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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 619-628
DOI: 10.1055/s-0041-1726062
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Determinação dos parâmetros anatômicos limítrofes para melhor desfecho funcional da fratura de Colles: Um estudo prospectivo[*]

Article in several languages: português | English
Tapasa Kumar Panigrahi 
1   Departamento de Ortopedia, S. C. B. Medical College and Hospital, Cutack, Odisha, Índia
,
Satyajeet Ray 
1   Departamento de Ortopedia, S. C. B. Medical College and Hospital, Cutack, Odisha, Índia
,
Manoranjan Mallik 
1   Departamento de Ortopedia, S. C. B. Medical College and Hospital, Cutack, Odisha, Índia
,
Ramesh Chandra Maharaj 
1   Departamento de Ortopedia, S. C. B. Medical College and Hospital, Cutack, Odisha, Índia
,
Jugaratna Khatua 
1   Departamento de Ortopedia, S. C. B. Medical College and Hospital, Cutack, Odisha, Índia
,
Debi Prasad Nanda 
1   Departamento de Ortopedia, S. C. B. Medical College and Hospital, Cutack, Odisha, Índia
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Resumo

Objetivo O tratamento da fratura de Colles pode deformar o pulso. Alguns estudos afirmam que essa deformidade raramente dificulta as atividades diárias, enquanto outros relatam o contrário; assim, a redução anatômica é desejável. Nosso objetivo foi analisar os resultados anatômicos e funcionais da fratura de Colles para descobrir os valores de parâmetros individuais correspondentes ao melhor desfecho funcional.

Métodos Este estudo prospectivo incluiu 70 pacientes idosos com fratura de Colles. Todos os pacientes foram tratados de forma conservativa. Os parâmetros anatômicos foram a angulação dorsal, a inclinação radial e a altura radial, avaliados de acordo com Stewart et al. O resultado funcional foi avaliado segundo a tabela de pontuação de pulso Mayo. Os resultados foram analisados por meio do teste de associação do qui-quadrado, considerando o valor de p < 0,001 estatisticamente significativo. A força das associações foi analisada por razões de possibilidades com intervalos de confiança de 95%.

Resultados Excelentes e bons resultados anatômicos e funcionais foram obtidos em 68,5% e 78,5% dos casos, respectivamente, com diferença estatística significativa (p = 0,0009). Dos três parâmetros anatômicos, a angulação dorsal inferior a 10° e a perda da inclinação radial inferior a 9° apresentaram associação estatisticamente significativa com os resultados funcionais (p = 0,0006), mas não a perda de altura radial inferior a 6 mm (p = 0,0568); no entanto, a perda da altura radial inferior a 4 mm foi associada de forma significativa aos desfechos funcionais (p = 0,00062).

Conclusão As fraturas com redução anatômica apresentam melhores desfechos funcionais. Os parâmetros anatômicos limítrofes aceitáveis para a obtenção de resultados funcionais excelentes ou bons são angulação dorsal inferior a 10°, perda da inclinação radial inferior a 9° e perda da altura radial inferior a 4 mm.

Palavras-chave

fratura de Colles - tratamento conservador/métodos - idoso

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* Trabalho desenvolvido no Departamento de Ortopedia, S.C.B. Medical College and Hospital, Cutack, Odisha, Índia.




Publication History

Received: 29 July 2020

Accepted: 28 October 2020

Article published online:
05 May 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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