ANALYSIS OF 45,507 SURGICAL TREATMENT OF DISTAL TIBIA AND MALLEOLAR FRACTURES OVER 14 YEARS.

Autor:	Rosemberg DL; Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.; Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Ortopedia e Traumatologia, Laboratório Professor Manlio Mario Marco Napoli, Sao Paulo, SP, Brazil., Wolosker N; Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil., Silva MFA; Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil., Mann TS; Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Sao Paulo, SP, Brazil., Giordano V; Hospital Municipal Miguel Couto, Serviço de Ortopedia e Traumatologia Professor Nova Monteiro, Rio de Janeiro, RJ, Brazil., Godoy-Santos AL; Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil.; Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Ortopedia e Traumatologia, Laboratório Professor Manlio Mario Marco Napoli, Sao Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2023 May 01; Vol. 31 (2), pp. e263885. Date of Electronic Publication: 2023 May 01 (Print Publication: 2023).
DOI:	10.1590/1413-785220233102e263885
Abstrakt:	The distal leg joint fractures are among the most common fractures in humans across all age groups, and 50% of them require surgical treatment. Few studies discuss the epidemiology and costs of this fracture in the global and national literature. Objective: To evaluate the annual incidence and reimbursement value of distal leg joint fractures requiring surgical treatment from 2008 to 2021. Methods: A retrospective study was conducted to analyze the complex structured data of high volume and high variability (Big Data), publicly available on the TabNet platform (DATASUS), via software with artificial intelligence. Data from 2008 to 2021 on surgical treatment for malleolar fracture, distal tibia fracture, and isolated fibula fracture were analyzed. Results: From 2008 to 2021, there was an average incidence of 28.8 fractures/10 5 inhabitants per year, representing 14.62% of all fractures. The total amount paid for hospitalizations due to these fractures was R$ 34,218,014.62 over these 14 years. Conclusion: The incidence of distal leg joint fractures follows the pattern of those recorded in other countries. The adjustment of reimbursement over the years was lower than the accumulated inflation. Level of Evidence II, Economic and Decision Analyses - Developing an Economic or Decision Model. Competing Interests: All authors declare no potential conflict of interest related to this article.
Databáze:	MEDLINE
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