EPIDEMIOLOGICAL ANALYSIS OF FEMUR FRACTURES IN THE PEDIATRIC POPULATION IN A REFERENCE SERVICE IN THE STATE OF SERGIPE.

Objective: To evaluate the clinical-epidemiological profile of skeletally immature patients treated at a referral service in Sergipe, from January to December 2023. Methods: This is an observational, retrospective study, by analysis of electronic medical records. The data were analyzed descriptively and for inferential analysis, the ANOVA and Student's t tests were used. Multivariate analysis was performed through logistic linear regression adjustment. A significance level of 5% was adopted, using R software, version 4.0.3. Results: Of the 49 femur fractures evaluated, 35 (71.4%) occurred in boys, 29 (59.2%) on the left side, with a mean age of 5.4 years. Three fractures were proximal (6.1%), 37 diaphyseal (75.5%) and 9 distal (18.4%). The most frequent fracture pattern was spiral (46.9%). It was found that the fracture mechanism and treatment presented significant differences in relation to age. Younger children were mainly affected by falls from their own height, while older children suffered direct trauma. In terms of treatment, increasing age behaves as a risk factor for surgical therapy. Conclusions: The data analyzed are equivalent to other studies performed and described in the world literature.