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"Preliminary evaluation of a prospective randomized case series comparing plate and screws versus Ilizarov circular external fixator for distal tibial fractures" / Avaliação preliminar de uma série de casos prospectiva e randomizada comparando placa e parafusos x fixador externo circular de Ilizarov para fraturas do pilão tibial
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-6785
Responsible library:
BR1.1
ABSTRACT
OBJECTIVE:
to compare two surgical approaches for fractures of the tibial pilon open reduction and internal fixation with plate and screws versus closed reduction and external fixation with the Ilizarov circular external fixator, constituting a study with a level of evidence level 4 and seeking to determine which patients benefit most from each surgical approach.METHODS:
The research involved 19 patients with fractures of the tibial pilon, divided into two groups according to their respective medical records and evaluated considering the quality of joint reduction, acute complications in relation to these two methods and associated injuries and comorbidities due to a minimum outpatient follow-up of four months.RESULTS:
there was no difference in terms of reduction quality, whereas in terms of acute complications and the need for surgical re-approaches, the group of patients undergoing open reduction and internal fixation with plate and screws showed worse results.CONCLUSION:
the choice between the methods must be individualized, considering the specific injuries and comorbidities of each patient.RESUMO
OBJETIVO:
comparar duas abordagens cirúrgicas para fraturas do pilão tibial redução aberta e fixação interna com placa e parafusos versus redução fechada e fixação externa com o fixador externo circular de Ilizarov, constituindo um estudo prospectivo randomizado e busca determinar quais pacientes se beneficiam mais com cada abordagem cirúrgica.MÉTODOS:
A pesquisa envolveu 19 pacientes com fraturas do pilão tibial, divididos em dois grupos de acordo com seus respectivos números de prontuário e foram avaliados considerando a qualidade da redução articular, complicações agudas em relação a esses dois métodos e com lesões associadas e comorbidades por um seguimento ambulatorial mínimo de quatro meses.RESULTADOS:
não houve diferença quanto a qualidade de redução, já em relação a complicações agudas e necessidade de reabordagens o grupo de pacientes submetido a redução aberta e fixação interna com placa e parafusos apresentou piores resultados.CONCLUSÃO:
a escolha entre os métodos deve ser individualizada, considerando as lesões e comorbidades específicas de cada paciente.
Full text:
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Collection:
Preprints
Database:
SciELO Preprints
Type of study:
Controlled clinical trial
/
Observational study
/
Risk factors
Language:
Portuguese
Year:
2023
Document type:
Preprint