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Effect of rotational deformities after pediatric femoral fracture on clinical outcome

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dc.contributor.authorAKGÜLLE, AHMET HAMDİ
dc.contributor.authorKESİMER, MEHMET DENİZ
dc.contributor.authorsIgrek S., AKGÜLLE A. H., KESİMER M. D.
dc.date.accessioned2023-02-15T08:01:14Z
dc.date.available2023-02-15T08:01:14Z
dc.date.issued2022-03-01
dc.description.abstractFemoral shaft fractures are the most common pediatric injuries that require hospitalization. Early closed reduction and spica casting are one of the most popular treatment options. One of the significant complications of spica casting is rotational deformities of the fracture. The present study aimed to determine the potential effects of rotational deformities in pediatric patients who underwent early spica casting after a femoral shaft fracture. Pediatric patients who underwent early spica casting following femoral shaft fractures were screened retrospectively. Radiological measurements were made on the patients\" initial postop radiographs who could be measured rotationally according to the defined radiological method. Twenty-three patients with more than 10 degrees of rotation in their measurements were included in the study. Differences in leg length and rotation between both legs were calculated with clinical examination methods for all patients in the study. The gaits of the patients were observed; patient and family complaints were obtained. We found a strong and positive correlation between the rotational measurement made on the X-ray and the clinical measurement (R: 0.634, P: 0.001). For measurements made on X-ray, the mean rotational value was calculated as 27.2 +/- 6.9 degrees. After the patients\" clinical examination, an average of 3.0 +/- 1.7 degrees rotational difference was found between the broken limb and the healthy limb. No patient or family complained of trauma. Early spica casting, according to the age of the patient, is an effective treatment method. There may still be certain degrees of deformity after treatment, but patients well tolerate them even at high degrees. Accordingly, it was concluded that the rotational deformities less than 30 degrees would not cause clinical problems on children under 4 years of age which may require postoperative revisions or the use of various costly imaging techniques and include radiation.
dc.identifier.citationIgrek S., AKGÜLLE A. H., KESİMER M. D., "Effect of rotational deformities after pediatric femoral fracture on clinical outcome", JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, cilt.31, sa.2, 2022
dc.identifier.doi10.1097/bpb.0000000000000842
dc.identifier.issn1060-152X
dc.identifier.issue2
dc.identifier.urihttps://hdl.handle.net/11424/286384
dc.identifier.volume31
dc.language.isoeng
dc.relation.ispartofJOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectÇocuk Sağlığı ve Hastalıkları
dc.subjectCerrahi Tıp Bilimleri
dc.subjectOrtopedi ve Travmatoloji
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectInternal Medicine Sciences
dc.subjectChild Health and Diseases
dc.subjectSurgery Medicine Sciences
dc.subjectOrthopedics and Traumatology
dc.subjectORTOPEDİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectPEDİATRİ
dc.subjectORTHOPEDICS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectPEDIATRICS
dc.subjectPediatrics
dc.subjectOrthopedics and Sports Medicine
dc.subjectPodiatry
dc.subjectPediatrics, Perinatology and Child Health
dc.subjectearly spica cast
dc.subjectfemoral shaft fracture
dc.subjectfracture rotation
dc.subjectrotational deformity
dc.subjectSHAFT FRACTURES
dc.subjectCHILDREN
dc.subjectFEMUR
dc.titleEffect of rotational deformities after pediatric femoral fracture on clinical outcome
dc.typearticle
dspace.entity.typePublication
local.avesis.ida47ef468-e1e9-41a5-83fc-09fc19bf3030
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublication296064ca-9048-4b7a-8d93-58dea7e237c9
relation.isAuthorOfPublication41bab676-3ffa-4bd8-97c8-1b9240441d82
relation.isAuthorOfPublication.latestForDiscovery296064ca-9048-4b7a-8d93-58dea7e237c9

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