Pavone Vito, Vescio Andrea, Montemagno Marco, de Cristo Claudia, Lucenti Ludovico, Pavone Piero, Testa Gianluca
Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.
Dipartimento Ortopedia e Traumatologia-Ospedale Santa Maria Goretti, 04100 Latina, Italy.
Children (Basel). 2020 Oct 1;7(10):156. doi: 10.3390/children7100156.
perinatal femoral fractures (PFF) are relative rare birth-related fractures. Among treatment options, Bryant traction reported satisfactory outcomes in PFF of children under 3 years of age. The aim of this study is to assess the risk factors, diagnosis, management, and outcome in the 10-year multicentric experiences of all newborns treated for PFF in Catania city hospitals.
15,628 children, hospitalized in four neonatal units, were retrospectively reviewed. The following data were collected: gender, birth weight, gestational age, presentation, mode delivery, and fracture type according to AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF). In each case, diagnosis was achieved after the clinical examination and X-Ray exam. Each patient underwent Bryant's skin traction of the affected limb, and was clinically followed for at least two years.
eight newborns were included in the study (five males). The average birth weight was 2.656 kg with a gestational age of 37.5 weeks; 4 cases were preterm birth; 5 patients had a cephalic presentation. According to the AO PCCF classification, three fractures were ranked 32-D/4.1 and five were 32-D/5.1. The entire cohort had an excellent outcome.
prematurity, low birth weight, and caesarean section could be PFF risk factors. Bryant's skin traction is an effective option to achieve an excellent outcome.
围产期股骨骨折（PFF）是相对罕见的与出生相关的骨折。在治疗选择中，布赖恩特牵引术在3岁以下儿童的PFF治疗中取得了令人满意的结果。本研究的目的是评估卡塔尼亚市医院对所有接受PFF治疗的新生儿进行的10年多中心经验中的危险因素、诊断、管理和结果。
回顾性分析了在四个新生儿病房住院的15628名儿童。收集了以下数据：性别、出生体重、孕周、胎位、分娩方式以及根据AO小儿长骨骨折综合分类（PCCF）的骨折类型。在每个病例中，通过临床检查和X线检查进行诊断。每位患者均接受患侧肢体的布赖恩特皮肤牵引，并进行至少两年的临床随访。
8名新生儿纳入研究（5名男性）。平均出生体重为2.656千克，孕周为37.5周；4例为早产；5例为头位。根据AO PCCF分类，3例骨折为32-D/4.1级，5例为32-D/5.1级。整个队列的结果良好。
早产、低出生体重和剖宫产可能是PFF的危险因素。布赖恩特皮肤牵引是取得良好结果的有效选择。
