THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES
ABSTRACT 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 p...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2023-07-01
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| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000500200&tlng=en |
| _version_ | 1797777844024115200 |
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| author | DAVI BRAGA DE CARVALHO EIFFEL TSUYOSHI DOBASHI DANILO JOSÉ LEITE GOMES JOSÉ MANOEL DANTAS JUNIOR ANA JULIA MARQUEZ PAJUABA LUIZ FERNANDO COCCO |
| author_facet | DAVI BRAGA DE CARVALHO EIFFEL TSUYOSHI DOBASHI DANILO JOSÉ LEITE GOMES JOSÉ MANOEL DANTAS JUNIOR ANA JULIA MARQUEZ PAJUABA LUIZ FERNANDO COCCO |
| author_sort | DAVI BRAGA DE CARVALHO |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-03-12T23:09:23Z |
| format | Article |
| id | doaj.art-2b982a60e0c8402f8dec9020361cbe04 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-03-12T23:09:23Z |
| publishDate | 2023-07-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-2b982a60e0c8402f8dec9020361cbe042023-07-18T07:47:10ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522023-07-0131310.1590/1413-785220233103e268013THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMESDAVI BRAGA DE CARVALHOhttps://orcid.org/0000-0002-8776-8025EIFFEL TSUYOSHI DOBASHIhttps://orcid.org/0000-0001-6735-1401DANILO JOSÉ LEITE GOMEShttps://orcid.org/0000-0002-1018-1162JOSÉ MANOEL DANTAS JUNIORhttps://orcid.org/0000-0001-7088-0275ANA JULIA MARQUEZ PAJUABAhttps://orcid.org/0000-0002-7115-0458LUIZ FERNANDO COCCOhttps://orcid.org/0000-0002-9609-7382ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000500200&tlng=enChildChild, HospitalizedChild MortalityFemoral FracturesPelvisPelvic Bones |
| spellingShingle | DAVI BRAGA DE CARVALHO EIFFEL TSUYOSHI DOBASHI DANILO JOSÉ LEITE GOMES JOSÉ MANOEL DANTAS JUNIOR ANA JULIA MARQUEZ PAJUABA LUIZ FERNANDO COCCO THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES Acta Ortopédica Brasileira Child Child, Hospitalized Child Mortality Femoral Fractures Pelvis Pelvic Bones |
| title | THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES |
| title_full | THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES |
| title_fullStr | THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES |
| title_full_unstemmed | THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES |
| title_short | THE RELATIONSHIP BETWEEN FRACTURES IN PEDIATRIC POLYTRAUMA PATIENTS: EVALUATION OF CLINICAL OUTCOMES |
| title_sort | relationship between fractures in pediatric polytrauma patients evaluation of clinical outcomes |
| topic | Child Child, Hospitalized Child Mortality Femoral Fractures Pelvis Pelvic Bones |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522023000500200&tlng=en |
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