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Dyutin A.O.

Ulyanov Chuvash State University

Shakiryanov R.A.

Ulyanov Chuvash State University

Semenova A.S.

Ulyanov Chuvash State University

Kyarunts K.D.

Ulyanov Chuvash State University

Osipov V.A.

Ulyanov Chuvash State University

Risk factors of adverse long-term consequences of tibial shaft fractures in children

Authors:

Dyutin A.O., Shakiryanov R.A., Semenova A.S., Kyarunts K.D., Osipov V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(4): 33‑41

DOI: 10.17116/hirurgia202304133

Read: 1360 times

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Table of contents

RISK FACTORS OF ADVERSE LONG-TERM CONSEQUENCES OF TIBIAL SHAFT FRACTURES IN CHILDREN
RISK FACTORS OF ADVERSE LONG-TERM CONSEQUENCES OF TIBIAL SHAFT FRACTURES IN CHILDREN

To cite this article:

Dyutin AO, Shakiryanov RA, Semenova AS, Kyarunts KD, Osipov VA. Risk factors of adverse long-term consequences of tibial shaft fractures in children. Pirogov Russian Journal of Surgery. 2023;(4):33‑41. (In Russ.)
https://doi.org/10.17116/hirurgia202304133

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze leg length discrepancy and overgrowth after tibial shaft fractures in children.

MATERIAL AND METHODS

We analyzed medical records of 103 patients younger 14 years old with tibial shaft fractures between January 2003 and November 2018. Treatment included plastering and insertion of titanium elastic nail. To identify the risk factors of leg length discrepancy ≥1 cm and overgrowth ≥1 cm, we performed logistic regression analysis. Statistical analysis was carried out using the SPSS software for Windows.

RESULTS

Gender (p=0.014) and treatment methods (p=0.011) are the most significant predictors of leg length discrepancy and overgrowth. In boys, the risk of leg length discrepancy ≥1 cm was 7.4 times higher than in girls. The risk of leg length discrepancy ≥1 cm was 4.3 times higher after insertion of titanium elastic nail compared to plastering. The risk of overgrowth ≥1 cm was 5.4 times higher in boys than in girls. The risk of overgrowth ≥1 cm was 4.7 times higher after insertion of titanium elastic nail compared to plastering.

CONCLUSION

One should consider the risk of leg length discrepancy and overgrowth in children with tibial shaft fractures. This is especially true for boys undergoing insertion of titanium elastic nail.

Keywords:

tibial shaft fracture
overgrowth
titanium elastic nail
plastering
leg length discrepancy

Authors:

Dyutin A.O.

Ulyanov Chuvash State University

Shakiryanov R.A.

Ulyanov Chuvash State University

Semenova A.S.

Ulyanov Chuvash State University

Kyarunts K.D.

Ulyanov Chuvash State University

Osipov V.A.

Ulyanov Chuvash State University

Received:

21.07.2022

Accepted:

06.09.2022

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