학술논문
Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children.
Document Type
Academic Journal
Author
Zaccaria L; Department of Pediatric Surgery, Hospital Center Biel, 2501 Biel, Switzerland.; Stranzinger E; Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.; Xydias T; Pediatric Radiology, Cantonal Hospital Aarau, 5001 Aarau, Switzerland.; Schaedelin S; Department of Clinical Research and Data Analysis, University Hospital Basel, 4031 Basel, Switzerland.; Ziebarth K; Department of Pediatric Orthopaedics and Traumatology, University Children's Hospital Bern, Inselspital Bern, 3010 Bern, Switzerland.; Trück M; Department of Pediatric Surgery, Cantonal Hospital Lucerne, 6002 Lucerne, Switzerland.; Sommer-Joergensen V; Department of Pediatric Surgery, University Children's Hospital Basel, 4056 Basel, Switzerland.; Aufdenblatten C; Department of Pediatric Orthopaedics and Traumatology, University Children's Hospital Zurich, 8032 Zurich, Switzerland.; Klimek PM; Department of Pediatric Surgery, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Source
Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101648936 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9067 (Print) Linking ISSN: 22279067 NLM ISO Abbreviation: Children (Basel) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2227-9067
Abstract
(1) Background: Trampoline fractures (proximal tibia fracture with positive anterior tilt) are increasing. This study represents the first attempt to determine the extent of remodeling in these fractures after conservative treatment (2) Methods: This Swiss prospective multicenter study included children aged 2 to 5 years with a trampoline fracture who were radiologically examined on the day of the accident and after one year. In addition, the anterior tilt angle was compared between the injured and unaffected tibia. Remodeling was defined as complete (final anterior tilt angle ≤ 0°), incomplete (smaller but still >0°), or no remodeling. (3) Results: The mean extent of remodeling was -3.5° (95% CI: -4.29°, -2.66°, p < 0.001). Among the 89 children included in the study, 26 (29.2%) showed complete, 63 (70.8%) incomplete, and 17 patients (19.1%) no remodeling. Comparison of the anterior tilt angles between the fractured and healthy tibia showed that the anterior tilt angle on the fractured leg was, on average larger by 2.82° (95% CI: 2.01°, 3.63°; p < 0.001). (4) Conclusions: Although the anterior tilt angle decreased during the study period, the majority of patients showed incomplete remodeling. In contrast, children with radiological examinations >1 year after the trauma showed advanced remodeling, suggesting that one year is too short to observe complete remodeling.