Introduction: Fractures in children cause a long-term disability and decrease the quality of life in every person involved. Factors that affect fracture incidence must be identified so that we can create prevention management. This study evaluates children's fracture patterns in Saiful Anwar General Hospital Malang from January 2016 until August 2020.
Methods: A retrospective study was conducted among children under 18 years old by analyzing patients' medical records. The characteristics of patients and fractures are reviewed using SPSS version 25 for Windows.
Results: We analyze 774 children as the sample study, with 70% of them being boys. Fractures mainly occur in the 12-18 years old group (92.8%). Most of them are caused by traffic accidents (58%). Consequently, the street (76.9%) is the most frequent place of trauma. Closed fractures (70%) are the most common type, and distal radius or ulna (21.2%) is the fracture's most frequent site. For treatment, the majority of patients have undergone closed reduction and casting (21.7%).
Conclusion: Fractures in children occur predominantly in boys and result from traffic accidents. A single and close fracture is the most common type of fracture.
Highlights
K-wire should be used cautiously for treating upper extremity injury.
This technique is easy and cheap but can cause lethal complications.
K-wire can migrate into the area of vital organs, including the liver, heart, neck lung subclavian artery, and aorta.
K-wire’s use is outdated and should be restricted as much as possible due to the risk of lethal complications.
The exact cause and mechanism of wire migration are uncertain.
Musculoskeletal injuries in children are a common cause of 25% of children hospitalization. Previous research stated that five pediatric fractures had significant long-term consequences such as disability and activity restriction. In Indonesia, epidemiology studies have discussed the incidence of fracture in general sites, but only a few reported lower limb fractures. The authors expect this research to be used for lower extremities fractures in children’s epidemiologic descriptions. Between January 2016 until September 2020, we included 247 children under 18 years old based on inclusion criteria. The prevalence and fractures were reviewed for detail, such as sex, age, mechanism of injury, location of the fracture, and treatment. Data were analyzed using SPSS version 26. Most common injuries occur at 13-18 years old with 164 children (66.4%). Most of them were caused by traffic accidents, 210 cases (85.0%). Consequently, femur fractures are the most common fractures due to traffic accidents 53.8% (p<0.005). From common fracture sites in this study, plating is the common to use procedure than the others (52.3%). Therefore, we can conclude that MVA were the most common injury in children, and especially for fracture femur relevant with increasing age and plating methods is common to use method for this fracture
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