Estudio comparativo de resultados funcionales de reducción abierta versus cerrada en fracturas gartland 3 en niños. Hospital Francisco Icaza Bustamante 2017-2021
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2024
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Objetivo: Comparar los resultados anatomofuncionales de la reducción abierta versus la reducción cerrada en infantes menores de 12 años con diagnóstico de Fractura supracondílea Gartland III. Metodología: Estudio descriptivo, observacional, retrospectivo y transversal de
298 historias clínicas de niños menores de 12 años. Resultados: la mayoría eran infantes de 4 a 7 años de edad (62.1%), varones (70.1%), con afectación del lado izquierdo (60.1%) y de áreas urbanas (83.2%). Las caídas fueron la causa más común de fracturas (92.6%), con angulación en valgo (66.8%) , y la mayoría fracturas cerradas (81.5%). El tratamiento incluyó reducción cerrada en el 67% de los casos. Se observaron diferencias estadísticamente significativas en la estancia hospitalaria, el tiempo hasta la reducción y el tiempo de consolidación radiológica, siendo la reducción cerrada la más beneficiosa en estos aspectos. Las complicaciones más prevalentes fueron las lesiones vasculares (7.4%) y el cúbito varo
(3.36%) como secuela. Según la escala de Flynn, el 62% de los pacientes tuvo resultados excelentes, el 26% buenos, el 4% pobres y el 8% regulares. Conclusiones: Se encontró una relación significativa entre los resultados según la escala de Flynn y la presencia de complicaciones, así como el tipo de reducción, destacando mejores resultados con la reducción cerrada que con la abierta.
Objective: To compare the anatomofunctional outcomes of open reduction versus closed reduction in children under 12 years old diagnosed with Gartland III supracondylar fracture. Methodology: A descriptive, observational, retrospective, and cross-sectional study of 298 medical records of children under 12 years old. Results: The majority were children aged 4 to 7 years (62.1%), males (70.1%), with left-sided involvement (60.1%), and from urban areas (83.2%). Falls were the most common cause of fractures (92.6%), with valgus angulation being the most frequent (66.8%), and the majority were closed fractures (81.5%). Treatment included closed reduction in 67% of cases. Statistically significant differences were o bserved in hospital stay, time to reduction, and radiological consolidation time, with closed reduction being more beneficial in these aspects. The most prevalent complications were vascular injuries (7.4%) and cubitus varus (3.36%) as a sequel. According to the Flynn scale, 62% of patients had excellent results, 26% had good results, 4% had poor results, and 8% had fair results. Conclusions: A significant relationship was found between the results according to the Flynn scale, the presence of complications, and the type of reduction, with better outcomes observed with closed reduction compared to open reduction.
Objective: To compare the anatomofunctional outcomes of open reduction versus closed reduction in children under 12 years old diagnosed with Gartland III supracondylar fracture. Methodology: A descriptive, observational, retrospective, and cross-sectional study of 298 medical records of children under 12 years old. Results: The majority were children aged 4 to 7 years (62.1%), males (70.1%), with left-sided involvement (60.1%), and from urban areas (83.2%). Falls were the most common cause of fractures (92.6%), with valgus angulation being the most frequent (66.8%), and the majority were closed fractures (81.5%). Treatment included closed reduction in 67% of cases. Statistically significant differences were o bserved in hospital stay, time to reduction, and radiological consolidation time, with closed reduction being more beneficial in these aspects. The most prevalent complications were vascular injuries (7.4%) and cubitus varus (3.36%) as a sequel. According to the Flynn scale, 62% of patients had excellent results, 26% had good results, 4% had poor results, and 8% had fair results. Conclusions: A significant relationship was found between the results according to the Flynn scale, the presence of complications, and the type of reduction, with better outcomes observed with closed reduction compared to open reduction.
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FRACTURAS ABIERTAS, FRACTURAS CERRADAS, ESTUDIOS RETROSPECTIVOS, NIÑO, HOSPITAL DEL NIÑO FRANCISCO DE ICAZA BUSTAMANTE, CANTON GUAYAQUIL, ECUADOR