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Titolo:
Early versus late femoral fracture stabilization in multiply injured pediatric patients with closed head injury
Autore:
Mendelson, SA; Dominick, TS; Tyler-Kabara, E; Moreland, MS; Adelson, PD;
Indirizzi:
Childrens Hosp Pittsburgh, Pittsburgh, PA 15213 USA Childrens Hosp Pittsburgh Pittsburgh PA USA 15213 ittsburgh, PA 15213 USA
Titolo Testata:
JOURNAL OF PEDIATRIC ORTHOPAEDICS
fascicolo: 5, volume: 21, anno: 2001,
pagine: 594 - 599
SICI:
0271-6798(200109/10)21:5<594:EVLFFS>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE BRAIN INJURY; FEMUR FRACTURES; FIXATION; TRAUMA; CHILDREN; OSTEOSYNTHESIS; MORTALITY; SYSTEM; SCORE;
Keywords:
early stabilization; femur fracture; head injury; late stabilization; pediatric patients; polytrauma;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Mendelson, SA Childrens Hosp Pittsburgh, 3705 5th Ave, Pittsburgh, PA 15213 USA Childrens Hosp Pittsburgh 3705 5th Ave Pittsburgh PA USA 15213
Citazione:
S.A. Mendelson et al., "Early versus late femoral fracture stabilization in multiply injured pediatric patients with closed head injury", J PED ORTH, 21(5), 2001, pp. 594-599

Abstract

The purpose of this study was to analyze retrospectively pediatric femur fracture patients with concomitant head injury to determine whether time to fracture fixation affects central nervous system, orthopaedic, or additional complications. Twenty-five patients with a Head Abbreviated Injury Scale score of greater than or equal to3 and a femoral shaft fracture were reviewed. Patients were divided by time to treatment for their femur fracture. Average stay was 10.5 days for the early group and 18.5 days for the late group, the only statistically significant finding. Orthopaedic and central nervous system complications were similar between the two groups. Sixteen additional complications were found in the late group versus three for the early group. Femur fractures in the head-injured pediatric patient can be adequately addressed with early or late fixation with similar long-term outcomes. Early femur fracture fixation may decrease the length of hospital stay and the number of nonorthopaedic, nonneurologic complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 21:31:31