David Vlad Laurentiu, Garjoaba Cristina Ana-Maria, Popescu-Rohlicek Diana, Szentpeteri Larisa Anca, Ciornei Bogdan, Popoiu Calin Marius, Boia Eugen Sorin
Department of Pediatric Surgery and Orthopedics, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Department of Pediatric Surgery and Orthopedics, "Louis Turcanu" Emergency Children's Hospital, 300011 Timisoara, Romania.
Children (Basel). 2024 Dec 8;11(12):1495. doi: 10.3390/children11121495.
The COVID-19 pandemic has had a considerable influence over the management strategies in pediatric trauma all over the world. We are making a comparative assessment of all pediatric forearm fracture presentations in a tertiary center in Romania in a pre-pandemic year 2019 (NPG) versus a pandemic year 2021 (PG).
We retrospectively compared the epidemiological, the anatomopathological, and the management features of forearm fractures for the two years.
A total of 1403 patients with forearm fractures, 720 in NPG and 683 in PG, ages < 1 year-19 years (mean for NPG = 9.38 years and mean for PG = 9.39 years), were included in the study. There are no differences in demographics of the patients. There was an increase in the angulation ratio in the PG group and no other differences in the anatomopathological features. Most of the patients were treated by non-surgical means with no differences between groups. In PG, titan elastic nails were more often used than K-wire for the stabilization of diaphyseal fractures. There was no difference in terms of complication rates and reinterventions between groups. The number of hospital admissions ( < 0.01) and the length of hospital stay were significantly higher in NPG versus PG, ( < 0.01).
The COVID-19 pandemic has had little impact on the epidemiology, anatomopathological features, and management strategies of forearm fractures in children. The only significant change in the medical strategy in our series was towards reducing the hospitalization rate and duration, reducing the follow-up visits.
新冠疫情对全球儿童创伤的管理策略产生了重大影响。我们正在对罗马尼亚一家三级中心在疫情前的2019年（非疫情年，NPG）和疫情期间的2021年（疫情年，PG）所有儿童前臂骨折病例进行比较评估。
我们回顾性比较了这两年前臂骨折的流行病学、解剖病理学和治疗特征。
共有1403例前臂骨折患者纳入研究，其中非疫情年720例，疫情年683例，年龄<1岁至19岁（非疫情年平均年龄=9.38岁，疫情年平均年龄=9.39岁）。患者的人口统计学特征无差异。疫情年组的成角率有所增加，解剖病理学特征无其他差异。大多数患者采用非手术治疗，两组之间无差异。在疫情年，对于骨干骨折的固定，钛弹性髓内钉比克氏针使用更频繁。两组之间的并发症发生率和再次干预情况无差异。非疫情年的住院人数（<0.01）和住院时间显著高于疫情年（<0.01）。
新冠疫情对儿童前臂骨折的流行病学、解剖病理学特征和治疗策略影响不大。我们系列研究中医疗策略的唯一显著变化是降低了住院率和住院时间，减少了随访次数。
