%0 Journal Article
%T Clinical evaluation of patients with osteomyelitis after open fractures treated at the Hospital de Urg那ncias de Goiania, Goi芍s Avalia  o cl赤nica de pacientes com osteomielite cr nica ap車s fraturas expostas tratados no Hospital de Urg那ncias de Goiania, Goi芍s
%A Pablo Erick Alves Villa
%A Thiago Roberto Nunes
%A Fernando Prudente Gonˋalves
%A Jefferson Soares Martins
%J Revista Brasileira de Ortopedia
%D 2013
%I Sociedade Brasileira de Ortopedia e Traumatologia
%X OBJECTIVE: To evaluate clinically patients with chronic osteomyelitis after open fractures, treated in the Hospital of urgencies in Goiania. METHODS: A cross-sectional study, with data collection through questionnaire, from a review of medical records. We collected data on the type of trauma and the clinical characteristics of the patient. The hour of attendance and the injuries on the patients were collected, and then classified according to Gustilo and Anderson (1976). Samples of the lesion during the surgical procedure were collected for culture of pathogenic microorganisms. The analyzes were performed using STATA/SE version 8.0. Descriptive analysis was performed (absolute and relative frequencies) and to verify existence of association between variables was performed using thur-square or Fisher's Exact Test. This study was approved by the Research Ethics Committee of the Hospital and Emergency in Goiania. RESULTS: There was predominance of male adult, presenting open fractures with increased involvement of the leg bones or in two or more bones (polytrauma). The majority of patients presented with a lesion type III (high-energy trauma). There was loss of excessive time since the time of the accident until the initial surgical care. We detected the presence of gram-positive cultures of material obtained after the diagnosis of osteomyelitis. CONCLUSIONS: The control of factors such as antibiotics, exposure time, bacterial resistance to the antimicrobial used, extensive tissue damage and location of the fracture are extremely important to the predictive effect of infection in open fractures. OBJETIVO: Avaliar clinicamente pacientes com osteomielite cr nica ap車s fraturas expostas, tratados no Hospital de Urg那ncias de Goiania. M谷TODOS: Estudo do tipo transversal, com coleta de dados mediante question芍rio, a partir de uma revis o de prontu芍rio. Coletaram-se dados relativos ao tipo de trauma e 角s caracter赤sticas cl赤nicas do paciente. Foram descritas a hora do atendimento e as les es encontradas no paciente e depois classificadas de acordo com Gustilo e Anderson (1976). Amostras da les o durante o ato cir迆rgico foram coletadas para cultura de microorganismos patog那nicos. As an芍lises foram feitas no programa STATA/SE vers o 8.0. Fez-se an芍lise descritiva (frequ那ncias absolutas e relativas) e para verificar exist那ncia de associa  o entre vari芍veis foi usado o teste qui-quadrado de Pearson ou exato de Fisher. Este estudo foi aprovado pelo Comit那 de 谷tica em Pesquisa do Hospital de Urg那ncias de Goiania. RESULTADOS: Houve predom赤nio de adultos do sexo masculino,
%K Osteomielite
%K Fraturas expostas
%K Ortopedia
%K Osteomyelitis
%K Fractures
%K Open
%K Orthopedics
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000100022