Differences of treatment of forearm fractures in children and adult population

master's thesis

• Title (croatian): Razlike u liječenju prijeloma podlaktice u dječjoj i odrasloj populaciji
• Author: Lenart Andrej Zore
• 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; (Department of Surgery); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Forearm shaft fractures are common fractures seen in all age groups. Choosing the right treatment is important in order to restore patients forearm movements, especially pronation and supination. Restriction of those movements can significantly decrease quality of life of a patient. Treatment depends on type of the fracture and age of the patient. Preschool children are treated mainly conservatively. School children with stable fractures may also be treated conservatively but unstable fractures are treated with reduction and minimally invasive surgical technique elastic stable intramedullary nailing (ESIN). ESIN can only be used in children till adolescence. Children near skeletal maturity and adults need open surgery with rigid plate and screws fixation of the fracture. Nondiplaced ulnar fracture can be treated conservatively. Anatomical reduction and sufficient fixation of the fracture is the key of treatment of forearm shaft fractures, which give satisfactory functional outcomes.

Abstract (croatian)

Prijelomi srednjih dijelova podlaktičnih kostiju su česti u svim dobnim grupama. Odabir odgovarajućeg liječenja je važan zbog očuvanja pokreta u podlaktici, pogotovo supinacije i pronacije. Ograničenje u tim pokretima može znatno sniziti
kvalitetu života u pacijenata. Način liječenja ovisi o vrsti frakture i o dobi pacijenta. Predškolska djeca se liječe uglavnom konzervativno. Školska djeca sa stabilnim frakturama se isto tako liječe konzervativno, dok se u slučaju nestabilnih fraktura
primjenjuje repozicija i minimalno invazivna kirurška tehnika primjene stabilnog elastičnog intramedularnog čavla (ESIN). ESIN se može koristiti samo u djece do adolescencije. Djeca blizu koštane zrelosti i odrasli u ovom slučaju zahtijevaju
otvorenu kirurgiju frakture s rigidnim pločicama i šarafima. Frakture ulne bez pomaka se mogu liječiti konzervativno. Anatomska redukcija s optimalnom fiksacijom frakturnih ulomaka predstavlja najvažniji dio liječenja prijeloma srednjih dijelova
kostiju podlaktice te omogućuje zadovoljavajući povrat funkcije.

• Keywords: forearm shaft; fracture; radius and ulna; treatment; ORIF; intramedullary nailing; elastic-stable intramedullary nailing; ESIN
• Keywords (croatian): podlaktica; prijelom; radijus i ulna; liječenje; ORIF; intramedularna osteosinteza; elastično stabilna intramedularna osteosinteza (ESIN)
• Language: english
• URN:NBN: urn:nbn:hr:105:321378
• Study programme: Title: Medicine (in English language); 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: 2019-03-28 11:06:42