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小儿前臂骨折:探讨钛弹性髓内钉治疗不稳定双骨折的功能预后

Pediatric Forearm Fractures: Investigating the Functional Outcomes of Titanium Elastic Nailing for Unstable Both-Bone Fractures.

作者信息

Saseendar Samundeeswari, Kp Uma Anand, Latchoumibady Kaliaperumal, Shanmugasundaram Saseendar

机构信息

Department of Orthopaedics, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India.

Department of Orthopaedics, Arunai Medical College, Thiruvannamalai, Tamil Nadu, India.

出版信息

J Orthop Case Rep. 2024 May;14(5):176-183. doi: 10.13107/jocr.2024.v14.i05.4474.

Abstract

INTRODUCTION

Diaphyseal forearm fractures pose a common challenge in children and adolescents, impacting forearm function due to rotational deformities and angulation. The landscape of pediatric forearm fracture treatment has seen limited progression, with increased surgical intervention adoption driven by factors such as functional implications, technological advancements, societal expectations, and legal concerns.

MATERIALS AND METHODS

This study enrolled consecutive children aged 5-16 years with forearm fractures presenting between August 2018 and January 2020, requiring surgical intervention. The study assessed functional outcomes and complications in children treated with titanium elastic nailing.

RESULTS

Sixteen patients underwent surgery for both-bone forearm fractures. Elastic nailing was the primary intervention, with 75% undergoing closed nailing. Patients' ages ranged from 5 to 15 years, with 87.5% being male. The study evaluated fracture characteristics, surgical procedures, post-operative care, and complications.

CONCLUSION

The study demonstrates promising outcomes for flexible intramedullary nailing in pediatric forearm fractures. Despite the observed complications, the majority of cases achieved excellent results in fracture union and patient recovery, supporting the efficacy of this technique. Larger cohorts are needed for a comprehensive understanding of its applicability and outcomes in pediatric forearm fracture management.

摘要

引言

肱骨干前臂骨折在儿童和青少年中是一个常见的挑战,由于旋转畸形和成角会影响前臂功能。小儿前臂骨折治疗领域进展有限,功能影响、技术进步、社会期望和法律问题等因素推动了手术干预的增加。

材料与方法

本研究纳入了2018年8月至2020年1月期间连续收治的5至16岁因前臂骨折需要手术干预的儿童。该研究评估了采用钛弹性髓内钉治疗儿童的功能结局和并发症。

结果

16例患者接受了双骨前臂骨折手术。弹性髓内钉是主要干预手段,75%的患者接受了闭合穿钉。患者年龄在5至15岁之间,87.5%为男性。该研究评估了骨折特征、手术过程、术后护理和并发症。

结论

该研究表明弹性髓内钉治疗小儿前臂骨折有良好的效果。尽管观察到有并发症,但大多数病例在骨折愈合和患者恢复方面取得了优异的结果,支持了该技术的有效性。需要更大规模的队列研究来全面了解其在小儿前臂骨折治疗中的适用性和结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f6d/11111224/c472b82666bb/JOCR-14-176-g001.jpg

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