• Ulus Travma Acil Cer · Oct 2022

    The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries.

    • Onur Bilge, Ahmet Fevzi Kekeç, Numan Atılgan, Haluk Yaka, Zerrin Defne Dundar, Doğaç Karagüven, and Mahmut Nedim Doral.
    • Departmant of Orthopedics and Traumatology, Necmettin Erbakan University Meram Faculty of Medicine, Konya-Türkiye.
    • Ulus Travma Acil Cer. 2022 Oct 1; 28 (10): 150015071500-1507.

    BackgroundThe epidemiology of pediatric fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of pediatric fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety.MethodsA total of 3261 pediatric patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective and epidemiological descriptive study. The patients were grouped according to their ages as follows; <2, 2-5.9, 6-9.9, and 10-17.9. The fractures were examined according to the AO/OTA classification.ResultsA total of 3396 fractures were present in 3261 patients. The mean age of the patients was 9.8±4.6 (1-17). The number of patients according to the age groups was as follows; 28 (0.008%), 735 (22.53%), 863 (26.47%), and 1635 (50.99%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 23 (radius/ulna distal 22.9%), 13 (humerus distal, 13.3%), and 7 (hand/carpal, 12%). About 68.8% and 31.2% of the patients were treated non-surgically and surgically, respectively. Overall mortality rate was 0.1%.ConclusionTo the best of our knowledge, this study represents the first analysis of pediatric fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multicentric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.

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