儿童体质骨折中生长停止的风险因素分析 - - 一项前性研究
Nikki Hooper1, Liam Johnson2, Nicole Banting3
1Department of Orthopaedic Surgery, University of Otago, Christchurch 9016, New Zealand.
Journal of clinical medicine
|May 25, 2024
概括
高龄和右侧骨骨折增加了儿童增长停止的风险. 远距离大腿骨骨折显示,增长停止的发生率最高,影响四肢长度和变形.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科创伤学 儿科创伤学
- 骨的发育 骨的发育
背景情况:
- 身体骨折占儿科骨折的18-30%,高达5.5%的骨折导致生长停止和随后的变形.
- 预测哪些骨骨折导致生长停止仍然是一个重大的临床挑战.
研究的目的:
- 为了确定与儿科骨折后体生长停止相关的因素.
- 开发生长停止的临床预测模型,以改善患者的治疗结果.
主要方法:
- 一项前性队列研究,包括332名年龄在18岁或更年轻的患者,患有开放体和体骨折.
- 排除标准包括先前的同一地点骨折或影响骨生长的条件.
- 收集的数据:人口统计,预后指标和放射数据在基线,治愈期间和1年和2年的随访.
主要成果:
- 年龄较大的儿童 (12.8岁对9.4岁) 和右侧损伤 (53.0%对45.7%) 的增长停滞更常见.
- 在增长停止组中观察到更高的初始位移和角度.
- 距离大腿骨骨折的增长停止率最高 (86%).
结论:
- 观察到的增长停止发病率 (30.1%) 可能高于之前报告的,可能是由于诊断标准的变化.
- 临近骨成熟的老年患者可能会经历临床上不那么显著的生长停滞.
- 需要进一步的长期随访,以确定真正的风险因素,发病率和临床影响.
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