Assessment of Risk Factors for Refracture of Pediatric Forearm Diaphysis Following Elastic Stable Intramedullary Nailing Treatment
Objective To investigate the risk factors for refracture in children undergoing elastic stable intramedullary nailing(ESIN)for forearm diaphysis fractures,aiming to enhance the therapeutic efficacy of this treatment.Methods We conducted a retrospective analysis of clinical data from 127 patients with forearm diaphysis fractures treated with ESIN at Changzhou Children's Hospital affiliated to Nantong University between January 2015 and December 2022.The patients were divided into two groups based on the occurrence of postoperative refracture:the refracture group(n=10)and the non-refracture group(n=117).The refracture group consisted of 9 males and 1 female,with a mean age of(8.35±2.65)years(range:5～14 years),while the non-refracture group included 66 males and 51 females,with a mean age of(9.58±2.43)years(range:5～12 years).Variables such as age,gender,body mass index(BMI),injured side,immobilization time,blood 25(OH)D levels,fracture location,number of fractures,fracture classification,and ESIN retention time were compared between the two groups.Logistic regression analysis was used to identify potential risk factors for pediatric forearm refracture.Results The patients were followed up for 7～40 months,with an average of(11.26±3.93)months.Univariate analysis revealed significant associations between gender,fracture location,and ESIN retention time with refracture(P＜0.05).Multivariate Logistic regression analysis further confirmed that ESIN retention time less than 6 months(P=0.032,OR=10.846)and middle third fracture location(P=0.013,OR=15.374)were independent risk factors for forearm diaphysis refracture.Conclusion Refracture after ESIN for forearm diaphysis fractures in children is uncommon.Clinicians should be vigilant about cases with middle third fracture location and ESIN retention time less than 6 months,as these factors pose an increased risk of refracture.
refractureforearmchildrenelastic intramedullary nail
万方数据
维普
