ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH X QUANG VÀ CÁC BIẾN CHỨNG NẮN BÓ BỘT ĐIỀU TRỊ GÃY KÍN XƯƠNG CẲNG TAY Ở TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2023 - 2024

Abstract

Background: Forearm fractures are the most common long bone fractures, accounting for up to 40% of fractures in children. Conservative treatment with closed reduction and plaster cast is the first choice. However, there are still few studies comparing conservative and surgical treatments, as well as limited research discussing complications of closed reduction and casting and how to manage these complications. Objectives: 1) to describe the clinical characteristics and X-ray images of closed forearm fractures in children treated at Can Tho Children's Hospital; 2) to evaluate complications of treatment of closed forearm fractures in children by fixed cast method at Can Tho Children's Hospital. Materials and methods: Cross-sectional descriptive study on 111 children <16 years old diagnosed with forearm fractures indicated for treatment at the Department of Surgery, Can Tho Children's Hospital from December 2023 to December 2024. Results: The mean age was 8.3 ± 3.8 years old; male/female ratio 7/3; the mechanism of injury was mostly indirect (93.7%); most children did not receive any treatment before admission (75.7%). Among children with definite signs of fracture, the highest was children with limb axis deformity in 49 cases (44.1%). All children had signs of limited forearm mobility. The most common rates of children with forearm fractures classified by AO were 22A2 39.6%, 22A3 36%, 22A1 18.9%. Complications: allergy to the material (5.8%), deviation (3.5%), neurological complications (2.3%), delayed bone healing (2.3%) and cast failure (1.2%). Post-treatment complications were mainly treated by cast replacement (33.3%) and medication (33.3%). Conclusion: Plaster casting is a safe, effective and suitable treatment method for closed forearm fractures in children.