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The Validity of ESIN Method of Osteosynthesis Compared to other Active Surgical Methods of Treatment of Diaphyseal Fractures of Long Bones in Children and Adolescents
Nado Bukvić
Ante Kvesić
Zdrinko Brekalo
Željko Martinović
Velimir Valjan
Suzana Jonovska
Robet Karlo
Grga Martinović
Šime Vučkov
Sažetak
We investigated the relationship of efficiency in the application of the ESIN method of intramedullary osteosynthesis
and other active surgical methods in the treatment of diaphyseal fractures of long bones in children and adolescents. The
study comprised 100 subjects treated by elastic stable intramedullary osteosynthesis (ESIN – group A) and 50 subjects in
whom other active surgical methods were applied (group B). The following criteria of efficiency of treatment were applied:
1. length of perioperative hospitalization, 2. time elapsed since the operation until the beginning of loading of the
traumatized extremity, 3. time elapsed since the operation until the full loading of the extremity, i.e. until the recovery of
the fracture, 4. incidence of complications, 5. number of post-operative outpatient clinical visits until the recovery of the
fracture and 6. overall number of X-ray images of the fractured bone since the accident until the coalescence of the fracture.
The results obtained in both groups were compared. 1. The length of perioperative hospitalization is shorter in patients
in whom ESIN method was applied. The difference between arithmetic means was 4.45 days and is statistically
significant (p<0.001). 2. The time between the operation until the beginning of loading of the extremity is shorter in patients
subjected to ESIN method of osteosynthesis, the difference of mean values being 23.49 days and is statistically significant
(p<0.001). 3. The time between the operation until the full loading of the extremity is shorter in patients subjected
to ESIN method of osteosynthesis, the difference being 16.6 days and is statistically significant (p<0.001). 4. The
number of complications in patients treated by the ESIN method of osteosynthesis is not statistically different from that
in group B (÷
2=0.25, p=0.62). 5. In postoperative period there were fewer outpatient controls in patients to whom ESIN
method of osteosynthesis was applied, and the difference is statistically significant (Z=7.69, p<0.001). 6. Likewise, the
overall number of X-ray controls was lesser (Z=8.06, p<0.001). The results of examining the above parameters point to a
greater efficiency of treating diaphyseal fractures of long bones in children and adolescents by the ESIN method of
osteosynthesis, compared to other active surgical methods.
Ključne riječi
bone fractures; treatment; ESIN method of osteosynthesis; other surgical methods
Hrčak ID:
68952
URI
Datum izdavanja:
24.6.2011.
Posjeta: 1.122 *