Liječenje prijeloma distalnog radijusa u odrasloj i dječjoj populaciji

master's thesis

• Title (english): Management of distal radius fractures in adult and pediatric populations
• Author: Vedran Jakšić
• Mentor: Ivan Dobrić (mentor)
• Committee member: Davor Mijatović (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Ivan Dobrić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Cilj: Svrha ove retrospektivne analize bila je odrediti učestalost prijeloma distalnog radijusa i korištenih metoda liječenja u djece i odraslih liječenih u Klinici za kirurgiju Kliničkog bolničkog centra Zagreb.

Materijali i metode: Ovo je istraživanje obuhvatilo ukupno 324 ispitanika liječenih u stacionaru Klinike za kirurgiju Kliničkog bolničkog centra Zagreb koji su šifrirani prema MKB-10 kao S52.5 (prijelom donjeg dijela palčane kosti) od 2017. do 2023. godine. Prikupljeni su podaci o dobi, spolu, godini u kojoj je došlo do prijeloma, postojanju epifizeolize u djece, primijenjenim metodama liječenja i pojavi sekundarnog pomaka nakon liječenja.

Rezultati: Najviše prijeloma distalnog radijusa liječeno je 2018. godine (17,28 %), a najmanje 2020. godine (11,73 %). Najveća incidencija bila je u dječjoj populaciji i češći su bili pacijenti muškog spola (61,11 %). U odrasloj populaciji kirurške metode liječenja primijenjene su u 44,44 % slučajeva, a konzervativne u 55,56 %. Najčešće korištena kirurška metoda u odrasloj populaciji bila je otvorena repozicija i unutarnja fiksacija pločicom. U djece s prijelomima distalnog radijusa korištena je konzervativna metoda u 89,47 % slučajeva, a od kirurških metoda najčešće je korištena perkutana fiksacija Kirschnerovim žicama. Bilo je 55 epifizeoliza u djece koje su liječene zatvorenom repozicijom i imobilizacijom u 87,27 % slučajeva.

Zaključak: Ova retrospektivna analiza pokazala je različitu učestalost korištenih metoda liječenja u odrasloj i dječjoj populaciji. U odrasloj populaciji češće su korištene kirurške metode liječenja u usporedbi s dječjom.

Abstract (english)

Objective: The aim of this retrospective analysis was to determine the incidence of distal radius fractures and treatment options used in children and adults treated in the Department of Surgery at the Clinical Hospital Center Zagreb.

Materials and methods: This study included a total of 324 patients treated in the Department of Surgery at the Clinical Hospital Center Zagreb with a distal radius fracture from 2017 to 2023. For each patient, data on age and gender was collected, the year in which the fracture occurred, involvement of growth plate in children, treatment methods used and incidence of secondary dislocations after treatment.

Results: The highest incidence of fractures was in 2018 (17.28 %) and the lowest in 2020 (11.73 %). Highest incidence occurred in the pediatric population and most of the patients were boys (61.11 %). In the adult population surgical treatment was used in 44.44 % of cases and conservative treatment in 55.56 %. Open reduction and plate internal fixation was used most often as surgical treatment in adults. Children with distal radius fractures were most often treated conservatively in 89.47 % of cases and the most used surgical method was percutaneous Kirschner wire fixation. Involvement of the growth plate occurred in 55 children and they were mostly treated with closed reduction and immobilization in 88.27 % of cases.

Conclusion: This retrospective analysis has shown different incidence of treatment methods used in adult and pediatric populations. Surgical methods of treatment are more prevalent in adults compared with children.

• Keywords: prijelom distalnog radijusa; epidemiologija; liječenje prijeloma
• Keywords (english): distal radius fracture; epidemiology; fracture management
• Language: croatian
• URN:NBN: urn:nbn:hr:105:835752
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-07-02 21:28:40