Fraturas diafisárias de fêmur em crianças e adolescentes

Cunha, Fernando Milton da; Figueiredo, Leandro Azevedo de; Coelho, Luís Felipe Albeny; Malheiros, Dorotéa Starling; Terra, Dalton Lopes; Lima, César Luís Ferreira Andrade

doi:10.1590/s1413-78522007000200004

Cited by 4 publications

(1 citation statement)

References 12 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 The data obtained in this study evidenced the high demand for this orthopedic emergency service in a reference hospital for trauma. Contradicting the results of Cunha et al 13,14 , there was no statistical difference in the distribution of accidents when we evaluated months or days of the week, which surprised us. We observed a certain level of seasonality in the school holiday months (December, January, June and July) and in the nighttime period, although there was no significance.…”

Section: Methodscontrasting

confidence: 54%

Fraturas expostas: estudo epidemiológico e prospectivo

et al. 2009

View full text Add to dashboard Cite

. The data were collected from patients using a questionnaire with multiple variables. Results: we obtained 342 patients with 346 open fractures. The majority of the patients were male (86.84%), with an average age of 30.41 years and average hospitalization time of 6.87 days. The main professions were students (21.92%), followed by motorcycle couriers (11.40%). The accidents occurred on public roads (57.30%), affecting mainly the leg bones (37.86%) and classified as level III (45.36%). Associated injuries occurred in 27.19%, with 11.11% complications. There was evidence of alcohol consumption (12.86%) and drug use (1.46%) in the six hours prior to the trauma. Conclusion: The patients were mainly young, male, with incomplete school education. The main cause of the traumas was road accidents, occurring at night (between 7 pm and midnight), with leg bone injuries classified as level III. The associated injuries and early complications were predominantly related to injuries of greater severity.

show abstract

Section: Methodscontrasting

confidence: 54%

Fraturas expostas: estudo epidemiológico e prospectivo

et al. 2009

View full text Add to dashboard Cite

show abstract

Practice Patterns for Management of Pediatric Femur Fractures in Low- and Middle-Income Countries

Curran¹,

Albright

Ibrahim

et al. 2019

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: Femoral shaft fractures in children are common in low and middle income countries. In high-income countries, patient age, fracture pattern, associated injuries, child/family socioeconomic status, and surgeon preference dictate fracture management. There is limited literature on treatment patterns for pediatric femur fractures in resource-limited settings. This study surveys surgeons from low (LIC), lower-middle (LMIC), and upper-middle income (UMIC) countries regarding treatment patterns for pediatric femur fractures. Methods: Surgeons completed an electronic survey reporting surgeon demographics and treatment preference for pediatric femur fractures. Treatment preferences and indications for treatment were separated into 4 groups: infant (0 to 6 mo); toddler (7 mo to 4 y); child (5 to 12 y); adolescent (12 to 17 y). The survey was available in English, Spanish, and French. Analysis was completed with t test and χ2 test for continuous and categorical variables, respectively, and weighted Pearson correlation (P<0.05). Results: Survey respondents consisted of 413 surgeons from 83 countries (20 LIC, 33 LMIC, 30 UMIC). The majority of respondents were fellowship trained (83%) most commonly in pediatrics (26%) and trauma (43%). Most treated >10 pediatric femur fractures per year (68%). Respondents reported treating infant femur fractures nonoperatively using Pavlik harness (19%), spica cast (60%), or traction with delayed spica cast (14%). Decreasing socioeconomic status was associated with higher nonoperative treatment rate in toddlers, children, and adolescents. Respondents commonly utilize bed rest and traction for child femur fractures in LICs (63%) and LMICs (65%) compared with UMICs (35%) (UMIC vs. LMIC P<0.001; UMIC vs. LIC P<0.001). Surgeries in children more commonly involve open reduction with internal fixation (UMIC 19%, LMIC 33%, LIC 40%; P<0.05 between UMIC-LMIC and UMIC-LIC). Conclusion: This is one of the largest surveys describing treatment patterns for pediatric femur fractures in low and middle income countries. Differences are evident including lower operative treatment rate in younger children and lower intramedullary fixation rates in older children. Future studies should investigate the value of treatment options in resource-limited settings. Level of Evidence: Level II—prospective comparative study.

show abstract

Treatment of Pediatric Femur Fractures With Flexible Stainless Steel Intramedullary Nail

Brandão,

Arantes,

Chueire

et al. 2024

Acta ortop. bras.

View full text Add to dashboard Cite

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.

show abstract

Fraturas diafisárias de fêmur em crianças e adolescentes

Cited by 4 publications

References 12 publications

Fraturas expostas: estudo epidemiológico e prospectivo

Fraturas expostas: estudo epidemiológico e prospectivo

Practice Patterns for Management of Pediatric Femur Fractures in Low- and Middle-Income Countries

Treatment of Pediatric Femur Fractures With Flexible Stainless Steel Intramedullary Nail

Contact Info

Product

Resources

About