儿童肱骨远端骨折：骨科患儿的流行病学分析
DISTAL HUMERAL FRACTURE: AN EPIDEMIOLOGICAL ANALYSIS OF ORTHOPEDIC PATIENTS FOR CHILDREN.
作者信息
Fernandes José Carlos Figueiredo, Milan Taiuã Vardasca, Ribeiro Helio Augusto Martins Ferreira, Stein Helena Elisa, Ribas Hamilton Carmargo, Carula Beatriz Canhoto
机构信息
Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Hospital Angelina Caron, Campina Grande do Sul, PR, Brazil.
出版信息
Acta Ortop Bras. 2019 Sep-Oct;27(5):261-264. doi: 10.1590/1413-785220192705215825.
OBJECTIVE
To analyze the epidemiological profiles of children with orthopedic distal humerus fractures.
METHODS
An analytical descriptive study was conducted with a retrospective approach using medical records of 665 orthopedic children who attended the Jesser Amarante Faria Children's Hospital, a reference hospital in the city of Joinville, Santa Catarina, between June 2012 and December 2016.
RESULTS
The results showed a predominance of male patients (64.2%), with a mean age of 7 years, and the age group of 6-10 years being the most frequent with 319 patients (48%). The main mechanism of trauma was fall of height in 59.7% of patients, Gartland type 1 fracture in 57.1%, and absence of vascular injury in 99.7%. Conservative management was implemented in 64.7% (95%) of patients. Absence of neurological lesion (95.6%) and closed lesion (99.4%) were the main epidemiological characteristics of patients in the study. A low complication rate was observed, with reduction losses in 1.7% of patients, followed by infections in 1.1%.
CONCLUSION
We can conclude that the cases studied presented epidemiological characteristics similar to those described in the literature.
目的
分析肱骨远端骨折患儿的流行病学特征。
方法
采用回顾性研究方法进行分析性描述性研究，使用了2012年6月至2016年12月期间在圣卡塔琳娜州茹安维尔市的参考医院——热塞尔·阿马拉兰特·法里亚儿童医院就诊的665名骨科患儿的病历。
结果
结果显示男性患者占主导（64.2%），平均年龄为7岁，6至10岁年龄组最为常见，有319例患者（48%）。主要创伤机制是59.7%的患者因高处坠落受伤，57.1%为Gartland 1型骨折，99.7%无血管损伤。64.7%（95%）的患者采用保守治疗。无神经损伤（95.6%）和闭合性损伤（99.4%）是该研究中患者的主要流行病学特征。观察到并发症发生率较低，1.7%的患者出现复位丢失，其次是1.1%的患者发生感染。
结论
我们可以得出结论，所研究的病例呈现出与文献中描述相似的流行病学特征。
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