fixação externa em fraturas de fêmur em crianças external fixation in femur fractures in children

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ID: 221835
2005
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Abstract
Em um estudo prospectivo, avaliamos os resultados da fixação externa em fraturas femorais em crianças. No período de 1997 a 2000, 24 crianças com 26 fraturas diafisárias de fêmur (23 fraturas fechadas e três expostas) foram tratadas com fixador externo. A média de idade dos pacientes foi de oito anos e oito meses (variando de seis a 13 anos). Todas as fraturas foram seguidas até seis meses após a consolidação, que ocorreu em 100% dos casos, quando foi retirado o fixador externo com uma média de 87 dias (variando de 63 a 135 dias). A infecção através do trajeto dos pinos foi comum, mas nenhum paciente desenvolveu osteomielite. A principal complicação foi a refratura (17%), que necessitou de novo procedimento com o fixador.
The effects of external fixation in femoral fractures in children were investigated in a prospective study. Twenty-four children with twenty-six femur fractures (23 closed fractures and three open fractures) were treated with external fixation from 1997 to 2000. Mean age was eight years and eight months ( ranging from six to 13 years). All fractures were followed up for up to six months after consolidation, which was observed in 100% of the cases when the external fixator was removed after a mean time of 87 days ( ranging from 63 to 135 days). Infection through the screw hole was frequent, but none of the patients had osteomyelitis. The major complication was refracture (17%), which required a new procedure with external fixator.
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Authors Guaracy Carvalho Filho, Alceu Gomes Chueire, Helencar Ignácio, Alexandre Roldão Cardoso do Amaral, Giampaulo Marcelo Catelan, Marco Aurélio Taucci de Castro Júnior
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Journal current opinion in food science
Year 2005
DOI
10.1590/S1413-78522005000100009
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522005000100009
Keywords
femoral fractures childrenmedicineorthopedic surgery

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