Clinical and radiographic evaluation of femoral shaft fractures in a pediatric population treated with titanium elastic nails

Ceyhun Çağlar; Fahri Emre

doi:10.19161/etd.1036963

TR EN

Titanyum elastik çivi ile tedavi edilmiş pediatrik popülasyondaki femur şaft kırıklarının klinik ve radyografik olarak değerlendirilmesi

Öz

Amaç: Bu çalışmadaki amaç çocuk femur şaft kırıklarının tedavisinde sık tercih edilen yöntemlerden biri olan titanyum elastik çivinin klinik, fonksiyonel ve radyografik sonuçlarını değerlendirmektir. Gereç ve Yöntem: Çalışmada Ocak 2018-Aralık 2019 tarihlerinde femur şaft kırığı tanısı almış ve kliniğimizde titanyum elastik çivi yöntemiyle tedavi edilmiş, 4-14 yaş arası ve 50 kg altındaki 33 hasta geriye dönük olarak değerlendirildi. Hastaların demografik bilgileri, yaralanma mekanizması, kırık paterni, cerrahi süresi, radyografik kaynama süresi, kaynama sonrası koronal ve sagital planlardaki rezidü deformite derecesi, kaynamama oranı, bacak boyu eşitsizliği ve ameliyat sonrası yük verme süreleri incelendi. Bulgular: Femur şaft kırığı erkek çocuklarında kız çocuklarına göre 2,3 kat fazla görülmüştür. Hastalar genellikle trafik kazası ve yüksekten düşme gibi yüksek enerjili travmalar sonucu yaralanmıştır. Radyografik ölçümlere göre koronal planda ortalama 3,23 ± 2,46 derece, sagital planda ise 4,56 ± 3,78 derece rezidü deformite ölçülmüş olup, her iki bacak arasında ortalama 1,36 ± 0,85 cm eşitsizlik tespit edilmiştir. Radyografik kaynama süresi ise ortalama 10,41 ± 3,55 hafta olarak hesaplanmıştır. Sonuç: Doğru endikasyonla ve doğru teknikle uygulandığı takdirde titanyum elastik çivi tedavisi,15 yaşından küçük ve 50 kg’dan daha az pediatrik popülasyondaki femur şaft kırıklarının tedavisinde son derece önemli ve başarılı bir yöntemdir.

Anahtar Kelimeler

Clinical and radiographic evaluation of femoral shaft fractures in a pediatric population treated with titanium elastic nails

Abstract

Aim: The main goal of study is to evaluate the clinical, functional and radiographic results of titanium elastic nail (TEN), which is among the most preferred methods in the treatment of pediatric femoral shaft fractures. Materials and Methods: In this study, 33 patients, the ages of from 4 to14 years and weighing less than 50 kg, who were diagnosed with femoral shaft fractures between January 2018 and December 2019 and operated on with the TEN method in our clinic, were evaluated retrospectively. The demographic information of the patients, injury mechanism, fracture pattern, duration of surgery, radiographic union time, degree of residual deformity in the coronal and sagittal planes after union, nonunion rate, leg length discrepancy and postoperative weight-bearing times were examined. Results: Femoral shaft fractures were seen 2.3 times more often in boys than in girls. Patients are often injured as a result of high-energy trauma such as traffic accidents and falls from a height. According to radiographic measurements, mean residual deformity of 3.23 ± 2.46 degrees in the coronal plane and 4.56 ± 3.78 degrees in the sagittal plane was measured and a mean discrepancy of 1.36 ± 0.85 cm was found between the two legs. Radiographic union time was calculated as 10.41 ± 3.55 weeks on average. Conclusion: If applied with the right indication and the right technique, the TEN method is extremely important and successful in the treatment of femoral shaft fractures in pediatric patients younger than 15 years old and weighing less than 50 kg.

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Ceyhun Çağlar ^*
0000-0003-4286-7852
Türkiye

Fahri Emre
0000-0002-6942-8051
Türkiye

Publication Date

December 22, 2021

Submission Date

January 5, 2021

Acceptance Date

March 9, 2021

Published in Issue

Year 2021 Volume: 60 Number: 4

DOI

https://doi.org/10.19161/etd.1036963

IZ

https://izlik.org/JA75RJ97ER

Cite

RIS / Bibtex

Vancouver

1.Ceyhun Çağlar, Fahri Emre. Clinical and radiographic evaluation of femoral shaft fractures in a pediatric population treated with titanium elastic nails. EJM. 2021 Dec. 1;60(4):324-31. doi:10.19161/etd.1036963