Titanium elastic nailing of fractures of the femur in children. Predictors of complications and poor outcome
| Autor: | Mininder S. Kocher, S. L. Frick, Franck Launay, Peter O. Newton, Paul D. Sponseller, John M. Flynn, L. A. Moroz |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent Bone Nails Prosthesis Design Outcome (game theory) Postoperative Complications Fracture Fixation medicine Humans Orthopedics and Sports Medicine Femur Major complication Child Fixation (histology) Titanium Analysis of Variance business.industry Body Weight Age Factors Odds ratio Surgery Treatment Outcome El Niño Child Preschool Orthopedic surgery Female Complication business Femoral Fractures |
| Zdroj: | The Journal of bone and joint surgery. British volume. 88(10) |
| ISSN: | 0301-620X |
| Popis: | Between 1996 and 2003 six institutions in the United States and France contributed a consecutive series of 234 fractures of the femur in 229 children which were treated by titanium elastic nailing. Minor or major complications occurred in 80 fractures. Full information was available concerning 230 fractures, of which the outcome was excellent in 150 (65%), satisfactory in 57 (25%), and poor in 23 (10%). Poor outcomes were due to leg-length discrepancy in five fractures, unacceptable angulation in 17, and failure of fixation in one. There was a statistically significant relationship (p = 0.003) between age and outcome, and the odds ratio for poor outcome was 3.86 for children aged 11 years and older compared with those below this age. The difference between the weight of children with a poor outcome and those with an excellent or satisfactory outcome was statistically significant (54 kg vs 39 kg; p = 0.003). A poor outcome was five times more likely in children who weighed more than 49 kg. |
| Databáze: | OpenAIRE |
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