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Эффективность остеосинтеза гибкими титановыми стержнями в лечении переломов бедренной кости у детей младшего возраста в отдаленном периоде
Эффективность остеосинтеза гибкими титановыми стержнями в лечении переломов бедренной кости у детей младшего возраста в отдаленном периоде
Сидоров С.В., Челпаченко О.Б., Яцык С.П., Серова Н.Ю., Никишов С.О. Эффективность остеосинтеза гибкими титановыми стержнями в лечении переломов бедренной кости у детей младшего возраста в отдаленном периоде. Педиатрия. Consilium Medicum. 2023;4:262-268. DOI: 10.26442/26586630.2023.4.202440
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
________________________________________________
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Аннотация
Обоснование. В лечении переломов бедра в педиатрической практике отмечается тенденция к переходу от консервативных методов лечения с использованием вытяжения и гипсовой иммобилизации к хирургической стабилизации поврежденного сегмента с использованием металлоконструкций, что позволяет значительно сократить сроки стационарного лечения, обеспечить раннюю активизацию пациента, минимизировать риски неправильного сращения перелома.
Цель. Оценить отдаленные результаты лечения переломов бедренной кости методом остеосинтеза гибкими титановыми стержнями у детей в возрасте от 0 до 7 лет.
Материалы и методы. В исследование включены 118 детей 0–7 лет с переломами бедренной кости. Средний возраст − 3,3±1,8 года, 74 (62,7%) мальчика, 44 (37,3%) девочки. В основной группе (n=62) выполнено хирургическое лечение, преимущественно с помощью остеосинтеза гибкими титановыми стержнями (ESIN; n=56; 90,3%). В референтной группе (n=56) проведено консервативное лечение переломов.
Результаты. В основной группе в 74,2% случаев отмечена ускоренная консолидация перелома, в референтной группе – в 32,1% случаев (p=0,032). При применении консервативного лечения у половины пациентов имела место замедленная консолидация переломов, после хирургического лечения отмечено всего 5 подобных случаев (8,1%; p=0,005). Общая частота отдаленных осложнений после лечения переломов (контрактура и деформация смежных суставов) в основной группе − 8,1%, в референтной группе – 23,2% (p<0,05). В основной группе 51,6% пациентов не имели ограничений движения в смежных суставах (в референтной группе − 19,6%; p=0,012) и 64,5% не имели изменения длины конечностей (в референтной группе − 17,9%; p=0,025). В основной группе 88,7% родственников детей оценили результат лечения как «отличный» и «хороший», в референтной группе 83,9% оценок оказались удовлетворительными и неудовлетворительными.
Заключение. Отдаленные результаты лечения переломов бедренной кости у детей 0–7 лет с помощью остеосинтеза TEN лучше, а удовлетворенность лечением родственников детей выше, чем при использовании консервативных методов.
Ключевые слова: диафизарный перелом бедренной кости, дети, интрамедуллярный остеосинтез гибкими титановыми стержнями, ESIN, фиксатор TEN
Aim. To evaluate the results of treatment of femoral fractures by osteosynthesis with flexible titanium rods in children aged 0 to 7 years in the long-term period.
Materials and methods. The study included 118 children aged 0–7 years with femoral fractures. Average age – 3.3±1.8 years, 74 (62.7%) boys, 44 (37.3%) girls. In the main group (n=62), surgical treatment was performed, mainly with the help of osteosynthesis with flexible titanium rods – ESIN (n=56; 90.3%). The reference group (n=56) underwent conservative treatment of fractures.
Results. In the main group, accelerated fracture consolidation was noted in 74.2%, in the reference group – 32.1% of cases (p=0.032). With the use of conservative treatment, half of the patients had delayed consolidation of fractures, after surgical treatment there were only 5 such cases (8.1%, p=0.005). The overall frequency of long-term complications after fracture treatment (contracture and deformity of adjacent joints) in the main group was 8.1%, in the reference group it was 23.2% (p<0.05). In the main group, 51.6% of patients had no movement restrictions in adjacent joints (in the reference group – 19.6%, p=0.012) and 64.5% had no change in limb length (in the reference group – 17.9%, p=0.025). In the main group, 88.7% of the children's relatives rated the result of treatment as “excellent” and “good”, in the reference group 83.9% of the ratings were satisfactory and unsatisfactory.
Conclusion. Long-term results of treatment of femoral fractures in children aged 0–7 years using ESIN are better, and satisfaction with treatment of relatives of children is higher than with conservative methods.
Keywords: diaphyseal fracture of the femur, children, intramedullary osteosynthesis with flexible titanium rods, ESIN, TEN retainer
Цель. Оценить отдаленные результаты лечения переломов бедренной кости методом остеосинтеза гибкими титановыми стержнями у детей в возрасте от 0 до 7 лет.
Материалы и методы. В исследование включены 118 детей 0–7 лет с переломами бедренной кости. Средний возраст − 3,3±1,8 года, 74 (62,7%) мальчика, 44 (37,3%) девочки. В основной группе (n=62) выполнено хирургическое лечение, преимущественно с помощью остеосинтеза гибкими титановыми стержнями (ESIN; n=56; 90,3%). В референтной группе (n=56) проведено консервативное лечение переломов.
Результаты. В основной группе в 74,2% случаев отмечена ускоренная консолидация перелома, в референтной группе – в 32,1% случаев (p=0,032). При применении консервативного лечения у половины пациентов имела место замедленная консолидация переломов, после хирургического лечения отмечено всего 5 подобных случаев (8,1%; p=0,005). Общая частота отдаленных осложнений после лечения переломов (контрактура и деформация смежных суставов) в основной группе − 8,1%, в референтной группе – 23,2% (p<0,05). В основной группе 51,6% пациентов не имели ограничений движения в смежных суставах (в референтной группе − 19,6%; p=0,012) и 64,5% не имели изменения длины конечностей (в референтной группе − 17,9%; p=0,025). В основной группе 88,7% родственников детей оценили результат лечения как «отличный» и «хороший», в референтной группе 83,9% оценок оказались удовлетворительными и неудовлетворительными.
Заключение. Отдаленные результаты лечения переломов бедренной кости у детей 0–7 лет с помощью остеосинтеза TEN лучше, а удовлетворенность лечением родственников детей выше, чем при использовании консервативных методов.
Ключевые слова: диафизарный перелом бедренной кости, дети, интрамедуллярный остеосинтез гибкими титановыми стержнями, ESIN, фиксатор TEN
________________________________________________
Aim. To evaluate the results of treatment of femoral fractures by osteosynthesis with flexible titanium rods in children aged 0 to 7 years in the long-term period.
Materials and methods. The study included 118 children aged 0–7 years with femoral fractures. Average age – 3.3±1.8 years, 74 (62.7%) boys, 44 (37.3%) girls. In the main group (n=62), surgical treatment was performed, mainly with the help of osteosynthesis with flexible titanium rods – ESIN (n=56; 90.3%). The reference group (n=56) underwent conservative treatment of fractures.
Results. In the main group, accelerated fracture consolidation was noted in 74.2%, in the reference group – 32.1% of cases (p=0.032). With the use of conservative treatment, half of the patients had delayed consolidation of fractures, after surgical treatment there were only 5 such cases (8.1%, p=0.005). The overall frequency of long-term complications after fracture treatment (contracture and deformity of adjacent joints) in the main group was 8.1%, in the reference group it was 23.2% (p<0.05). In the main group, 51.6% of patients had no movement restrictions in adjacent joints (in the reference group – 19.6%, p=0.012) and 64.5% had no change in limb length (in the reference group – 17.9%, p=0.025). In the main group, 88.7% of the children's relatives rated the result of treatment as “excellent” and “good”, in the reference group 83.9% of the ratings were satisfactory and unsatisfactory.
Conclusion. Long-term results of treatment of femoral fractures in children aged 0–7 years using ESIN are better, and satisfaction with treatment of relatives of children is higher than with conservative methods.
Keywords: diaphyseal fracture of the femur, children, intramedullary osteosynthesis with flexible titanium rods, ESIN, TEN retainer
Полный текст
Список литературы
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13. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
14. Скворцов А.П., Андреев П.С., Кузнецова Р.Г. Анализ результатов лечения детей и подростков с переломами бедренной кости с применением различных вариантов остеофиксации. The Scientific Heritage. 2020; 55-2:13‑6 [Skvortsov AP, Andreev PS, Kuznetsova RG. Analysis of the results of treatment of children and adolescents with femoral fractures using various options of osteofixation. The Scientific Heritage. 2020; 55-2:13-6 (in Russian)].
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16. Kalbitz M, Fischer A, Weber B, et al. Diaphyseal Femur Fractures in Children and Adolescents-Opportunities and Limitations of the ESIN Technique. J Clin Med. 2022;11(24):7345. DOI:10.3390/jcm11247345
17. Luo Y, Wang L, Zhao LH, et al. Elastic Stable Titanium Flexible Intramedullary Nails Versus Plates in Treating Low Grade Comminuted Femur Shaft Fractures in Children. Orthop Surg. 2019;11(4):664-70. DOI:10.1111/os.12514
18. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
19. Kawalkar A, Badole CM. Percutaneous titanium elastic nail for femoral shaft fracture in patient between 5 and 15 years. J Orthop. 2018;15(2):695-700. DOI:10.1016/j.jor.2018.05.019
20. Memeo A, Panuccio E, D'Amato RD, et al. Retrospective, multicenter evaluation of complications in the treatment of diaphyseal femur fractures in pediatric patients. Injury. 2019; Suppl 4:60-63. DOI:10.1016/j.injury.2019.01.009
21. Frei B, Mayr J, de Bernardis G, et al. Elastic stabile intramedullary nailing (ESIN) of diaphyseal femur fractures in children and adolescents: A strobe-compliant study. Medicine (Baltimore). 2019;98(14):e15085. DOI:10.1097/MD.0000000000015085
22. Busch MT, Perkins CA, Nickel BT, et al. A Quartet of Elastic Stable Intramedullary Nails for More Challenging Pediatric Femur Fractures. J Pediatr Orthop. 2019;39(1):12-7. DOI:10.1097/BPO.0000000000001273
23. van Cruchten S, Warmerdam EC, Kempink DRJ, de Ridder VA. Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2022;48(5):3409-27. DOI:10.1007/s00068-021-01752-7
24. Brnjoš K, Lyons DK, Hyman MJ, Patel NM. Spica Casting Results in More Unplanned Reoperations than Elastic Intramedullary Nailing: A National Analysis of Femur Fractures in the Preschool Population. J Am Acad Orthop Surg Glob Res Rev. 2020;4(10):e20.00169. DOI:10.5435/JAAOSGlobal-D-20-00169
25. Basch E, Barbera L, Kerrigan CL, Velikova G. Implementation of Patient-Reported Outcomes in Routine Medical Care. Am Soc Clin Oncol Educ Book. 2018;38:122-34. DOI:10.1200/EDBK_200383
26. Мухина С.М., Орлова Е.В. Исходы, сообщаемые пациентами: обзор направлений применения. Реальная клиническая практика: данные и доказательства. 2022;2(2):1-7 [Mukhina SM, Orlova EV. Patient-reported outcomes: an overview of applications. Real-World Data & Evidence. 2022;2(2):1-7 (in Russian)]. DOI:10.37489/2782-3784-myrwd-12
27. Galper A, Shamai-Rosler O, Stanger V, Zimlichman E. PRO (Patient Reported Outcomes) Implementation: From Vision to Reality. Stud Health Technol Inform. 2019;264:1839-40. DOI:10.3233/SHTI190674
28 Yaokreh JB, Sounkéré-Soro M, Tembely S, et al. Compared outcomes of femoral shaft fracture treatment in school-age children in Sub-Saharan Africa: Primary open reduction and intramedullary K-wire fixation versus traction followed by spica cast. Afr J Paediatr Surg. 2021;18(2):79-84. DOI:10.4103/ajps.AJPS_35_20
29. Arneitz C, Szilagyi I, Lehner B, et al. Therapy preference of 131 parents confronted with a pediatric femoral fracture. Front Pediatr. 2022;10:949019. DOI:10.3389/fped.2022.949019
2. Macha AP, Temu R, Olotu F, et al. Epidemiology and associated injuries in paediatric diaphyseal femur fractures treated at a limited resource zonal referral hospital in northern Tanzania. BMC Musculoskelet Disord. 2022;23(1):360. DOI:10.1186/s12891-022-05320-x
3. Rapp K, Büchele G, Dreinhöfer K, et al. Epidemiology of hip fractures: Systematic literature review of German data and an overview of the international literature. Z Gerontol Geriatr. 2019;52(1):10-6. DOI:10.1007/s00391-018-1382-z
4. Antabak A, Boršćak N, Čagalj M, et al. Treatment of pediatric femoral fractures in the city of Zagreb. Acta Clin Croat. 2020;59(4):686-95. DOI:10.20471/acc.2020.59.04.15
5. Andreacchio A, Alberghina F, Marengo L, Canavese F. Pediatric tibia and femur fractures in patients weighing more than 50 kg (110 lb): mini-review on current treatment options and outcome. Musculoskelet Surg. 2019;103(1):23-30. DOI:10.1007/s12306-018-0570-8
6. Parikh SN, Jain VV, Denning J, et al. Complications of elastic stable intramedullary nailing in pediatric fracture management: AAOS exhibit selection. J Bone Jt Surg Am. 2012;94(24):e184. DOI:10.2106/JBJS.L.00668
7. John R, Sharma S, Raj GN, et al. Current concepts in paediatric femoral shaft fractures. Open Orthop J. 2017;11(1):353-68. DOI:10.2174/1874325001711010353
8. Yigit Ş, Yıldırım A. The surgery outcomes of pediatric femoral shaft fractures and comparision of radiation risks. Acta Biomed. 2020;91(2):326-31. DOI:10.23750/abm.v91i2.8709
9. Milligan D, Henderson L, Tucker A, Ballard J. Elastic nail fixation versus plate fixation of paediatric femoral fractures in school age patients – a retrospective observational study. J Orthop. 2019;19:153-7. DOI:10.1016/j.jor.2019.11.033
10. Rollo G, Guida P, Bisaccia M, et al. TEN versus external fixator in the management of pediatric diaphyseal femoral fractures: evaluation of the outcomes. Eur J Orthop Surg Traumatol. 2018;28(7):1421-8. DOI:10.1007/s00590-018-2201-3
11. Marengo L, Nasto L.A, Michelis M.B, Boero S. Elastic stable intramedullary nailing (ESIN) in paediatric femur and tibia shaft fractures: Comparison between titanium and stainless steel nails. Injury. 2018;49 Suppl. 3:8-11. DOI:10.1016/j.injury.2018.09.049
12. Weltsch D, Baldwin KD, Talwar D, Flynn J.M. Expert Consensus for a Principle-based Classification for Treatment of Diaphyseal Pediatric Femur Fractures. J Pediatr Orthop. 2020;40(8):e669-75. DOI:10.1097/BPO.0000000000001550
13. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
14. Skvortsov AP, Andreev PS, Kuznetsova RG. Analysis of the results of treatment of children and adolescents with femoral fractures using various options of osteofixation. The Scientific Heritage. 2020; 55-2:13-6 (in Russian).
15. Sanghavi S, Patwardhan S, Shyam A, et al. Nonunion in Pediatric Femoral Neck Fractures. J Bone Joint Surg Am. 2020;102(11):1000-10. DOI:10.2106/JBJS.19.01117
16. Kalbitz M, Fischer A, Weber B, et al. Diaphyseal Femur Fractures in Children and Adolescents-Opportunities and Limitations of the ESIN Technique. J Clin Med. 2022;11(24):7345. DOI:10.3390/jcm11247345
17. Luo Y, Wang L, Zhao LH, et al. Elastic Stable Titanium Flexible Intramedullary Nails Versus Plates in Treating Low Grade Comminuted Femur Shaft Fractures in Children. Orthop Surg. 2019;11(4):664-70. DOI:10.1111/os.12514
18. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
19. Kawalkar A, Badole CM. Percutaneous titanium elastic nail for femoral shaft fracture in patient between 5 and 15 years. J Orthop. 2018;15(2):695-700. DOI:10.1016/j.jor.2018.05.019
20. Memeo A, Panuccio E, D'Amato RD, et al. Retrospective, multicenter evaluation of complications in the treatment of diaphyseal femur fractures in pediatric patients. Injury. 2019; Suppl 4:60-63. DOI:10.1016/j.injury.2019.01.009
21. Frei B, Mayr J, de Bernardis G, et al. Elastic stabile intramedullary nailing (ESIN) of diaphyseal femur fractures in children and adolescents: A strobe-compliant study. Medicine (Baltimore). 2019;98(14):e15085. DOI:10.1097/MD.0000000000015085
22. Busch MT, Perkins CA, Nickel BT, et al. A Quartet of Elastic Stable Intramedullary Nails for More Challenging Pediatric Femur Fractures. J Pediatr Orthop. 2019;39(1):12-7. DOI:10.1097/BPO.0000000000001273
23. van Cruchten S, Warmerdam EC, Kempink DRJ, de Ridder VA. Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2022;48(5):3409-27. DOI:10.1007/s00068-021-01752-7
24. Brnjoš K, Lyons DK, Hyman MJ, Patel NM. Spica Casting Results in More Unplanned Reoperations than Elastic Intramedullary Nailing: A National Analysis of Femur Fractures in the Preschool Population. J Am Acad Orthop Surg Glob Res Rev. 2020;4(10):e20.00169. DOI:10.5435/JAAOSGlobal-D-20-00169
25. Basch E, Barbera L, Kerrigan CL, Velikova G. Implementation of Patient-Reported Outcomes in Routine Medical Care. Am Soc Clin Oncol Educ Book. 2018;38:122-34. DOI:10.1200/EDBK_200383
26. Mukhina SM, Orlova EV. Patient-reported outcomes: an overview of applications. Real-World Data & Evidence. 2022;2(2):1-7 (in Russian). DOI:10.37489/2782-3784-myrwd-12
27. Galper A, Shamai-Rosler O, Stanger V, Zimlichman E. PRO (Patient Reported Outcomes) Implementation: From Vision to Reality. Stud Health Technol Inform. 2019;264:1839-40. DOI:10.3233/SHTI190674
28 Yaokreh JB, Sounkéré-Soro M, Tembely S, et al. Compared outcomes of femoral shaft fracture treatment in school-age children in Sub-Saharan Africa: Primary open reduction and intramedullary K-wire fixation versus traction followed by spica cast. Afr J Paediatr Surg. 2021;18(2):79-84. DOI:10.4103/ajps.AJPS_35_20
29. Arneitz C, Szilagyi I, Lehner B, et al. Therapy preference of 131 parents confronted with a pediatric femoral fracture. Front Pediatr. 2022;10:949019. DOI:10.3389/fped.2022.949019
2. Macha AP, Temu R, Olotu F, et al. Epidemiology and associated injuries in paediatric diaphyseal femur fractures treated at a limited resource zonal referral hospital in northern Tanzania. BMC Musculoskelet Disord. 2022;23(1):360. DOI:10.1186/s12891-022-05320-x
3. Rapp K, Büchele G, Dreinhöfer K, et al. Epidemiology of hip fractures: Systematic literature review of German data and an overview of the international literature. Z Gerontol Geriatr. 2019;52(1):10-6. DOI:10.1007/s00391-018-1382-z
4. Antabak A, Boršćak N, Čagalj M, et al. Treatment of pediatric femoral fractures in the city of Zagreb. Acta Clin Croat. 2020;59(4):686-95. DOI:10.20471/acc.2020.59.04.15
5. Andreacchio A, Alberghina F, Marengo L, Canavese F. Pediatric tibia and femur fractures in patients weighing more than 50 kg (110 lb): mini-review on current treatment options and outcome. Musculoskelet Surg. 2019;103(1):23-30. DOI:10.1007/s12306-018-0570-8
6. Parikh SN, Jain VV, Denning J, et al. Complications of elastic stable intramedullary nailing in pediatric fracture management: AAOS exhibit selection. J Bone Jt Surg Am. 2012;94(24):e184. DOI:10.2106/JBJS.L.00668
7. John R, Sharma S, Raj GN, et al. Current concepts in paediatric femoral shaft fractures. Open Orthop J. 2017;11(1):353-68. DOI:10.2174/1874325001711010353
8. Yigit Ş, Yıldırım A. The surgery outcomes of pediatric femoral shaft fractures and comparision of radiation risks. Acta Biomed. 2020;91(2):326-31. DOI:10.23750/abm.v91i2.8709
9. Milligan D, Henderson L, Tucker A, Ballard J. Elastic nail fixation versus plate fixation of paediatric femoral fractures in school age patients – a retrospective observational study. J Orthop. 2019;19:153-7. DOI:10.1016/j.jor.2019.11.033
10. Rollo G, Guida P, Bisaccia M, et al. TEN versus external fixator in the management of pediatric diaphyseal femoral fractures: evaluation of the outcomes. Eur J Orthop Surg Traumatol. 2018;28(7):1421-8. DOI:10.1007/s00590-018-2201-3
11. Marengo L, Nasto L.A, Michelis M.B, Boero S. Elastic stable intramedullary nailing (ESIN) in paediatric femur and tibia shaft fractures: Comparison between titanium and stainless steel nails. Injury. 2018;49 Suppl. 3:8-11. DOI:10.1016/j.injury.2018.09.049
12. Weltsch D, Baldwin KD, Talwar D, Flynn J.M. Expert Consensus for a Principle-based Classification for Treatment of Diaphyseal Pediatric Femur Fractures. J Pediatr Orthop. 2020;40(8):e669-75. DOI:10.1097/BPO.0000000000001550
13. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
14. Скворцов А.П., Андреев П.С., Кузнецова Р.Г. Анализ результатов лечения детей и подростков с переломами бедренной кости с применением различных вариантов остеофиксации. The Scientific Heritage. 2020; 55-2:13‑6 [Skvortsov AP, Andreev PS, Kuznetsova RG. Analysis of the results of treatment of children and adolescents with femoral fractures using various options of osteofixation. The Scientific Heritage. 2020; 55-2:13-6 (in Russian)].
15. Sanghavi S, Patwardhan S, Shyam A, et al. Nonunion in Pediatric Femoral Neck Fractures. J Bone Joint Surg Am. 2020;102(11):1000-10. DOI:10.2106/JBJS.19.01117
16. Kalbitz M, Fischer A, Weber B, et al. Diaphyseal Femur Fractures in Children and Adolescents-Opportunities and Limitations of the ESIN Technique. J Clin Med. 2022;11(24):7345. DOI:10.3390/jcm11247345
17. Luo Y, Wang L, Zhao LH, et al. Elastic Stable Titanium Flexible Intramedullary Nails Versus Plates in Treating Low Grade Comminuted Femur Shaft Fractures in Children. Orthop Surg. 2019;11(4):664-70. DOI:10.1111/os.12514
18. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
19. Kawalkar A, Badole CM. Percutaneous titanium elastic nail for femoral shaft fracture in patient between 5 and 15 years. J Orthop. 2018;15(2):695-700. DOI:10.1016/j.jor.2018.05.019
20. Memeo A, Panuccio E, D'Amato RD, et al. Retrospective, multicenter evaluation of complications in the treatment of diaphyseal femur fractures in pediatric patients. Injury. 2019; Suppl 4:60-63. DOI:10.1016/j.injury.2019.01.009
21. Frei B, Mayr J, de Bernardis G, et al. Elastic stabile intramedullary nailing (ESIN) of diaphyseal femur fractures in children and adolescents: A strobe-compliant study. Medicine (Baltimore). 2019;98(14):e15085. DOI:10.1097/MD.0000000000015085
22. Busch MT, Perkins CA, Nickel BT, et al. A Quartet of Elastic Stable Intramedullary Nails for More Challenging Pediatric Femur Fractures. J Pediatr Orthop. 2019;39(1):12-7. DOI:10.1097/BPO.0000000000001273
23. van Cruchten S, Warmerdam EC, Kempink DRJ, de Ridder VA. Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2022;48(5):3409-27. DOI:10.1007/s00068-021-01752-7
24. Brnjoš K, Lyons DK, Hyman MJ, Patel NM. Spica Casting Results in More Unplanned Reoperations than Elastic Intramedullary Nailing: A National Analysis of Femur Fractures in the Preschool Population. J Am Acad Orthop Surg Glob Res Rev. 2020;4(10):e20.00169. DOI:10.5435/JAAOSGlobal-D-20-00169
25. Basch E, Barbera L, Kerrigan CL, Velikova G. Implementation of Patient-Reported Outcomes in Routine Medical Care. Am Soc Clin Oncol Educ Book. 2018;38:122-34. DOI:10.1200/EDBK_200383
26. Мухина С.М., Орлова Е.В. Исходы, сообщаемые пациентами: обзор направлений применения. Реальная клиническая практика: данные и доказательства. 2022;2(2):1-7 [Mukhina SM, Orlova EV. Patient-reported outcomes: an overview of applications. Real-World Data & Evidence. 2022;2(2):1-7 (in Russian)]. DOI:10.37489/2782-3784-myrwd-12
27. Galper A, Shamai-Rosler O, Stanger V, Zimlichman E. PRO (Patient Reported Outcomes) Implementation: From Vision to Reality. Stud Health Technol Inform. 2019;264:1839-40. DOI:10.3233/SHTI190674
28 Yaokreh JB, Sounkéré-Soro M, Tembely S, et al. Compared outcomes of femoral shaft fracture treatment in school-age children in Sub-Saharan Africa: Primary open reduction and intramedullary K-wire fixation versus traction followed by spica cast. Afr J Paediatr Surg. 2021;18(2):79-84. DOI:10.4103/ajps.AJPS_35_20
29. Arneitz C, Szilagyi I, Lehner B, et al. Therapy preference of 131 parents confronted with a pediatric femoral fracture. Front Pediatr. 2022;10:949019. DOI:10.3389/fped.2022.949019
________________________________________________
2. Macha AP, Temu R, Olotu F, et al. Epidemiology and associated injuries in paediatric diaphyseal femur fractures treated at a limited resource zonal referral hospital in northern Tanzania. BMC Musculoskelet Disord. 2022;23(1):360. DOI:10.1186/s12891-022-05320-x
3. Rapp K, Büchele G, Dreinhöfer K, et al. Epidemiology of hip fractures: Systematic literature review of German data and an overview of the international literature. Z Gerontol Geriatr. 2019;52(1):10-6. DOI:10.1007/s00391-018-1382-z
4. Antabak A, Boršćak N, Čagalj M, et al. Treatment of pediatric femoral fractures in the city of Zagreb. Acta Clin Croat. 2020;59(4):686-95. DOI:10.20471/acc.2020.59.04.15
5. Andreacchio A, Alberghina F, Marengo L, Canavese F. Pediatric tibia and femur fractures in patients weighing more than 50 kg (110 lb): mini-review on current treatment options and outcome. Musculoskelet Surg. 2019;103(1):23-30. DOI:10.1007/s12306-018-0570-8
6. Parikh SN, Jain VV, Denning J, et al. Complications of elastic stable intramedullary nailing in pediatric fracture management: AAOS exhibit selection. J Bone Jt Surg Am. 2012;94(24):e184. DOI:10.2106/JBJS.L.00668
7. John R, Sharma S, Raj GN, et al. Current concepts in paediatric femoral shaft fractures. Open Orthop J. 2017;11(1):353-68. DOI:10.2174/1874325001711010353
8. Yigit Ş, Yıldırım A. The surgery outcomes of pediatric femoral shaft fractures and comparision of radiation risks. Acta Biomed. 2020;91(2):326-31. DOI:10.23750/abm.v91i2.8709
9. Milligan D, Henderson L, Tucker A, Ballard J. Elastic nail fixation versus plate fixation of paediatric femoral fractures in school age patients – a retrospective observational study. J Orthop. 2019;19:153-7. DOI:10.1016/j.jor.2019.11.033
10. Rollo G, Guida P, Bisaccia M, et al. TEN versus external fixator in the management of pediatric diaphyseal femoral fractures: evaluation of the outcomes. Eur J Orthop Surg Traumatol. 2018;28(7):1421-8. DOI:10.1007/s00590-018-2201-3
11. Marengo L, Nasto L.A, Michelis M.B, Boero S. Elastic stable intramedullary nailing (ESIN) in paediatric femur and tibia shaft fractures: Comparison between titanium and stainless steel nails. Injury. 2018;49 Suppl. 3:8-11. DOI:10.1016/j.injury.2018.09.049
12. Weltsch D, Baldwin KD, Talwar D, Flynn J.M. Expert Consensus for a Principle-based Classification for Treatment of Diaphyseal Pediatric Femur Fractures. J Pediatr Orthop. 2020;40(8):e669-75. DOI:10.1097/BPO.0000000000001550
13. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
14. Skvortsov AP, Andreev PS, Kuznetsova RG. Analysis of the results of treatment of children and adolescents with femoral fractures using various options of osteofixation. The Scientific Heritage. 2020; 55-2:13-6 (in Russian).
15. Sanghavi S, Patwardhan S, Shyam A, et al. Nonunion in Pediatric Femoral Neck Fractures. J Bone Joint Surg Am. 2020;102(11):1000-10. DOI:10.2106/JBJS.19.01117
16. Kalbitz M, Fischer A, Weber B, et al. Diaphyseal Femur Fractures in Children and Adolescents-Opportunities and Limitations of the ESIN Technique. J Clin Med. 2022;11(24):7345. DOI:10.3390/jcm11247345
17. Luo Y, Wang L, Zhao LH, et al. Elastic Stable Titanium Flexible Intramedullary Nails Versus Plates in Treating Low Grade Comminuted Femur Shaft Fractures in Children. Orthop Surg. 2019;11(4):664-70. DOI:10.1111/os.12514
18. Cintean R, Eickhoff A, Pankratz C, et al. ESIN in femur fractures in children under 3: is it safe? Eur J Trauma Emerg Surg. 2022;48(5):3401-7. DOI:10.1007/s00068-022-01965-4
19. Kawalkar A, Badole CM. Percutaneous titanium elastic nail for femoral shaft fracture in patient between 5 and 15 years. J Orthop. 2018;15(2):695-700. DOI:10.1016/j.jor.2018.05.019
20. Memeo A, Panuccio E, D'Amato RD, et al. Retrospective, multicenter evaluation of complications in the treatment of diaphyseal femur fractures in pediatric patients. Injury. 2019; Suppl 4:60-63. DOI:10.1016/j.injury.2019.01.009
21. Frei B, Mayr J, de Bernardis G, et al. Elastic stabile intramedullary nailing (ESIN) of diaphyseal femur fractures in children and adolescents: A strobe-compliant study. Medicine (Baltimore). 2019;98(14):e15085. DOI:10.1097/MD.0000000000015085
22. Busch MT, Perkins CA, Nickel BT, et al. A Quartet of Elastic Stable Intramedullary Nails for More Challenging Pediatric Femur Fractures. J Pediatr Orthop. 2019;39(1):12-7. DOI:10.1097/BPO.0000000000001273
23. van Cruchten S, Warmerdam EC, Kempink DRJ, de Ridder VA. Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2022;48(5):3409-27. DOI:10.1007/s00068-021-01752-7
24. Brnjoš K, Lyons DK, Hyman MJ, Patel NM. Spica Casting Results in More Unplanned Reoperations than Elastic Intramedullary Nailing: A National Analysis of Femur Fractures in the Preschool Population. J Am Acad Orthop Surg Glob Res Rev. 2020;4(10):e20.00169. DOI:10.5435/JAAOSGlobal-D-20-00169
25. Basch E, Barbera L, Kerrigan CL, Velikova G. Implementation of Patient-Reported Outcomes in Routine Medical Care. Am Soc Clin Oncol Educ Book. 2018;38:122-34. DOI:10.1200/EDBK_200383
26. Mukhina SM, Orlova EV. Patient-reported outcomes: an overview of applications. Real-World Data & Evidence. 2022;2(2):1-7 (in Russian). DOI:10.37489/2782-3784-myrwd-12
27. Galper A, Shamai-Rosler O, Stanger V, Zimlichman E. PRO (Patient Reported Outcomes) Implementation: From Vision to Reality. Stud Health Technol Inform. 2019;264:1839-40. DOI:10.3233/SHTI190674
28 Yaokreh JB, Sounkéré-Soro M, Tembely S, et al. Compared outcomes of femoral shaft fracture treatment in school-age children in Sub-Saharan Africa: Primary open reduction and intramedullary K-wire fixation versus traction followed by spica cast. Afr J Paediatr Surg. 2021;18(2):79-84. DOI:10.4103/ajps.AJPS_35_20
29. Arneitz C, Szilagyi I, Lehner B, et al. Therapy preference of 131 parents confronted with a pediatric femoral fracture. Front Pediatr. 2022;10:949019. DOI:10.3389/fped.2022.949019
Авторы
С.В. Сидоров1, О.Б. Челпаченко*1,2, С.П. Яцык2, Н.Ю. Серова1, С.О. Никишов1
1ГБУ «Научно-исследовательский институт неотложной детской хирургии и травматологии» Департамента здравоохранения г. Москвы, Москва, Россия;
2ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России, Москва, Россия
*Chelpachenko81@mail.ru
1Research Institute of Emergency Pediatric Surgery and Traumatology, Moscow, Russia;
2National Medical Research Center for Children's Health, Moscow, Russia
*Chelpachenko81@mail.ru
1ГБУ «Научно-исследовательский институт неотложной детской хирургии и травматологии» Департамента здравоохранения г. Москвы, Москва, Россия;
2ФГАУ «Национальный медицинский исследовательский центр здоровья детей» Минздрава России, Москва, Россия
*Chelpachenko81@mail.ru
________________________________________________
1Research Institute of Emergency Pediatric Surgery and Traumatology, Moscow, Russia;
2National Medical Research Center for Children's Health, Moscow, Russia
*Chelpachenko81@mail.ru
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