{"id":20,"date":"2019-03-26T13:55:29","date_gmt":"2019-03-26T16:55:29","guid":{"rendered":"https:\/\/pedrocaldas.com.br\/blog\/?p=20"},"modified":"2019-05-30T13:03:25","modified_gmt":"2019-05-30T16:03:25","slug":"fratura-de-supracondilar","status":"publish","type":"post","link":"https:\/\/pedrocaldas.com.br\/blog\/2019\/03\/26\/fratura-de-supracondilar\/","title":{"rendered":"Fratura de Supracondilar"},"content":{"rendered":"<p>Poodle, 3 anos de idade, com fratura supra-condilar do f\u00eamur direito (fotos 1 e 2). Ap\u00f3s o membro ter sido devidamente preparado com os procedimentos cl\u00e1ssicos de anti-sepsia e assepsia (foto 3) procedeu-se \u00e0 incis\u00e3o na face lateral da coxa estendendo-se na regi\u00e3o femorotibiopatelar, com abertura da c\u00e1psula articular para posterior redu\u00e7\u00e3o(foto 4). Tendo exposto o foco da fratura, um pequeno pino \u00e9 introduzido perpendicularmente na face inferior dos c\u00f4ndilos para que sirva de alavanca e a redu\u00e7\u00e3o possa se feita sem traumas sobre os c\u00f4ndilos, (foto 5) em seguida, ap\u00f3s alinhar a fratura e segurar o segmento proximal com uma pin\u00e7a pega osso(foto 6) procede-se \u00e0 introdu\u00e7\u00e3o de um pino intramedular de prefer\u00eancia rosqueado, no sentido ascendente de maneira que aponte na fossa intertrocant\u00e9rica e depois possa ser introduzido, rosqueado no sentido descendente at\u00e9 se fixar dentro do segmento do c\u00f4ndilo(foto 7) passando em seguida a se introduzir um pino lateral e outro medial pegando da borda distal do c\u00f4ndilo at\u00e9 a por\u00e7\u00e3o distal do segmento proximal fraturado de maneira que eles se cruzem para oferecer \u00f3tima estabilidade(fotos 8, 9, 10 e 11). Ap\u00f3s a fixa\u00e7\u00e3o, retira-se o pino alavanca cuidadosamente.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-48\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/31-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/31-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/31.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-49\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/32-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/32-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/32.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-50\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/33-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/33-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/33.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-51\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/35-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/35-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/35.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-52\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/36-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/36-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/36.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-53\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/37-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/37-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/37.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-54\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/38-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/38-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/38.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-55\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/39-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/39-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/39.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-56\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/40-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/40-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/40.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-57\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/41-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/41-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/41.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-58\" src=\"https:\/\/pedrocaldas.com.br\/blog\/blog-content\/uploads\/2019\/03\/42-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/42-300x225.jpg 300w, https:\/\/pedrocaldas.com.br\/blog\/wp-content\/uploads\/2019\/03\/42.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Poodle, 3 anos de idade, com fratura supra-condilar do f\u00eamur direito (fotos 1 e 2). Ap\u00f3s o membro ter sido<\/p>\n","protected":false},"author":2,"featured_media":3430,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[10,4,3,40],"class_list":["post-20","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ortopedia","tag-fratura-supracondilar","tag-medicina-veterinaria","tag-ortopedia","tag-tecnicas-cirurgica-em-pequenos-animais"],"_links":{"self":[{"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/posts\/20","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/comments?post=20"}],"version-history":[{"count":3,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/posts\/20\/revisions"}],"predecessor-version":[{"id":3431,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/posts\/20\/revisions\/3431"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/media\/3430"}],"wp:attachment":[{"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/media?parent=20"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/categories?post=20"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pedrocaldas.com.br\/blog\/wp-json\/wp\/v2\/tags?post=20"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}