64 KB13 KB192920262004Brilej, DragoVindišar, Francištevilka:4letnik:73str. 289-291ISSN:1318-0347COBISSID_HOST:17860569URN:URN:NBN:SI:doc-OYWE79WMslSlovensko zdravniško društvoZdravniški vestnikAnkle InjuriesChildFracture FixationGleženj, poškodbeOtrokTreatment OutcomeZdravljenje, izidZlom, fiksacijaZdravljenje dislociranih zlomov gležnja pri otrocih| Treatment of displaced malleolar fractures at children|Background. The exact knowledge of the anatomic relations of the juvenile skeleton is of great importance for the determination of the injury and propertreatment. The treatment should be uniform and carried out in one act. Considering this facts the functional results are usually very good and no late sequel are recorded. Methods. In 5 years period 25 children with age 7 to17 were treated with displaced fracture of ankle. The Salter-Harris classification (SHC) was used. Children were classified in two groups. In first group (G-I) 11 children were treated with closed reduction. Whole group was classified as type II fractures of SHC. In second group (G-II) 14 childrenwere treated operatively. 10 cases were type IIl, 2 cases were type IVof SHC and 2 were juvenil Tillaux fracture. In follow-up we registered the duration of immobilisation, non-weight bearing period, mobility and residual pain at the end of the treatment. Results. In G-I average non-weight bearing period was Z0.4 weeks, in G-ll only 7.8 weeks. At the end of the treatment in both groups very good functional results were achieved. There were no complications in operative group (G-ll). Conclusions. Children relatively often suffer ankle injuries. With proper diagnosis and early adequate treatment the prognosis is good and no functional sequel were recordedIzhodišča. Natančno poznavanje anatomskih razmer otroškega skeleta je pomembnoza oceno poškodbe in pravilno zdravljenje. Zdravljenje mora biti enotno in napravljeno naenkrat. V tem primeru so funkcionalni rezultati običajno dobri, brez poznih posledic. Metode. V 5-letnem obdobju smo zdravili 25 otrok v starostni skupini od 7 do 17 let z dislociranimi zlomi gležnja. Uporabjali smo Salter-Harrisovo klasifikacijo (SHK). Otroci so bili razdeljeniv dve skupini. V prvi skupini (S-1) smo zdravili 11 otrok z zaprto repozicijo. Vse smo klasificirali kot TIP ll po SHK. V drugi skupini (S-2) smooperativno zdravili 14 otrok. V 10 primerih je šlo za TIP III, v po dveh primerih za TIP IV po SHK in za juvenilni Tillauxov zlom. Spremjali smo čas imobilizacije, čas brez obremenjevanja, mobilnost in preostale bolečine ob koncu zdravljenja. Rezultati. VS-1 je bil povprečni čas brez obremenjevanja 10,4 tedne, v S-2 samo 7,8. Na koncu zdravljenja smo v obeh skupinah dosegli dobre funkcionalne rezultate. V skupini operiranih (S-2) nismo ugotavljali pooperativnih zapletov. Zaključki. Otroci sorazmerno pogosto poškodujejo gleženj. Ob pravilni diagnostiki in ustreznim zdravljenjem je napoved izida dobra, brez funkcionalnih posledicTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo