观察与石膏治疗幼儿骨折:前瞻性试点研究

Lauren Hyer, Christopher Bray, Edward Bray, Stephanie Tanner, Rebecca Snider, Michael Beckish
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引用次数: 0

摘要

"幼儿骨折 "在儿科人群中很常见。传统的治疗方法建议对这些骨折进行石膏固定,但由于其本身的稳定性,可能没有必要。本研究评估了幼儿骨折是否可以仅通过观察而非石膏治疗。这项前瞻性试验研究分为随机观察组和观察组。研究人员为儿童打上短石膏,或在不固定的情况下进行观察。家属会收到一份为期 21 天的行走记录表。3周和12周时进行X光片随访。21 名患者参加了治疗,其中 3 人是随机的,18 人选择了自己的治疗方法。13名患者使用石膏固定,8名患者无需固定。两组患者的活动时间相似(P = 0.260)。三位未固定的患者提前复位,但无一人转为石膏固定。所有骨折均顺利愈合。无石膏并发症。采用或不采用石膏固定治疗幼儿骨折似乎是安全有效的,但应由医生和家长共同决定。(外科骨科进展杂志》32(3):207-211,2023)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Observation versus Cast Treatment of Toddler's Fracture: A Prospective Pilot Study.

"Toddler's fractures" are common in the pediatric population. Traditional treatment recommends casting these fractures, although with their inherent stability, may be unnecessary. This study evaluated if toddler's fractures can be treated with observation alone as opposed to casts. A prospective pilot study was performed with randomization and observational arms. Children were placed in short casts or observed without immobilization. A 21-day log was given to families to record walking. Follow up with radiographs occurred at 3 and 12 weeks. Twenty-one patients enrolled, three randomized and 18 chose their treatment. Thirteen patients were casted, and eight went without immobilization. Ambulation time was similar between groups (p = 0.260). Three without immobilization returned early but none converted to cast. All fractures healed uneventfully. There were no cast complications. Toddler's fractures treated with or without cast immobilization appears to be safe and effective but should be a shared decision between physician and parents. (Journal of Surgical Orthopaedic Advances 32(3):207-211, 2023).

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