ResultadosĪos 6 meses, não houve diferenças entre os 2 grupos em termos de ADM, dor pós-operatória (EVA) ou escore no QuickDASH. Os pacientes foram avaliados em relação ao tempo de retorno ao trabalho, à ADM, ao desfecho relatado pelo paciente no questionário QuickDASH, à EVA e à avaliação radiográfica aos 6 meses. MétodosĮste foi um ensaio prospectivo randomizado, no qual 50 pacientes, com idade mediana na faixa de 18 a 40 anos, foram randomizados e tratados com fixação intramedular definitiva utilizando 2 parafusos de compressão ( n = 20) ou buquê (2 ou 3 fios de Kirschner) ( n = 20). Metacarpal bones boxer’s fracture fracture fixation intramedullary minimally invasive surgical procedures clinical trials randomizedĬomparar a amplitude de movimento (ADM), o tempo de retorno de trabalho, a pontuação na escala visual analógica (EVA), o escore no questionário abreviado incapacidade do braço, ombro e mão (QuickDASH, na sigla em inglês) e os resultados radiográficos de dois métodos de fixação interna definitiva em pacientes ativos com fraturas do boxer operados na primeira semana. The outcomes were similar in both groups. In the treatment of the active patients with unstable boxer’s fractures, headless screws and bouquet fixation proved to be a safe and reliable treatment. The overall complication rate was 4.76% in the screw group, compared with 5% in the bouquet-fixation group. ResultsĪt 6 months, there were no differences between the two groups in terms of ROM, postoperative pain (VAS), or QuickDASH score. The patients were assessed on return-to-work time, ROM, patient reported QuickDASH outcome, VAS, and radiographic evaluation at 6 months. This was a prospective, randomized trial, in which 50 patients, with a mean age range of 18 to 40 years old, were randomized and treated to definitive intramedullary fixation using 2 headless screws ( n = 20) or bouquet (2 or 3 Kirschner wires) ( n = 20). To compare the range of motion (ROM), return-to-work time, visual analogue score (VAS), disability of the arm, shoulder, and hand (QuickDASH), and radiographic outcomes of two methods of definitive internal fixation in active patients with boxer’s fractures, operated in the first week.
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