小儿多发伤患者骨折的关系:临床结果的评价。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1413-785220233103e268013
Davi Braga DE Carvalho, Eiffel Tsuyoshi Dobashi, Danilo José Leite Gomes, José Manoel Dantas, Ana Julia Marquez Pajuaba, Luiz Fernando Cocco
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引用次数: 0

摘要

目的:评估儿童和青少年骨盆、股骨近端和骨干骨折的多发创伤和骨折,并将这些情况与临床结果的影响联系起来。方法:回顾性研究2012年1月至2021年12月在tabo o da Serra (SP)一家公立医院收治的小儿多发创伤患者。共有44例患者被评估,70.44%的男孩和29.55%的女孩,年龄12 - 17岁。结果:股骨骨干骨折占70.44%,主要由高处坠落引起(56.81%)。线性外固定是使用最多的治疗方法(45.45%)。所有病人均出院。结论:我们发现了基本的社会人口学信息:84.11%的患者没有相关损伤;88.63%住院时间为3 ~ 11天;90.91%的患者无需再入ICU, 77.27%的患者无需再手术,22.73%的患者再次手术;45.45%使用外固定架稳定损伤;11.36%将外固定架改为髓内钉;9.09%需要髓内除甲术;2.27%转化为板(双侧),2.27%转化为刚性钉;2.27%的患者有复位和矫形损失;2.27%行矫正截骨术;2.27%曾临床住院;2.27%股骨头坏死并取下螺钉;2.27%的人去掉了盘子。没有死亡记录。证据水平II,回顾性研究。
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THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES.

Objective: To evaluate children and adolescents with polytrauma and fractures of the pelvis and proximal and diaphyseal femur and correlate the impact of these conditions and clinical outcomes.

Methods: Retrospective study carried out in a public hospital in Taboão da Serra (SP), with pediatric patients with polytrauma from January 2012 to December 2021. In total, 44 patients were evaluated, 70.44% boys and 29.55% girls, aged from 12 to 17 years.

Results: Diaphyseal fracture of the femur affected 70.44% of the patients, mainly caused by a fall from a height (56.81%). Linear external fixation was the most used treatment (45.45%). All patients were discharged from hospital.

Conclusion: We found essential sociodemographic information: 84.11% of patients did not have associated injuries; 88.63% were hospitalized from 3 to 11 days; 90.91% did not need to be admitted to an ICU, 77.27% did not need reoperation, and 22.73% underwent another surgery; 45.45% used the external fixator to stabilize injuries; 11.36% converted the external fixator to the intramedullary nail; 9.09% needed an intramedullary nail remover; 2.27% converted to a plate (bilateral) and 2.27% to a rigid nail; 2.27% had loss of reduction and revision with rod; 2.27% underwent corrective osteotomy; 2.27% had clinical hospitalization; 2.27% had osteonecrosis of the femoral head and screws removed; 2.27% removed the plate. No deaths were recorded. Level of Evidence II, Retrospective Study.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
期刊最新文献
OUTCOMES OF SURGICAL TREATMENT OF DIAPHYSEAL FEMUR FRACTURES IN POLYTRAUMATIZED CHILDREN. COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS. DECREASED SURGICAL DURATION, LESS COMPLICATIONS, AND FASTER RETURN TO ACTIVITIES ACROSS THE LEARNING CURVE FOR THE ARTHROSCOPIC LATARJET TECHNIQUE. EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH TIBIA DIAPHYSIS FRACTURE TREATED AT A TERTIARY LEVEL HOSPITAL. LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022).
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