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Radiographic Evaluation of the Surgical Treatment of Pediatric Supracondylar Humeral Fractures.
Rigatti, Gabriel; Danesi, Sérgio Roberto Canarim; Barbosa, Rafaela Dias; Schreiner, Douglas Backes.
Afiliação
  • Rigatti G; Departamento de Ortopedia e Traumatologia, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brasil.
  • Danesi SRC; Ortopedia Pediátrica, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brasil.
  • Barbosa RD; Ortopedia Pediátrica, Hospital Cristo Redentor, Grupo Hospitalar Conceição, Porto Alegre, RS, Brasil.
  • Schreiner DB; Cirurgia de Ombro e Cotovelo, Santa Casa de Misericórdia de Porto Alegre, RS, Brasil.
Rev Bras Ortop (Sao Paulo) ; 59(4): e607-e612, 2024 Aug.
Article em En | MEDLINE | ID: mdl-39239584
ABSTRACT
Objective To perform a radiographic assessment of the quality of supracondylar fracture fixation by identifying the factors that have contributed to inadequate reduction and increased the chance of reduction loss during outpatient follow-up. The variables analyzed were as follows fracture line, initial displacement, time of day the surgery was performed, and chosen fixation technique. Methods Review of electronic medical records and radiographic evaluation of supracondylar fractures operated from January 2017 to December 2022. The radiograph assessment was based on the Baumann angle and the anterior humeral line. Determination of fixation quality was based on the number of cortices, crossing site, and wire divergence. Results We evaluated 194 cases, and postoperative reduction was poor in 17% of the subjects. Reduction loss occurred in 39 cases (20.10%), and 19 (48.7%) of these patients presented insufficient fixation ( p = 0.002). Among the cases operated during the day, 12.5% lost the reduction compared with 32% of the patients who underwent surgery at night and early in the morning ( p = 0.001). Conclusion Reduction quality and postoperative fixation loss were closely related to technical errors and the time of day the surgery was performed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Bras Ortop (Sao Paulo) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Bras Ortop (Sao Paulo) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha