Methods: A review of the current literature on the subject was carried out, data were collected through the review of 40 charts, divided into groups A and B: group A (intramedullary nail obstruction) and group B (DHS, DCS and DCP plates ), considering variables: Total length of stay, length of stay in the intensive care unit, use of blood concentrates, drains, postoperative infection, recovery and pain assessment. Final considerations: The effectiveness of the use of intramedullary nail was evidenced in terms of early rehabilitation of the patient, shorter hospital stay, lower rate of postoperative infection, shorter ICU stay, less use of packed red blood cells, without the need for the use of drain and, consequently, lower hospital costs and improved quality of life for the patient.
References
Figueiredo, F. (1998). Epidemiologia de 1.212 fraturas expostas*. Revista Brasileira de Ortopedia, 33(6).
Belangero, H. (2002). Placa em ponte e haste intramedular bloqueada: estudo comparativo no tratamento de fraturas multifragmentárias da diáfise do fêmur. Revista Brasileira de Ortopedia, 37(9).
Caron, J. (2006). Estudo Comparativo Entre Aparelho Gessado E Haste Intramedular Bloqueada No Tratamento Da Fratura Fechada Da Diáfise Da Tíbia. Revista Brasileira de Ortopedia, 41(10), 405–410.
Malta, M. C., Reis, F. B., Morales, D. R., & Souza, N. R. (2002) Tratamento das fraturas diafisárias do fêmur com a haste intramedular bloqueada desenvolvida na Faculdade de Medicina de Ribeirão Preto. Rev Bras Ortop.
Nunes A. S., & Mejia D. P. M. (2010) A eficácia da fisioterapia na reabilitação imediata de paciente pós-operatório de fratura diafisária de fêmur utilizando haste intramedular: revisão bibliográfica.
Pereira, M. M. (2004). Fraturas Diafisárias do Fêmur em crianças: ainda há espaço para o tratamento conservador? R. Into.
Pires, R. E. S. (2006). Como são tratadas as fraturas diafisárias fechadas do fêmur no Brasil? Estudo transversal. Acta ortop. bras. 14(3).
Sakaki, M. H., Oliveira, A. R., Coelho, F. F., Leme, L. E. G., Suzuki, I., & Amatuzzi, M. M. (2004). Estudo da mortalidade na fratura do fêmur proximal em idosos. Acta Ortopédica Brasileira, 12(4), 242–249.
Atuação o da fisioterapia no pôs operatório de fratura diafisaria de fêmur com o uso da técnica da haste intramedular bloqueada em fase hospitalar. (2022). Efdeportes.com.
Schatzker, J. & Tile, M. Tratamento cirúrgico das fraturas. editora Manole, 1994.
Fratura transtrocanteriana. (2009). Revista Da Associação Médica Brasileira, 55, 637–640.
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Copyright (c) 2022 Itamara Tiara Neves Silva Souza; Sebastião Vieira de Morais; João Victor Carvalho da Paz; Elizabeth Maria Neves Silva Souza; Anderson Matheus Medeiros de Araújo
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