Surgical treatment of femoral fractures in childrenComparison between external fixation and elastic intramedullary nails: A review

Hedin, Hanne

doi:10.1080/00016470410001132

Cited by 25 publications

(23 citation statements)

References 66 publications

(85 reference statements)

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“…Using all the other patient care and organizational variables in the multivariate analysis, being constitutionally thin was not predictive. This result agreed with the majority of the studies published [6,8–12]. Contrarily to what has been pointed out in some studies [6,10], the prefracture abilities in the present study were not predictive factors which was in accordance with other studies [9,11].…”

Section: Discussionsupporting

confidence: 94%

“…However, the average wait (40 hours) was less than that stated in the above-mentioned studies which confirmed the value of early surgery. Transfer to the intensive care unit and the length of surgery were not identified as possible predictors, unlike what has been observed in other studies [6,10,12]; however, possible confounders (type of patient care furnished in the intensive care unit, anti-decubitus devices used in the operating room) make comparison with the literature difficult. Another patient care variable not correlated with the development of pressure ulcers is osteosynthesis surgery with respect to an endo- or arthroprothesis; this result is in line with what has been found in other studies which have evaluated this variable [10,12].…”

Section: Discussioncontrasting

confidence: 74%

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Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study

et al. 2017

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BackgroundOlder adult patients with fragility hip fractures constitute a population at high risk for complications, in particular pressure ulcers. The aim was to evaluate the incidence of pressure ulcers and potential predictive factors.Methods and FindingsA prospective multicentric prognostic cohort study in orthopedic wards in three Italian public hospitals. Participants were all consecutive patients 65 years of age or older diagnosed with a fragility hip fracture. Outcomes were incidence of pressure ulcers. The exposure variables were grouped into three macro areas in order to facilitate reading: “intrinsic” variables, “extrinsic” variables and variables linked to the organization of patient care. One thousand eighty-three older adult patients with fragility hip fractures were enrolled from October 1st, 2013 to January 31st, 2015, and pressure ulcers developed in 22.7%. At multivariate analysis, the following were found to be risk factors: age> 80 years (odds ratio (OR) 1.03; p = 0.015), the length of time a urinary catheter was used (OR 1.013; p<0.001), the length of time pain was present (OR 1.008; p = 0.008), the absence of side rails on the bed (OR 1.668; p = 0.026) and the use of a foam position valve (OR 1.025; p<0.001). Instead, the protective factors were the presence of a caregiver for at least half a day daily (OR 0.994; p = 0.012) and the number of positionings during the postoperative period (OR 0.897; p = 0.008).ConclusionsThe study allowed the identification of the patients most at risk for developing pressure ulcers, and the construction of a pragmatic predictive model using significant risk or protective factors in order to reduce the number of pressure ulcers.

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Section: Discussionsupporting

confidence: 94%

Section: Discussioncontrasting

confidence: 74%

Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study

et al. 2017

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“…Though this is an accepted standard of care in younger children, such treatment in older children has commonly resulted in complications like malunion, joint stiffness, and delay in functional recovery [10][11][12][13][14]. The psychological, social, educational, and economic difficulties resulting from such treatment has also been of much concern recently [5,7,15]. An ideal device for treating pediatric femur fractures would be a simple load-sharing internal splint, allowing the mobilization and maintenance of alignment until bridging callus forms.…”

Section: Discussionmentioning

confidence: 99%

“…However, this method of treatment is fraught with many complications and, in addition, causes psychological, social, educational, and economic difficulties [7].…”

Section: Introductionmentioning

confidence: 99%

Treatment of femoral fractures in children: Is titanium elastic nailing an improvement over hip spica casting?

Saseendar

Menon

Patro

2010

Journal of Children's Orthopaedics

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Purpose The purpose of the study was to assess the validity of surgical interference with elastic nailing in treating pediatric femur fractures in comparison with the traditional treatment method-hip spica casting. Methods Sixteen consecutive femur fractures in children 5-15 years of age were recruited prospectively over 13 months. An equal number of age-matched children treated by spica casting were recruited retrospectively. Subtrochanteric, supracondylar femur fractures were excluded. Results Fracture union occurred earlier in the surgical group (6 weeks) than in the spica group (8 weeks) (P = 0.001). Spica casting caused higher coronal plane angulation (P = 0.001), higher rotational malalignment (P \ 0.001), higher limb length discrepancy at 1-year follow-up (P \ 0.001), longer duration of immobilization (P \ 0.001), later full weight-bearing (P \ 0.001), and greater absence from school (P \ 0.001). Flynn outcome scores were better with titanium elastic nailing than with hip spica casting. Conclusion Titanium elastic nailing led to better outcomes compared to hip spica casting in terms of earlier union, lower rates of malunion, shorter rehabilitation milestones, and better functional outcome scores.

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“…The femur is the only bone in the thigh with the formation of long, slender, and cylindrical bone and is capable of walking, running, or jumping [3]. The femoral fracture is involved in the femoral head, femoral neck, or the shaft of the femur, accounting for 1-2% of all fractures in children and adolescents [4, 5]. …”

Section: Introductionmentioning

confidence: 99%

Identification of Differentially Expressed Gene after Femoral Fracture via Microarray Profiling

Zhong

2014

International Journal of Genomics

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We aimed to investigate differentially expressed genes (DEGs) in different stages after femoral fracture based on rat models, providing the basis for the treatment of sport-related fractures. Gene expression data GSE3298 was downloaded from Gene Expression Omnibus (GEO), including 16 chips. All femoral fracture samples were classified into earlier fracture stage and later fracture stage. Total 87 DEGs simultaneously occurred in two stages, of which 4 genes showed opposite expression tendency. Out of the 4 genes, Rest and Cst8 were hub nodes in protein-protein interaction (PPI) network. The GO (Gene Ontology) function enrichment analysis verified that nutrition supply related genes were enriched in the earlier stage and neuron growth related genes were enriched in the later stage. Calcium signaling pathway was the most significant pathway in earlier stage; in later stage, DEGs were enriched into 2 neurodevelopment-related pathways. Analysis of Pearson's correlation coefficient showed that a total of 3,300 genes were significantly associated with fracture time, none of which was overlapped with identified DEGs. This study suggested that Rest and Cst8 might act as potential indicators for fracture healing. Calcium signaling pathway and neurodevelopment-related pathways might be deeply involved in bone healing after femoral fracture.

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Surgical treatment of femoral fractures in childrenComparison between external fixation and elastic intramedullary nails: A review

Cited by 25 publications

References 66 publications

Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study

Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study

Treatment of femoral fractures in children: Is titanium elastic nailing an improvement over hip spica casting?

Identification of Differentially Expressed Gene after Femoral Fracture via Microarray Profiling

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