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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All patients were discharged from hospital.</p><p><strong>Conclusion: </strong>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. 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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。
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.
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.