Title Cijeljenje dječjih prijeloma
Title (english) Healing of children's fractures
Author Sonja Vičević
Mentor Anko Antabak (mentor)
Committee member Krešimir Bulić (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Anko Antabak (član povjerenstva)
Granter University of Zagreb School of Medicine (Department of Surgery) Zagreb
Defense date and country 2015-07-15, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Surgery
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pediatrics
Abstract Prijelomi u dječjoj dobi su česti i čine 25% svih dječjih ozljeda. Glavna osobitost prijeloma dječje dobi jest da brže cijele u usporedbi sa odraslom kosti, iako je sam proces cijeljenja posredovane kalusom identičan u svoje tri faze: inflamatornoj, reparativnoj i fazi remodeliranja. Za razliku od odrasle kosti, dječju kost karakterizira pojačana osteogena aktivnost i snažniji periost te stvaranje većeg subperiostalnog hematoma, što sve doprinosi bržem stvaranju kalusa i skraćivanju vremena konsolidacije. Izuzetna je važnost periosta u brzini cijeljenja kosti zbog njegove osteogene aktivnosti i periostalne cirkulacije. Osteogena aktivnost periosta i endoosta u izravnom je odnosu s godinama, pa je proces cijeljenja izrazito buran i brz nakon rođenja, a sa svakom godinom gubi na svojoj aktivnosti. Duljina cijeljenja ovisi i o lokalizaciji prijeloma, pa tako prijelomi gornjih udova cijele brže od prijeloma donjih, a prijelomi metafize cijele brže od prijeloma dijafize i epifize. Brže cijeljenje prijeloma u djece ima i svoje mane. Veća je opasnost od neprepoznatih i krivo sraslih prijeloma koji mogu dovesti do trajnog deformiteta koštanog sustava, koji se može očitovati kao deformacija osi u sve tri ravnine ili kao skraćen ekstremitet. Većinu prijeloma u djece može se uspješno liječiti repozicijom i imobilizacijom. Indikacije za kirurško liječenje su otvoreni prijelomi, višestruki prijelomi, prijelomi epifize, te prijelomi uz koje postoje opekline.
Abstract (english) Children fractures are common and they make up 25% of all pediatric injuries. The main characteristic of fractures in children is that they heal faster compared with adult bones, even though the healing process of callus formation is identical in its three phases: reactive, reparatory and remodeling phase. Unlike adult bone, pediatric bone is characterized by increased osteogenic activity, stronger periosteum, and bigger subperiosteal hematoma, that all contributes to faster callus fomation and reduces the time of consolidation. The importance of periosteum in bone healing is exceptional due to its osteogenic activity and periosteal circulation. Periosteal osteogenic activity is in direct correlation with age, so the healing process is very active after birth , and with each year it loses its activity. Healing time depends on the localization of the fracture as well as osteogenic activity, for example fractures of the upper limb heal faster than the lower limb fractures, and metaphyseal fractures heal faster than fractures of the diaphysis and epiphysis. Faster bone healing in children has its disadvantages too. There is an increased risk of unrecognized fractures and wrong coalesced fractures, which can lead to permanent deformities of the skeletal system, which may be manifested as a deflection axis or a shortened limb. Most pediatric fractures can be treated successfully by reposition and immobilization. Indications for surgical treatment are open fractures, multiple fractures, epiphyseal fractures, and fractures with burns.
Keywords
dječji prijelom
cijeljenje kostiju
dječja kirurgija
Keywords (english)
children fracture
bone healing
pediatric surgery
Language croatian
URN:NBN urn:nbn:hr:105:646882
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2016-04-01 12:39:48