Factors which can influence elastic stable intramedullary nailing removal in healed bone cysts in children

作者全名：Liu, Jiao; Su, Yuxi

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

通信作者：Su, YX (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Orthoped, Chongqing, Peoples R China.

来源：SCIENTIFIC REPORTS

ESI学科分类：Multidisciplinary

WOS号：WOS:001224470800067

JCR分区：Q1

影响因子：3.8

年份：2024

卷号：14

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Bone cyst; Children; Pathological fracture; Elastic stable intramedullary nailing removal; Factors

摘要：Elastic stable intramedullary nailing (ESIN) internal fixation is used clinically to treat pathological fractures of bone cysts in children. However, one of the most important complications was removal difficulty. In this study, we aim to analyse the factors which can influence ESIN removal in healed bone cysts in children. From April 2014 to November 2020, the clinical data of 49 children who underwent elastic stable intramedullary nail removal for pathological fractures of the bone cysts in our hospital were retrospectively analysed. The following data, including age, sex, pathological fracture site, with bone graft, number of ESINs, ESIN indwelling time, and extraosseous length of ESIN were collected, and univariate analysis and logistic regression analysis was performed. The frequency of difficulty in ESIN extraction was 44.90% (22/49). The univariate logistic regression analysis showed that age,ESIN indwelling time,with bone garft and extraosseous length of ESIN may be correlated with the difficulty in removing ESIN (P<0.05), while sex, pathological fracture site, number of ESIN may not be correlated with the difficulty in removing ESIN (P>0.05).The multivariate logistic regression analysis showed that the ESIN indwelling time was the independent influencing factor for difficulty in removing ESIN (P<0.05). The factors influencing the ESIN removal in healed bone cysts in children include over 11.79 years old, the long indwelling time of the ESIN(over 10.5 months),with bone graft and short extraosseous length of ESIN(<= 0.405 cm). These factors influencing ESIN removal in healed bone cysts in children should be considered.

基金机构：National Clinical Research Center for Child Health and Disorders [NCRCCHD-2022-GP-10]

基金资助正文：The study was funded by National Clinical Research Center for Child Health and Disorders (NCRCCHD-2022-GP-10).