THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES.

التفاصيل البيبلوغرافية
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
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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

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تدمد:	1413-7852
DOI:	10.1590/1413-785220233103e268013