OUTCOMES OF SURGICAL TREATMENT OF DIAPHYSEAL FEMUR FRACTURES IN POLYTRAUMATIZED CHILDREN.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243205e278518

David Ken Nagata Radamessi, Douglas Rulo de Nicola, Lucas Pereira Sarmento, Ana Luisa Bertollo De Prá, Natália Medeiros Mourão, Luiz Fernando Cocco, Eiffel Tsuyoshi Dobashi

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引用次数: 0

Abstract

Objective: This study aimed to evaluate the surgical treatment of diaphyseal femur fractures in polytraumatized children, considering consolidation rate, complications, and function as outcomes of interest.

Methods: This is a quantitative, cross-sectional, and retrospective study of medical records of patients treated from 2012 to 2021. The 39 patients (41 femurs) were divided into four groups according to the method of osteosynthesis. We used the IBM SPSS Statistics software, version 20 (SPSS Inc, Chicago, IL), and performed Chi-square, Fisher, Kruskal-Wallis, and Shapiro-Wilk tests with a significance level of 5%.

Results: We observed six complications among patients. Functional outcomes were satisfactory in 40 cases (97.6%) and unsatisfactory in one case (2.40%) according to the adopted criteria. We found one case (2.40%) of non-union and one case (2.40%) of malunion, whereas 39 cases (95.20%) achieved full consolidation.

Conclusions: Flexible intramedullary nails and external fixators are the preferred options for patients aged 5 to 10 years. Intramedullary nails, plates, or external fixators are prioritized for patients over 11 years old. The type and pattern of fractures were considered relevant for treatment selection. Level of evidence III, Therapeutic study - Investigation of outcomes and treatment. Comparative retrospective study.

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多发性创伤儿童股骨骺骨折的手术治疗效果。

研究目的本研究旨在评估多发性创伤儿童股骨骺骨折的手术治疗，并将巩固率、并发症和功能作为关注的结果：这是一项定量、横断面和回顾性研究，研究对象为2012年至2021年接受治疗的患者的病历。根据骨合成方法将 39 例患者（41 例股骨）分为四组。我们使用 IBM SPSS 统计软件 20 版（SPSS Inc, Chicago, IL），并进行了 Chi-square、Fisher、Kruskal-Wallis 和 Shapiro-Wilk 检验，显著性水平为 5%：我们观察到患者出现了六种并发症。根据采用的标准，40 例（97.6%）患者的功能结果令人满意，1 例（2.40%）患者的功能结果不令人满意。我们发现一例（2.40%）不愈合，一例（2.40%）愈合不良，而 39 例（95.20%）完全愈合：结论：灵活的髓内钉和外固定器是5至10岁患者的首选。髓内钉、钢板或外固定器是11岁以上患者的优先选择。骨折的类型和模式被认为与治疗选择有关。证据等级 III，治疗研究--结果和治疗方法调查。比较性回顾研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

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.