Analysis of influential factors on surgical outcomes in pediatric femur neck fractures: a single-institution retrospective study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Murat Taşcı, Furkan Başak, Bahattin Kemah, Mehmet Salih Söylemez
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引用次数: 0

Abstract

Aim: This retrospective study aimed to evaluate surgical outcomes and identify influential factors in pediatric femoral neck fractures.

Materials and methods: A total of 25 hips from 23 pediatric patients who underwent surgical intervention for femoral neck fractures were included. Data encompassing patient demographics, fracture types, surgical techniques, complications, and follow-up outcomes were analyzed retrospectively. Factors such as fracture displacement, timing of surgery, fixation methods, and reduction quality were assessed concerning postoperative complications.

Results: Falling from a height accounted for 48% of the trauma mechanisms, and avascular necrosis (AVN) was the most prevalent complication (4 hips). Although fracture displacement, bad reduction quality, and delayed surgery were more common among complicated cases, statistical significance was not attained. The study noted an association between presence of avascular necrosis and worse clinical results(rho: 0.428, p: 0.05, CI: 95%).

Conclusion: Surgical treatment yielded favorable clinical outcomes; however, limitations due to the study's retrospective design, limited sample size, and single-center approach underscore the necessity for larger multicenter studies. Our findings emphasize the need for comprehensive investigations to better understand and manage pediatric femoral neck fractures, especially regarding factors influencing AVN and long-term outcomes.

Abstract Image

小儿股骨颈骨折手术效果的影响因素分析:一项单一机构的回顾性研究。
目的:这项回顾性研究旨在评估小儿股骨颈骨折的手术效果并确定影响因素:研究共纳入了23名接受股骨颈骨折手术治疗的儿童患者的25个髋关节。对患者的人口统计学、骨折类型、手术技术、并发症和随访结果等数据进行了回顾性分析。评估了骨折移位、手术时机、固定方法和复位质量等与术后并发症有关的因素:结果:高处坠落占创伤机制的 48%,血管性坏死(AVN)是最常见的并发症(4 个髋关节)。虽然骨折移位、还原质量差和手术延迟在复杂病例中更为常见,但并未达到统计学意义。研究指出,出现血管性坏死与较差的临床效果之间存在关联(rho:0.428,P:0.05,CI:95%):手术治疗取得了良好的临床效果;然而,由于该研究的回顾性设计、样本量有限以及采用单中心方法,因此有必要进行更大规模的多中心研究。我们的研究结果表明,有必要进行全面调查,以更好地了解和处理小儿股骨颈骨折,尤其是影响AVN和长期预后的因素。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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