The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).
Details
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State: Public
Version: Final published version
State: Public
Version: Final published version
Serval ID
serval:BIB_E00CB17811AB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).
Journal
Acta orthopaedica
ISSN
1745-3682 (Electronic)
ISSN-L
1745-3674
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
88
Number
2
Pages
133-139
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Background and purpose - The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF) describes the localization and morphology of fractures, and considers severity in 2 categories: (1) simple, and (2) multifragmentary. We evaluated simple and multifragmentary fractures in a large consecutive cohort of children diagnosed with long bone fractures in Switzerland. Patients and methods - Children and adolescents treated for fractures between 2009 and 2011 at 2 tertiary pediatric surgery hospitals were retrospectively included. Fractures were classified according to the AO PCCF. Severity classes were described according to fracture location, patient age and sex, BMI, and cause of trauma. Results - Of all trauma events, 3% (84 of 2,730) were diagnosed with a multifragmentary fracture. This proportion was age-related: 2% of multifragmentary fractures occurred in school-children and 7% occurred in adolescents. In patients diagnosed with a single fracture only, the highest percentage of multifragmentation occurred in the femur (12%, 15 of 123). In fractured paired radius/ulna bones, multifragmentation occurred in 2% (11 of 687); in fractured paired tibia/fibula bones, it occurred in 21% (24 of 115), particularly in schoolchildren (5 of 18) and adolescents (16 of 40). In a multivariable regression model, age, cause of injury, and bone were found to be relevant prognostic factors of multifragmentation (odds ratio (OR) > 2). Interpretation - Overall, multifragmentation in long bone fractures in children was rare and was mostly observed in adolescents. The femur was mostly affected in single fractures and the lower leg was mostly affected in paired-bone fractures. The clinical relevance of multifragmentation regarding growth and long-term functional recovery remains to be determined.
Keywords
Adolescent, Age Factors, Child, Child, Preschool, Female, Femoral Fractures/classification, Femoral Fractures/diagnostic imaging, Femoral Fractures/epidemiology, Fibula/diagnostic imaging, Fibula/injuries, Forearm Injuries/classification, Forearm Injuries/diagnostic imaging, Forearm Injuries/epidemiology, Fractures, Comminuted/classification, Fractures, Comminuted/diagnostic imaging, Fractures, Comminuted/epidemiology, Humans, Humeral Fractures/classification, Humeral Fractures/diagnostic imaging, Humeral Fractures/epidemiology, Infant, Infant, Newborn, Logistic Models, Male, Multivariate Analysis, Odds Ratio, Prognosis, Radiography, Radius Fractures/classification, Radius Fractures/diagnostic imaging, Radius Fractures/epidemiology, Retrospective Studies, Switzerland/epidemiology, Tibial Fractures/classification, Tibial Fractures/diagnostic imaging, Tibial Fractures/epidemiology, Ulna Fractures/classification, Ulna Fractures/diagnostic imaging, Ulna Fractures/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
06/12/2016 21:21
Last modification date
20/08/2019 17:04