Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience
Yıl: 2019 Cilt: 16 Sayı: 4 Sayfa Aralığı: 219 - 223 Metin Dili: İngilizce DOI: 10.4274/tjod.galenos.2019.82346 İndeks Tarihi: 30-10-2020
Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience
Öz: Objective: To determine the incidence of long bone fractures and the clinical features related with these fractures diagnosed in neonatal intensive care units (ICUs)within the province of Afyonkarahisar in Turkey.Materials and Methods: The incidence of clavicular fractures was 2.4 in 1000 live births, and the incidence of femoral fractures was 0.32 in 1000 live births atthe neonatal ICUs of Afyonkarahisar.Results: The incidence of birth trauma-related femoral fracture was 0.16 in 1000 live births, and the incidence of femoral fractures related with osteopenia ofprematurity was 1.08 in 1000 live births. The mean gestational age at delivery was 39 weeks, the mean birth weight was 3.308 grams, and the male/female ratio was3:2 for newborns with birth trauma-related femoral fractures. The mean gestational age at delivery was 30.4 weeks, the mean birth weight was 1256 grams, and themale/female ratio was 2:3 for newborns who had femoral fractures related with osteopenia of prematurity. Breech presentation was present in three newborns (60%),and cesarean section was the type of delivery in all newborns with birth trauma-related femoral fractures.Conclusion: Cesarean delivery does not reduce the risk for birth trauma-associated femoral fractures, and there is a risk for femoral fracture in cases of emergencycesarean performed for malpresentation. In order to overcome osteopenia of prematurity, calcium, phosphorus, and vitamin D should be supplemented in prematurenewborns with intrauterine growth retardation and receive long-term total parenteral nutrition.
Anahtar Kelime: Afyonkarahisar yenidoğan yoğun bakım ünitelerinde tanı konulan uzun kemik kırıkları: Beş yıllık deneyim
Öz: Amaç: Bu çalışma, Afyonkarahisar ilinde bulunan üç sağlık merkezindeki yenidoğan yoğun bakım ünitelerinde (YBÜ) tanı konulan uzun kemik kırıklarının görülme sıklığını ve bu kırıklarla ilişkili klinik özellikleri belirlemeyi amaçlamıştır. Gereç ve Yöntemler: Yenidoğan YBÜ’lerdeki klavikula kırıkları için insidans 2,4/1000 canlı doğum iken femur kırıkları için insidans 0,32/1000 canlı doğum idi. Bulgular: Doğum travmasına bağlı femur kırıkları için insidans, 1000 canlı doğumda 0,16 iken prematürite osteopenisiyle ilişkili femur kırıkları için insidans, 1000 canlı doğumda 1,08 idi. Doğum travmasına bağlı femur kırığı olguları için ortalama doğum yaşı 39 hafta, ortalama doğum ağırlığı 3308 gram ve erkek/kız oranı, 3:2 olarak bulundu. Prematürite osteopenisiyle ilişkili femur kırığı olguları için ortalama doğum yaşı 30,4 hafta, ortalama doğum ağırlığı 1256 gram ve erkek/kız oranı 2:3 olarak belirlendi. Doğum travmasına bağlı femur kırığı tanısı konulan olguların hepsi sezaryenle doğurtulmuştu ve üç olguda (%60) makat prezentasyonu bulunmaktaydı. Sonuç: Sezaryenle doğum, doğum travmasına bağlı femur kırığı riskini tamamen ortadan kaldırmadığı gibi malprezentasyon durumunda gerçekleştirilen acil sezaryen durumunda da femur kırığı riski mevcuttur. Uzun süre total parenteral nutrisyon alan ve intrauterin gelişme geriliği tanısı bulunan prematüre bebeklerde, prematürite osteopenisini önlemek için kalsiyum, fosfor ve D vitamini desteği verilmelidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kanat-Pektas M, koyuncu h, Kundak A (2019). Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. , 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| Chicago | Kanat-Pektas Mine,koyuncu hilal,Kundak Ahmet Afşin Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. (2019): 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| MLA | Kanat-Pektas Mine,koyuncu hilal,Kundak Ahmet Afşin Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. , 2019, ss.219 - 223. 10.4274/tjod.galenos.2019.82346 |
| AMA | Kanat-Pektas M,koyuncu h,Kundak A Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. . 2019; 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| Vancouver | Kanat-Pektas M,koyuncu h,Kundak A Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. . 2019; 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| IEEE | Kanat-Pektas M,koyuncu h,Kundak A "Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience." , ss.219 - 223, 2019. 10.4274/tjod.galenos.2019.82346 |
| ISNAD | Kanat-Pektas, Mine vd. "Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience". (2019), 219-223. https://doi.org/10.4274/tjod.galenos.2019.82346 |
| APA | Kanat-Pektas M, koyuncu h, Kundak A (2019). Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. Turkish Journal of Obstetrics and Gynecology, 16(4), 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| Chicago | Kanat-Pektas Mine,koyuncu hilal,Kundak Ahmet Afşin Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. Turkish Journal of Obstetrics and Gynecology 16, no.4 (2019): 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| MLA | Kanat-Pektas Mine,koyuncu hilal,Kundak Ahmet Afşin Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. Turkish Journal of Obstetrics and Gynecology, vol.16, no.4, 2019, ss.219 - 223. 10.4274/tjod.galenos.2019.82346 |
| AMA | Kanat-Pektas M,koyuncu h,Kundak A Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. Turkish Journal of Obstetrics and Gynecology. 2019; 16(4): 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| Vancouver | Kanat-Pektas M,koyuncu h,Kundak A Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience. Turkish Journal of Obstetrics and Gynecology. 2019; 16(4): 219 - 223. 10.4274/tjod.galenos.2019.82346 |
| IEEE | Kanat-Pektas M,koyuncu h,Kundak A "Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience." Turkish Journal of Obstetrics and Gynecology, 16, ss.219 - 223, 2019. 10.4274/tjod.galenos.2019.82346 |
| ISNAD | Kanat-Pektas, Mine vd. "Long bone fractures in neonatal intensive care units of Afyonkarahisar: Five-year’s experience". Turkish Journal of Obstetrics and Gynecology 16/4 (2019), 219-223. https://doi.org/10.4274/tjod.galenos.2019.82346 |
