{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T23:32:28Z","timestamp":1767137548154,"version":"3.48.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>A remo\u00e7\u00e3o de implantes \u00e9 uma pr\u00e1tica comum na ortopedia pedi\u00e1trica, apesar de seus riscos. Este estudo visa avaliar as complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias da remo\u00e7\u00e3o de implantes em pacientes pedi\u00e1tricos, correlacionando-os com fatores epidemiol\u00f3gicos.<\/jats:p>\n                  <jats:p>Estudo transversal retrospectivo, realizado em um hospital terci\u00e1rio, com an\u00e1lise de prontu\u00e1rios e exames de imagem entre fevereiro de 2021 e junho de 2024. Foram avaliados prontu\u00e1rios de pacientes menores de 18 anos, acompanhados at\u00e9 a alta ambulatorial. A pesquisa incluiu idade, sexo, tipo de implante, indica\u00e7\u00e3o da inser\u00e7\u00e3o e retirada, tempo de perman\u00eancia do implante e complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias, que foram classificadas de acordo com Clavien-Dindo.<\/jats:p>\n                  <jats:p>Foram analisados 202 prontu\u00e1rios. A retirada de implantes foi mais comum em meninos, com m\u00e9dia de idade de 12 anos e tempo m\u00e9dio de perman\u00eancia de 16 meses. O principal motivo da coloca\u00e7\u00e3o foi trauma ortop\u00e9dico, e o da remo\u00e7\u00e3o, consolida\u00e7\u00e3o \u00f3ssea. A taxa de complica\u00e7\u00f5es foi de 10% (n\u2009=\u200922). A remo\u00e7\u00e3o de placas teve a maior taxa de complica\u00e7\u00f5es (15%), seguida por parafusos isolados (14%), fixadores externos (12%), hastes flex\u00edveis (10%) e fios de Kirschner (8%). As principais complica\u00e7\u00f5es foram retirada malsucedida (45,5%), infec\u00e7\u00e3o superficial (36,5%), refraturas (9%) e limita\u00e7\u00e3o de movimento (9%). A classifica\u00e7\u00e3o de Clavien-Dindo revelou 45,45% de complica\u00e7\u00f5es tipo I, 40,9% tipo II e 13,6% tipo IIIa.<\/jats:p>\n                  <jats:p>A remo\u00e7\u00e3o de implantes dentro da ortopedia pedi\u00e1trica n\u00e3o \u00e9 isenta de complica\u00e7\u00f5es, sendo encontradas 11% neste estudo. A retirada completa malsucedida do implante, infec\u00e7\u00f5es superficiais e refraturas foram as mais comuns. Antes do procedimento, os riscos e benef\u00edcios envolvidos devem ser considerados, sendo necess\u00e1rio um consenso com familiares e cirurgi\u00f5es.<\/jats:p>","DOI":"10.1055\/s-0045-1814113","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T23:30:16Z","timestamp":1767137416000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Complica\u00e7\u00f5es na remo\u00e7\u00e3o de implantes em ortopedia pedi\u00e1trica"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8580-394X","authenticated-orcid":false,"given":"Marcela de Andrade","family":"Balsano","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8947-236X","authenticated-orcid":false,"given":"Heloisa Zimmermann","family":"Faggion","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7998-7260","authenticated-orcid":false,"given":"Alexander Cordeiro","family":"Bornhold","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7358-819X","authenticated-orcid":false,"given":"Weverley Rubele","family":"Valenza","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8073-1485","authenticated-orcid":false,"given":"Jamil Faisal","family":"Soni","sequence":"additional","affiliation":[{"name":"Hospital do Trabalhador, Curitiba, PR, Brasil"},{"name":"Hospital Universit\u00e1rio Cajuru, Curitiba, PR, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"139","DOI":"10.5312\/wjo.v15.i2.139","article-title":"Burden of routine orthopedic implant removal a single center retrospective study","volume":"15","author":"A K AlOmran","year":"2024","journal-title":"World J Orthop"},{"issue":"06","key":"ref2","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1177\/18632521221138376","article-title":"Pediatric fractures following implant removal: A systematic review","volume":"16","author":"A M Padgett","year":"2022","journal-title":"J Child Orthop"},{"issue":"04","key":"ref3","doi-asserted-by":"publisher","first-page":"e22.00050","DOI":"10.5435\/JAAOSGlobal-D-22-00050","article-title":"Indications for and Risks Associated With Implant Removal After Pediatric Trauma","volume":"6","author":"B K 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