The authors declares that there is no conflict of interest.
CONSOLIDAÇÃO DAS FRATURAS NA PRÁTICA PERICIAL MÉDICA
Jonas Aparecido Borracini (1)
ORCID: https://orcid.org/0000-0003-1531-5235
Viviam Paula Lucianelli Spina (1)
Lattes: http://lattes.cnpq.br/8042791240784011 – ORCID: https://orcid.org/0000-0001-9196-3061
Lucas Pedroso Fernandes Ferreira Leal (1)
Lattes: http://lattes.cnpq.br/4910203611295452 – ORCID: https://orcid.org/0000-0002-8500-9180
Elcio Rodrigues da Silva (1)
ORCID: https://orcid.org/0000-0002-1847-1009
Fabio Tadeu Panza (1)
Lattes: http://lattes.cnpq.br/5528930004210470 – ORCID: https://orcid.org/0000-0001-7841-7461
(1) Instituto de Medicina Social e Criminologia do Estado de São Paulo (IMESC). (Main Author)
E-mail: j.borracini@me.com
ABSTRACT
Considering that in all areas of medical expert practice, be it indemnification, social security, security, administrative, criminal or labor, in many cases evaluated subjects present traumatic body injury with fracture. From this perspective it is of great medical-legal interest that every expert should know the types of bone consolidation, treatments employed, factors that influence the consolidation and its complications. In this study, we carried out a literature survey on the subject to introduce non-expert in Orthopedics to these concepts. We discuss the types of bone healing, which may be primary or secondary, methods of fracture stabilization- relative or absolute-, factors that interfere in bone consolidation and one of the main complications, pseudoarthrosis. The goal of this study is to enable experts to identify the moment of consolidation of the fracture or the absence of it, in order to better assist justice within its expert practice.
Keywords: bone consolidation, fracture, medical expertise, pseudoarthrosis,
Please click here for the full article in portuguese.
Bibliographical references
- Vieira DN. II-O Perito e a Missão Pericial em Direito Civil. Aspectos práticos da avaliação do dano corporal em Direito Civil.2008; 2: p35.
- Abbasi D. Endochondral Bone Formation. [Online]; [Acessado em 2017 agosto 10]. Disponível em: http://www.orthobullets.com/basic-science/9006/endochondral-bone-formation?expandLeftMenu=true
- Aiyer A. Fracture Healing. [Online]; [Acessado em 2017 agosto 10]. Disponível em: http://www.orthobullets.com/basic-science/9009/fracture-healing?expandLeftMenu=true
- Einhorn, Thomas A., Regis J. O’Keefe, and J. A. Buckwalter. “Orthopaedic basic science.”Foundations of clinical practice, American Academy of Orthopaedic Surgeons (AAOS);
- Ruedi TP, Murphy WM. Príncipios AO do tratamento de fraturas. Porto Alegre: Artmed; 2002.
- Hu SJ, Zhang SM, Yu GR. The treatment of femoral subtrochanteric fractures with the proximal lateral femur locking plates. Acta ortopedica brasileira. 2012; 20(6): p329-333.
- Gomes M et al. Fratura de Hoffa: Dificuldades de diagnóstico e opções de tratamento. Revista Portuguesa de Ortopedia e Traumatologia. 2012; 20(2): p223-230.
- Reckers LJet al. Evolução de 12 anos da fratura de fêmur em crianças submetidas à haste flexível modificada em dupla curva (R2). [Online]; [Acessado em 2017 agosto 10]. Disponível em: Disponível em: http://www.moreirajr.com.br/revistas.asp?id_materia=4933&fase=imprime
- Court-Brown CM, Christie J, McQueen MM. Closed intramedullary tibial nailing. Its use in closed and type I open fractures. J Bone Joint Surg (Br). 1990; 72(4): p605-611.
- Clohisy JC, Lindskog DM, Abu-Amer Y. AAOS Comprehensive Orthopaedic Review. Bone and Joint Biology. 2009
- Aiyer A. Nonunion. [Online]; [Acessado em 2017 agosto 10]. Disponível em: Disponível em: http://www.orthobullets.com/basic-science/9069/nonunion?expandLeftMenu=true
- Muller C, Frigg R, Pfister U. Effect of flexible drive diameter and reamer design on the increase of pressure in the medullary cavity reaming. Injury (Suppl). 1993; 24.
- Cristante A, Kenji Narazaki D. Advances in the use of stem cells in orthopedics. Revista Brasileira de Ortopedia. 2015; 46. https://www.researchgate.net/figure/262500154_fig14_Hypertrophic-pseudarthrosis-of-bones-of-the-right-leg-and-atrophic-pseudarthrosis-of-the
- Keating JF, O’brien PJ, Blachut PA, Meek RN, Broekhuyse HM. Locking intramedullary nailing with and without reaming for open fractures of the tibial shaft. A prospective, randomized study.JBJS. 1997; 79(3): p334-41.v