Akinyoola Akinyele Lawrence, Orimolade Elkanah Ayodele, Yusuf Moruf Babatunde
Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University, Ile-Ife, Nigeria,
J Child Orthop. 2008 Dec;2(6):475-9. doi: 10.1007/s11832-008-0141-x. Epub 2008 Oct 28.
Pathologic or spontaneous fractures are recognised causes of morbidity in children. There is a paucity of data on their aetiology and patterns in African children.
A combined retrospective and prospective study of 47 children aged 15 and below with pathologic fractures of long bones seen from January 2000 to December 2006. The setting was the Orthopaedic and Traumatology department of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
A total of 47 patients with a mean age of 5.3 years +/- SD with pathologic fractures of 50 long bones were seen and treated. The most commonly affected bones were the femur (28%), tibia (28%) and humerus (26%). Chronic osteomyelitis following inadequately treated acute haematogenous osteomyelitis was the commonest cause of pathologic fractures (74.5%). The mean duration of fracture union was 6.8 +/- 2.3 months and the outcome was satisfactory in 91.4% of cases.
The aetiology of pathologic fractures in the African population is different from their causes in Caucasian children. Chronic osteomyelitis following inadequately treated acute haematogenous osteomyelitis continues to plague many children in our environment.
病理性骨折或自发性骨折是儿童发病的公认原因。关于非洲儿童其病因和模式的数据匮乏。
对2000年1月至2006年12月期间收治的47例15岁及以下长骨病理性骨折儿童进行回顾性和前瞻性联合研究。研究地点为尼日利亚伊费奥巴费米·阿沃洛沃大学教学医院综合院区的骨科与创伤科。
共诊治47例平均年龄5.3岁±标准差的长骨病理性骨折患者，共50处长骨骨折。最常受累的骨骼是股骨（28%）、胫骨（28%）和肱骨（26%）。急性血源性骨髓炎治疗不充分后的慢性骨髓炎是病理性骨折最常见的原因（74.5%）。骨折愈合的平均时长为6.8±2.3个月，91.4%的病例预后良好。
非洲人群病理性骨折的病因与白种儿童不同。急性血源性骨髓炎治疗不充分后的慢性骨髓炎继续困扰着我们环境中的许多儿童。
