RESUMO
Objetivo: Verificar a prevalência da concomitância de fraturas diafisárias e metafisárias do fêmur em pacientes, vítimas de acidente por motocicleta, atendidos no pronto socorro de Curitiba/PR em um período de sete anos e comparar os resultados com os dados presentes na literatura nacional.Metodologia: Realizou-se um estudo descritivo, retrospectivo e observacional da prevalência de fraturas de diáfise do fêmur concomitantemente à metáfise proximal ou metáfise distal do fêmur ipsilateral. Os dados foram obtidos através da análise de todos os prontuários do período de janeiro de 2007 a dezembro de 2013 catalogados no arquivo médico do HUEC. Considerou-se para análise o número de vítimas, sexo, idade e lado da fratura. Resultados: Foram identificados 40 pacientes: 87,5% do sexo masculino e 12,5% do sexo feminino. Houve predomínio de pacientes entre 19 e 29 anos. A média de idade foi de 31,9 anos. 24 vítimas foram diagnosticadas com fratura de diáfise do fêmur associada à fratura de metáfise proximal ipsilateral, sendo 16 do lado esquerdo e 8 a direita. 16vítimas foram diagnosticadas com fratura de diáfise do fêmur associada à fratura de metáfise distal ipsilateral, sendo 8 do lado direito e 8 a esquerda. Conclusão:O perfil de vítima mais prevalente foi o de adulto jovem do sexo masculino e a associação mais encontrada foi a de fratura da diáfise do fêmur concomitante à fratura da metáfise proximal do fêmur ipsilateral à esquerda
Objective: Verify the prevalence of concomitance between diaphysis and metaphysis femur fractures in patients, victims of motorcycle accidents, seen at the Emergency Departmentof Hospital Universitário Evangélico de Curitiba (HUEC), in a period of sevenyears, as well as compare the results with data from literature. Material and Methods:This is a retrospective, descriptive, observational study of prevalence of diaphysis femur fractures simultaneously with ipsilateral proximal metaphysisordistal metaphysis femur fractures. The information was obtainedfrom the analysis of all the medical records from January 2007 to December 2013 belonging to the hospital archives. The analysis considered the number of victims, gender, age and affected side.Results:40 victims have been identified. 87.5% being male whereas 12.5% being female. The victims were predominantly between 19 and 29 years old. The average age of thevictims was 31.9 years old. 24 victims were diagnosed with diaphysis femur fracture associated with ipsilateral proximal metaphysis, 16 were on the left and 8 were on the right. 16 victims were diagnosed with diaphysis femur fracture associated with ipsilateral distal metaphysis, 8 were on the right and 8 were on the left. Conclusion: The most prevalent victim profile was that of a young adult male and the most frequent association was the concomitant fracture of femur fracture of the proximal metaphysis of the ipsilateral femur left
RESUMO
Objetivo:Avaliar os aspectos epidemiológicos e funcionais das fraturas de calcâneo tratadas cirurgicamente. Casuística e Método: estudo realizado entre janeiro de 2010 e dezembro 2011, pelo grupo do Pé e Tornozelo no Hospital Universitário Evangélico de Curitiba referência em atendimento em trauma. Foram avaliados 22 pacientes que apresentavam 23 fraturas de calcâneo tratadas cirurgicamente. Resultados:Constitui o estudo de 17 homens e 5 mulheres com idade média 38,6 anos. De acordo com a classificação radiográfica 17,3% eram fraturas extra-articulares, 21,7% tipo língua e 60% tipo depressão central. As fraturas foram fixadas com fio de Kirschner 39,1%, apenas parafuso 13,1%, com placa para calcâneo e parafuso 47,8%. O tempo médio de acompanhamento foi de 2,4 anos (entre 1,5 e 2,8). As complicações pré-operatórias foram observadas em 13%, sendo flictena a mais comum. A incidência de melhores resultados funcionais esteve relacionado às fraturas extra-articulares enquanto as fraturas articulares tipo depressão central foram as que apresentaram pior resultado funcional. O aspecto relacionado a bons resultados foi a restauração do ângulo de Böhler. O escore AOFAS médio do trabalho foi 76 pontos. Conclusão: A avaliação desta análise retrospectiva permite concluir que a fratura de calcâneo é mais comum em adultos em idade economicamente ativa e o mecanismo de trauma mais comum foi a queda de nível
Objective: was to evaluate the epidemiological and functional calcaneus fractures, surgically treated. Method: study between January 2010 and December 2011, the Foot and Ankle group at Evangelical Hospital in Curitiba. We evaluated 22 patients with 23 calcaneal fractures surgically treated.Results:Is 17 men and 5 women, mean age 38.6 years. According with radiological classification 17.3% were extra-articular, 21.7% tongue-type and 60% central depression type. The fractures were fixed with Kirschner wire 39.1%, 13.1% only screw, 39.1% and with calcaneus plate and screw and 47.8% cases. The mean follow-up was 2.4 years (1.5 to 2.8). The preoperative complications were observed in 13%, the most common being flictena. The incidence of better functional outcomes was related to extra-articular fractures while the central depression type showed the worst result. The aspect related to good results was the restoration of Böhler angle. The average AOFAS score was 76 points.Conclusion: The evaluation of this retrospective analysis shows that the calcaneus fracture is more common in adults of working age and the most common mechanism of injury was the level drop
RESUMO
OBJECTIVE: Show the epidemiological profile of limb fractures in victim of motorcycle accident seen at the Emergency Department of Hospital Universitário Evangélico de Curitiba (HUEC), Curitiba, PR, Brazil, from January 2007 to December 2013, as well as to compare the results with data from the literature. METHODS: This is a retrospective, descriptive, observational study. The information was obtained from the analysis of all the medical records from January 2007 to December 2013 belonging to the hospital archives. Only extremity fractures cases from motorcycle accident victims were analyzed, according to the medical records and radiological reports. The ICD-10 was used as classification criterion, and the fractures were grouped depending on the topography of the injury. The following variables were considered: number of victims, gender, age and fracture site, in order to create a database to contrast with the literature. RESULTS: During seven years, 3,528 motorcycle accident victims have been identified, 88.29% being male, whereas 11.71% being female. The average age of the victims was 29.7 years old, observing a strong inverse correlation between the number of victims and their ages. There has been 4,365 fractures, being 59.66% in lower limbs and 40.34% in upper limbs. From that total, 18.14% were leg fractures, 11.57% were hand fractures and 10.65% were wrist fractures. CONCLUSION: This study has met its objectives and the results were similar to the national literature. Level of Evidence II, Retropective Study.
RESUMO
Objective: Show the epidemiological profile of limb fractures in victim of motorcycle accident seen at the Emergency Department of Hospital Universitário Evangélico de Curitiba (HUEC), Curitiba, PR, Brazil, from January 2007 to December 2013, as well as to compare the results with data from the literature. Methods: This is a retrospective, descriptive, observational study. The information was obtained from the analysis of all the medical records from January 2007 to December 2013 belonging to the hospital archives. Only extremity fractures cases from motorcycle accident victims were analyzed, according to the medical records and radiological reports. The ICD-10 was used as classification criterion, and the fractures were grouped depending on the topography of the injury. The following variables were considered: number of victims, gender, age and fracture site, in order to create a database to contrast with the literature. Results: During seven years, 3,528 motorcycle accident victims have been identified, 88.29% being male, whereas 11.71% being female. The average age of the victims was 29.7 years old, observing a strong inverse correlation between the number of victims and their ages. There has been 4,365 fractures, being 59.66% in lower limbs and 40.34% in upper limbs. From that total, 18.14% were leg fractures, 11.57% were hand fractures and 10.65% were wrist fractures. Conclusion: This study has met its objectives and the results were similar to the national literature. Level of Evidence II, Retropective Study.