Comparison of clinical outcome, cost and union times in pediatric ankle fractures

Okan Ateş; Mustafa Altıntaş

Makale detayları

Comparison of clinical outcome, cost and union times in pediatric ankle fractures

Yazarlar:

Okan Ateş | Mustafa Altıntaş

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.832-838

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358388

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aims: The aim of this study was to evaluate the effects of fracture type and implant used in ankle-related fractures in pediatric patients on functional outcome, union time, hospital stay and cost. Methods: A total of 58 cases operated on due to ankle fractures between 2017 and 2023 were reviewed. Patients were divided into 4 groups according to diagnosis. The first group included patients with isolated malleolus fractures, the second group included patients with bimalleolar or trimalleolar fractures, the third group included patients with distal tibia fractures, and the fourth group included patients with distal tibia fractures with a lateral malleolus. Patients were divided into five groups according to the implants used. These were determined as: K-wire, cannulated screw, plate screw, cannulated screw and plate screw, cannulated screw and plate screwfixator. Demographic characteristics, union times, implant costs, and the American Orthopaedic Foot and Ankle Society AOFAS score were examined between the groups. Results: Union time was significantly shorter in patients with isolated malleolar fractures compared to other groups p0.042. Cost analysis by diagnosis showed that costs in the range of 100-300 were more common in isolated malleolar fractures, whereas costs exceeding 300 were more common in distal tibia fractures p0.001. Post-recovery AOFAS American Orthopaedic Foot  Ankle Society scores were significantly higher in the isolated malleolar fracture group compared to the bimalleolartrimalleolar and distal tibia fracture groups p0.001. Comparison between all groups; implant comparison, the mean union time in months was significantly longer in the cannulated screwplate and screwfixator group compared to the K-wire, cannulated screw, plate and screw, and cannulated screwplate and screw groups p0.0001. The plate and screw group also had significantly longer union times than the K-wire and cannulated screw groups p0.002, p0.0001. Post-recovery AOFAS scores were significantly higher in the K-wire group compared to the plate and screw and cannulated screwplate and screwfixator groups p0.018. Conclusion: In isolated malleolar fractures, due to the more minor nature of the trauma, shorter hospital stays, quicker fracture union, better functional outcomes, and lower implant costs were observed. Implant costs did not affect functional outcomes or time to union.

 Aims: The aim of this study was to evaluate the effects of fracture type and implant used in ankle-related fractures in pediatric patients on functional outcome, union time, hospital stay and cost. Methods: A total of 58 cases operated on due to ankle fractures between 2017 and 2023 were reviewed. Patients were divided into 4 groups according to diagnosis. The first group included patients with isolated malleolus fractures, the second group included patients with bimalleolar or trimalleolar fractures, the third group included patients with distal tibia fractures, and the fourth group included patients with distal tibia fractures with a lateral malleolus. Patients were divided into five groups according to the implants used. These were determined as: K-wire, cannulated screw, plate screw, cannulated screw and plate screw, cannulated screw and plate screwfixator. Demographic characteristics, union times, implant costs, and the American Orthopaedic Foot and Ankle Society AOFAS score were examined between the groups. Results: Union time was significantly shorter in patients with isolated malleolar fractures compared to other groups p0.042. Cost analysis by diagnosis showed that costs in the range of 100-300 were more common in isolated malleolar fractures, whereas costs exceeding 300 were more common in distal tibia fractures p0.001. Post-recovery AOFAS American Orthopaedic Foot  Ankle Society scores were significantly higher in the isolated malleolar fracture group compared to the bimalleolartrimalleolar and distal tibia fracture groups p0.001. Comparison between all groups; implant comparison, the mean union time in months was significantly longer in the cannulated screwplate and screwfixator group compared to the K-wire, cannulated screw, plate and screw, and cannulated screwplate and screw groups p0.0001. The plate and screw group also had significantly longer union times than the K-wire and cannulated screw groups p0.002, p0.0001. Post-recovery AOFAS scores were significantly higher in the K-wire group compared to the plate and screw and cannulated screwplate and screwfixator groups p0.018. Conclusion: In isolated malleolar fractures, due to the more minor nature of the trauma, shorter hospital stays, quicker fracture union, better functional outcomes, and lower implant costs were observed. Implant costs did not affect functional outcomes or time to union.

 Aims: The aim of this study was to evaluate the effects of fracture type and implant used in ankle-related fractures in pediatric patients on functional outcome, union time, hospital stay and cost. Methods: A total of 58 cases operated on due to ankle fractures between 2017 and 2023 were reviewed. Patients were divided into 4 groups according to diagnosis. The first group included patients with isolated malleolus fractures, the second group included patients with bimalleolar or trimalleolar fractures, the third group included patients with distal tibia fractures, and the fourth group included patients with distal tibia fractures with a lateral malleolus. Patients were divided into five groups according to the implants used. These were determined as: K-wire, cannulated screw, plate screw, cannulated screw and plate screw, cannulated screw and plate screwfixator. Demographic characteristics, union times, implant costs, and the American Orthopaedic Foot and Ankle Society AOFAS score were examined between the groups. Results: Union time was significantly shorter in patients with isolated malleolar fractures compared to other groups p0.042. Cost analysis by diagnosis showed that costs in the range of 100-300 were more common in isolated malleolar fractures, whereas costs exceeding 300 were more common in distal tibia fractures p0.001. Post-recovery AOFAS American Orthopaedic Foot  Ankle Society scores were significantly higher in the isolated malleolar fracture group compared to the bimalleolartrimalleolar and distal tibia fracture groups p0.001. Comparison between all groups; implant comparison, the mean union time in months was significantly longer in the cannulated screwplate and screwfixator group compared to the K-wire, cannulated screw, plate and screw, and cannulated screwplate and screw groups p0.0001. The plate and screw group also had significantly longer union times than the K-wire and cannulated screw groups p0.002, p0.0001. Post-recovery AOFAS scores were significantly higher in the K-wire group compared to the plate and screw and cannulated screwplate and screwfixator groups p0.018. Conclusion: In isolated malleolar fractures, due to the more minor nature of the trauma, shorter hospital stays, quicker fracture union, better functional outcomes, and lower implant costs were observed. Implant costs did not affect functional outcomes or time to union.

 Amaç: Bu çalışmanın amacı, pediatrik hastalarda ayak bileği çevresi kırıklarında kırık tipi ve kullanılan implantların fonksiyonel sonuçlar, kaynama süresi, hastanede yatış süresi ve maliyet üzerindeki etkilerini değerlendirmektir. Yöntem: 20172023 yılları arasında ayak bileği kırığı nedeniyle opere edilen toplam 58 olgu retrospektif olarak incelendi. Birinci grupta izole malleol kırıkları olan hastalar, ikinci grupta bimalleolar veya trimalleolar kırıkları olan hastalar, üçüncü grupta distal tibia kırıkları olan hastalar ve dördüncü grupta lateral malleol kırığıyla ile distal tibia kırıkları olan hastalar yer aldı. Kullanılan implanta göre hastalar beş grupta sınıflandırıldı: K teli, kanüllü vida, plak vida, kanüllü vida  plak vida ve kanüllü vida  plak vida  eksternal fiksatör. Bulgular: İzole malleol kırığı olan hastalarda hastanede yatış süresi istatistiksel olarak anlamlı şekilde daha kısa bulundu p0,042. Aynı grupta kırık kaynama süresi de anlamlı düzeyde daha kısa idi p0,023. Tanıya göre yapılan maliyet analizinde; izole malleol kırıklarında 100300  arası maliyetler daha yaygınken, distal tibia kırıklarında 300  maliyetler daha sık görüldü p0,001. İyileşme sonrası AOFAS American Orthopaedic Foot  Ankle Society skorları, izole malleol kırığı grubunda bimalleolertrimalleoler ve distal tibia kırığı gruplarına kıyasla anlamlı düzeyde daha yüksekti p0,001. Beş implant grubunun karşılaştırmasında, kanüllü vida  plak vida  fiksatör grubunda ortalama kaynama süresi istatistiksel olarak anlamlı düzeyde daha uzundu p0,0001. Plak vida grubunda da kaynama süresi, K teli ve kanüllü vida gruplarına göre anlamlı şekilde daha uzundu p0,002 ve p0,0001. Diğer gruplar arasında istatistiksel olarak anlamlı fark gözlenmedi p0,05. İyileşme sonrası AOFAS skorları, K teli grubunda plak vida ve kanüllü vida  plak vida  fiksatör gruplarına göre anlamlı düzeyde daha yüksek bulundu p0,018. Sonuç: İzole malleol kırıkları, travmanın daha minör olması nedeniyle daha kısa hastanede yatış süresi, daha hızlı kaynama süresi, daha iyi fonksiyonel sonuçlar ve daha düşük implant maliyeti ile seyretmektedir. Distal tibia kırıklarında implant maliyeti daha yüksek olmasına rağmen, diğer klinik sonuçlar benzer bulunmuştur.

Makale detayları

Comparison of clinical outcome, cost and union times in pediatric ankle fractures

Yazarlar:

Okan Ateş | Mustafa Altıntaş

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.832-838

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358388

pISSN:

2636-8579

Ankle fracture

cost analysis

surgical outcomes

pediatric traumaAyak bileği kırığı

maliyet analizi

cerrahi sonuçlar

pediatrik travma

Sayı

Makale detayları

Yazarlar: Okan Ateş | Mustafa Altıntaş

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Ortopedi

Dergi: Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.832-838

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358388

pISSN: 2636-8579

Sayı

Yazarlar:

Okan Ateş | Mustafa Altıntaş

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 5, pp.832-838

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358388

pISSN:

2636-8579