TREATMENT OF PEDIATRIC FEMUR FRACTURES WITH FLEXIBLE STAINLESS STEEL INTRAMEDULLARY NAIL.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243203e267630
Marcella Adryanne Dias Brandão, José Eduardo Sanches Arantes, Alceu José Fornari Gomes Chueire, Guaracy Carvalho
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Abstract

Objectives: To identify the characteristics of patients and femur fractures treated with a stainless steel intramedullary nail (ESIN) in children under 15 years of age. Know the results of using the ESIN of related steel in the service.

Methods: Retrospective study with review of hospital records and organization of data in spreadsheets.

Result: 24 cases were identified, 17 male cases and 7 female cases. A minimum age of 4 years and a maximum of 11 years were observed (average of 7 years). The 3 most common trauma mechanisms were being run over (n:8, 33%) and falling from a height (n:8, 3%). The most common location of the fractures was in the mid-diaphyseal region (n: 20, 88%), only one case presented a bilateral femur fracture. The most common associated trauma was traumatic brain injury. The observation period observed several months between 2 and 5. With regard to complications, 3 cases were observed (12.5%) being bursitis, vicious construction and loss of reduction.

Conclusion: Steel HIF shows similar good results. As the study includes the retrospective profile, the absence of a group and the small sample size. Level of Evidence IV, Case series.

使用弹性不锈钢髓内钉治疗小儿股骨骨折。
研究目的确定 15 岁以下儿童患者和使用不锈钢髓内钉(ESIN)治疗股骨骨折的特征。了解在服务中使用相关钢材的 ESIN 的效果:结果:共发现 24 例病例,其中 17 例为男性,7 例为女性。最小年龄为 4 岁,最大年龄为 11 岁(平均 7 岁)。最常见的 3 种创伤机制是被碾压(8 例,33%)和从高处坠落(8 例,3%)。最常见的骨折部位是股骨骺中段(20例,88%),只有一例是双侧股骨骨折。最常见的相关外伤是脑外伤。观察期为 2 至 5 个月。在并发症方面,共观察到 3 例(12.5%),分别为滑囊炎、恶性骨折和截骨不全:结论:钢质 HIF 显示出类似的良好效果。结论:钢质 HIF 显示出类似的良好效果,但由于该研究是回顾性的,没有分组,样本量较小。证据等级 IV,病例系列。
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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.
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