Suitability of skin traction combined with braces for treating femoral shaft fractures in 3-5 years old children

作者全名："Wang, Menglei; Su, Yuxi"

作者地址："[Su, Yuxi] Chongqing Med Univ, Dept Orthoped, Chongqing Key Lab Pediat, Childrens Hosp, 136 Zhongshan 2 Rd, Chongqing 400014, Peoples R China; Chongqing Med Univ, Key Lab Child Dev & Disorders, Minist Educ, Childrens Hosp, 136 Zhongshan 2 Rd, Chongqing 400014, Peoples R China; Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp, 136 Zhongshan 2 Rd, Chongqing 400014, Peoples R China; Chongqing Med Univ, China Int Sci & Technol Cooperat Base Child Dev &, Childrens Hosp, 136 Zhongshan 2 Rd, Chongqing 400014, Peoples R China"

通信作者："Su, YX (通讯作者)，Chongqing Med Univ, Dept Orthoped, Chongqing Key Lab Pediat, Childrens Hosp, 136 Zhongshan 2 Rd, Chongqing 400014, Peoples R China."

来源：JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000921289400004

JCR分区：Q1

影响因子：2.8

年份：2023

卷号：18

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Skin traction; Braces; Femoral shaft fractures; Children; Preschool

摘要："BackgroundIn children aged 3-5 years, femoral fractures are common and are frequently treated using flexible intramedullary nails (FIN) or spica casting. Recently, more surgeons have been relying on FIN surgery because of the high rate of complications associated with spica casts, such as skin irritation and re-adjustment surgery. We aimed to evaluate the effect of skin traction combined with braces in 3-5 years old children at our hospital.MethodsWe retrospectively analyzed 125 children aged 3-5 years with femoral shaft fractures treated at our hospital between January 2010 and December 2020. We assigned 68 patients who underwent FIN surgery to Group A and 57 patients treated with skin traction and braces to Group B. Comparative analysis included the children's age, sex, side of the affected limb, cause of fracture, function of the knee joint, healing time of the fracture, duration of hospitalization, cost of hospitalization, and complications. The complications evaluated included joint dysfunction, pain, infection, pressure ulcers, angular deformities, limb length differences, re-fractures, nonunion fractures, and delayed union.ResultsThere were significant differences in and hospital costs (p = 0.001). Conversely, no statistically significant differences were observed in sex (p = 0.858), injury type (p = 0.804), age (p = 0.231), hospitalization time (p = 0.071), bone healing time (p = 0.212), and complications. Pressure ulcers, nonunion fractures, and delayed union did not occur in both groups.ConclusionBoth methods had similar therapeutic effects and postoperative complications in children aged 3-5 years with femoral shaft fractures. Therefore, skin traction combined with braces is recommended for this population and for patients hospitalized in institutions where several beds are available, with a consequent possibility of prolonged hospitalization.Level of Evidence: IV."

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