标题：The Validity of ESIN Method of Osteosynthesis Compared to other Active Surgical Methods of Treatment of Diaphyseal Fractures of Long Bones in Children and Adolescents
摘要：We investigated the relationship of efficiency in the application of the ESIN method of intramedullary osteosynthesis and other active surgical methods in the treatment of diaphyseal fractures of long bones in children and adolescents. The study comprised 100 subjects treated by elastic stable intramedullary osteosynthesis (ESIN – group A) and 50 subjects in whom other active surgical methods were applied (group B). The following criteria of efficiency of treatment were applied: 1. length of perioperative hospitalization, 2. time elapsed since the operation until the beginning of loading of the traumatized extremity, 3. time elapsed since the operation until the full loading of the extremity, i.e. until the recovery of the fracture, 4. incidence of complications, 5. number of post-operative outpatient clinical visits until the recovery of the fracture and 6. overall number of X-ray images of the fractured bone since the accident until the coalescence of the fracture. The results obtained in both groups were compared. 1. The length of perioperative hospitalization is shorter in patients in whom ESIN method was applied. The difference between arithmetic means was 4.45 days and is statistically significant (p subjected to ESIN method of osteosynthesis, the difference of mean values being 23.49 days and is statistically significant (p to ESIN method of osteosynthesis, the difference being 16.6 days and is statistically significant (p number of complications in patients treated by the ESIN method of osteosynthesis is not statistically different from that in group B (÷ 2=0.25, p=0.62). 5. In postoperative period there were fewer outpatient controls in patients to whom ESIN method of osteosynthesis was applied, and the difference is statistically significant (Z=7.69, p overall number of X-ray controls was lesser (Z=8.06, p greater efficiency of treating diaphyseal fractures of long bones in children and adolescents by the ESIN method of osteosynthesis, compared to other active surgical methods.
关键词：bone fractures; treatment; ESIN method of osteosynthesis; other surgical methods
