alexa A 10-year study of the changes in the pattern and treatment of 6,493 fractures.


Orthopedic & Muscular System: Current Research

Author(s): Cheng JC, Ng BK, Ying SY, Lam PK

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Abstract A total of 6,493 fractures was studied from 6,389 children younger than 16 years admitted as inpatients to one center in a 10-year period. The boy-to-girl ratio increased from 1.4:1 in the infants to 4.9:1 in the adolescents. The most common fractures were the distal radius (20.2\%), supracondylar fracture of the humerus (17.9\%), forearm shaft (14.9\%), and the tibial shaft (11.9\%). A distinct age-specific fracture pattern also was found, with supracondylar fracture of the humerus being the most common fracture in the age 0- to 3-year (26.7\%) and the 4- to 7-year (31.6\%) groups and distal radius in the 8- to 11-year and the 12- to 16-year groups (24.3 and 25.7\%, respectively). Although the overall pattern of the major fractures had not changed over the 10-year period, significant changes in the treatment pattern were observed. The closed-reduction and percutaneous pinning rates increased from 9.5 to 38.7\% in fracture of the distal radius, 4.3 to 40\% in the supracondylar humerus, and 1.8 to 22\% in the forearm shaft. The changes in treatment pattern were also accompanied by a corresponding decrease in the open-reduction rate and hospital stay periods from <10\% to 38\% of patients being discharged within 1 day of admission in the 10-year period.
This article was published in J Pediatr Orthop and referenced in Orthopedic & Muscular System: Current Research

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