Children's Hospital, Helsinki University Central Hospital, Finland.
Acta Orthop. 2010 Dec;81(6):715-8. doi: 10.3109/17453674.2010.533927. Epub 2010 Nov 11.
The current treatment for femoral fractures in children is mostly operative, which contrasts with treatment of other long bone fractures in children. We analyzed treatment injuries in such patients in Finland in order to identify avoidable injuries. Our other aims were to calculate the incidence of these fractures and to describe the treatment method used.
The Patient Insurance Centre (PIC) provides financial compensation of patients who have sustained an injury in connection with medical care. We retrospectively analyzed incidence, treatment methods, and all compensation claims concerning treatment of femoral fractures in children who were 0-16 years of age during the 8-year period 1997-2004.
The incidence of childhood femoral fractures in Finland was 0.27 per 1,000 children aged < 17 years, and two-thirds of the patients were treated operatively during the study period. 30 compensation claims were submitted to PIC during the 8-year study period. The compensation claims mainly concerned pain, insufficient diagnosis or treatment, extra expenses, permanent disability, or inappropriate behavior of medical personnel. Of the claims, 16 of 30 were granted compensation. Compensation was granted for delay in treatment, unnecessary surgery, and for inappropriate surgical technique. The mean amount of compensation was 2,300 euros. Of the injuries that led to compensation, 11 of 16 were regarded as being avoidable in retrospect.
The calculated risk of a treatment injury in childhood femoral fracture treatment in Finland is approximately 2%, and most of these injuries can be avoided with proper treatment.
目前儿童股骨骨折的治疗主要是手术治疗，这与儿童其他长骨骨折的治疗方法形成对比。我们分析了芬兰此类患者的治疗损伤情况，以确定可避免的损伤。我们的其他目的是计算这些骨折的发生率，并描述所使用的治疗方法。
患者保险中心（PIC）为因医疗而受伤的患者提供经济补偿。我们回顾性分析了 1997 年至 2004 年 8 年间 0-16 岁儿童股骨骨折患者的发生率、治疗方法以及所有与儿童股骨骨折治疗相关的赔偿申请。
芬兰儿童股骨骨折的发生率为每 1000 名<17 岁儿童 0.27 例，研究期间三分之二的患者接受了手术治疗。在 8 年的研究期间，有 30 份赔偿申请提交给 PIC。赔偿申请主要涉及疼痛、诊断或治疗不足、额外费用、永久性残疾或医务人员的不当行为。在这些索赔中，30 份中有 16 份获得了赔偿。赔偿的原因是治疗延误、不必要的手术以及不当的手术技术。赔偿的平均金额为 2300 欧元。在导致赔偿的损伤中，16 例中有 11 例被认为是可以避免的。
芬兰儿童股骨骨折治疗中治疗损伤的计算风险约为 2%，大多数损伤可以通过适当的治疗来避免。
