Objective:To analyze the epidemiological profiles of children with orthopedic distal humerus fractures.Methods:An analytical descriptive study was conducted with a retrospective approach using medical records of 665 orthopedic children who attended the Jesser Amarante Faria Children's Hospital, a reference hospital in the city of Joinville, Santa Catarina, between June 2012 and December 2016.Results:The results showed a predominance of male patients (64.2%), with a mean age of 7 years, and the age group of 6–10 years being the most frequent with 319 patients (48%). The main mechanism of trauma was fall of height in 59.7% of patients, Gartland type 1 fracture in 57.1%, and absence of vascular injury in 99.7%. Conservative management was implemented in 64.7% (95%) of patients. Absence of neurological lesion (95.6%) and closed lesion (99.4%) were the main epidemiological characteristics of patients in the study. A low complication rate was observed, with reduction losses in 1.7% of patients, followed by infections in 1.1%.Conclusion:We can conclude that the cases studied presented epidemiological characteristics similar to those described in the literature. Level of evidence IV, Description of a case series, with analysis of results, without a comparative study.

Objective: To present the radiographic and functional outcomes of a series of 11 cases of ankle arthrodesis performed with a circular external fixator using the Ilizarov method and a transfusion approach, conducted between January 2017 and June 2018. Methods: The patients were evaluated according to American Orthopedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores. Ankle radiographs were evaluated on anteroposterior and profile views. All patients underwent a similar procedure regarding the surgical approach and assembly of the Ilizarov apparatus. Results: Eleven patients, with a mean age of 44.81 years (28-70 years), underwent surgery. The average follow-up time was 50.81 weeks (13-90 weeks). The main indication for surgery was post-traumatic secondary arthritis. The mean functional AOFAS score was 55.72 (45-64) points. An evaluation of the soft tissues revealed surgical wound healing of the transfibular approach in 9 patients (81%). All cases showed signs of superficial pin- or wire-tract infection. Union was reported in 10 patients (90.9%), and the radiographic varus deformities found in 2 patients did not exceed 7º. No additional surgical procedure was required during follow-up. Conclusion: Ankle arthrodesis performed by a transfibular approach and fixation performed by the Ilizarov method were efficient, promoted the functional restoration of the patient, considering the complexity of the cases, and resulted in a high union rate. Level of Evidence IV; Therapeutic Studies; Case Series.

Objective: To present the radiographic and functional outcomes of a series of 11 cases of ankle arthrodesis operated on with a circular external fixator using the Ilizarov method and a transfibular approach from January 2017 to June 2018. Methods: The patients were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) and visual analog scale (VAS) scores. Anteroposterior and profile views of the ankle radiographs were evaluated. All patients underwent a similar procedure in terms of the surgical approach and assembly of the Ilizarov apparatus. Results: During the study period, 11 cases underwent surgery; the mean age was 44.81 years (28-70 years). The mean follow-up time was 50.81 weeks (13-90 weeks). The main indication for surgery was posttraumatic secondary arthritis. The mean functional AOFAS score was 55.72 (45-64) points. Soft-tissue evaluation revealed surgical wound healing of the transfibular approach in 9 patients (81%). All patients showed signs of superficial pin- or wire-tract infection. Union was reported in 10 patients (90.9%), and the radiographic varus deformities found in 2 patients did not exceed 7º. No additional surgical procedure was required during follow-up. Conclusion: Ankle arthrodesis using a transfibular approach and fixation using the Ilizarov method were efficient, promoted functional restoration considering the complexity of the cases, and resulted in a high union rate.

Objective: This study aims to describe the experience with diode laser cyclophotocoagulation in the control of intraocular pressure and resolution of pain in patients with refractory glaucoma. Methods: Retrospective study. 64 eyes of 60 patients who underwent cyclophotocoagulation between January 2008 and March 2014. Evaluation of the pre-and post-operative intraocular pressure, the control of ocular pain, the number of anti-glaucoma drugs used in preand post-intervention, the rate of complications and the success rate. Results: There was an overall success rate of 81.3%, with 9 eyes needing a second intervention. There was a mean reduction of 52.6% of the preoperative mean intraocular pressure of 41.25 to 19.56 mmHg at 12 months observation (p < 0.001). There was also a statistically significant reduction in the number of anti-glaucoma drugs used from 3.19 to 2.01 per eye and the resolution of pain in 75% of patients. Conclusions: cyclophotocoagulation is an effective procedure, with an expected positive impact on quality of life of patients as a result from the decreased number of anti-glaucoma drugs, sustained intraocular pressure reduction and resolution of pain.

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