[The treatment outcomes of children with Gustilo-Anderson grade II and grade III open fractures of the long bone].
BACKGROUND
We evaluated the treatment results in thirty-two children who had grade 2 and 3 open fractures according to classification of Gustilo-Anderson.


METHODS
There were 21 (%65) male and 11 female (%35) patient and the mean age was 9 years (range, 4-14 years). There were 18 (%56) grade-2, 7 (%22) grade-3A, 5 (%15) grade-3B, and 2 (%6) grade-3C open fracture. All fractures were irrigated and debrided, and then fixed with external fixators. The average duration of follow-up was 11 months (range, 6-28 month).


RESULTS
All fractures healed. Inadequate recovering was detected in four patients who had nerve injury, in addition the joint limiting contracture occurred on six patients.


CONCLUSIONS
Fracture union without segmental bone loss is not a significant problem in open fractures in children, and that joint contractures, compartment syndrome and nerve injuries negatively affect the late outcomes.
Arslan
Hüseyin
H
Dicle Unv. Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali. diclehuseyin@hotmail.com
Necmioğlu
Serdar
S
Kesemenli
Cumhur
C
Subaşi
Mehmet
M
Ersuz
Hüseyin
H
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003161:Compartment Syndromes / Q000150:complications; D003286:Contracture / Q000150:complications; D004638:Emergency Treatment; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation; D017102:Fracture Healing; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D059348:Peripheral Nerve Injuries; D011183:Postoperative Complications; D011859:Radiography; D016896:Treatment Outcome; D014421:Turkey