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The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).
Audigé, Laurent; Slongo, Theddy; Lutz, Nicolas; Blumenthal, Andrea; Joeris, Alexander.
Afiliación
  • Audigé L; a AO Clinical Investigation and Documentation , Dübendorf.
  • Slongo T; b Schulthess Clinic, Research and Development Upper Extremities , Zürich.
  • Lutz N; c Department of Pediatric Surgery, Traumatology and Orthopedics , University Hospital (Inselspital) , Bern.
  • Blumenthal A; d Centre Hospitalier Universitaire Vaudois (CHUV) , Lausanne , Switzerland.
  • Joeris A; a AO Clinical Investigation and Documentation , Dübendorf.
Acta Orthop ; 88(2): 133-139, 2017 Apr.
Article en En | MEDLINE | ID: mdl-27882814
Background and purpose - The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF) describes the localization and morphology of fractures, and considers severity in 2 categories: (1) simple, and (2) multifragmentary. We evaluated simple and multifragmentary fractures in a large consecutive cohort of children diagnosed with long bone fractures in Switzerland. Patients and methods - Children and adolescents treated for fractures between 2009 and 2011 at 2 tertiary pediatric surgery hospitals were retrospectively included. Fractures were classified according to the AO PCCF. Severity classes were described according to fracture location, patient age and sex, BMI, and cause of trauma. Results - Of all trauma events, 3% (84 of 2,730) were diagnosed with a multifragmentary fracture. This proportion was age-related: 2% of multifragmentary fractures occurred in school-children and 7% occurred in adolescents. In patients diagnosed with a single fracture only, the highest percentage of multifragmentation occurred in the femur (12%, 15 of 123). In fractured paired radius/ulna bones, multifragmentation occurred in 2% (11 of 687); in fractured paired tibia/fibula bones, it occurred in 21% (24 of 115), particularly in schoolchildren (5 of 18) and adolescents (16 of 40). In a multivariable regression model, age, cause of injury, and bone were found to be relevant prognostic factors of multifragmentation (odds ratio (OR) > 2). Interpretation - Overall, multifragmentation in long bone fractures in children was rare and was mostly observed in adolescents. The femur was mostly affected in single fractures and the lower leg was mostly affected in paired-bone fractures. The clinical relevance of multifragmentation regarding growth and long-term functional recovery remains to be determined.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Fracturas Conminutas / Fracturas del Fémur / Traumatismos del Antebrazo / Fracturas del Húmero Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies País/Región como asunto: Europa Idioma: En Revista: Acta Orthop Asunto de la revista: ORTOPEDIA Año: 2017 Tipo del documento: Article Pais de publicación: Suecia
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Tibia / Fracturas Conminutas / Fracturas del Fémur / Traumatismos del Antebrazo / Fracturas del Húmero Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies País/Región como asunto: Europa Idioma: En Revista: Acta Orthop Asunto de la revista: ORTOPEDIA Año: 2017 Tipo del documento: Article Pais de publicación: Suecia