Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2000-12-13
pubmed:abstractText
Elastic intramedullary nailing represents a new surgical concept in the treatment of unstable shaft fractures in children. The present case control study wanted to examine the superiority of intramedullary nailing in comparison to conservative therapeutic concepts which had been applied so far. 13 children with forearm fractures who were treated initially by conservative measures were compared to 13 other children who received a primary intramedullary nailing. With femoral fractures, 12 children were included in each group. In each patient pair age, type and localisation of the fracture were comparable. During the observation period (until the termination of final therapeutic measures or until the third year after injury) we examined clinical variables and subjective findings. Both therapeutic concepts led to comparably good functional results. Also subjective judgement of the therapeutic success did not differ between groups. However, with intramedullary nailing of shaft fractures of the femur the mean hospital length of stay (7.0 +/- 3.5 days) was significantly shorter than with initial conservative treatment (36.5 +/- 2.2 days, P < 0.05). Irrespective of the localisation of the fracture intramedullary nailing required significantly less x-ray examinations during the observation period. These results suggest intramedullary nailing to be the procedure of choice to treat unstable forearm and femoral fractures in children.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0044-409X
pubmed:author
pubmed:issnType
Print
pubmed:volume
125
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
756-62
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11050757-Adolescent, pubmed-meshheading:11050757-Bone Plates, pubmed-meshheading:11050757-Case-Control Studies, pubmed-meshheading:11050757-Casts, Surgical, pubmed-meshheading:11050757-Child, pubmed-meshheading:11050757-Child, Preschool, pubmed-meshheading:11050757-Female, pubmed-meshheading:11050757-Femoral Fractures, pubmed-meshheading:11050757-Fracture Fixation, Internal, pubmed-meshheading:11050757-Fracture Fixation, Intramedullary, pubmed-meshheading:11050757-Fracture Healing, pubmed-meshheading:11050757-Humans, pubmed-meshheading:11050757-Length of Stay, pubmed-meshheading:11050757-Male, pubmed-meshheading:11050757-Postoperative Complications, pubmed-meshheading:11050757-Radius Fractures, pubmed-meshheading:11050757-Retrospective Studies, pubmed-meshheading:11050757-Ulna Fractures
pubmed:year
2000
pubmed:articleTitle
[Unstable pediatric femoral and forearm shaft fractures. Comparison between conservative treatment and stable intramedullary nailing].
pubmed:affiliation
Abteilung für Unfall- und Wiederherstellungschirurgie, Städtischen Krankenhauses München-Harlaching.
pubmed:publicationType
Journal Article, Comparative Study, English Abstract