[A COMPARATIVE STUDY ON TWO FIXATION METHODS FOR BENIGN LONG BONE PATHOLOGICAL FRACTURES IN CHILDREN].
Summary
Elastic intramedullary nails are a better first choice than locking compression plates for treating pediatric benign long bone fractures, offering faster healing and lower costs. Both methods show good long-term outcomes with similar recurrence rates.
Area of Science:
- Pediatric Orthopedics
- Skeletal Pathologies
- Surgical Techniques
Background:
- Benign long bone pathological fractures in children require effective surgical stabilization.
- Choosing the optimal fixation method is crucial for patient recovery and minimizing complications.
Purpose of the Study:
- To compare the clinical effectiveness of elastic intramedullary nails versus locking compression plates for benign long bone pathological fractures in pediatric patients.
- To provide evidence-based guidance for selecting the most appropriate surgical intervention.
Main Methods:
- A randomized controlled trial involving 72 children with benign long bone pathological fractures.
- Patients were divided into two groups: elastic intramedullary nail fixation (n=33) and locking compression plate fixation (n=39).
- Comparative analysis of operative time, blood loss, costs, fracture healing, recurrence, and functional outcomes.
Main Results:
- Elastic intramedullary nail group demonstrated significantly shorter operation times, reduced intraoperative blood loss, and lower overall costs compared to the locking compression plate group.
- Faster fracture healing was observed in the elastic intramedullary nail group.
- Both fixation methods showed no significant differences in recurrence rates and achieved excellent functional outcomes at long-term follow-up.
Conclusions:
- Elastic intramedullary nail fixation is recommended as the primary treatment option for benign long bone pathological fractures in children.
- Locking compression plate fixation serves as a viable secondary option when indicated.
