دورية أكاديمية
THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES.
العنوان: | THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES. |
---|---|
المؤلفون: | Carvalho DB; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Dobashi ET; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Gomes DJL; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Dantas JM; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Pajuaba AJM; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil., Cocco LF; Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil. |
المصدر: | Acta ortopedica brasileira [Acta Ortop Bras] 2023 Jul 17; Vol. 31 (3), pp. e268013. Date of Electronic Publication: 2023 Jul 17 (Print Publication: 2023). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Atha Comunicação e Editora Country of Publication: Brazil NLM ID: 9804509 Publication Model: eCollection Cited Medium: Print ISSN: 1413-7852 (Print) Linking ISSN: 14137852 NLM ISO Abbreviation: Acta Ortop Bras Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Publication: Sao Paulo : Atha Comunicação e Editora Original Publication: Sao Paulo : Redprint Editora |
مستخلص: | 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. Competing Interests: All authors declare no potential conflict of interest related to this article |
References: | J Emerg Trauma Shock. 2020 Jan-Mar;13(1):62-67. (PMID: 32395053) Front Pediatr. 2019 Nov 20;7:477. (PMID: 31824896) J Trauma Acute Care Surg. 2017 Jun;82(6):995-1001. (PMID: 28328674) Orthop Traumatol Surg Res. 2015 Sep;101(5):589-92. (PMID: 26215090) Evid Based Child Health. 2014 Dec;9(4):753-826. (PMID: 25504970) J Clin Orthop Trauma. 2020 Nov-Dec;11(6):963-969. (PMID: 33191997) J Child Orthop. 2019 Apr 01;13(2):220-225. (PMID: 30996748) Medicine (Baltimore). 2019 Apr;98(14):e15085. (PMID: 30946361) N Z Med J. 2018 Mar 9;131(1471):13-20. (PMID: 29518795) |
فهرسة مساهمة: | Keywords: Child; Child Mortality; Child, Hospitalized; Femoral Fractures; Pelvic Bones; Pelvis Local Abstract: [Publisher, Portuguese] Avaliar crianças e adolescentes politraumatizados com fraturas da pelve, proximal e diafisária do fêmur e correlacionar o impacto dessas condições e desfechos clínicos. [Publisher, Portuguese] Estudo retrospectivo realizado em hospital público de Taboão da Serra (SP), com pacientes pediátricos politraumatizados entre janeiro de 2012 e dezembro de 2021. Avaliaram-se 44 pacientes, 70,44% meninos e 29,55% meninas, de 12 a 17 anos. [Publisher, Portuguese] A fratura diafisária fechada do fêmur acometeu 70,44%, sendo causada principalmente por queda de altura (56,81%). A fixação externa linear foi o tratamento mais utilizado (45,45%). Todos os pacientes receberam alta hospitalar. [Publisher, Portuguese] Identificaram-se importantes informações sociodemográficas: 84,11% dos pacientes não apresentaram lesões associadas; 88,63% ficaram internados de 3 a 11 dias; 90,91% não necessitaram de internação em unidade de terapia intensiva (UTI), 77,27% não precisaram ser reoperados; 22,73% realizaram nova cirurgia; 45,45% utilizaram fixador externo para estabilização de lesões;11,36% converteram o fixador externo para a haste intramedular; 9,09% precisaram remover as hastes intramedulares; 2,27% converteram para placa (bilateral) e 2,27% para haste rígida; 2,27% tiveram perda de redução e revisão com haste; 2,27% realizaram osteotomia corretiva; 2,27% tiveram internação clínica; 2,27% tiveram osteonecrose da cabeça femoral e parafusos removidos; e 2,27% retiraram a placa. Não foram observados óbitos. Nível de Evidência II, Estudo Retrospectivo. |
تواريخ الأحداث: | Date Created: 20230720 Latest Revision: 20230721 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10353867 |
DOI: | 10.1590/1413-785220233103e268013 |
PMID: | 37469499 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1413-7852 |
---|---|
DOI: | 10.1590/1413-785220233103e268013 |