{"id":41857,"date":"2026-02-18T13:28:58","date_gmt":"2026-02-18T16:28:58","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=41857"},"modified":"2026-02-18T13:29:01","modified_gmt":"2026-02-18T16:29:01","slug":"fraturas-no-adulto","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/","title":{"rendered":"Fraturas no Adulto: Princ\u00edpios de Avalia\u00e7\u00e3o, Classifica\u00e7\u00e3o e Conduta Terap\u00eautica"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/#1_Avaliacao_Inicial_do_Paciente\" >1. Avalia\u00e7\u00e3o Inicial do Paciente<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/#2_Classificacoes_Essenciais_A_Linguagem_do_Ortopedista\" >2. Classifica\u00e7\u00f5es Essenciais: A Linguagem do Ortopedista<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/#3_Principios_de_Tratamento_e_Tomada_de_Decisao\" >3. Princ\u00edpios de Tratamento e Tomada de Decis\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/#4_Complicacoes_Red_Flags\" >4. Complica\u00e7\u00f5es (Red Flags)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/#Preparatorio_TEOT_2027_conquiste_o_Titulo_Especialista\" >Preparat\u00f3rio&nbsp;TEOT 2027: conquiste o T\u00edtulo Especialista<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5.jpg\" alt=\"Fratura no adulto ortopedia\" class=\"wp-image-41867\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5.jpg 1920w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5-1068x601.jpg 1068w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/figure>\n\n\n\n<p>No atendimento ao politraumatizado ou ao trauma ortop\u00e9dico isolado, a fratura \u00e9 a manifesta\u00e7\u00e3o vis\u00edvel de uma transfer\u00eancia de energia cin\u00e9tica. Para o m\u00e9dico generalista e o residente, o desafio n\u00e3o \u00e9 apenas diagnosticar a quebra do osso, mas compreender a &#8220;personalidade da fratura&#8221;.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-1-avaliacao-inicial-do-paciente\"><span class=\"ez-toc-section\" id=\"1_Avaliacao_Inicial_do_Paciente\"><\/span><strong>1. Avalia\u00e7\u00e3o Inicial do Paciente<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A abordagem inicial segue mandatoriamente o <strong>ATLS (Advanced Trauma Life Support)<\/strong>. Lembre-se: les\u00f5es ortop\u00e9dicas podem ser fatais (ex: fraturas de pelve &#8220;em livro aberto&#8221; ou f\u00eamur bilateral) devido ao choque hipovol\u00eamico.<\/p>\n\n\n\n<p>A proped\u00eautica ortop\u00e9dica deve ser sistematizada para evitar erros diagn\u00f3sticos em situa\u00e7\u00f5es de estresse.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anamnese Direcionada:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Mecanismo de Trauma:<\/strong> Alta energia (acidentes automobil\u00edsticos, quedas de altura) sugere maior dano a partes moles e les\u00f5es associadas. Baixa energia (quedas da pr\u00f3pria altura) em idosos sugere fraturas patol\u00f3gicas ou por insufici\u00eancia (osteoporose).<\/li>\n\n\n\n<li><strong>Hist\u00f3rico:<\/strong> Comorbidades (diabetes afeta a cicatriza\u00e7\u00e3o), uso de anticoagulantes, tabagismo (fator cr\u00edtico para n\u00e3o-uni\u00e3o \u00f3ssea).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Exame F\u00edsico (A Regra dos 3 Passos):<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Inspe\u00e7\u00e3o:<\/strong> Buscar deformidades, encurtamentos, rota\u00e7\u00f5es e, crucialmente, a integridade da pele. <em>P\u00e9rola:<\/em> Uma pequena ferida puntiforme pr\u00f3xima a uma fratura \u00e9 uma fratura exposta at\u00e9 prova em contr\u00e1rio.<\/li>\n\n\n\n<li><strong>Palpa\u00e7\u00e3o:<\/strong> Crepita\u00e7\u00e3o \u00f3ssea e dor localizada. Avaliar a tens\u00e3o dos compartimentos musculares (aten\u00e7\u00e3o \u00e0 perna e antebra\u00e7o).<\/li>\n\n\n\n<li><strong>Exame Neurovascular:<\/strong> Deve ser documentado <strong>antes e depois<\/strong> de qualquer manobra de redu\u00e7\u00e3o ou imobiliza\u00e7\u00e3o. Avalie pulsos distais, perfus\u00e3o capilar, sensibilidade e motricidade.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"505\" height=\"336\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-063751.png\" alt=\"\" class=\"wp-image-41858\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-063751.png 505w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-063751-300x200.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-063751-150x100.png 150w\" sizes=\"auto, (max-width: 505px) 100vw, 505px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Imagiologia: A &#8220;Regra dos Dois&#8221;<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Duas incid\u00eancias:<\/strong> AP e Perfil (m\u00ednimo).<\/li>\n\n\n\n<li><strong>Duas articula\u00e7\u00f5es:<\/strong> Incluir a articula\u00e7\u00e3o acima e abaixo da les\u00e3o (para excluir fraturas associadas, ex: fratura de Maisonneuve).<\/li>\n\n\n\n<li><strong>Dois membros:<\/strong> Comparar com o lado contralateral em caso de d\u00favida (especialmente em crian\u00e7as, mas \u00fatil em adultos com anatomia complexa).<\/li>\n\n\n\n<li><strong>Dois momentos:<\/strong> Antes e depois de qualquer procedimento (redu\u00e7\u00e3o\/imobiliza\u00e7\u00e3o).<\/li>\n\n\n\n<li><em>Nota:<\/em> A Tomografia Computadorizada (TC) \u00e9 padr\u00e3o-ouro para fraturas articulares (plat\u00f4 tibial, pil\u00e3o tibial) e do esqueleto axial.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"738\" height=\"326\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-064736.png\" alt=\"\" class=\"wp-image-41860\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-064736.png 738w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-064736-300x133.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-064736-150x66.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Captura-de-tela-2026-02-12-064736-696x307.png 696w\" sizes=\"auto, (max-width: 738px) 100vw, 738px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\">Reconstru\u00e7\u00e3o tomogr\u00e1fica do tornozelo com a t\u00e9cnica MPR no plano coronal (de anterior para posterior). Fonte: <a href=\"https:\/\/www.mskrad.com.br\/post\/fratura-de-tillaux-juvenil\">https:\/\/www.mskrad.com.br\/post\/fratura-de-tillaux-juvenil<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"347\" height=\"477\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-60.png\" alt=\"\" class=\"wp-image-41861\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-60.png 347w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-60-218x300.png 218w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-60-306x420.png 306w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-60-150x206.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-60-300x412.png 300w\" sizes=\"auto, (max-width: 347px) 100vw, 347px\" \/><\/figure>\n\n\n\n<p>Reconstru\u00e7\u00e3o tomogr\u00e1fica da t\u00edbia distal com a t\u00e9cnica MPR no plano transversal. Fonte: <a href=\"https:\/\/www.mskrad.com.br\/post\/fratura-de-tillaux-juvenil\">https:\/\/www.mskrad.com.br\/post\/fratura-de-tillaux-juvenil<\/a>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_Classificacoes_Essenciais_A_Linguagem_do_Ortopedista\"><\/span><strong>2. Classifica\u00e7\u00f5es Essenciais: A Linguagem do Ortopedista<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>A. Estado das Partes Moles<\/strong><\/h4>\n\n\n\n<p>O progn\u00f3stico da fratura depende mais das partes moles do que do osso em si.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fraturas Expostas (Gustilo e Anderson):<\/strong> Define risco de infec\u00e7\u00e3o e necessidade de cobertura.\n<ul class=\"wp-block-list\">\n<li><strong>Grau I:<\/strong> Ferida &lt; 1cm, limpa.<\/li>\n\n\n\n<li><strong>Grau II:<\/strong> Ferida > 1cm, sem avuls\u00e3o extensa.<\/li>\n\n\n\n<li><strong>Grau III:<\/strong> Les\u00e3o extensa, alta energia.\n<ul class=\"wp-block-list\">\n<li><strong>IIIA:<\/strong> Cobertura \u00f3ssea poss\u00edvel com tecidos locais.<\/li>\n\n\n\n<li><strong>IIIB:<\/strong> Requer retalho cir\u00fargico para cobertura (perda de peri\u00f3steo).<\/li>\n\n\n\n<li><strong>IIIC:<\/strong> Les\u00e3o arterial com necessidade de reparo vascular.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"474\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-1024x474.png\" alt=\"\" class=\"wp-image-41864\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-1024x474.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-300x139.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-768x356.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-906x420.png 906w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-150x70.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63-696x322.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-63.png 1064w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Fonte: Acervo de aulas do Grupo MedCof.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fraturas Fechadas (Tscherne e Oestern):<\/strong> Frequentemente negligenciada, mas vital.\n<ul class=\"wp-block-list\">\n<li><strong>C0:<\/strong> Dano m\u00ednimo.<\/li>\n\n\n\n<li><strong>C1:<\/strong> Abras\u00e3o superficial ou contus\u00e3o.<\/li>\n\n\n\n<li><strong>C2:<\/strong> Abras\u00e3o profunda, flictenas (bolhas), edema grave. <em>Alerta:<\/em> Alto risco de S\u00edndrome Compartimental.<\/li>\n\n\n\n<li><strong>C3:<\/strong> Desluvamento fechado (Morel-Lavall\u00e9e) ou esmagamento muscular.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>B. Morfologia \u00d3ssea (AO\/OTA)<\/strong><\/h4>\n\n\n\n<p>Sistema alfanum\u00e9rico universal. O princ\u00edpio b\u00e1sico para o generalista \u00e9 entender a gravidade baseada na complexidade:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tra\u00e7o Simples (Tipo A):<\/strong> Uma linha de fratura.<\/li>\n\n\n\n<li><strong>Cunha (Tipo B):<\/strong> Tr\u00eas ou mais fragmentos, mas com contato \u00f3sseo preservado ap\u00f3s redu\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Complexa\/Cominutiva (Tipo C):<\/strong> M\u00faltiplos fragmentos, sem contato entre as extremidades principais.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"470\" height=\"394\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-62.png\" alt=\"\" class=\"wp-image-41863\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-62.png 470w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-62-300x251.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-62-150x126.png 150w\" sizes=\"auto, (max-width: 470px) 100vw, 470px\" \/><\/figure>\n\n\n\n<p>Tipos de fratura conforme gravidade. Fonte: Acervo de aulas do Grupo MedCof.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"3_Principios_de_Tratamento_e_Tomada_de_Decisao\"><\/span><strong>3. Princ\u00edpios de Tratamento e Tomada de Decis\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A decis\u00e3o entre tratamento conservador e cir\u00fargico baseia-se na estabilidade e na biologia.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Tratamento Conservador<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Indica\u00e7\u00f5es:<\/strong> Fraturas est\u00e1veis, sem desvio ou com desvio aceit\u00e1vel, pacientes sem condi\u00e7\u00f5es cir\u00fargicas.<\/li>\n\n\n\n<li><strong>M\u00e9todos:<\/strong> Gesso, talas, tra\u00e7\u00e3o cut\u00e2nea\/esquel\u00e9tica.<\/li>\n\n\n\n<li><strong>Mecanismo de Cura:<\/strong> <strong>Consolida\u00e7\u00e3o Secund\u00e1ria<\/strong>. Ocorre a forma\u00e7\u00e3o de calo \u00f3sseo (inflama\u00e7\u00e3o -> calo mole -> calo duro -> remodela\u00e7\u00e3o). Requer micro-movimento no foco da fratura para estimular a forma\u00e7\u00e3o \u00f3ssea.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Tratamento Cir\u00fargico (Osteoss\u00edntese)<\/strong><\/h4>\n\n\n\n<p>Aqui reside o conceito mais importante para provas de resid\u00eancia: <strong>Estabilidade Absoluta vs. Relativa<\/strong>.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Estabilidade Absoluta:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>O que \u00e9:<\/strong> Elimina qualquer movimento no foco da fratura. Redu\u00e7\u00e3o anat\u00f4mica perfeita + compress\u00e3o interfragmentar.<\/li>\n\n\n\n<li><strong>Implantes:<\/strong> Parafusos de tra\u00e7\u00e3o e placas de compress\u00e3o.<\/li>\n\n\n\n<li><strong>Cura:<\/strong> <strong>Consolida\u00e7\u00e3o Prim\u00e1ria<\/strong> (sem calo \u00f3sseo). O osso cura por remodelagem direta dos sistemas de Havers (&#8220;cutting cones&#8221;).<\/li>\n\n\n\n<li><strong>Indica\u00e7\u00e3o:<\/strong> Obrigat\u00f3ria em <strong>fraturas articulares<\/strong> (para evitar degraus articulares e artrose futura).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Estabilidade Relativa:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>O que \u00e9:<\/strong> Permite micro-movimento controlado no foco da fratura. Redu\u00e7\u00e3o funcional (alinhamento, comprimento e rota\u00e7\u00e3o), sem necessidade de anatomia perfeita dos fragmentos intermedi\u00e1rios.<\/li>\n\n\n\n<li><strong>Implantes:<\/strong> Hastes intramedulares, placas em ponte, fixadores externos.<\/li>\n\n\n\n<li><strong>Cura:<\/strong> <strong>Consolida\u00e7\u00e3o Secund\u00e1ria<\/strong> (forma\u00e7\u00e3o de calo \u00f3sseo exuberante).<\/li>\n\n\n\n<li><strong>Indica\u00e7\u00e3o:<\/strong> Padr\u00e3o ouro para <strong>fraturas diafis\u00e1rias<\/strong> (t\u00edbia, f\u00eamur). Preserva o &#8220;hematoma fratur\u00e1rio&#8221; e a vasculariza\u00e7\u00e3o periosteal.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Controle de Danos (Damage Control Orthopedics &#8211; DCO):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Em pacientes inst\u00e1veis (politrauma grave), n\u00e3o se realiza a cirurgia definitiva imediata. Opta-se pela <strong>Fixa\u00e7\u00e3o Externa<\/strong> provis\u00f3ria (r\u00e1pida, &lt; 30 min, menor sangramento) para estabilizar o paciente na UTI. A convers\u00e3o para s\u00edntese definitiva ocorre quando o paciente recupera sua reserva fisiol\u00f3gica (&#8220;janela de oportunidade&#8221;).<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"588\" height=\"399\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-65.png\" alt=\"\" class=\"wp-image-41866\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-65.png 588w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-65-300x204.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-65-150x102.png 150w\" sizes=\"auto, (max-width: 588px) 100vw, 588px\" \/><\/figure>\n\n\n\n<p>Foi realizado tratamento provis\u00f3rio com fixador externo transarticular para controle dos tecidos e planejamento cir\u00fargico. Fonte: <a href=\"https:\/\/drleonardorochathomaz.com.br\/tratamento-de-fraturas-do-planalto-tibial\/\">https:\/\/drleonardorochathomaz.com.br\/tratamento-de-fraturas-do-planalto-tibial\/<\/a>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"4_Complicacoes_Red_Flags\"><\/span><strong>4. Complica\u00e7\u00f5es (Red Flags)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00edndrome Compartimental Aguda:<\/strong> Aumento da press\u00e3o em um compartimento fechado levando \u00e0 isquemia neuromuscular.\n<ul class=\"wp-block-list\">\n<li><em>Diagn\u00f3stico:<\/em> Cl\u00ednico! Dor desproporcional \u00e9 o sinal mais precoce. &#8220;Parestesia&#8221; \u00e9 tardio. &#8220;Aus\u00eancia de pulso&#8221; \u00e9 sinal de morte do membro (muito tardio).<\/li>\n\n\n\n<li><em>Conduta:<\/em> Fasciotomia descompressiva de emerg\u00eancia.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Embolia Gordurosa:<\/strong> Comum em fraturas de ossos longos (f\u00eamur) em jovens. Tr\u00edade cl\u00ednica: Hipoxemia (SARA) + Altera\u00e7\u00f5es neurol\u00f3gicas (confus\u00e3o) + Pet\u00e9quias (t\u00f3rax\/axilas).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"803\" height=\"323\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-61.png\" alt=\"\" class=\"wp-image-41862\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-61.png 803w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-61-300x121.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-61-768x309.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-61-150x60.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-61-696x280.png 696w\" sizes=\"auto, (max-width: 803px) 100vw, 803px\" \/><\/figure>\n\n\n\n<p>S\u00edndrome da embolia gordurosa. Fonte: Acervo de aulas do Grupo MedCof.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tromboembolismo (TVP\/TEP):<\/strong> Profilaxia mec\u00e2nica e qu\u00edmica mandat\u00f3ria em fraturas de membros inferiores e pelve.<\/li>\n\n\n\n<li><strong>Infec\u00e7\u00e3o (Osteomielite):<\/strong> Risco cr\u00edtico em fraturas expostas. Antibioticoterapia precoce e desbridamento cir\u00fargico agressivo s\u00e3o a chave da preven\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"818\" height=\"440\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64.png\" alt=\"\" class=\"wp-image-41865\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64.png 818w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64-300x161.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64-768x413.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64-781x420.png 781w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64-150x81.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-64-696x374.png 696w\" sizes=\"auto, (max-width: 818px) 100vw, 818px\" \/><\/figure>\n\n\n\n<p>Classifica\u00e7\u00e3o de Cierny e Mader \u2013 Scielo. Fonte: <a href=\"https:\/\/ortopedistaemsaopaulo.com.br\/osteomielite\/\">https:\/\/ortopedistaemsaopaulo.com.br\/osteomielite\/<\/a>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"Preparatorio_TEOT_2027_conquiste_o_Titulo_Especialista\"><\/span><strong>Preparat\u00f3rio&nbsp;TEOT 2027: conquiste o T\u00edtulo Especialista<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/grupomedcof.com.br\/r\/blog-banner-teot-fratura-adulto\"><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"500\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1.jpg\" alt=\"\" class=\"wp-image-41744\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1.jpg 1600w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-300x94.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-1024x320.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-768x240.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-1536x480.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-1344x420.jpg 1344w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-150x47.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-696x218.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/09\/Banner-MedCof-Plus-2200x460-1-1068x334.jpg 1068w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n\n<p id=\"o-m\u00e9todo-que-te-aprova\">A metodologia que domina os p\u00f3dios da resid\u00eancia agora em um Extensivo para o <strong>TEOT <\/strong>e <strong>TEPOT.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/grupomedcof.com.br\/r\/blog-banner-teot-fratura-adulto\">Quero conhecer!<\/a><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Guia sobre fraturas no adulto: avalia\u00e7\u00e3o inicial, principais classifica\u00e7\u00f5es ortop\u00e9dicas e decis\u00f5es entre tratamento conservador ou cir\u00fargico. <\/p>\n","protected":false},"author":21,"featured_media":41867,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[98],"tags":[3573,3549,2032],"ppma_author":[3617],"class_list":{"0":"post-41857","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-ortopedia","8":"tag-fratura","9":"tag-ortopedia","10":"tag-ortopedia-e-traumatologia"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Fraturas no Adulto: Princ\u00edpios de Avalia\u00e7\u00e3o, Classifica\u00e7\u00e3o e Conduta Terap\u00eautica - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Guia sobre fraturas no adulto: avalia\u00e7\u00e3o inicial, principais classifica\u00e7\u00f5es ortop\u00e9dicas e decis\u00f5es entre tratamento conservador ou cir\u00fargico.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fraturas no Adulto: Princ\u00edpios de Avalia\u00e7\u00e3o, Classifica\u00e7\u00e3o e Conduta Terap\u00eautica\" \/>\n<meta property=\"og:description\" content=\"Guia sobre fraturas no adulto: avalia\u00e7\u00e3o inicial, principais classifica\u00e7\u00f5es ortop\u00e9dicas e decis\u00f5es entre tratamento conservador ou cir\u00fargico.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/fraturas-no-adulto\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-18T16:28:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-18T16:29:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-5.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kiara Adelino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kiara Adelino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/fraturas-no-adulto\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/fraturas-no-adulto\\\/\"},\"author\":{\"name\":\"Kiara Adelino\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\"},\"headline\":\"Fraturas no Adulto: Princ\u00edpios de Avalia\u00e7\u00e3o, Classifica\u00e7\u00e3o e Conduta Terap\u00eautica\",\"datePublished\":\"2026-02-18T16:28:58+00:00\",\"dateModified\":\"2026-02-18T16:29:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/fraturas-no-adulto\\\/\"},\"wordCount\":1128,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/fraturas-no-adulto\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/02\\\/Blog-MedCof-5.jpg\",\"keywords\":[\"Fratura\",\"Ortopedia\",\"Ortopedia e Traumatologia\"],\"articleSection\":[\"Ortopedia\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/fraturas-no-adulto\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/fraturas-no-adulto\\\/\",\"name\":\"Fraturas no Adulto: Princ\u00edpios de Avalia\u00e7\u00e3o, Classifica\u00e7\u00e3o e Conduta Terap\u00eautica - 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