Pediatric Orthopedic Surgery Department, Lille University Center, Faculty of Medicine, Hôpital Jeanne de Flandre and University of Lille, Avenue Eugène Avinée, 59037 Lille, France.
A.O.U. "Policlinico-Vittorio Emanuele" P.O. V. Emanuele-Clinica Ortopedica Pad. 1, Via Plebiscito, 6284 Catania, Italy.
Medicina (Kaunas). 2022 Apr 28;58(5):610. doi: 10.3390/medicina58050610.
: The epidemiology and distribution of pediatric fractures change over time and are influenced by a multitude of factors including geography, climate, and population characteristics. The aims of our work were to study the distribution of traumatic pediatric orthopedic injuries admitted to the Lille University Hospital (LUH) Pediatric Emergency Department in 1999 and in 2019 and to analyze the epidemiological differences 20 years apart. This was a retrospective, comparative, monocentric, and epidemiological study involving all children between 0 and 15 years and 3 months of age who consulted the pediatric emergencies of LUH from 1 January 1999 to 31 December 1999 and from 1 January 2019 to 31 December 2019. On admission, the following data were collected: sex, age at the time of injury, month and time of the day the trauma occurred (4:00 a.m to 11:59 a.m, 12:00 p.m. to 19:59 p.m, and 20:00 p.m to 3:59 a.m.), mechanism of injury, laterality (right or left), anatomical location, type of injury, and whether the fracture was closed or open. The type of treatment (orthopedic or surgical) was collected from the medical records. A total of 939 children were included in 1999 compared with 781 in 2019 (21% decrease); the average age of children with fractures was significantly higher in 1999 (8.81 years) than in 2019 (7.19 years). This difference was explained by the majority involvement of older children (10-15 years) in 1999 (43% of fractures in 1999 versus 25% of fractures in 2019). Conversely, small children (1-5 years) had significantly more fractures in 2019 (36%) than in 1999 (24%). Overall, the types and sites of fractures did not change over the studied time despite a change in the population and mechanism of injury. This suggested that the reflexes of breaking a fall still tended to implicate and damage the same bone segments. Finally, the proportion of fractures managed surgically versus orthopedically has not evolved since 1999. Exploring this is a possible area of further research that would complement our study.
: 儿科骨折的流行病学和分布随时间而变化，受多种因素影响，包括地理位置、气候和人口特征。我们的工作目的是研究 1999 年和 2019 年里尔大学医院（LUH）儿科急诊收治的创伤性儿科骨科损伤的分布，并分析 20 年来的流行病学差异。这是一项回顾性、比较性、单中心和流行病学研究，涉及 1999 年 1 月 1 日至 1999 年 12 月 31 日和 2019 年 1 月 1 日至 2019 年 12 月 31 日期间在 LUH 儿科急诊就诊的 0 至 15 岁零 3 个月的所有儿童。入院时收集以下数据：性别、受伤时的年龄、受伤月份和一天中的时间（上午 4:00 至 11:59，下午 12:00 至下午 7:59，晚上 8:00 至凌晨 3:59）、损伤机制、左右侧、解剖位置、损伤类型以及骨折是否闭合或开放。从病历中收集治疗类型（骨科或手术）。1999 年共纳入 939 例儿童，2019 年纳入 781 例（减少 21%）；1999 年骨折儿童的平均年龄明显高于 2019 年（8.81 岁）。这种差异是由 1999 年大多数年龄较大的儿童（10-15 岁）引起的（1999 年骨折的 43%，而 2019 年骨折的 25%）。相反，2019 年幼龄儿童（1-5 岁）的骨折明显增多（36%），而 1999 年骨折减少（24%）。总的来说，尽管人口和损伤机制发生了变化，但研究期间骨折的类型和部位没有改变。这表明跌倒反射仍然倾向于牵连和损伤相同的骨段。最后，自 1999 年以来，接受骨科与手术治疗的骨折比例并未发生变化。探索这一点可能是对我们研究的补充，是进一步研究的一个可能领域。
