Epidemiology of paediatric lower extremity fractures in a tertiary care center in Switzerland
| Autor: | Emmelie Chaibi, Pierre-Yves Zambelli, Sophie Merckaert |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sports medicine medicine.medical_treatment Poison control Critical Care and Intensive Care Medicine Tertiary referral hospital Tertiary Care Centers Epidemiology Humans Medicine Orthopedics and Sports Medicine Tibia Child Reduction (orthopedic surgery) Retrospective Studies business.industry Incidence (epidemiology) Surgery Tibial Fractures Lower Extremity Orthopedic surgery Emergency Medicine business Switzerland Leg Injuries |
| Zdroj: | European Journal of Trauma and Emergency Surgery. 48:3449-3459 |
| ISSN: | 1863-9941 1863-9933 |
| DOI: | 10.1007/s00068-020-01400-6 |
| Popis: | About 20% of all fractures in children occur at the lower extremity. This study aims to investigate the epidemiology and injury pattern of lower extremity fractures within the pediatric population consulting a tertiary referral hospital in Switzerland. Study population included all patients up to 16 years presenting with a lower extremity fracture over a period of one year. Recorded data were age, gender, side, season of the year, mechanism, type of fracture and applied treatment. Fractures of the lower extremity represent 23% of all fractures with a mean age of 9 years and 6 months. The tibia, with 94 fractures (38%), represents the most frequently injured bone. Peak incidence is seen in winter and 24% of tibia shaft fractures were due to board sports. Overall, 82% of fractures were treated by cast with or without closed reduction, and only 18% requested surgery. Board sports seems to be a leading cause of tibial shaft fracture in our region. Nevertheless, only 18% of fractures had recourse to an orthopedic surgeon, hence the importance of the teaching quality of pediatric residents for conservative fracture treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink