Chocholka Britta, Bogensperger Lara Marie, Yegorova Iryna, Groß Vanessa, Jaindl Manuela, Parajuli Bikash, Rapole Sanika, Tiefenboeck Thomas Manfred, Payr Stephan
University Clinic of Orthopedics and Trauma Surgery, Department of Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
Section of Pediatric Trauma Surgery, Department of Trauma Surgery, University Clinic of Orthopedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria.
J Clin Med. 2025 Sep 22;14(18):6667. doi: 10.3390/jcm14186667.
: Open fractures in pediatric patients are uncommon but clinically relevant, often resulting from high-energy trauma or sports-related incidents. This study analyzes the demographic patterns, types of sports, injury mechanisms, treatment strategies, and outcomes in children and adolescents with sports-related open fractures. : In this retrospective study, 74 pediatric patients with sports-related open fractures treated at a level 1 trauma center between 2002 and 2023 were documented. Parameters such as age, sex, fracture location, sport type, treatment modality, complications, and outcomes were evaluated. : The cohort included 74 patients, with a mean age of 13 ± 3.6 years. Open fractures of the upper extremity were most common (seen in 34 patients). Moreover, 10 open craniofacial and 27 open nasal fractures represented 50.0% of injuries, mainly in male athletes involved in contact sports. Soccer was the leading injury-related sport (n = 14; 18.9%). Surgical treatment was required in 28 patients (37.8%), most frequently using elastic stable intramedullary nailing, Kirschner wire fixation in the upper extremities or nasal bone reduction. Antibiotics were administered in 46 patients (62.2%), with a mean documented duration of 2.7 ± 3.1 days. An excellent outcome was documented in 95%. : Sports-related open fractures in children primarily affect male adolescents in contact sports and involve the upper extremities and facial region. Conservative management is effective in stable, non-displaced and low-grade injuries. Surgical treatment is frequently indicated in open forearm fractures. The implementation of a structured trauma care protocol, incorporating early debridement, definitive treatment, and antibiotics, has been demonstrated to yield a safe and effective treatment outcome with a favorable prognosis for sports-related open fractures in children.
小儿开放性骨折虽不常见，但具有临床相关性，常由高能创伤或与运动相关的事故引起。本研究分析了儿童和青少年运动相关开放性骨折的人口统计学模式、运动类型、损伤机制、治疗策略及预后。
在这项回顾性研究中，记录了2002年至2023年期间在一级创伤中心接受治疗的74例小儿运动相关开放性骨折患者。对年龄、性别、骨折部位、运动类型、治疗方式、并发症及预后等参数进行了评估。
该队列包括74例患者，平均年龄为13±3.6岁。上肢开放性骨折最为常见（34例）。此外，10例开放性颅面骨折和27例开放性鼻骨骨折占损伤的50.0%，主要发生在从事接触性运动的男性运动员中。足球是与损伤相关的主要运动项目（n = 14；18.9%）。28例患者（37.8%）需要手术治疗，最常用的方法是弹性稳定髓内钉固定、上肢克氏针固定或鼻骨复位。46例患者（62.2%）使用了抗生素，记录的平均使用时间为2.7±3.1天。95%的患者预后良好。
儿童运动相关开放性骨折主要影响从事接触性运动的男性青少年，累及上肢和面部区域。保守治疗对稳定、无移位和低级别损伤有效。开放性前臂骨折常需手术治疗。实施结构化创伤护理方案，包括早期清创、确定性治疗和抗生素治疗，已被证明能产生安全有效的治疗效果，对儿童运动相关开放性骨折预后良好。
