Risk factors for growth disturbance in children with distal femoral epiphyseal fracture after surgical treatment
10.3760/cma.j.cn115530-20250514-00205
- VernacularTitle:儿童股骨远端骨骺骨折术后生长障碍的危险因素分析
- Author:
Chentao XUE
1
;
Yuancheng PAN
;
Hetu YAO
;
Yiting ZHENG
;
Yining CHEN
;
Shunyou CHEN
Author Information
1. 福建医科大学研究生院，福州 350122
- Publication Type:Journal Article
- Keywords:
Epiphyseal;
Femur fracture;
Growth plate;
Children;
Complications
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(10):860-865
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the risk factors for growth disturbance (GD) in children with distal femoral epiphyseal fracture (DFEF) after surgical treatment.Methods:A retrospective study was conducted to analyze the clinical data of the 72 children who had undergone surgery for DFEF at Department of Pediatric Orthopaedics, The Second General Hospital of Fuzhou between February 2013 and February 2024. There were 52 boys and 20 girls with an age of 11.0 (5.0, 13.0) years. The data collected included age at injury, gender, side affected, cause for injury, time from injury to surgery, the maximum fracture displacement, Salter-Harris fracture classification, and presence of high-energy trauma. The risk factors for GD after DFEF surgical treatment were determined through univariate analysis and logistic regression analysis.Results:Distal femur GD occurred in 40.2% (29/72) of the children treated surgically for DFEF. The univariate analysis showed that, compared with the children without GD, those with GD had a significantly significantly longer time from injury to surgery ( P=0.005), a significantly greater fracture displacement ( P=0.002), and more severe Salter-Harris fracture classification ( P=0.045). The logistic analysis showed that all the 3 factors were independent risk factors for GD ( P<0.05). Conclusion:After DFEF surgery, the GD risk is significantly increased by the 3 factors:longer time from injury to surgery, greater fracture displacement, and more severe fracture classification.
