Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence
Abstract Background Tactical and technical errors in repair of pediatric forearm fractures can be associated with various complications including refractures. There are many questions regarding diagnosis (osteoreparation at the time of the occurrence) and in surgical treatment. The objective was...
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2024-12-01
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| Series: | Гений oртопедии |
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| author | Azam A. Kosimov Iskandar Yu. Khodjanov |
| author_facet | Azam A. Kosimov Iskandar Yu. Khodjanov |
| author_sort | Azam A. Kosimov |
| collection | DOAJ |
| description | Abstract
Background Tactical and technical errors in repair of pediatric forearm fractures can be associated with various
complications including refractures. There are many questions regarding diagnosis (osteoreparation
at the time of the occurrence) and in surgical treatment.
The objective was to improve outcomes of pediatic forearm refractures treated with intramedullary
osteosynthesis considering a osteoreparation period and the time of the occurrence.
Material and methods There were 48 children with forearm refractures treated in the clinic between
2010 and 2020. The patients were divided into two groups. Patients of group 1 (n = 25) were treated
with intramedullary osteosynthesis neglecting the regenerative process and the timing of refracture relative
to the primary fracture. Patients of group 2 (n = 23) sustained a recurrent fracture at 6 months of early
osteoregeneration with developing callosity. Re-fracture occurred in 19 (76.0 %) patients of group 1 including
six children (24 %) with two or greater occurrences. Recurrence was observed in 16 (69.6 %) cases of group 2
including seven patients (30.4 %) who sustained more than two fractures.
Results The timing of re-fractures, immobilization and gradual removal of fixation components can facilitate
improved short- and long-term results of surgical treatment and prevent complications that were evident
in 22 (95.6 %) children of group 2 with good results observed at 6 months.
Discussion The calluses were replete with blood vessels indicating the normal regeneration for fractures
that occurred at 6 months of the initial fracture. No vessels in the callus were seen after 6 months due
to resorption of the bundles and poor fracture healing.
Conclusion The outcome of re-consolidation would be dependent on the stage of bone regeneration
at the time of forearm refracture. The regeneration process was more effective in the early stage of re-fracture. |
| format | Article |
| id | doaj-art-e7e1fd3d0c114c20abd22174b6e2a711 |
| institution | OA Journals |
| issn | 1028-4427 2542-131X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj-art-e7e1fd3d0c114c20abd22174b6e2a7112025-08-20T02:31:45ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2024-12-0130678879610.18019/1028-4427-2024-30-6-788-796Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrenceAzam A. Kosimov0Iskandar Yu. Khodjanov1The Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, Tashkent, Uzbekistan; Tashkent Medical Academy, Tashkent, UzbekistanThe Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, Tashkent, Uzbekistan; Tashkent Medical Academy, Tashkent, UzbekistanAbstract Background Tactical and technical errors in repair of pediatric forearm fractures can be associated with various complications including refractures. There are many questions regarding diagnosis (osteoreparation at the time of the occurrence) and in surgical treatment. The objective was to improve outcomes of pediatic forearm refractures treated with intramedullary osteosynthesis considering a osteoreparation period and the time of the occurrence. Material and methods There were 48 children with forearm refractures treated in the clinic between 2010 and 2020. The patients were divided into two groups. Patients of group 1 (n = 25) were treated with intramedullary osteosynthesis neglecting the regenerative process and the timing of refracture relative to the primary fracture. Patients of group 2 (n = 23) sustained a recurrent fracture at 6 months of early osteoregeneration with developing callosity. Re-fracture occurred in 19 (76.0 %) patients of group 1 including six children (24 %) with two or greater occurrences. Recurrence was observed in 16 (69.6 %) cases of group 2 including seven patients (30.4 %) who sustained more than two fractures. Results The timing of re-fractures, immobilization and gradual removal of fixation components can facilitate improved short- and long-term results of surgical treatment and prevent complications that were evident in 22 (95.6 %) children of group 2 with good results observed at 6 months. Discussion The calluses were replete with blood vessels indicating the normal regeneration for fractures that occurred at 6 months of the initial fracture. No vessels in the callus were seen after 6 months due to resorption of the bundles and poor fracture healing. Conclusion The outcome of re-consolidation would be dependent on the stage of bone regeneration at the time of forearm refracture. The regeneration process was more effective in the early stage of re-fracture.repeated fracturerefractureforearmsurgical treatmentintramedullary osteosynthesischildren |
| spellingShingle | Azam A. Kosimov Iskandar Yu. Khodjanov Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence Гений oртопедии repeated fracture refracture forearm surgical treatment intramedullary osteosynthesis children |
| title | Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence |
| title_full | Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence |
| title_fullStr | Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence |
| title_full_unstemmed | Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence |
| title_short | Intramedullary osteosynthesis for pediatric forearm re-fractures depending on the time of occurrence |
| title_sort | intramedullary osteosynthesis for pediatric forearm re fractures depending on the time of occurrence |
| topic | repeated fracture refracture forearm surgical treatment intramedullary osteosynthesis children |
| work_keys_str_mv | AT azamakosimov intramedullaryosteosynthesisforpediatricforearmrefracturesdependingonthetimeofoccurrence AT iskandaryukhodjanov intramedullaryosteosynthesisforpediatricforearmrefracturesdependingonthetimeofoccurrence |