Pediatric Forearm Fractures: TEN (Titanium Elastic Nail) Versus Plate Screw Fixation for Surgical Treatment Pediatrik Ön Kol Kırıklarının Cerrahi Tedavisinde TEN (Titanyum Elastik Çivi) ile Plak Vida Tespitinin Karşılaştırılması
Genel Tip Dergisi, cilt.33, sa.3, ss.326-329, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.54005/geneltip.1258713
- Dergi Adı: Genel Tip Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.326-329
- Anahtar Kelimeler: Cost, Pediatric Forearm Fracture, Plate Screw Fixation, TEN
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background/Aims: In pediatric forearm fractures, the choice of surgical technique and fixation method can be challenging. Surgically treated pediatric patients younger than 14 years with Titanium Elastic Nails (TEN) or Plate Screw Fixation (PSF) were compared clinically, in cost, and in terms of postoperative outcomes. Method: In the retrospective case-control study, pediatric forearm fractures operated on at a level I trauma center between 2017 and 2022 were examined. Surgically treated forearm fractures in pediatric patients under 14 years of age were included in this study group. Results: The mean age of 109 patients was 10.83 +-3.28 years. The PSF group (12.87+-2.76 years) was 3.17 (95% CI 2.02-4.33) years older than the TEN group (9.7+-3 years) (p<0.001; student’s t-test). The median implant cost in the TEN group (85 [IQR 64-120] dollars) was significantly lower than in the PSF group (258 [IQR 205-336] dollars) (p<0.001; Mann-Whitney-U). The day callus tissue observed on the X-ray differed significantly between the groups (p<0.001; chi-square test). Conclusion: In younger children, surgeons preferred TEN due to the likelihood of remodeling associated with growth, the possibility of forming a callus sooner, and the lower cost compared to PSF.