体重过重是否与青少年胫骨结节骨折的损伤能量水平有关?

IF 0.9 4区 医学 Q4 ORTHOPEDICS Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-01 Epub Date: 2024-11-26 DOI:10.1097/BPB.0000000000001181
Rok Kralj, Ivan Silvije Gržan, Ante Vuković, Domagoj Pešorda, Renato Ivelj, Filip Jurić, Stjepan Višnjić, Rado Žic
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摘要

目的:评估体重过重或肥胖是否会导致青少年因能量较低的创伤而易发生胫骨结节骨折、延长这些损伤的康复期或导致更差的结果。本研究对 2013 年 3 月至 2022 年 3 月期间因胫骨结节骨折接受手术治疗的患者进行了回顾性研究。根据患者的年龄、性别、骨折类型、体重指数、受伤机制和能量水平、达到完全无痛活动范围的时间以及并发症发生率对患者进行分类。我们已对 33 名胫骨结节骨折患者进行了手术治疗,共 34 例。其中 20 名患者的体重指数在 "健康体重 "范围内,13 名患者超重或肥胖。经统计证实,两组患者的损伤类型分布存在明显差异,其中 "健康体重 "组患者的损伤更为严重。据统计,"超重/肥胖 "组患者在膝盖受到撞击后或在轻微活动中发生骨折的比例明显更高,而 "健康体重 "组患者在股四头肌强力同心或偏心收缩后发生骨折的比例更高。所有患者都实现了完全无痛的活动范围,并经放射学证实实现了骨结合。健康体重组的康复时间明显更短。有两例轻微并发症。较高的体重指数可能会导致青少年患者因能量较低的损伤而造成胫骨结节骨折。我们还可以得出这样的结论:膝盖受到撞击或跑步时受伤通常不会导致最严重的骨折。然而,无论受伤类型或体重指数如何,手术治疗都能带来良好的疗效。
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Is excessive body weight related to energy level of injury in tibial tubercle fractures in adolescents?

To assess whether excessive body weight or obesity predisposes adolescents to tibial tubercle fractures from less energetic traumas, prolongs the period of rehabilitation from these injuries or leads to worse outcomes. A retrospective study of patients who underwent surgical treatment for fracture of the tibial tubercle in the period from March 2013 to March 2022. Patients were classified according to age, gender, fracture type, BMI, mechanism and energy levels of injury, time to complete painless range of motion was achieved and rate of complications. We have surgically treated 33 patients who have sustained 34 tibial tubercle fractures. Twenty of our patients had a BMI in the 'healthy weight' range while 13 were either overweight or obese. A significant difference in the distribution of injury types between the two groups has been statistically confirmed, whereby more severe injuries were recorded in the 'healthy weight' group of patients. A statistically significant higher proportion of patients who sustained a fracture after a blow to the knee or during light activity could have been confirmed in the 'overweight/obese' group while patients in the 'healthy weight' group more often sustained fractures after a powerful concentric or eccentric contraction of the quadriceps muscle. All of the patients achieved full painless range of motion and a radiologically confirmed osseous union. The healthy weight group had a significantly shorter period of rehabilitation. Two minor complications have been recorded. A higher BMI may lead to tibial tubercle fractures caused by less energetic injuries in adolescent patients. We may also conclude that blows to the knee or injuries sustained while running most often do not cause the most severe type of fractures. However, operative treatment provides a good outcome regardless of the type of injury or BMI.

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来源期刊
CiteScore
2.20
自引率
9.10%
发文量
170
审稿时长
4-8 weeks
期刊介绍: The journal highlights important recent developments from the world''s leading clinical and research institutions. The journal publishes peer-reviewed papers on the diagnosis and treatment of pediatric orthopedic disorders. It is the official journal of IFPOS (International Federation of Paediatric Orthopaedic Societies). Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool. ​
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