The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).

Details

Ressource 1Download: The AO Pediatric Comprehensive Classification of Long Bone Fractures PCCF (1).pdf (526.86 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_B24C7E7911F0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).
Journal
Acta orthopaedica
Author(s)
Joeris A., Lutz N., Blumenthal A., Slongo T., Audigé L.
ISSN
1745-3682 (Electronic)
ISSN-L
1745-3674
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
88
Number
2
Pages
129-132
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Background and purpose - To achieve a common understanding when dealing with long bone fractures in children, the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO PCCF) was introduced in 2007. As part of its final validation, we present the most relevant fracture patterns in the lower extremities of a representative population of children classified according to the PCCF. Patients and methods - We included patients up to the age of 17 who were diagnosed with 1 or more long bone fractures between January 2009 and December 2011 at either of 2 tertiary care university hospitals in Switzerland. Patient charts were retrospectively reviewed. Results - More lower extremity fractures occurred in boys (62%, n = 341). Of 548 fractured long bones in the lower extremity, 25% involved the femur and 75% the lower leg. The older the patients, the more combined fractures of the tibia and fibula were sustained (adolescents: 50%, 61 of 123). Salter-Harris (SH) fracture patterns represented 66% of single epiphyseal fractures (83 of 126). Overall, 74 of the 83 SH patterns occurred in the distal epiphysis. Of all the metaphyseal fractures, 74 of 79 were classified as incomplete or complete. Complete oblique spiral fractures accounted for 57% of diaphyseal fractures (120 of 211). Of all fractures, 7% (40 of 548) were classified in the category "other", including 29 fractures that were identified as toddler's fractures. 5 combined lower leg fractures were reported in the proximal metaphysis, 40 in the diaphysis, 26 in the distal metaphysis, and 8 in the distal epiphysis. Interpretation - The PCCF allows classification of lower extremity fracture patterns in the clinical setting. Re-introduction of a specific code for toddler's fractures in the PCCF should be considered.

Keywords
Adolescent, Age Distribution, Child, Child, Preschool, Epiphyses/diagnostic imaging, Epiphyses/injuries, Female, Femoral Fractures/classification, Femoral Fractures/diagnostic imaging, Femoral Fractures/epidemiology, Fibula/diagnostic imaging, Fibula/injuries, Fractures, Bone/classification, Fractures, Bone/diagnostic imaging, Fractures, Bone/epidemiology, Humans, Infant, Infant, Newborn, Leg Injuries/classification, Leg Injuries/diagnostic imaging, Leg Injuries/epidemiology, Male, Radiography, Retrospective Studies, Salter-Harris Fractures/classification, Salter-Harris Fractures/diagnostic imaging, Salter-Harris Fractures/epidemiology, Sex Distribution, Switzerland/epidemiology, Tibial Fractures/classification, Tibial Fractures/diagnostic imaging, Tibial Fractures/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
06/12/2016 21:22
Last modification date
20/08/2019 16:21
Usage data