Análise da capacidade funcional de indivíduos submetidos a tratamento cirúrgico após fratura do planalto tibial

Abstract

As fraturas articulares são consideradas graves e ocasionam incapacidade, principalmente quando atingem uma articulação de carga, como o joelho. É necessário tratamento imediato a fim de obter estabilização dos fragmentos, evitando complicações secundárias. O objetivo do presente estudo foi analisar a capacidade funcional, durante as atividades de vida diária, de indivíduos que sofreram fraturas do planalto tibial e foram submetidos a tratamento cirúrgico entre os anos de 2002 a 2005. Foram analisados 20 pacientes com a aplicação do questionário ADLS (Activities of Daily Living Scale). Concluímos que 85% dos indivíduos apresentaram capacidade funcional próximo ao normal, de acordo com a pontuação estabelecida pela escala utilizada.

Compartment syndrome after tibial plateau fracture

“…Its authors concluded that proximal lesions below the knee confer a substantially increased risk of “compartment” and that the risk increases with an association with a proximal tibial fracture. 7 In our study, we showed radiographically a fracture of proximal tibial metaphysis and of proximal fibular epiphysis with involvement of the knee joint.…”

Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

“… 4 Proximal fractures of the tibia present increased risk for compartment syndrome. 5 This condition is more frequent in cases with vascular injury and is characterized by increased blood pressure in regions surrounded by inelastic muscle fascia, altering the local microcirculation and undermining tissue viability. Compartment syndrome is an orthopedic emergency; decompression fasciotomy is a therapeutic resource for damage control and reducing the risk of severe sequelae.…”

Literature review of biomechanics of the ankle/ foot complex: changes in functional activities postoperatively for ankle fractures

“…It is indispensable for locomotion, maintaining the bipedal position and realization basic movements such as: walking, running, etc. 1 The bones that form the structure of the ankle are: talus and diaphysis of the tibia and fibula. There are numerous joints in the ankle/foot complex, however, only three play an important role in the execution of most of the movements performed by the ankle, namely: talocrural, subtalar and tibiofibular.…”

“…To avoid sequelae, anatomical reduction and stable fixation of the joint surface are recommended, as well as early movement to prevent the formation of adhesions and capsuloligamentous retractions. 1 In addition, the best functional results can be achieved in patients with high cooperation, seen more frequently in autonomous, sporty and socially integrated individuals. 20 In this context, the present study aimed to carry out a literature review of the studies that were willing to analyze the causes of the functional biomechanical result of orthopedic fractures of the ankle/foot complex generated by high and low energy trauma.…”