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Leg-length discrepancy and associated risk factors after paediatric femur shaft fracture: a multicentre study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Tae Gyun | - |
dc.contributor.author | Park, Moon Seok | - |
dc.contributor.author | Lee, Sang Hyeong | - |
dc.contributor.author | Choi, Kug Jin | - |
dc.contributor.author | Im, Byeong-eun | - |
dc.contributor.author | Kim, Dae Yeung | - |
dc.contributor.author | Sung, Ki Hyuk | - |
dc.date.accessioned | 2023-05-08T00:33:01Z | - |
dc.date.available | 2023-05-08T00:33:01Z | - |
dc.date.created | 2021-07-13 | - |
dc.date.created | 2021-07-13 | - |
dc.date.issued | 2021-06 | - |
dc.identifier.citation | Journal of Children's Orthopaedics, Vol.15 No.3, pp.215-222 | - |
dc.identifier.issn | 1863-2521 | - |
dc.identifier.uri | https://hdl.handle.net/10371/191870 | - |
dc.description.abstract | Purpose: This study was performed to investigate leg-length discrepancy (LLD) and associated risk factors after paediatric femur shaft fractures. Methods: A total of 72 consecutive patients under 13 years old (mean age 6.7 years; 48 boys, 24 girls) with unilateral femur shaft fracture, and a minimum follow-up of 18 months, were included. The amount of LLD was calculated by subtracting the length of the uninjured from that of the injured limb. Risk factors for an LLD >= 1 cm and >= 2 cm were analyzed using multivariable logistic regression analysis. Results: Hip spica casting, titanium elastic nailing and plating were performed on 22, 40 and ten patients, respectively. The mean LLD was 7.8 mm (sd 8.8) and 29 (40.3%) had a LLD of >= 1 cm, while nine (12.5%) had a LLD of >= 2 cm. There were significant differences in fracture stability (p = 0.005) and treatment methods (p = 0.011) between patients with LLD < 1 cm and >= 1 cm. There were significant differences in fracture site shortening (p < 0.001) and LLD (p < 0.001) between patients with length-stable and length-unstable fractures. Fracture stability was the only factor associated with LLD >= 1 cm (odds ratio of 4.0; p = 0.020) in the multivariable analysis. Conclusion: This study demonstrated that fracture stability was significantly associated with LLD after paediatric femur shaft fractures. Therefore, the surgeon should consider the possibility of LLD after length-stable femur shaft fracture in children. | - |
dc.language | 영어 | - |
dc.publisher | Springer Verlag | - |
dc.title | Leg-length discrepancy and associated risk factors after paediatric femur shaft fracture: a multicentre study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1302/1863-2548.15.200252 | - |
dc.citation.journaltitle | Journal of Children's Orthopaedics | - |
dc.identifier.wosid | 000663028000004 | - |
dc.identifier.scopusid | 2-s2.0-85109007274 | - |
dc.citation.endpage | 222 | - |
dc.citation.number | 3 | - |
dc.citation.startpage | 215 | - |
dc.citation.volume | 15 | - |
dc.description.isOpenAccess | Y | - |
dc.contributor.affiliatedAuthor | Park, Moon Seok | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | FEMORAL-SHAFT | - |
dc.subject.keywordPlus | INTRAMEDULLARY NAILS | - |
dc.subject.keywordPlus | OVERGROWTH | - |
dc.subject.keywordPlus | CHILDREN | - |
dc.subject.keywordPlus | FIXATION | - |
dc.subject.keywordAuthor | femur shaft fracture | - |
dc.subject.keywordAuthor | paediatric | - |
dc.subject.keywordAuthor | leg-length discrepancy | - |
dc.subject.keywordAuthor | overgrowth | - |
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