LOCALIZATION OF THE TIBIAL ENTRY POINT.
| Autor: | Labronici PJ; PhD in Medicine from the Paulista School of Medicine, Federal University of Sao Paulo; Head of the Orthopedics and Traumatology Service 'Prof. Dr. Donato D'Angelo', Hospital Santa Teresa, Petropolis, RJ, Brazil., Moreira Junior IL; Resident Physician in Orthopedics and Traumatology, Orthopedics and Traumatology Service 'Prof. Dr. Donato D'Angelo', Hospital Santa Teresa, Petropolis, RJ, Brazil., Lyra FS; Resident Physician in Orthopedics and Traumatology, Orthopedics and Traumatology Service 'Prof. Dr. Donato D'Angelo', Hospital Santa Teresa, Petropolis, RJ, Brazil., Franco JS; Head of Department and Associate Professor of the Department of Orthopedics and Traumatology, School of Medicine, Federal University of Rio de Janeiro, RJ, Brazil., Hoffmann R; Physician in the Orthopedics and Traumatology Service 'Prof. Dr. Donato D'Angelo', Hospital Santa Teresa, Petropolis, RJ, Brazil., de Toledo Lourenço PR; Physician responsible for the Trauma Group, Hospital de Ipanema, Rio de Janeiro, Brazil., Kojima K; Head of the Trauma Group, Department of Orthopedics and Traumatology and Professor-Instructor at the School of Medical Sciences, Santa Casa de Sao Paulo, Sao Paulo, SP, Brazil., Kojima K; Adjunct Professor in the School of Medical Sciences, Santa Casa de Sao Paulo, Sao Paulo, SP, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Nov 17; Vol. 45 (4), pp. 375-81. Date of Electronic Publication: 2015 Nov 17 (Print Publication: 2010). |
| DOI: | 10.1016/S2255-4971(15)30383-9 |
| Abstrakt: | Objective: To assess the intramedullary nail entry point in the proximal region of the tibia, through a questionnaire. Methods: 230 participants undergoing treatment for tibial fractures were interviewed. The questionnaire was created with three sections that could be answered in a "Yes" or "No" format and a fourth section that had two figures representing anteroposterior (AP) and lateral view x-rays that could be answered in an "A, "B" or "C" format. Results: The most frequent reason was "ease of access" (67.8%), followed by "better nail insertion access" (60.9%) and, in third place, "to prevent knee pain" (27.4%). The reasons for choosing the access so as to "prevent knee pain" and "avoid tendinitis" had a significant relationship with points "A" and "C" of the schematic AP x-ray figure, especially "C" (medial tibial crest). There were no significant differences between the types of access to the patellar ligament in the schematic AP and lateral x-ray figures between age groups. Conclusion: The greater the age was, the larger the proportion choosing the question "to avoid valgus deformity" was. The reasons from a medical (practical) perspective related to the type of access in the transpatellar ligament, while the reasons from a patient (functional) perspective related to medial parapatellar access. Transpatellar access was chosen by most of the participants (66.5%). |
| Databáze: | MEDLINE |
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