KẾT QUẢ ĐIỀU TRỊ BẢO TỒN GÃY KÍN THÂN XƯƠNG ĐÙI TRẺ EM TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Background: Femoral shaft fractures in children account for about 1.6% of all fractures in children. This is the most common type of fractures in children requiring hospitalization, prolonged hospital stay and immobility, causing the significant burden on the health care system as well as caregivers. The choices of treatment method depend mainly on factors such as the patient's age, weight, type of fractures and other associated injuries. Methods: Retrospective, cross-sectional, uncontrolled study on 74 children under 12 years old who were diagnosed with closed femoral shaft fractures and were treated conservatively with reduction and casting at the National Children's Hospital during the period from January 2018 to December 2021. Results: The average age is 3.45 ± 2.51 (6 days old - 10.7 years old), the most common age group is 2 - 5 years old, accounting for 52.7%. The male/female ratio is 1.64/1. The mean follow-up time was 3.42 ± 1.01 years. The most common cause of injury is daily life accidents (66.2%). The most common fracture location is middle third fracture (55.4%), the most common fracture type is oblique, spiral  fractures (56.8%). Bone healing outcomes according to Flynn: 95.8% good bone healing, 4.2% malunion. The overall complication rate was 16.8%. Conclusion: Conservative treatment of closed femoral shaft fractures in children is the safe, effective method with few complications for children ≤ 10 years old.