Sommario
Uno dei principali fattori che condizionano la scelta del trattamento delle fratture diafisarie di femore in età pediatrica è proprio l’età. Le fratture dei bambini sotto i sei anni vengono trattate incruentamente con trazione e confezione di apparecchio gessato. Pazienti di età superiore necessitano invece di trattamento chirurgico. Tra il 2003 e il 2012 abbiamo trattato 30 pazienti, 17 di età inferiore ai sei anni e 13 di età superiore. I pazienti del primo gruppo sono stati trattati con apparecchio gessato. I pazienti più grandi sono stati trattati chirurgicamente con inchiodamento endomidollare elastico, chiodi endomidollari bloccati o placca e viti. In nessun caso si sono verificate complicanze che richiedessero ulteriori trattamenti.
Abstract
One of the most important factors conditioning treatment choice for diaphyseal femur pediatric fractures is the age of the patient. Children under 6 years are treated with traction and spica casting. Older patients need surgical treatment. From 2003 to 2012 we treated 30 patients, 17 under 6 years and 13 older. Patients in the first group were treated by spica casting. Older patients were treated surgically with elastic nailing, rigid nails or plating. No patient needed further treatment for complications.
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Mosconi, M., Pelillo, F., Caretti, V. et al. Le fratture diafisarie di femore in età pediatrica. Aggiornamenti 19, 13–18 (2013). https://doi.org/10.1007/s10351-013-0006-8
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DOI: https://doi.org/10.1007/s10351-013-0006-8