selim taşkın - Academia.edu (original) (raw)

Papers by selim taşkın

Joint Diseases and Related Surgery, 2020

Pediatric trauma has some different points from adults and the incidence is increasing over the y... more Pediatric trauma has some different points from adults and the incidence is increasing over the years. Nearly one of every four children needs medical care due to an accidental injury in the United States. [1] Tibial shaft fractures are the third most common long bone fracture type in children after fractures of radius-ulna and femur; and the second most common reason for hospitalization after femur fractures. [2-4] Pediatric tibial fractures (PTFs) are mostly treated by closed reduction and casting (CRC). Sometimes, the family of a three-or four-year-old child with spiral and non-displaced fracture of the tibial shaft, Toddler's fracture, may not prefer to come to the hospital urgently, since children may have little pain, and just walk with antalgic full weight bearing. If the family is questioned about the patients' history, they may report unwillingness of the patient to bear weight. [5] Objectives: This study aims to investigate the effects of associated factors like age, fracture level, accompanying fibular fractures and wound condition on healing by determining and comparing union scores of pediatric tibial fractures (PTFs). Patients and methods: Forty-five patients with 46 PTFs (32 males, 13 females; mean age 9.5 years; range 2 to 16 years) who were treated by closed reduction and casting or operated between January 2016 and January 2019 were retrospectively evaluated. The union scores were evaluated at the end of fourth, sixth and eighth weeks and compared to each other. Effects of the age, associated fibular fractures, wound condition, fracture level and treatment type to union score were analyzed. Results: Twenty-eight (60.9%) out of 46 PTFs had associated fibular fractures and 18 (39.1%) did not. Motor vehicle accident was the most frequent etiologic factor (47.8%). Thirty-four out of 46 fractures were closed tibial fractures (73.9%) and 12 had open wound (26.1%). There was a negative correlation between age and the union scores (p<0.001 for each week). No significant difference was observed between the union score of diaphyseal and metaphyseal fractures at the fourth, sixth, and eighth weeks. The union scores of each week were higher in the conservative group compared to operative group (p<0.001 for each week). Associated fibular fracture group had lower union scores compared to isolated tibial fracture group at fourth, sixth and eighth weeks. Likewise, the union scores of the open fracture group were lower than the closed fracture group (p<0.05 for each week). Conclusion: Associated fibular fractures, open fractures and aging negatively affect union scores of PTFs. Attention should be paid, particularly in these conditions, during the selection of the operation type and the follow-up period of PTFs.

Joint Diseases and Related Surgery, 2020

Pediatric trauma has some different points from adults and the incidence is increasing over the y... more Pediatric trauma has some different points from adults and the incidence is increasing over the years. Nearly one of every four children needs medical care due to an accidental injury in the United States. [1] Tibial shaft fractures are the third most common long bone fracture type in children after fractures of radius-ulna and femur; and the second most common reason for hospitalization after femur fractures. [2-4] Pediatric tibial fractures (PTFs) are mostly treated by closed reduction and casting (CRC). Sometimes, the family of a three-or four-year-old child with spiral and non-displaced fracture of the tibial shaft, Toddler's fracture, may not prefer to come to the hospital urgently, since children may have little pain, and just walk with antalgic full weight bearing. If the family is questioned about the patients' history, they may report unwillingness of the patient to bear weight. [5] Objectives: This study aims to investigate the effects of associated factors like age, fracture level, accompanying fibular fractures and wound condition on healing by determining and comparing union scores of pediatric tibial fractures (PTFs). Patients and methods: Forty-five patients with 46 PTFs (32 males, 13 females; mean age 9.5 years; range 2 to 16 years) who were treated by closed reduction and casting or operated between January 2016 and January 2019 were retrospectively evaluated. The union scores were evaluated at the end of fourth, sixth and eighth weeks and compared to each other. Effects of the age, associated fibular fractures, wound condition, fracture level and treatment type to union score were analyzed. Results: Twenty-eight (60.9%) out of 46 PTFs had associated fibular fractures and 18 (39.1%) did not. Motor vehicle accident was the most frequent etiologic factor (47.8%). Thirty-four out of 46 fractures were closed tibial fractures (73.9%) and 12 had open wound (26.1%). There was a negative correlation between age and the union scores (p<0.001 for each week). No significant difference was observed between the union score of diaphyseal and metaphyseal fractures at the fourth, sixth, and eighth weeks. The union scores of each week were higher in the conservative group compared to operative group (p<0.001 for each week). Associated fibular fracture group had lower union scores compared to isolated tibial fracture group at fourth, sixth and eighth weeks. Likewise, the union scores of the open fracture group were lower than the closed fracture group (p<0.05 for each week). Conclusion: Associated fibular fractures, open fractures and aging negatively affect union scores of PTFs. Attention should be paid, particularly in these conditions, during the selection of the operation type and the follow-up period of PTFs.