A comparative study of less invasive stabilization system and titanium elastic nailing for subtrochanteric femur fractures in older children / Liao-Jun Sun in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 123-130 Titre : A comparative study of less invasive stabilization system and titanium elastic nailing for subtrochanteric femur fractures in older children Type de document : texte imprimé Auteurs : Liao-Jun Sun, Auteur ; Zhi-Peng Wu, Auteur ; Cheng-Qian Dai, Auteur Année de publication : 2015 Article en page(s) : p. 123-130 Langues : Anglais (eng) Mots-clés : Children  Subtrochanteric femur fractures  Less invasive stabilization system  Titanium elastic nails Résumé : The objective of this study was to compare prospectively the complications and the radiographic and clinical outcomes of reverse less invasive stabilization system (LISS) and titanium elastic nailing (TEN) for the treatment of subtrochanteric femur fractures in older children. From April 2004 to February 2012, 52 children aged from 10 to 15 years old with subtrochanteric fractures were included in this study. 26 patients were treated with reverse LISS (LISS group) and 26 children treated with titanium elastic nails (TEN group) respectively. Perioperative care was standardized. Surgical time, blood loss, length of hospitalization, hospital costs, fracture union time, full weight-bearing time and complications were analyzed. The radiologic results as well as hip functional outcomes were evaluated. The average follow-up time of LISS group was 36.5 ± 9.3 months and TEN group was 40.2 ± 10.6 months. No significant difference between these two groups was found in union time, full weight-bearing time and average length of hospitalization. However, the patients of LISS group had longer operation time (60.0 ± 10.6 min vs. 40.5 ± 7.4 min, p < 0.01), more blood loss (130.0 ± 45.0 ml vs. 15.5 ± 10.2 ml, p < 0.01), and more hospital costs (25000 ± 700 RMB vs. 10800 ± 500 RMB, p < 0.01). The overall complication rate was significantly higher in the LISS group than in the TEN group (12/26 vs. 5/26, p = 0.039). There was no significant difference between the two groups in terms of early and late radiological results. Using the Sanders score system, there were 13 excellent, 6 good and 7 fair results in the LISS group compared with 22 excellent and 4 good results in the TEN group. The excellent and good rate was significantly different between the two groups (p = 0.010). Our results indicated that TEN fixation of subtrochanteric femur fractures in older children was associated with better function scores and a lower overall complication rate when compared with reverse LISS. Permalink : ./index.php?lvl=notice_display&id=36008 [article] A comparative study of less invasive stabilization system and titanium elastic nailing for subtrochanteric femur fractures in older children [texte imprimé] / Liao-Jun Sun, Auteur ; Zhi-Peng Wu, Auteur ; Cheng-Qian Dai, Auteur . - 2015 . - p. 123-130. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 123-130 Mots-clés : Children  Subtrochanteric femur fractures  Less invasive stabilization system  Titanium elastic nails Résumé : The objective of this study was to compare prospectively the complications and the radiographic and clinical outcomes of reverse less invasive stabilization system (LISS) and titanium elastic nailing (TEN) for the treatment of subtrochanteric femur fractures in older children. From April 2004 to February 2012, 52 children aged from 10 to 15 years old with subtrochanteric fractures were included in this study. 26 patients were treated with reverse LISS (LISS group) and 26 children treated with titanium elastic nails (TEN group) respectively. Perioperative care was standardized. Surgical time, blood loss, length of hospitalization, hospital costs, fracture union time, full weight-bearing time and complications were analyzed. The radiologic results as well as hip functional outcomes were evaluated. The average follow-up time of LISS group was 36.5 ± 9.3 months and TEN group was 40.2 ± 10.6 months. No significant difference between these two groups was found in union time, full weight-bearing time and average length of hospitalization. However, the patients of LISS group had longer operation time (60.0 ± 10.6 min vs. 40.5 ± 7.4 min, p < 0.01), more blood loss (130.0 ± 45.0 ml vs. 15.5 ± 10.2 ml, p < 0.01), and more hospital costs (25000 ± 700 RMB vs. 10800 ± 500 RMB, p < 0.01). The overall complication rate was significantly higher in the LISS group than in the TEN group (12/26 vs. 5/26, p = 0.039). There was no significant difference between the two groups in terms of early and late radiological results. Using the Sanders score system, there were 13 excellent, 6 good and 7 fair results in the LISS group compared with 22 excellent and 4 good results in the TEN group. The excellent and good rate was significantly different between the two groups (p = 0.010). Our results indicated that TEN fixation of subtrochanteric femur fractures in older children was associated with better function scores and a lower overall complication rate when compared with reverse LISS. Permalink : ./index.php?lvl=notice_display&id=36008

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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