How successful is synthetic graft treatment for children with pathological hip fractures?

IF 1.3 4区医学 Q3 ORTHOPEDICS HIP International Pub Date : 2024-05-01 Epub Date: 2023-12-25 DOI:10.1177/11207000231212423

Serhat Elçi, Emin Özkul, Celil Alemdar, Ramazan Atiç, Mehmet Sait Akar

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Abstract

Purpose: To determine whether synthetic grafts are a satisfactory treatment option for pathological proximal femoral fractures in children.

Methods: Paediatric patients treated for pathological fractures of the proximal femur between 2013 and 2020 were evaluated retrospectively. 17 patients with a mean age of 10.7 years (range 6-16 years) were assessed. The definitive histopathological diagnoses were SBC (simple bone cyst) (12) and ABC (aneurysmal bone cyst) (5). The median duration of follow-up was 37 months (range 12-70 months).

Results: All patients returned to their normal daily routine within 3-8 months following surgery. The mean post-op recovery time was 3.2 months (range 3-6 months). Graft was incorporated at approximately 12 months. No significant radiographic healing was observed in 2 patients. In the remaining 15 patients, the mean duration of healing was 14 months (range 8-24 months).

Conclusion: Synthetic grafts are a satisfactory treatment option for pathological proximal femoral fractures in children.

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对病理性髋部骨折儿童进行合成移植治疗的成功率有多高？

目的：确定合成移植物是否是治疗儿童病理性股骨近端骨折的理想选择：对 2013 年至 2020 年期间接受病理性股骨近端骨折治疗的儿童患者进行回顾性评估。17名患者的平均年龄为10.7岁（6-16岁）。组织病理学明确诊断为 SBC（单纯骨囊肿）（12 例）和 ABC（动脉瘤性骨囊肿）（5 例）。中位随访时间为 37 个月（12-70 个月）：结果：所有患者均在术后 3-8 个月内恢复正常生活。术后平均恢复时间为 3.2 个月（3-6 个月）。移植物约在 12 个月后植入。有两名患者未观察到明显的放射学愈合。其余 15 名患者的平均愈合时间为 14 个月（8-24 个月）：合成移植物是治疗儿童病理性股骨近端骨折的理想选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HIP International 医学-整形外科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

2 months

期刊介绍： HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology