{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:38:37Z","timestamp":1782383917962,"version":"3.54.5"},"reference-count":47,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:00:00Z","timestamp":1654819200000},"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":[[2023,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Historicamente, as cirurgias no esqueleto imaturo eram reservadas \u00e0s fraturas expostas ou articulares. Nos \u00faltimos anos, a melhora na qualidade e seguran\u00e7a das anestesias, novos equipamentos de imagem, implantes desenhados especialmente para fraturas pedi\u00e1tricas, associados \u00e0 possibilidade de menor tempo de hospitaliza\u00e7\u00e3o e r\u00e1pido retorno ao conv\u00edvio social v\u00eam demonstrando uma nova tend\u00eancia de avaliar e tratar fraturas na crian\u00e7a. O objetivo deste artigo de atualiza\u00e7\u00e3o \u00e9 responder \u00e0s seguintes quest\u00f5es: (1) estamos realmente ficando mais cir\u00fargicos na abordagem das fraturas em crian\u00e7as? (2) Caso isto seja verdadeiro, esta conduta cir\u00fargica est\u00e1 baseada em evid\u00eancias cient\u00edficas? De fato, nas \u00faltimas d\u00e9cadas, a literatura m\u00e9dica demonstra artigos que suportam melhor evolu\u00e7\u00e3o das fraturas na crian\u00e7a com o tratamento cir\u00fargico. Nos membros superiores, isto fica muito evidente na sistematiza\u00e7\u00e3o da redu\u00e7\u00e3o e fixa\u00e7\u00e3o percut\u00e2nea das fraturas supracondilianas do \u00famero e das fraturas de ossos do antebra\u00e7o. Nos membros inferiores, o mesmo ocorre com fraturas diafis\u00e1rias do f\u00eamur e t\u00edbia. No entanto, h\u00e1 lacunas na literatura. Os estudos publicados s\u00e3o geralmente com baixa evid\u00eancia cient\u00edfica. Assim, pode-se deduzir que, mesmo sendo a abordagem cir\u00fargica mais presente, o tratamento de fraturas pedi\u00e1tricas deve ser sempre individualizado e conduzido de acordo com o conhecimento e experi\u00eancia do m\u00e9dico profissional, levando em conta a presen\u00e7a de recursos tecnol\u00f3gicos dispon\u00edveis para o atendimento do pequeno paciente. Deve-se incluir todas as possibilidades, n\u00e3o cir\u00fargicas e\/ou cir\u00fargicas, sempre instituindo a\u00e7\u00f5es baseadas na ci\u00eancia e em concord\u00e2ncia com os anseios da fam\u00edlia.<\/jats:p>","DOI":"10.1055\/s-0042-1748815","type":"journal-article","created":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T00:05:50Z","timestamp":1654905950000},"page":"191-198","source":"Crossref","is-referenced-by-count":2,"title":["Fraturas na crian\u00e7a: Estamos ficando mais cir\u00fargicos?"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1808-5749","authenticated-orcid":false,"given":"Luiz Ant\u00f4nio Munhoz da","family":"Cunha","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia Pedi\u00e1trica, Hospital Pequeno Pr\u00edncipe, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5962-1467","authenticated-orcid":false,"given":"Mariana Dem\u00e9trio de Sousa","family":"Pontes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia Pedi\u00e1trica, Hospital Pequeno Pr\u00edncipe, Curitiba, PR, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/01202412-199704000-00002","article-title":"Epidemiology of children's fractures","volume":"6","author":"L A Landin","year":"1997","journal-title":"J Pediatr Orthop B"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1302\/2058-5241.5.200012","article-title":"Tendency towards operative treatment is increasing in children's fractures: results obtained from patient databases, causes, impact of evidence-based medicine","volume":"5","author":"H \u00d6mero\u011flu","year":"2020","journal-title":"EFORT Open Rev"},{"issue":"14","key":"ref3","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1186\/s12887-014-0314-3","article-title":"An epidemiological evaluation of pediatric long bone fractures - 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