TY  - JOUR
PY  - 2023//
TI  - The relationship between fractures in pediatric polytrauma patients: evaluation of clinical outcomes
JO  - Acta ortopédica Brasileira
A1  - Carvalho, Davi Braga DE
A1  - Dobashi, Eiffel Tsuyoshi
A1  - Gomes, Danilo José Leite
A1  - Dantas, José Manoel
A1  - Pajuaba, Ana Julia Marquez
A1  - Cocco, Luiz Fernando
SP  - e268013
EP  - e268013
VL  - 31
IS  - 3
N2  - 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. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1413-7852
UR  - http://dx.doi.org/10.1590/1413-785220233103e268013
ID  - ref1
ER  -