@article{ref1,
title="The relationship between fractures in pediatric polytrauma patients: evaluation of clinical outcomes",
journal="Acta ortopédica Brasileira",
year="2023",
author="Carvalho, Davi Braga DE and Dobashi, Eiffel Tsuyoshi and Gomes, Danilo José Leite and Dantas, José Manoel and Pajuaba, Ana Julia Marquez and Cocco, Luiz Fernando",
volume="31",
number="3",
pages="e268013-e268013",
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. Language: en
",
language="en",
issn="1413-7852",
doi="10.1590/1413-785220233103e268013",
url="http://dx.doi.org/10.1590/1413-785220233103e268013"
}