Pediatric Forearm Fractures: TEN (Titanium Elastic Nail) versus Plate Screw Fixation for Surgical Treatment

Mustafa Altıntaş; Mehmet Ozel; Ali Cankut Tatlıparmak

Makale detayları

Pediatric Forearm Fractures: TEN (Titanium Elastic Nail) versus Plate Screw Fixation for Surgical Treatment

Yazarlar:

Mustafa Altıntaş | Mehmet Ozel | Ali Cankut Tatlıparmak

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.326-329

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292829

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 BackgroundAims: In pediatric forearm fractures, the choice of surgical technique and fixation method can be challenging. Surgically treated pediatric patients younger than 14 years with Titanium Elastic Nails TEN or Plate Screw FixationPSF were compared clinically, in cost, and in terms of postoperative outcomes. Method: In the retrospective case-control study, pediatric forearm fractures operated on at a level I trauma center between 2017 and 2022 were examined. Surgically treated forearm fractures in pediatric patients under 14 years of age were included in this study group. Results: A mean age of 10.83 - 3.28 years was found among the 109 patients. The PSF group 12.87-2.76 years was 3.17 95 CI 2.02 - 4.33 years older than the TEN group 9.7-3 years p0.001; students t-test. The median implant cost in the TEN group 85 IQR 64 - 120 dollars was significantly lower than in the PSF group 258 IQR 205 - 336 dollars p0.001; Mann-Whitney-U. The day callus tissue was observed on the X-ray differed significantly between the groups p0.001; chi-square test. Conclusion: In younger children, surgeons preferred TEN due to the likelihood of remodeling associated with growth, the possibility of forming a callus sooner, and the lower cost compared to PSF.

 BackgroundAims: In pediatric forearm fractures, the choice of surgical technique and fixation method can be challenging. Surgically treated pediatric patients younger than 14 years with Titanium Elastic Nails TEN or Plate Screw FixationPSF were compared clinically, in cost, and in terms of postoperative outcomes. Method: In the retrospective case-control study, pediatric forearm fractures operated on at a level I trauma center between 2017 and 2022 were examined. Surgically treated forearm fractures in pediatric patients under 14 years of age were included in this study group. Results: A mean age of 10.83 - 3.28 years was found among the 109 patients. The PSF group 12.87-2.76 years was 3.17 95 CI 2.02 - 4.33 years older than the TEN group 9.7-3 years p0.001; students t-test. The median implant cost in the TEN group 85 IQR 64 - 120 dollars was significantly lower than in the PSF group 258 IQR 205 - 336 dollars p0.001; Mann-Whitney-U. The day callus tissue was observed on the X-ray differed significantly between the groups p0.001; chi-square test. Conclusion: In younger children, surgeons preferred TEN due to the likelihood of remodeling associated with growth, the possibility of forming a callus sooner, and the lower cost compared to PSF.

 BackgroundAims: In pediatric forearm fractures, the choice of surgical technique and fixation method can be challenging. Surgically treated pediatric patients younger than 14 years with Titanium Elastic Nails TEN or Plate Screw FixationPSF were compared clinically, in cost, and in terms of postoperative outcomes. Method: In the retrospective case-control study, pediatric forearm fractures operated on at a level I trauma center between 2017 and 2022 were examined. Surgically treated forearm fractures in pediatric patients under 14 years of age were included in this study group. Results: A mean age of 10.83 - 3.28 years was found among the 109 patients. The PSF group 12.87-2.76 years was 3.17 95 CI 2.02 - 4.33 years older than the TEN group 9.7-3 years p0.001; students t-test. The median implant cost in the TEN group 85 IQR 64 - 120 dollars was significantly lower than in the PSF group 258 IQR 205 - 336 dollars p0.001; Mann-Whitney-U. The day callus tissue was observed on the X-ray differed significantly between the groups p0.001; chi-square test. Conclusion: In younger children, surgeons preferred TEN due to the likelihood of remodeling associated with growth, the possibility of forming a callus sooner, and the lower cost compared to PSF.

 Amaç: Pediatrik önkol kırıklarında cerrahi teknik ve tespit yöntemi seçimi zor olabilir. Titanyum Elastik ÇivilerleTEN veya Plak Vida TespitiPSF ile cerrahi olarak tedavi edilen 14 yaşından küçük pediyatrik hastalar klinik, maliyet ve postoperatif sonuçlar açısından karşılaştırıldı. Yöntemler: Retrospektif vaka-kontrol çalışmasında 2017-2022 yılları arasında I. seviye bir travma merkezinde opere edilen pediatrik önkol kırıkları incelenmiştir. Bu çalışma grubuna 14 yaş altı pediatrik hastalarda cerrahi olarak tedavi edilen ön kol kırıkları dahil edildi. Sonuçlar: 109 hastanın ortalama yaşı 10,83 - 3,28 bulundu. PSF grubu 12,872,76 yıl, TEN grubundan 9,73 yıl 3,17 95 GA 2,02 - 4,33 yıl daha büyüktü p0,001; students t-testi. TEN grubunda medyan implant maliyeti 85 IQR 64 - 120 dolar, PSF grubundan 258 IQR 205 - 336 dolar anlamlı derecede düşüktü p0.001; Mann-Whitney-U. Röntgende kallus dokusunun görüldüğü gün gruplar arasında anlamlı farklılık gösterdi p0.001; ki-kare testi. Tartışma: Ortopedistler küçük yaştaki çocuklarda, büyüme ile ilişkili yeniden şekillenme olasılığı, daha erken bir kallus oluşturma olasılığı ve PSF ile karşılaştırıldığında daha düşük maliyet nedeniyle TEN tercih ettiler.

Makale detayları

Pediatric Forearm Fractures: TEN (Titanium Elastic Nail) versus Plate Screw Fixation for Surgical Treatment

Yazarlar:

Mustafa Altıntaş | Mehmet Ozel | Ali Cankut Tatlıparmak

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.326-329

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292829

pISSN:

2602-3741

Pediatric Forearm Fracture

TEN

Plate Screw Fixation

CostPediatrik Ön Kol Kırığı

Titanyum Elastik Çivi

Plak Vida Tespiti

Maliyet

Sayı

Makale detayları

Yazarlar: Mustafa Altıntaş | Mehmet Ozel | Ali Cankut Tatlıparmak

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Genel Tıp Dergisi Vol.33 Issue 3, pp.326-329

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001292829

pISSN: 2602-3741

Sayı

Yazarlar:

Mustafa Altıntaş | Mehmet Ozel | Ali Cankut Tatlıparmak

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.326-329

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292829

pISSN:

2602-3741