{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T22:25:38Z","timestamp":1748298338719,"version":"3.37.3"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T00:00:00Z","timestamp":1617148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivos\u2003O presente estudo tem como objetivo identificar caracter\u00edsticas pr\u00e9-operat\u00f3rias do paciente e da les\u00e3o, bem como da imagem que apontaria para uma fratura tipo IV. O presente estudo ajudar\u00e1 a equipe operacional a prever com mais precis\u00e3o o padr\u00e3o tipo IV pr\u00e9-operat\u00f3rio, levando a um melhor aconselhamento dos cuidadores e planejamento da cirurgia, bem como a uma melhor prepara\u00e7\u00e3o em rela\u00e7\u00e3o \u00e0 redu\u00e7\u00e3o aberta, se tal situa\u00e7\u00e3o surgir.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Um estudo retrospectivo foi realizado, incluindo pacientes que atendiam os seguintes crit\u00e9rios: 1) idade\u2009&lt;\u200916 anos; 2) fraturas supracondilares Gartland tipos III e IV; e 3) com registros completos. Foram coletados dados demogr\u00e1ficos como idade, g\u00eanero, lateralidade, modo de les\u00e3o, dura\u00e7\u00e3o hospitalar de les\u00e3o, hist\u00f3rico de tentativas anteriores de redu\u00e7\u00e3o fechada, fratura aberta\/fechada, estado neurovascular distal e dados radiogr\u00e1ficos como angula\u00e7\u00e3o, transla\u00e7\u00e3o, aposi\u00e7\u00e3o \u00f3ssea e comina\u00e7\u00e3o de fratura.<\/jats:p><jats:p>\n          Resultados\u2003A dura\u00e7\u00e3o hospitalar de les\u00f5es e as tentativas anteriores de redu\u00e7\u00e3o fechada foram os fatores com diferen\u00e7a estatisticamente significativa entre as fraturas tipo III e IV (p\u2009&lt;\u20090,05). O diagn\u00f3stico de fraturas supracondilares tipo IV foi significativamente mais prov\u00e1vel na presen\u00e7a de angula\u00e7\u00e3o em valgo de fragmento distal\u2009\u2265\u200917\u00b0 (odds ratio [OR]\u2009=\u200920,22; intervalo de confian\u00e7a [IC] 95%\u2009=\u20093,45\u2013118,65). A angula\u00e7\u00e3o de flex\u00e3o\u2009\u2265\u200910\u00b0 (OR\u2009=\u20095,32; IC95%\u2009=\u20090,24\u2013119,88) do fragmento distal previram Gartland tipo IV com sensibilidade de 41% e especificidade de 100%.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria de suspeitas de fraturas de Gartland IV pode ajudar o cirurgi\u00e3o operacional a prever tais les\u00f5es. Fatores n\u00e3o radiogr\u00e1ficos, como o aumento da dura\u00e7\u00e3o da les\u00e3o hospitalar, tentativas de redu\u00e7\u00e3o previamente fechada e par\u00e2metros radiogr\u00e1ficos como valgo e angula\u00e7\u00e3o de flex\u00e3o foram mais propensos a estarem associados a fraturas tipo IV. N\u00edvel de evid\u00eancia III.<\/jats:p>","DOI":"10.1055\/s-0040-1722578","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T07:29:50Z","timestamp":1617262190000},"page":"230-234","source":"Crossref","is-referenced-by-count":1,"title":["Previs\u00e3o pr\u00e9-operat\u00f3ria de fraturas supracondilares de \u00famero Gartland IV: \u00c9 poss\u00edvel?"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1935-1340","authenticated-orcid":false,"given":"Sitanshu","family":"Barik","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, All India Institute of Medical Sciences, Rishikesh, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9016-9760","authenticated-orcid":false,"given":"Gobinder","family":"Singh","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, All India Institute of Medical Sciences, Rishikesh, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-1134","authenticated-orcid":false,"given":"Subhajit","family":"Maji","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, All India Institute of Medical Sciences, Rishikesh, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4313-153X","authenticated-orcid":false,"given":"Md Quamar","family":"Azam","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Trauma, All India Institute of Medical Sciences, Rishikesh, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6781-9043","authenticated-orcid":false,"given":"Vivek","family":"Singh","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia, All India Institute of Medical Sciences, Rishikesh, \u00cdndia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1302\/2058-5241.3.170049","article-title":"Management of supracondylar fractures of the humerus in children","volume":"3","author":"A Vaquero-Picado","year":"2018","journal-title":"EFORT Open Rev"},{"issue":"01","key":"ref2","first-page":"63","article-title":"Epidemiological features of supracondylar fractures of the humerus in Chinese children","volume":"10","author":"J C Cheng","year":"2001","journal-title":"J Pediatr Orthop B"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1097\/01241398-200101000-00007","article-title":"Reliability of a modified Gartland classification of supracondylar humerus fractures","volume":"21","author":"K L Barton","year":"2001","journal-title":"J Pediatr Orthop"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"980","DOI":"10.2106\/00004623-200605000-00008","article-title":"Treatment of multidirectionally unstable supracondylar humeral fractures in children. A modified Gartland type-IV fracture","volume":"88","author":"K K Leitch","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"15","key":"ref5","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.2106\/JBJS.18.01178","article-title":"Pediatric Gartland Type-IV Supracondylar Humeral Fractures Have Substantial Overlap with Flexion-Type Fractures","volume":"101","author":"S L Mitchell","year":"2019","journal-title":"J Bone Joint Surg Am"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1097\/BPO.0000000000000344","article-title":"The Outcome of Surgical Treatment of Multidirectionally Unstable (Type IV) Pediatric Supracondylar Humerus Fractures","volume":"35","author":"M Silva","year":"2015","journal-title":"J Pediatr Orthop"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1722578.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T14:23:24Z","timestamp":1621952604000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1722578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,31]]},"references-count":6,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2021,4,26]]},"published-print":{"date-parts":[[2021,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1722578","relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"type":"print","value":"0102-3616"},{"type":"electronic","value":"1982-4378"}],"subject":[],"published":{"date-parts":[[2021,3,31]]}}}