Resultados preliminares da osteossíntese com haste de Ender, por meio da técnica percutanea nas fraturas diafisárias do úmero nos adultos

摘要

ResumoObjetivo Demonstrar os resultados clínicos e funcionais do tratamento da fratura?diafisária?de úmero com uso das hastes de?Ender. Métodos Foram avaliados 18 pacientes submetidos à osteossíntese da fratura diafisária de úmero com uso da haste de Ender. Além das avalia??es clínicas e radiográficas, os pacientes com no mínimo um ano de seguimento foram avaliados pelos escores funcionais de Constant, American Shoulder and Elbow Surgeons (Ases), Mayo Clinic, Simple Shoulder Value (SSV) e quanto ao grau de satisfa??o com o resultado final. A técnica de fixa??o usada foi por via anterógrada e percutanea. Resultados Todos os pacientes obtiveram?consolida??o da fratura, com média de 2,9 meses (varia??o de dois a quatro). A média do?Score?de Constant foi de 85,7 (varia??o de 54‐100) e?a do ASES?de 95,9 (varia??o de 76‐100) e todos obtiveram pontua??o?máxima pelo escore?Mayo Clinic. Conclus?o A fixa??o das fraturas?diafisárias?do úmero com o uso da haste de?Ender?pela técnica percutanea demonstrou ser um método com resultados preliminares promissores. Abstract Objective To demonstrate the clinical and functional results from treatment of humeral diaphysis fractures using Ender nails. Methods Eighteen patients who underwent osteosynthesis of humeral diaphysis fractures using Ender nails were evaluated. In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow‐up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (Ases), Mayo Clinic and Simple Shoulder Value (SSV) functional scores, and in relation to the degree of satisfaction with the final result. The fixation technique used was by means of an anterograde percutaneous route. Results All the patients achieved fracture consolidation, after a mean of 2.9 months (ranging from two to four months). The mean Constant score was 85.7 (ranging from 54 to 100) and the mean ASES?score was 95.9 (ranging from 76 to 100). All the patients achieved the maximum score on the Mayo Clinic scale. Conclusion Fixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.