ArticleActa ortopedica brasileira2024
OUTCOMES OF SURGICAL TREATMENT OF DIAPHYSEAL FEMUR FRACTURES IN POLYTRAUMATIZED CHILDREN.
Article in Acta ortopedica brasileira, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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Abstract
objectiveThis study aimed to evaluate the surgical treatment of diaphyseal femur fractures in polytraumatized children, considering consolidation rate, complications, and function as outcomes of interest.
methodsThis 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%.
resultsWe 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.
conclusionsFlexible 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.
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