- Genel Tıp Dergisi
- Vol: 33 Issue: 3
- Pediatric Forearm Fractures: TEN (Titanium Elastic Nail) versus Plate Screw Fixation for Surgical Tr...
Pediatric Forearm Fractures: TEN (Titanium Elastic Nail) versus Plate Screw Fixation for Surgical Treatment
Authors : Mustafa Altinta?, Mehmet Ozel, Ali Cankut Tatliparmak
Pages : 326-329
Doi:10.54005/geneltip.1258713
View : 82 | Download : 96
Publication Date : 2023-06-30
Article Type : Research Article
Abstract :Background/Aims: In pediatric forearm fractures, the choice of surgical technique and fixation method can be challenging. Surgically treated pediatric patients younger than 14 years with Titanium Elastic Nails (TEN) or Plate Screw Fixation(PSF) were compared clinically, in cost, and in terms of postoperative outcomes. Method: In the retrospective case-control study, pediatric forearm fractures operated on at a level I trauma center between 2017 and 2022 were examined. Surgically treated forearm fractures in pediatric patients under 14 years of age were included in this study group. Results: A mean age of 10.83 +- 3.28 years was found among the 109 patients. The PSF group (12.87+-2.76 years) was 3.17 (95% CI 2.02 - 4.33) years older than the TEN group (9.7+-3 years) (p<0.001; student’s t-test). The median implant cost in the TEN group (85 [IQR 64 - 120] dollars) was significantly lower than in the PSF group (258 [IQR 205 - 336] dollars) (p<0.001; Mann-Whitney-U). The day callus tissue was observed on the X-ray differed significantly between the groups (p<0.001; chi-square test). Conclusion: In younger children, surgeons preferred TEN due to the likelihood of remodeling associated with growth, the possibility of forming a callus sooner, and the lower cost compared to PSFKeywords : Pediatrik Ön Kol Kırığı, Titanyum Elastik Çivi, Plak Vida Tespiti, Maliyet