Moreira Rodrigo Fileto Gavaldão, Nishimi Alexandre Yukio, Zanon Enrico Montorsi, Rama Thales Santos, Ciofi Rodrigo Pacheco Lessa, Dobashi Eiffel Tsuyoshi
Hospital IFOR - Rede D'Or, São Bernardo do Campo, SP, Brazil.
Rev Bras Ortop. 2018 Feb 26;53(2):129-135. doi: 10.1016/j.rboe.2017.02.007. eCollection 2018 Mar-Apr.
This study is aimed at determining, through a cross-sectional study, the preferred therapeutic method in Brazil considering the approach to Gartland type II and III supracondylar humerus fractures during childhood.
The research project was approved by the Research Ethics Committee of Plataforma Brasil and the material was collected during the 46th Brazilian Orthopedics and Traumatology Congress. A questionnaire was developed to analyze two clinical scenarios about Gartland type II and III fractures.
The sample consisted of 301 questionnaires obtained from 5500 participants of the Congress who met the inclusion and non-inclusion criteria. In case 1, the following was observed: 140 (46.5%) of physicians opted for closed reduction with immobilization and 116 (38.5%) selected closed reduction and osteosynthesis, of whom 82 (70.7%) preferred two crossed Kirschner wires. In case 2, 294 (97.7%) considered that the treatment is urgent, and 225 (74.8%) of the interviewed orthopedists answered that they perform osteosynthesis with two crossed Kirschner wires.
The opinion of orthopedic surgeons in Brazil varies for Gartland type II fractures. Type III fractures have a uniform conduct and they are treated urgently (97.7%). When osteosynthesis is necessary, it was observed that 82 (70.7%) and 225 (74.8%) of the interviewed surgeons opted for fixation with two crossed Kirschner wires.
本研究旨在通过横断面研究确定巴西治疗儿童肱骨髁上骨折Gartland II型和III型时的首选治疗方法。
该研究项目获得巴西平台研究伦理委员会批准，材料收集于第46届巴西骨科学与创伤学大会期间。设计了一份问卷来分析关于Gartland II型和III型骨折的两种临床情况。
样本包括从5500名符合纳入和非纳入标准的大会参与者中获得的301份问卷。在病例1中，观察到以下情况：140名（46.5%）医生选择闭合复位加固定，116名（38.5%）选择闭合复位和骨固定，其中82名（70.7%）更喜欢使用两根交叉克氏针。在病例2中，294名（97.7%）认为治疗紧急，225名（74.8%）接受采访的骨科医生回答他们使用两根交叉克氏针进行骨固定。
巴西骨科医生对Gartland II型骨折的意见各不相同。III型骨折治疗方式较为统一，均需紧急治疗（97.7%）。当需要进行骨固定时，观察到82名（70.7%）和225名（74.8%）接受采访的外科医生选择使用两根交叉克氏针进行固定。
