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题名:
Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study
作者: Wang HW(王洪伟); Liu, Huan; Zhang, Song; Li ZQ(李长青); Zhou Y(周跃); Liu J(刘军); Ou L(欧兰); Xiang LB(项良碧)
作者部门: 机器人学研究室
通讯作者: Wang HW(王洪伟)
关键词: adolescent ; child ; collisions ; fracture ; nerve injury
刊名: MEDICINE
ISSN号: 0025-7974
出版日期: 2018
卷号: 97, 期号:21, 页码:1-6
收录类别: SCI
WOS记录号: WOS:000434307900046
产权排序: 1
项目资助者: Foundation of the Liaoning Province Doctor Startup Fund [201601389] ; State Key Laboratory of Robotics [2017-001] ; Open Project Program of the State Key Lab of CADCG [A1718] ; Open Project Program of the State Key Laboratory of Trauma, Burn and Combined Injury [SKLKF201705] ; State Key Laboratory of Materials Processing and Die and Mould Technology [P2018-011]
摘要: To investigate the incidence and pattern of child and adolescent (18 years old) traumatic fractures (TFs) as a result of collisions.We retrospectively reviewed 270 child and adolescent patients (228 males and 42 females aged 12.85.1 years old) with TFs as a result of collisions admitted to our university-affiliated hospitals from 2001 to 2010. The incidence and patterns were summarized with respect to different age groups, sex, etiology, and whether the patient presented with nerve injury.The most common etiologies were struck by object (105, 38.9%) and wounded by person (74, 27.4%). The most common fracture sites were upper limb fractures (126, 46.7%) and craniofacial fractures (82, 30.4%). A total of 65 (24.1%) patients suffered a nerve injury. The frequency of early and late complications/associated injuries was 35.6% (n=96) and 8.5% (n=23), respectively. The mean age (P=.001) and frequency of wounded by person (P=.038) was significantly larger in male than in female patients. The frequency of earthquake injury (P<.001) and lower limb fractures (P=.002) was significantly larger in females than in male patients. The frequency of upper limb fracture was significantly higher in the wounded by machine group (83.3%) than in the other groups (all P<.05). The frequency of lower limb fractures was significantly higher in the earthquake injury group (64.7%) than in the other groups (all P<.05). The frequency of craniofacial fracture was significantly higher in the wounded by person group (54.1%) than in the other groups (all P<.05). The emergency admission rate (P=.047), frequency of wounded by person (P<.001), craniofacial fracture (P<.001), and early complications/associated injuries (P<.001) were significantly larger in patients with nerve injury than in other patients.Struck by object and upper limb fractures were the most common etiology and site, respectively. Wounded by person and craniofacial fractures were risk factors for nerve injury. Therefore, we should pay more attention to patients wounded by person, presenting with craniofacial fracture, to find whether there is nerve injury.
语种: 英语
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内容类型: 期刊论文
URI标识: http://ir.sia.cn/handle/173321/22082
Appears in Collections:机器人学研究室_期刊论文

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作者单位: 1.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA
2.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning
3.State Key Laboratory of Materials Processing and Die and Mould Technology, Huazhong University of Science and Technology, Wuhan, Hubei
4.State Key Laboratory of Trauma, Burn and Combined Injury, Third Military Medical University, Chongqing
5.Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou
6.Department of Orthopedics, Xinqiao Hospital
7.Department of Radiology, Xinqiao Hospital
8.Department of Radiology, Southwest Hospital, The Third Military Medical University, Chongqing, China

Recommended Citation:
Wang HW,Liu, Huan,Zhang, Song,et al. Traumatic fractures resulting from collisions in children and adolescents: A retrospective observational study[J]. MEDICINE,2018,97(21):1-6.
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