无神经血管损伤的儿童闭合性、孤立性中三骨干长骨骨折骨科医生的治疗选择:一项横断面调查

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2022-05-01 DOI:10.5152/j.aott.2022.21322
E. Aktaş, H. Ömeroğlu
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引用次数: 1

摘要

目的:探讨无神经血管损伤的儿童闭合性、孤立性中三骨干长骨骨折的治疗趋势及影响治疗方法的因素。方法:这是一项对土耳其骨科医生的横断面电子调查,他们是土耳其儿童骨科协会(TSCO)的活跃成员,在日常临床实践中仍在处理儿童骨折。首先向110名会员发送了包括电子调查在内的电子邮件,然后发送了三封提醒电子邮件,然后拨打了提醒电话。结果:调查回复率为66/110(60%)。近年来,在闭合性肱骨、前臂、股骨和胫骨中轴骨折中,分别有98%、77%、39%和88%的应答者没有明确的手术治疗趋势。在任何骨折情况下,参与者的专业年限和日常儿科患者的强度都不会影响治疗趋势。在每种骨折情况下,患者的年龄是影响应答者决定是保守治疗还是手术治疗的最重要因素。手术治疗肱骨、前臂、股骨和胫骨闭合性中干骨折的最低年龄限制为青少年年龄组,分别为10-12岁、6岁和10岁。结论:本研究首次评估了TSCO成员在covid-19大流行开始前治疗儿童闭合性、孤立性、非并发症中三分之一骨干长骨骨折的日常临床实践。股骨中轴骨折明显倾向于手术治疗,其次是前臂中轴骨折,直到一定程度。对于闭合性、孤立性、无并发症的儿童中三分之一骨干长骨骨折,患者的年龄是反应者决定治疗类型的主要决定因素。
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Treatment preferences of orthopedic surgeons for closed, isolated middle-third diaphyseal long bone fractures without neurovascular injury in children: A cross-sectional survey
Objective: This study aimed to assess the treatment trends and the factors influencing the treatment methods of Orthopaedic Surgeons in closed, isolated, middle-third diaphyseal long bone fractures without any neurovascular injury in children. Methods: This was a cross-sectional electronic survey of Turkish Orthopaedic Surgeons who were active members of the Turkish Society of Children’s Orthopaedics (TSCO) and still managing the children’s fractures in their daily clinical practice. An initial e-mail including the electronic survey followed by three reminder e-mails was sent to 110 members, and then reminder telephone calls were made. Results: The survey response rate was 66/110 (60%). In recent years, a definitive trend to surgical treatment was not seen 98%, 77%, 39%, and 88% of the responders in the closed humerus, forearm, femur, and tibia mid-shaft fractures, respectively. Neither the years of expertise nor the intensity of daily pediatric patients of the participants did not affect the treatment trend in any fracture scenarios. The patient’s age was the most cited factor influencing the responders’ decisions on whether conservative or surgical treatment would be performed in each fracture scenario. The most cited lowest age limits for surgical treatment inclosed mid-shaft fractures of the humerus, forearm, femur, and tibia, were the adolescent age group, 10-12 years, six years, and ten years, respectively. Conclusion: This is the first study assessing the daily clinical practice of members of TSCO in the management of closed, isolated, non-complicated middle-third diaphyseal long bone fractures in children just before the covid-19 pandemic started. A marked tendency toward surgical treatment is seen in femur mid-shaft fractures, followed by forearm mid-shaft fractures up to a certain level. The patient’s age is the main determinant of the responders’ decisions on the type of treatment in closed, isolated, non-complicated middle-third diaphyseal long bone fractures in children.
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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