Liječnički vjesnik, Vol. 134 No. 3-4, 2012.
Izvorni znanstveni članak
RESULTS OF TREATMENT OF TIBIAL FRACTURES IN CHILDREN
Anko Antabak
Tomislav Luetić
Stanko Ćavar
Slavko Davila
Marko Bogović
Stipe Batinica
Sažetak
Diaphyseal fractures of both lower leg bones are the most common fractures of lower extremities, and account for about 15% of all fractures of long bones in children. These fractures are usully unstabilae, difficult to reposition, and retention of the fragments, and the process of their treatment is not fully compliant. The paper analyzes the late results of treating 234 children with tibial fractures, depending on the method of treatment (surgical and conservative method). Twenty-three children had open fractures (9.8%). Nonsurgical method was used in the treatment of 194 children, and surgical in 40 children. The most frequent surgical method was closed reposition of the fragments, and percutaneous elastic stable intramedullary nailing with titanium wires. The success of the treatment was measured: residual angular deformities and difference in length beetwen treated and healthy leg. Secondary displacement of fragments after primary conservative treatment was found in 32 children. Angular deformities of the treated tibia was seen in 80 children, 68 (35.0%) treated conservatively and 12 (30.0%) surgically. In 131 (67.5%) conservatively treated and 29 (72.5%) surgically treated children there were no differences in the length of sick and healthy leg. Results of treatment in our children confirmed that there were no statistically significant differences in late effects depending on treatment methods.
Ključne riječi
Tibial fractures – classification, therapy, surgery; Fibula – injuries; Fractures, bone – classification, therapy, surgery; Treatment outcome
Hrčak ID:
172401
URI
Datum izdavanja:
30.4.2012.
Posjeta: 1.601 *