Fist fractures at child's age

Karlo, Robert and Župančić, Božidar and Škarica, Rade and Dunatov, Tihomir and Bačić, Ivan and Medić, Marko and Zadro, Zvonko (2007) Fist fractures at child's age. Collegium Antropologicum, 31 (4). pp. 1003-1008. ISSN 0350-6134

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Abstract

The aim of this work is to confirm or deny the hypothesis that the fist fracture medical treatment at child's age in the General Hospital in Zadar does not differ much from the medical treatment method in other centers which have already published their results. The work is based on the retrospective study. The examinees are children with fist fractures in the General Hospital in Zadar from 1999 to 2003. The control group is formed by the examinees of the published studies about children fist fractures, which have been collected and statistically elaborated. The examinees of our group and the control group are classified by the same criterion: age, sex, place, sort and type of fracture as well as the method of medical treatment. The used statistical methods are the testing of frequency differences and chi2 test. Statistically essential differences between our group and the control group have been noticed. There are also differences among the control group subgroups. The difference in the method of medical treatment is statistically essential and shows that the methods are not the same as in our group and the control group. The surgical way of treatment is less represented by our results than in those of the control group. The different attitude in medical treatment is conditioned by the attitude that surgical intervention of finger bones does not always give us the expected functional result.

Abstract in Croatian

Cilj rada je da potvrdimo ili demantiramo hipotezu da se liječenje prijeloma kostiju šake u dječjoj dobi u Općoj bolnici u Zadru ne razlikuje od metoda liječenja u drugim centrima koji su publicirali svoje rezultate. Rad se zasniva na retrospektivnoj studiji i statističkoj analizi. Ispitanici su dječja populacija s prijelomom kostiju šake koja su liječena u Općoj bolnici u Zadru u periodu 1999–2003. godine. Kontrolnu skupinu čine ispitanici publiciranih radova s prijelomima kostiju šake u dječjoj dobi koji su prikupljeni i statistički obrađeni. Ispitanici naše i kontrolne skupine razvrstani su po istim kriterijima: dob, spol, mjesto, vrsta i tip prijeloma te način liječenja. Korištene statističke metode su testiranje razlika frekvencija i χ2 test. Nakon obrade dobivenih podataka uočene su statistički značajne razlike između naše i kontrolne skupine, a postoje razlike i unutar podgrupa kontrolne skupine. Razlika u načinu liječenja je statistički značajna i pokazuje da načini liječenja nisu jednaki u našoj i kontrolnoj skupini. Operativni način liječenja manje je zastupljen u našim rezultatima nego u kontrolnoj skupini. Mikrokirurške tehnike i novi osteosintetski materijali danas omogućuju da operativnim zahvatom s boljim rezultatom zbrinemo određene prijelome koji su do sada tretirani konzervativnom metodom.

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