Analysis of the factors that are important in re-displacement in pediatric diaphyseal femur fractures treated with a spica cast
| Autor: | Eren Yalçın, Safa Bozkurt, Mert Kumbaraci, Önder Kalenderer, Mehmet Can Gezer, Ali Turgut |
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| Rok vydání: | 2021 |
| Předmět: |
Femur fracture
Flexion angle business.industry medicine.medical_treatment Spica cast Femoral fracture Thigh medicine.disease Casts Surgical medicine.anatomical_structure medicine General Earth and Planetary Sciences Humans Displacement (orthopedic surgery) Femur Diaphyses Nuclear medicine business Child Femoral Fractures Reduction (orthopedic surgery) General Environmental Science Retrospective Studies |
| Zdroj: | Injury. 53(3) |
| ISSN: | 1879-0267 |
| Popis: | BACKGROUND There is no detailed data on the factors affecting the re-displacement in pediatric femoral fractures treated with closed reduction and early spica casting. This study aimed to investigate the factors effective in re-displacement in pediatric diaphyseal femur fractures (PDFF) treated with spica casting. METHODS In all, 151 displaced PDFF were evaluated retrospectively. Demographic data of the patients were evaluated. Type of fractures, anteroposterior and lateral angulations, amount of shortening, translation ratio, cast index (CI), gap index (GI), and three-point index (TPI) measurements were evaluated radiologically. Thigh flexion angle (TFA) and knee flexion angle (KFA) were measured. After casting, angulation of more than 10° in any plane and a shortening of more than 10 mm was accepted as re-displacement. Binary logistic regression analysis was used to evaluate the risk factors of re-displacement. Receiver operating characteristic analysis was performed for TFA and KFA. RESULTS Re-displacement was detected in 40 patients (26.5%). Transverse type fracture (p = 0.001), TFA ˂71.4° (p |
| Databáze: | OpenAIRE |
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