[儿童胫骨干骨折远期不良后果的危险因素]

[Risk factors of adverse long-term consequences of tibial shaft fractures in children].

作者信息

Dyutin A O, Shakiryanov R A, Semenova A S, Kyarunts K D, Osipov V A

机构信息

Ulyanov Chuvash State University, Cheboksary, Russia.

出版信息

Khirurgiia (Mosk). 2023(4):33-41. doi: 10.17116/hirurgia202304133.

DOI:10.17116/hirurgia202304133

PMID:37850892

Abstract

OBJECTIVE

To analyze leg length discrepancy and overgrowth after tibial shaft fractures in children.

MATERIAL AND METHODS

We analyzed medical records of 103 patients younger 14 years old with tibial shaft fractures between January 2003 and November 2018. Treatment included plastering and insertion of titanium elastic nail. To identify the risk factors of leg length discrepancy ≥1 cm and overgrowth ≥1 cm, we performed logistic regression analysis. Statistical analysis was carried out using the SPSS software for Windows.

RESULTS

Gender (=0.014) and treatment methods (=0.011) are the most significant predictors of leg length discrepancy and overgrowth. In boys, the risk of leg length discrepancy ≥1 cm was 7.4 times higher than in girls. The risk of leg length discrepancy ≥1 cm was 4.3 times higher after insertion of titanium elastic nail compared to plastering. The risk of overgrowth ≥1 cm was 5.4 times higher in boys than in girls. The risk of overgrowth ≥1 cm was 4.7 times higher after insertion of titanium elastic nail compared to plastering.

CONCLUSION

One should consider the risk of leg length discrepancy and overgrowth in children with tibial shaft fractures. This is especially true for boys undergoing insertion of titanium elastic nail.

摘要

目的

分析儿童胫骨干骨折后的下肢长度差异及过度生长情况。

材料与方法

我们分析了2003年1月至2018年11月期间103例14岁以下胫骨干骨折患儿的病历。治疗方法包括石膏固定和钛弹性髓内钉植入。为了确定下肢长度差异≥1 cm和过度生长≥1 cm的危险因素，我们进行了逻辑回归分析。使用Windows版SPSS软件进行统计分析。

结果

性别（=0.014）和治疗方法（=0.011）是下肢长度差异和过度生长最显著的预测因素。在男孩中，下肢长度差异≥1 cm的风险比女孩高7.4倍。与石膏固定相比，植入钛弹性髓内钉后下肢长度差异≥1 cm的风险高4.3倍。男孩过度生长≥1 cm的风险比女孩高5.4倍。与石膏固定相比，植入钛弹性髓内钉后过度生长≥1 cm的风险高4.7倍。