aula de fixação externa
DESCRIPTION
O QUE EU NÃO FAÇO MAISEM FIXAÇÃO EXTERNA?TRANSCRIPT
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Walter Targa
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Fios K na diáfise e metáfise
Alongamento do fêmur
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Alongamento completado
Joelho rígido
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GRANDES ALONGAMENTOS
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ALONGAMENTO 13 cm, DEVE SER FEITO ??
GR
AN
DE
S A
LON
GA
ME
NT
OS
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O QUE EU NÃO FAÇO MAIS EM FIXAÇÃO EXTERNA?
• FRATURA DE TIBIA– Haste intramedular bloqueada
• FRATURA DE 1/3 DISTAL DO RÁDIO– Placa volar / dorsal
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• FIXAÇÃO EXTERNA:– Vantagens da fixação interna: recuperação
articular precoce
– Vantagens tratamento conservador: não agride partes moles
– Risco de infecção
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• ILIZAROV:– Mantém comprimento ósseo
– Reduz desvios sem desvitalização
– Respeita o tegumento
CARGA PRECOCE RESOLVE PERDAS ÓSSEAS
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FRATURA DOS OSSOS DA PERNA BILATERAL
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FRATURA DOS OSSOS DA PERNA BILATERAL
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FRATURA DOS OSSOS DA PERNA BILATERAL
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FRATURA DOS OSSOS DA PERNA BILATERAL
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FRATURA DOS OSSOS DA PERNA BILATERAL
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FRATURA DOS OSSOS DA PERNA BILATERAL
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YF72a
FUMANTE
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FRATURA DOS OSSOS DA PERNA
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LITERATURA• A prospective, randomized study of intramedullary nails inserted with and without
reaming for the treatment of open and closed fractures of the tibial shaft J Orthop Trauma. 2000 Mar-Apr; 14(3):187-93
• Intramedullary nailing of lower leg fractures with minimal soft tissue injuries Orthopade. 1996 Jun; 25(3): 197-206
• A review of biomechanical studies of intramedullary nails Med Eng Phys. 1995 Jul; 17 (5):323-31
• The treatment of closed, unstable tibial fractures with unreamed interlocking nails Clin Orthop Relat Res. 1995 Jun; (315): 48-55
• The treatment of open tibial fractures unsing an interlocked intramedullary nail without reaming J Orthop Trauma. 1994 Dec; 8 (6): 504-10
• + 50 PUPLICAÇÕES
• Fonte: Biblioteca virtual da SBOT
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Fixador monoaxial de tíbiaconversão
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Deformidade em varo
Poller
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Erro no ponto de entrada
Ponto de entrada muito medial
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Erro no ponto de entrada
haste saliente
Dor persistente no joelho
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CLASSIFICAÇÃO AO
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Fixador monoaxial Orthofix
Fratura do terco distal da t’ibia
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Técnica cirúrgica
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Use 70/20 mm screws, not 85/35 mm
Técnica cirúrgica
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Técnica cirúrgica
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Técnica cirúrgica
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Fixador externo e fios de KirschnerFixador externo e fios de Kirschner
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FRATURAS DO TERÇO DISTAL DO RÁDIOUSO DE PLACAS
37 PUBLICAÇÕES
Fonte: biblioteca virtual da SBOTFonte: biblioteca virtual da SBOT
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Fratura instável & Osteoporose
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Fratura Instável
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Fixação Interna
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Placa DVR
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Placa Ortogonal
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Placa Locon-T (Wright)
LCP ORTOGONAL
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Fig. 6: Balenciaga em 1962. Fig. 7: Coleção verão 2006 criada por Nicolai.
Original Mariana Raquel
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NOVA MODA VERÃO 2008NOVA MODA VERÃO 2008
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MAU RESULTADO CLÍNICOOSTEOPOROSE
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MAU RESULTADO CLÍNICOFRATURA DE ALTA ENERGIA
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MAU RESULTADO CLÍNICOFRATURA DE ALTA ENERGIA
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QUE SAUDADE DO FIXADOR EXTERNO...QUE SAUDADE DO FIXADOR EXTERNO...