COMPARATIVE MULTICENTER STUDY OF TREATMENT OF MULTI-FRAGMENTED TIBIAL DIAPHYSEAL FRACTURES WITH NONREAMED INTERLOCKING NAILS AND WITH BRIDGING PLATES
A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates. Forty-five patients were studied; 22 p...
Gespeichert in:
| Veröffentlicht in: | Clinics (São Paulo, Brazil) Brazil), 2006-08, Vol.61 (4), p.333-338 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 338 |
|---|---|
| container_issue | 4 |
| container_start_page | 333 |
| container_title | Clinics (São Paulo, Brazil) |
| container_volume | 61 |
| creator | Fernandes, Hélio Jorge Alvachian Sakaki, Marcos Hideyo Silva, Jorge dos Santos dos Reis, Fernando Baldy Zumiotti, Arnaldo Valdir |
| description | A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates.
Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification).
Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups.
The healing time was shorter with the bridging plate technique, although no significant functional differences were found.
Estudo prospectivo e randomizado comparou pacientes com fraturas diafisárias multifragmentárias fechadas de tíbia, tratados com dois métodos de fixação: hastes intramedulares bloqueadas não-fresadas e placas em ponte.
Foram estudados 45 pacientes sendo utilizadas 22 placas em ponte e 23 hastes bloqueadas. Todas as fraturas foram tipos B e C (Classificação AO).
A consolidação clínica e radiográfica ocorreu em todos os casos. Não houve caso de infecção. Verificou-se que o tempo de consolidação dos pacientes que receberam haste foi maior (em média 4,32 semanas) do que o tempo de consolidação daqueles que receberam placa (p = 0,026). Não foram observadas diferenças estatisticamente significantes entre os dois métodos no tocante à mobilidade do tornozelo nos pacientes dos dois grupos.
O tempo de consolidação foi menor com uso de placas em ponte, porém sem diferenças funcionais significantes. |
| doi_str_mv | 10.1590/S1807-59322006000400010 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_sciel</sourceid><recordid>TN_cdi_scielo_journals_S1807_59322006000400010</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><scielo_id>S1807_59322006000400010</scielo_id><els_id>S1807593222032483</els_id><sourcerecordid>68772748</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3720-125b680417425fafe8ef5dbebbe4034bc2cd04ab3f013494a81be7bcb540d8c73</originalsourceid><addsrcrecordid>eNqFkc-OmzAQxtGqVfdP-wqtT72xHRsT4OgFklglEIHTak8WNkZilYQtbCrtg_R9a5ZUe6jUHizPfP7NfNaM43zCcIv9CL5UOITA9SOPEIAFAFB7MFw4VzgKwfWt_sbGf6BL53ocHwC8yKP-O-cSLyJCPeJfOb_iYrNlJRP8W4o2u0zwOM1FWqJK7JJ7VCyRKFMmNlackhfCXZZsNSlpggS_4yxDCWfb9X2V2tA-xmJXphX6zsUa5UVuG2wsyqe-WRF_5fkK5YxnFWJ5MlN3JU9Wk77NmEir987btt6P5sP5vnF2y1TEazcrVjxmmau9gICLia8WIVAcUOK3dWtC0_qNMkoZCh5VmugGaK28FrBHI1qHWJlAaeVTaEIdeDfO7dx31J3Z9_KhPw1Hayhf5iv_mq8t-DwXPA79j5MZn-ShG7XZ7-uj6U-jXIRBQAIaWjCYQT304ziYVj4O3aEeniUGOa3wHxYfzxYndTDNa915ZxZgM2DsZH52ZpDT74_aNN1g9JNs-u6_Jr8BVRWcoA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68772748</pqid></control><display><type>article</type><title>COMPARATIVE MULTICENTER STUDY OF TREATMENT OF MULTI-FRAGMENTED TIBIAL DIAPHYSEAL FRACTURES WITH NONREAMED INTERLOCKING NAILS AND WITH BRIDGING PLATES</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Fernandes, Hélio Jorge Alvachian ; Sakaki, Marcos Hideyo ; Silva, Jorge dos Santos ; dos Reis, Fernando Baldy ; Zumiotti, Arnaldo Valdir</creator><creatorcontrib>Fernandes, Hélio Jorge Alvachian ; Sakaki, Marcos Hideyo ; Silva, Jorge dos Santos ; dos Reis, Fernando Baldy ; Zumiotti, Arnaldo Valdir</creatorcontrib><description>A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates.
Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification).
Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups.
The healing time was shorter with the bridging plate technique, although no significant functional differences were found.
Estudo prospectivo e randomizado comparou pacientes com fraturas diafisárias multifragmentárias fechadas de tíbia, tratados com dois métodos de fixação: hastes intramedulares bloqueadas não-fresadas e placas em ponte.
Foram estudados 45 pacientes sendo utilizadas 22 placas em ponte e 23 hastes bloqueadas. Todas as fraturas foram tipos B e C (Classificação AO).
A consolidação clínica e radiográfica ocorreu em todos os casos. Não houve caso de infecção. Verificou-se que o tempo de consolidação dos pacientes que receberam haste foi maior (em média 4,32 semanas) do que o tempo de consolidação daqueles que receberam placa (p = 0,026). Não foram observadas diferenças estatisticamente significantes entre os dois métodos no tocante à mobilidade do tornozelo nos pacientes dos dois grupos.
O tempo de consolidação foi menor com uso de placas em ponte, porém sem diferenças funcionais significantes.</description><identifier>ISSN: 1807-5932</identifier><identifier>ISSN: 1980-5322</identifier><identifier>EISSN: 1980-5322</identifier><identifier>DOI: 10.1590/S1807-59322006000400010</identifier><identifier>PMID: 16924325</identifier><language>eng</language><publisher>Brazil: Elsevier España, S.L.U</publisher><subject>Bone Nails ; Bone Plates ; Bridging plates ; Comminuted fractures ; Diaphyses - injuries ; Diaphyses - surgery ; Diaphysis ; Diáfises ; Female ; Fixação intramedular de fraturas ; Fracture Fixation, Intramedullary - instrumentation ; Fracture Fixation, Intramedullary - methods ; Fraturas cominutivas ; Fraturas da tíbia ; Humans ; Intramedullary fixation of fractures ; Male ; MEDICINE, GENERAL & INTERNAL ; Placas Ósseas ; Prospective Studies ; Tibial fractures ; Tibial Fractures - surgery ; Time Factors ; Treatment Outcome</subject><ispartof>Clinics (São Paulo, Brazil), 2006-08, Vol.61 (4), p.333-338</ispartof><rights>2006 CLINICS</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3720-125b680417425fafe8ef5dbebbe4034bc2cd04ab3f013494a81be7bcb540d8c73</citedby><cites>FETCH-LOGICAL-c3720-125b680417425fafe8ef5dbebbe4034bc2cd04ab3f013494a81be7bcb540d8c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16924325$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernandes, Hélio Jorge Alvachian</creatorcontrib><creatorcontrib>Sakaki, Marcos Hideyo</creatorcontrib><creatorcontrib>Silva, Jorge dos Santos</creatorcontrib><creatorcontrib>dos Reis, Fernando Baldy</creatorcontrib><creatorcontrib>Zumiotti, Arnaldo Valdir</creatorcontrib><title>COMPARATIVE MULTICENTER STUDY OF TREATMENT OF MULTI-FRAGMENTED TIBIAL DIAPHYSEAL FRACTURES WITH NONREAMED INTERLOCKING NAILS AND WITH BRIDGING PLATES</title><title>Clinics (São Paulo, Brazil)</title><addtitle>Clinics (Sao Paulo)</addtitle><description>A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates.
Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification).
Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups.
The healing time was shorter with the bridging plate technique, although no significant functional differences were found.
Estudo prospectivo e randomizado comparou pacientes com fraturas diafisárias multifragmentárias fechadas de tíbia, tratados com dois métodos de fixação: hastes intramedulares bloqueadas não-fresadas e placas em ponte.
Foram estudados 45 pacientes sendo utilizadas 22 placas em ponte e 23 hastes bloqueadas. Todas as fraturas foram tipos B e C (Classificação AO).
A consolidação clínica e radiográfica ocorreu em todos os casos. Não houve caso de infecção. Verificou-se que o tempo de consolidação dos pacientes que receberam haste foi maior (em média 4,32 semanas) do que o tempo de consolidação daqueles que receberam placa (p = 0,026). Não foram observadas diferenças estatisticamente significantes entre os dois métodos no tocante à mobilidade do tornozelo nos pacientes dos dois grupos.
O tempo de consolidação foi menor com uso de placas em ponte, porém sem diferenças funcionais significantes.</description><subject>Bone Nails</subject><subject>Bone Plates</subject><subject>Bridging plates</subject><subject>Comminuted fractures</subject><subject>Diaphyses - injuries</subject><subject>Diaphyses - surgery</subject><subject>Diaphysis</subject><subject>Diáfises</subject><subject>Female</subject><subject>Fixação intramedular de fraturas</subject><subject>Fracture Fixation, Intramedullary - instrumentation</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Fraturas cominutivas</subject><subject>Fraturas da tíbia</subject><subject>Humans</subject><subject>Intramedullary fixation of fractures</subject><subject>Male</subject><subject>MEDICINE, GENERAL & INTERNAL</subject><subject>Placas Ósseas</subject><subject>Prospective Studies</subject><subject>Tibial fractures</subject><subject>Tibial Fractures - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1807-5932</issn><issn>1980-5322</issn><issn>1980-5322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc-OmzAQxtGqVfdP-wqtT72xHRsT4OgFklglEIHTak8WNkZilYQtbCrtg_R9a5ZUe6jUHizPfP7NfNaM43zCcIv9CL5UOITA9SOPEIAFAFB7MFw4VzgKwfWt_sbGf6BL53ocHwC8yKP-O-cSLyJCPeJfOb_iYrNlJRP8W4o2u0zwOM1FWqJK7JJ7VCyRKFMmNlackhfCXZZsNSlpggS_4yxDCWfb9X2V2tA-xmJXphX6zsUa5UVuG2wsyqe-WRF_5fkK5YxnFWJ5MlN3JU9Wk77NmEir987btt6P5sP5vnF2y1TEazcrVjxmmau9gICLia8WIVAcUOK3dWtC0_qNMkoZCh5VmugGaK28FrBHI1qHWJlAaeVTaEIdeDfO7dx31J3Z9_KhPw1Hayhf5iv_mq8t-DwXPA79j5MZn-ShG7XZ7-uj6U-jXIRBQAIaWjCYQT304ziYVj4O3aEeniUGOa3wHxYfzxYndTDNa915ZxZgM2DsZH52ZpDT74_aNN1g9JNs-u6_Jr8BVRWcoA</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Fernandes, Hélio Jorge Alvachian</creator><creator>Sakaki, Marcos Hideyo</creator><creator>Silva, Jorge dos Santos</creator><creator>dos Reis, Fernando Baldy</creator><creator>Zumiotti, Arnaldo Valdir</creator><general>Elsevier España, S.L.U</general><general>Faculdade de Medicina / USP</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20060801</creationdate><title>COMPARATIVE MULTICENTER STUDY OF TREATMENT OF MULTI-FRAGMENTED TIBIAL DIAPHYSEAL FRACTURES WITH NONREAMED INTERLOCKING NAILS AND WITH BRIDGING PLATES</title><author>Fernandes, Hélio Jorge Alvachian ; Sakaki, Marcos Hideyo ; Silva, Jorge dos Santos ; dos Reis, Fernando Baldy ; Zumiotti, Arnaldo Valdir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3720-125b680417425fafe8ef5dbebbe4034bc2cd04ab3f013494a81be7bcb540d8c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Bone Nails</topic><topic>Bone Plates</topic><topic>Bridging plates</topic><topic>Comminuted fractures</topic><topic>Diaphyses - injuries</topic><topic>Diaphyses - surgery</topic><topic>Diaphysis</topic><topic>Diáfises</topic><topic>Female</topic><topic>Fixação intramedular de fraturas</topic><topic>Fracture Fixation, Intramedullary - instrumentation</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Fraturas cominutivas</topic><topic>Fraturas da tíbia</topic><topic>Humans</topic><topic>Intramedullary fixation of fractures</topic><topic>Male</topic><topic>MEDICINE, GENERAL & INTERNAL</topic><topic>Placas Ósseas</topic><topic>Prospective Studies</topic><topic>Tibial fractures</topic><topic>Tibial Fractures - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernandes, Hélio Jorge Alvachian</creatorcontrib><creatorcontrib>Sakaki, Marcos Hideyo</creatorcontrib><creatorcontrib>Silva, Jorge dos Santos</creatorcontrib><creatorcontrib>dos Reis, Fernando Baldy</creatorcontrib><creatorcontrib>Zumiotti, Arnaldo Valdir</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Clinics (São Paulo, Brazil)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernandes, Hélio Jorge Alvachian</au><au>Sakaki, Marcos Hideyo</au><au>Silva, Jorge dos Santos</au><au>dos Reis, Fernando Baldy</au><au>Zumiotti, Arnaldo Valdir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COMPARATIVE MULTICENTER STUDY OF TREATMENT OF MULTI-FRAGMENTED TIBIAL DIAPHYSEAL FRACTURES WITH NONREAMED INTERLOCKING NAILS AND WITH BRIDGING PLATES</atitle><jtitle>Clinics (São Paulo, Brazil)</jtitle><addtitle>Clinics (Sao Paulo)</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>61</volume><issue>4</issue><spage>333</spage><epage>338</epage><pages>333-338</pages><issn>1807-5932</issn><issn>1980-5322</issn><eissn>1980-5322</eissn><abstract>A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates.
Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification).
Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups.
The healing time was shorter with the bridging plate technique, although no significant functional differences were found.
Estudo prospectivo e randomizado comparou pacientes com fraturas diafisárias multifragmentárias fechadas de tíbia, tratados com dois métodos de fixação: hastes intramedulares bloqueadas não-fresadas e placas em ponte.
Foram estudados 45 pacientes sendo utilizadas 22 placas em ponte e 23 hastes bloqueadas. Todas as fraturas foram tipos B e C (Classificação AO).
A consolidação clínica e radiográfica ocorreu em todos os casos. Não houve caso de infecção. Verificou-se que o tempo de consolidação dos pacientes que receberam haste foi maior (em média 4,32 semanas) do que o tempo de consolidação daqueles que receberam placa (p = 0,026). Não foram observadas diferenças estatisticamente significantes entre os dois métodos no tocante à mobilidade do tornozelo nos pacientes dos dois grupos.
O tempo de consolidação foi menor com uso de placas em ponte, porém sem diferenças funcionais significantes.</abstract><cop>Brazil</cop><pub>Elsevier España, S.L.U</pub><pmid>16924325</pmid><doi>10.1590/S1807-59322006000400010</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1807-5932 |
| ispartof | Clinics (São Paulo, Brazil), 2006-08, Vol.61 (4), p.333-338 |
| issn | 1807-5932 1980-5322 1980-5322 |
| language | eng |
| recordid | cdi_scielo_journals_S1807_59322006000400010 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Bone Nails Bone Plates Bridging plates Comminuted fractures Diaphyses - injuries Diaphyses - surgery Diaphysis Diáfises Female Fixação intramedular de fraturas Fracture Fixation, Intramedullary - instrumentation Fracture Fixation, Intramedullary - methods Fraturas cominutivas Fraturas da tíbia Humans Intramedullary fixation of fractures Male MEDICINE, GENERAL & INTERNAL Placas Ósseas Prospective Studies Tibial fractures Tibial Fractures - surgery Time Factors Treatment Outcome |
| title | COMPARATIVE MULTICENTER STUDY OF TREATMENT OF MULTI-FRAGMENTED TIBIAL DIAPHYSEAL FRACTURES WITH NONREAMED INTERLOCKING NAILS AND WITH BRIDGING PLATES |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T14%3A21%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_sciel&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=COMPARATIVE%20MULTICENTER%20STUDY%20OF%20TREATMENT%20OF%20MULTI-FRAGMENTED%20TIBIAL%20DIAPHYSEAL%20FRACTURES%20WITH%20NONREAMED%20INTERLOCKING%20NAILS%20AND%20WITH%20BRIDGING%20PLATES&rft.jtitle=Clinics%20(S%C3%A3o%20Paulo,%20Brazil)&rft.au=Fernandes,%20H%C3%A9lio%20Jorge%20Alvachian&rft.date=2006-08-01&rft.volume=61&rft.issue=4&rft.spage=333&rft.epage=338&rft.pages=333-338&rft.issn=1807-5932&rft.eissn=1980-5322&rft_id=info:doi/10.1590/S1807-59322006000400010&rft_dat=%3Cproquest_sciel%3E68772748%3C/proquest_sciel%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=68772748&rft_id=info:pmid/16924325&rft_scielo_id=S1807_59322006000400010&rft_els_id=S1807593222032483&rfr_iscdi=true |