Desenho de placa em forma de borboleta para tratamento de fraturas do calcâneo / Design of butterfly-shaped plate and its application in treatment for calcaneal fractures
Acta ortop. bras
;
20(6): 324-328, nov.-dez. 2012. ilus, tab
Article
in Portuguese
| LILACS
| ID: lil-660193
RESUMO
OBJETIVO:
Apresentar um desenho de placa em forma de borboleta e sua aplicação no tratamento de fraturas do calcâneo e discutir suas indicações clínicas, vantagens e desvantagens.MÉTODOS:
De fevereiro de 2008 a abril de 2010, 22 pacientes com 26 fraturas intra-articulares do calcâneo foram tratados com redução a céu aberto e fixação interna com placa em forma de borboleta. Dezesseis pacientes eram homens e 6 eram mulheres, com média de idade de 36,8 anos. Onze eram pés esquerdos e 15, direitos. De acordo com a classificação de Sanders, 12 eram fraturas de calcâneo Tipo II (inclusive 3 Tipo IIa, 7 Tipo IIb e 2 Tipo IIc) e 14 eram Tipo III (inclusive cinco do Tipo IIIab, 7 Tipo IIIac e duas do Tipo IIIbc).RESULTADOS:
Dezessete pacientes (21 pés) foram submetidos a acompanhamento por em média 19,2 meses. Os desfechos funcionais foram avaliados com o sistema Maryland Foot Score. Entre os nove pés com fraturas Tipo II, sete receberam escore excelente e dois, bom. Entre as 12 fraturas Tipo III, seis tiveram escore excelente, cinco, bom e uma, razoável.CONCLUSÃO:
A placa em forma de borboleta é aplicável ao tratamento de fraturas do calcâneo do Tipo II e Tipo III de Sanders, com a vantagem de garantir fixação confiável, facilitar a cirurgia, produzir menos complicações pós-operatórias e produzir melhores desfechos clínicos gerais. Nível de Evidência IV, Série de casos.ABSTRACT
OBJECTIVE:
To introduce the design of butterfly-shaped plate and its application in treatment for calcaneal fractures, and to discuss its clinical indications, advantages and disadvantages.METHODS:
From February 2008 to April 2010, 22 patients with 26 intra-articular calcaneal fractures were treated by open reduction and internal fixation with butterfly-shape plate. Sixteen patients were male and 6 patients were female, with a mean age of 36.8 years. Eleven were left feet and 15, right. According to Sanders classification, 12 were Type II (including 3 Type IIa, 7 Type IIb and 2 Type IIc) and 14 were Type III (including 5 Type IIIab, 7 Type IIIac and 2 Type IIIbc).RESULTS:
Seventeen patients (21 feet) were followed-up for an average of 19.2 months. The functional outcomes were assessed using the Maryland Foot Score system. Among the 9 feet with Type II fractures, 7 feet were scored excellent, 2 were good. Among the 12 Type III fractures, 6 were scored excellent, 5 were good, and one was fair.CONCLUSION:
The butterfly-shaped plate is applicable to treatment for Sanders Type II and Type III calcaneal fractures, with advantages of ensuring reliable fixation, easier operation, fewer post-operative complications, and better clinical outcomes. Level of Evidence IV, Case Series.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Bone Plates
/
Calcaneus
/
Fractures, Bone
/
Fracture Fixation, Internal
Type of study:
Diagnostic study
Limits:
Female
/
Humans
/
Male
Language:
Portuguese
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2012
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Tongji University/CN
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