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PP-016 Characteristics of pediatric fractures: differences in isolated and multiple injuries
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  1. Emel Ulusoy,
  2. Kaan Furkan Bıyık,
  3. Durgül Yılmaz,
  4. Murat Duman
  1. Dokuz Eylul University Hospital

Abstract

Aim The aim of this study is to determine the characteristics of childhood fractures and to highlight differences between isolated and multiple injuries.

Material and Method Patients aged between 0 and 18 years diagnosed with extremity fractures in the Pediatric Emergency Department over a three-year period were included in this study. Demographic data, clinical features, laboratory and imaging results, as well as clinical follow-ups of the patients were recorded.

Results The median age of the 996 enrolled patients was 9.0 years (range 5.0–12.0 years) with a male preponderance of 73.1%. Isolated extremity fractures were present in 863 cases (86.6%). Falls (76.1%) and direct trauma (12.0%) were the most common mechanisms of injury. Fractures were predominantly found in the isolated forearm bones (44.5%), humerus (14.1%), and fingers (11.3%). Associated injuries included intracranial bleeding in 6 cases (0.6%), skull fractures in 19 cases (1.9%), cervical spine injuries in 2 cases (0.2%), thoracic injuries in 44 cases (4.4%), and abdominal injuries in 30 cases (3.1%). Major surgery was performed in 125 cases (12.6%). Lower extremity fractures (femur, tibia, and fibula) were more frequent in pedestrien accidents compared to other injury types (p<0.001). In patients with multiple traumas, lower extremity fractures were more commonly associated (54.3% and 15.5% for femur and tibia, respectively) (p<0.001). Additionally, open fractures and the need for major surgery were more frequent in this group (p<0.001, p<0.001, respectively). Vascular and nerve injuries were more frequently associated with lower extremity fractures (p=0.001, p<0.001, respectively).

Conclusions When extremity fractures are part of multiple injuries, there is a higher incidence of vascular and nerve injuries, necessitating a greater need for major surgery. Besides focusing on internal organ damage in multiple traumas, careful attention should be given to imaging of the long bones of the extremities

  • Multiple trauma
  • chidren
  • extremity

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