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Die fr\u00fcher dominierenden Therapieverfahren wurden durch minimal-invasive Techniken (z.\u202fB. elastisch stabile intramedull\u00e4re Nagelung [ESIN]) weitgehend abgel\u00f6st. Ziel der vorliegenden Studie war der Vergleich der Komplikationsraten in Abh\u00e4ngigkeit sowohl von Patientenfaktoren als auch von verschiedenen Behandlungsverfahren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Bei der vorliegenden Arbeit handelt es sich um eine retrospektive r\u00f6ntgenmorphometrische Datenauswertung. Es wurden die Patientenakten und R\u00f6ntgenbilder von 101 Kindern, die an zwei Level-I-Traumazentren behandelt wurden, ausgewertet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In 19\u202f% der F\u00e4lle wurde eine konservative Therapie durchgef\u00fchrt. Bei den operativen Verfahren dominierte die ESIN-Technik (<jats:italic>n<\/jats:italic>\u202f=\u200960). Revisionspflichtige Komplikationen fanden sich nach konservativer Therapie bei ca.\u00a010\u202f% der Kinder. Bei den operativ behandelten Kindern musste in \u00fcber 6\u202f% der F\u00e4lle eine Revisionsoperation durchgef\u00fchrt werden. Die ESIN-Stabilisierung zeigte bei den operativen Verfahren mit ca.\u00a03\u202f% die niedrigste Revisionsrate. Wurden im Verh\u00e4ltnis zum Markraumdurchmesser zu d\u00fcnne ESIN-Dr\u00e4hte verwendet, so zeigte sich eine um 30\u202f% h\u00f6here Komplikationswahrscheinlichkeit. Bei Kindern unter 3\u00a0Jahren und Adoleszenten war die Komplikationswahrscheinlichkeit erh\u00f6ht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>In der durchgef\u00fchrten Studie zeigt sich ein moderates Komplikationsrisiko bei der Behandlung von Femurschaftfrakturen bei Kindern. Das Komplikationsrisiko nach Fixateur-externe-Anlage und konservativer Behandlung war in dieser Studie am h\u00f6chsten. Die ESIN-Technik zeigt insgesamt das geringste Komplikationsrisiko. Die vorliegende Arbeit konnte die bekannten Limitationen der ESIN-Technik in Abh\u00e4ngigkeit von Alter und Gewicht best\u00e4tigen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-021-01437-2","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T10:03:21Z","timestamp":1623837801000},"page":"165-172","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Die Komplikationsrate nach Femurschaftfrakturen im Kindes- und Jugendalter in Abh\u00e4ngigkeit von Patientenfaktoren und Behandlungsma\u00dfnahmen","Complication rate after femoral shaft fractures in childhood and adolescence depending on patient factors and treatment measures"],"prefix":"10.1007","volume":"93","author":[{"given":"S.","family":"Oberth\u00fcr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Piatek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"R\u00fcther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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