Treatment of pediatric femur diaphyseal fractures with external fixation

Objective & Hypothesis:In our clinic 17 pédiatrie femoral diafiz fractures were treated with Orthofix external fixation, we had loss of reduction in 4 cases and one of them has undergone open reduction and internal fixation.The average patient age was 8,5 (5-12). 6 patients had open fractures.Average operation time was 7 days (2-12 days) and average discharge time was 14 days (4-40).

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Key Findings & Data:The average duration in thefixator was 102 days(55-146 days).

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Conclusion & Impact:At the last clinic visit, average angulation at the fracture site was 3, 75 degress (0-12) in AP plane and 3,2 degress (0-12) in lateral plane.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Kırık tespiti · Femur kırıkları · Çocuk

Abstract

In our clinic 17 pédiatrie femoral diafiz fractures were treated with Orthofix external fixation, we had loss of reduction in 4 cases and one of them has undergone open reduction and internal fixation.The average patient age was 8,5 (5-12). 6 patients had open fractures.Average operation time was 7 days (2-12 days) and average discharge time was 14 days (4-40). The average duration in thefixator was 102 days(55-146 days). Average control time was 24,5 months (7- 40 months). 5 cases had pin tract infections. At the last clinic visit, average angulation at the fracture site was 3, 75 degress (0-12) in AP plane and 3,2 degress (0-12) in lateral plane.

Özet

Hastanemiz Ortopedi ve Travmatoloji Kliniğinde 1997-2000 yılları arasında çocuk femur kırığı olan 17 çocuk Orthofix eksternal fiksatör ile tedavi edildi. 17 olgunun 4 tanesinde redüksiyon kaybı oldu ve bir tanesinde açık redüksiyon ve internal fiksasyon uygulandı.Çocukların yaş ortalaması 8,5 (5-12) idi. 6 hastada açık kırık mevcuttu.Olgular ortalama 7(2-12) günde ameliyat edilmiş ve ortalama 14 (4-40) günde taburcu edilmiştir.Eksternal fiksatör ortalama 102 (55-146) günde çıkarıldı. Ortalama takip 24,5 (7-40) aydır. 5 olguda çivi yolu infeksiyonu görülmüştür. Son kontrol grafilerinde AP grafıde ortalama 3.75 (0-12) derece lateral grafide ortalama 3,2 (0-12) derece angulayon tespit edilmiştir.

Keywords

Kırık tespiti Femur kırıkları Çocuk Kemik vidaları Ameliyat sonrası komplikasyonlar internal Fracture Fixation Femoral Fractures Child Bone Screws Postoperative Complications Internal

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Cite This Article

KAYIPMAZ, M., KURAL, C., NURAN, R., CEVER, İ. (2002). Treatment of pediatric femur diaphyseal fractures with external fixation. Haseki Tıp Bülteni, Cilt: 40 - Sayı: 2, 95–99. https://ajindex.com/articles/268091

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