Pontin José Carlos Baldocchi, Damasceno Ana Paula Cortes, de Souza Helder Joel Moreira, Rocco Isadora Salvador, Fração Orlando Copetti, Matsunaga Fabio Teruo
Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Ortopedia e Traumatologia, Sao Paulo, SP, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Medicina, Programa de pós-graduação da Disciplina de Cardiologia, Sao Paulo, SP, Brazil.
Acta Ortop Bras. 2024 Oct 28;32(5):e279748. doi: 10.1590/1413-785220243205e279748. eCollection 2024.
To outline the epidemiological profile of tibial fractures treated in a tertiary hospital and explore associations between the characteristics of the fractures and the clinical outcome of postoperative complications.
Retrospective cross-sectional study involving adult patients diagnosed with tibial fractures who underwent surgical and/or conservative treatment in a tertiary hospital between January 2019 and December 2021. The variables sex, age, mechanism of injury, type and classification of fracture, associated injuries, personal history, length of hospital stay, surgical treatment, post-surgical complications (infections, loss of synthesis material, surgical wound dehiscence) and death.
The sample consisted of 100 individuals, with an average age of 35.8 years, 86% of whom were male, with a higher prevalence of motorcycle accidents. The most common treatment was intramedullary stem, and type C fractures, which are more complex, were more associated with complications.
Given the predominance of motorcycle accidents involving young people, there is a need for intervention in accident prevention policies, aiming to reduce the incidence, as well as the morbidity and mortality, of these individuals and, consequently, to reduce costs to the health system.
概述在一家三级医院治疗的胫骨骨折的流行病学概况，并探讨骨折特征与术后并发症临床结果之间的关联。
回顾性横断面研究，纳入2019年1月至2021年12月期间在一家三级医院接受手术和/或保守治疗的成年胫骨骨折患者。变量包括性别、年龄、损伤机制、骨折类型和分类、合并损伤、个人病史、住院时间、手术治疗、术后并发症（感染、合成材料丢失、手术切口裂开）和死亡情况。
样本包括100名个体，平均年龄35.8岁，其中86%为男性，摩托车事故发生率较高。最常见的治疗方法是髓内钉，C型骨折更复杂，与并发症的关联更大。
鉴于涉及年轻人的摩托车事故占主导地位，有必要对事故预防政策进行干预，旨在降低这些人的发病率和死亡率，从而降低卫生系统的成本。
