FUNCIONALIDADE DE PESSOAS SUBMETIDAS A ARTOPLASTIA TOTAL DO OMBRO POR FRATURAS DO ÚMERO PROXIMAL: ESTUDO RETROSPETIVO
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Descritores

Fraturas do úmero
Intervenção Cirúrgica
Procedimentos Ortopédicos
Artroplastia do ombro
Reabilitação

Categorias

Como Citar

1.
Tiago Afonso C, Pinto Freitas M, Pais NG, Ramos Pires D, Novo A, Salgado Ruano A. FUNCIONALIDADE DE PESSOAS SUBMETIDAS A ARTOPLASTIA TOTAL DO OMBRO POR FRATURAS DO ÚMERO PROXIMAL: ESTUDO RETROSPETIVO. Rev Port Enf Reab [Internet]. 28 de Junho de 2019 [citado 24 de Outubro de 2021];2(1):43-8. Disponível em: http://rper.aper.pt/index.php/rper/article/view/122

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Resumo

Objetivo: Identificar retrospetivamente, em pessoas submetidas a artroplastia total do ombro por fraturas do úmero proximal, o tipo de artroplastia utilizado, os scores funcionais do ombro, as complicações registadas, a influência do tempo decorrido desde a fratura e a colocação do implante no resultado funcional final.

Método: Estudo retrospetivo entre os anos 2014 e 2017. Foram identificadas as seguintes variáveis: idade, sexo, tempo entre a fratura e a cirurgia, tipo de artroplastia, cimentação, modularidade, reabilitação, complicações, tempo de seguimento e funcionalidade. Foram recolhidos dados dos instrumentos Constant Shoulder Score e American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form.

Resultados: Amostra constituída por 12 mulheres e 3 homens com idade média de 78 anos e um tempo médio entre a fratura e a cirurgia de 29,4 dias. A nível de funcionalidade observou-se que as pessoas com próteses inversas apresentaram melhores resultados em comparação com as submetidas a hemiartroplastia (53,2 vs. 41,1 e 68,5 vs. 44,6). O seguimento foi feito durante foi de 29,4 meses.

Conclusão: A escolha de prótese inversa parece ser a melhor opção de tratamento e que permite melhor funcionalidade. A modularidade protésica é importante.

https://doi.org/10.33194/rper.2019.v2.n1.06.4558
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