{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:41:00Z","timestamp":1790707260646,"version":"4.1.0"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"23","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,6,9]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n Bizonyos gyermekkori t\u00f6r\u00e9sek minim\u00e1lisan invaz\u00edv\n m\u0171t\u00e9ti megold\u00e1sa a percutan Kirschner-dr\u00f3tos t\u0171z\u00e9s. El\u0151nye, hogy kis\n m\u0171szerezetts\u00e9get ig\u00e9nyel, a dr\u00f3t elt\u00e1vol\u00edt\u00e1sa egyszer\u0171. H\u00e1tr\u00e1nya, hogy k\u00fcls\u0151\n r\u00f6gz\u00edt\u0151t is ig\u00e9nyel (gipsz, alum\u00edniums\u00edn).\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A\n dolgozat c\u00e9lja volt annak vizsg\u00e1lata, hogy az epicutan (b\u0151rfelsz\u00edn felett)\n hagyott t\u0171z\u0151dr\u00f3tok eset\u00e9n alakul-e ki t\u00f6bb szeptikus sz\u00f6v\u0151dm\u00e9ny, r\u00f6videbb-e az\n \u00f6sszes k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1s, f\u00e9mkiv\u00e9telkor kisebb-e a nark\u00f3zisok sz\u00e1ma, mint\n subcutan hagyott dr\u00f3tok eset\u00e9n.\n M\u00f3dszer:<\/jats:italic>\n A Heim P\u00e1l Orsz\u00e1gos\n Gyermekgy\u00f3gy\u00e1szati Int\u00e9zetben 2017 \u00e9s 2021 k\u00f6z\u00f6tt megfigyel\u00e9sen alapul\u00f3\n retrospekt\u00edv kohorszvizsg\u00e1lat t\u00f6rt\u00e9nt. Bev\u00e1logat\u00e1si krit\u00e9rium volt a 0\u201318 \u00e9ves\n \u00e9letkor, minden z\u00e1rt, fedetten repon\u00e1lt t\u00f6r\u00e9s, amelyet percutan t\u0171z\u00e9ssel\n r\u00f6gz\u00edtettek. Kiz\u00e1r\u00e1sra ker\u00fcltek azok a betegek, akiknek egyidej\u0171leg t\u00f6bb m\u0171t\u00e9ti\n ell\u00e1t\u00e1st ig\u00e9nyl\u0151 vagy ny\u00edlt t\u00f6r\u00e9s\u00fck volt, ahol t\u00f6bbf\u00e9le m\u0171t\u00e9ti technika egyidej\u0171\n alkalmaz\u00e1sa t\u00f6rt\u00e9nt, a ny\u00edlt repoz\u00edci\u00f3k, ha frakcion\u00e1ltan t\u00f6rt\u00e9nt a\n dr\u00f3telt\u00e1vol\u00edt\u00e1s, illetve ha hi\u00e1nyos volt a dokument\u00e1ci\u00f3, vagy a beteg kezel\u00e9se\n m\u00e1s int\u00e9zetben indult\/z\u00e1rult. A betegek csoportos\u00edt\u00e1sa a dr\u00f3tok helyzete alapj\u00e1n\n t\u00f6rt\u00e9nt (a dr\u00f3t b\u0151rh\u00f6z val\u00f3 viszonya alapj\u00e1n epi- vagy subcutan). A vizsg\u00e1lt\n param\u00e9terek k\u00f6z\u00e9 tartozott a f\u00e9mkiv\u00e9teln\u00e9l alkalmazott \u00e9rz\u00e9stelen\u00edt\u00e9si m\u00f3d, a\n kumulat\u00edv k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1s ideje, a szeptikus sz\u00f6v\u0151dm\u00e9nyek ar\u00e1nya.\n Statisztikai anal\u00edzisre a khi\n 2<\/jats:sup>\n -tesztet \u00e9s a k\u00e9tmint\u00e1s\n t<\/jats:italic>\n -pr\u00f3b\u00e1t alkalmaztuk.\n Eredm\u00e9nyek:<\/jats:italic>\n A\n vizsg\u00e1latba 427 gyermeket vontunk be, \u00e1tlag\u00e9letkoruk 10 (min.: 1, max.: 17) \u00e9v\n volt. A dr\u00f3tok 138\/427 esetben subcutan, 289\/427 esetben epicutan helyzet\u0171ek\n voltak. Subcutan dr\u00f3tok eset\u00e9n a kumulat\u00edv k\u00f3rh\u00e1zi \u00e1pol\u00e1si napok sz\u00e1ma \u00e1tlagosan\n 3,44 nap, epicutan esetben 1,92 nap volt (p = 0,0158). Nark\u00f3zisra f\u00e9melt\u00e1vol\u00edt\u00e1s\n eset\u00e9n subcutan dr\u00f3tokn\u00e1l 33\/138, epicutan dr\u00f3tokn\u00e1l 19\/289 esetben volt sz\u00fcks\u00e9g\n (p<0,0001). Szeptikus sz\u00f6v\u0151dm\u00e9ny subcutan dr\u00f3tokn\u00e1l 6\/138, epicutan esetben\n 16\/289 fordult el\u0151 (p = 0,6).\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n Az epicutan dr\u00f3tok\n eset\u00e9n r\u00f6videbb a k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1si id\u0151, ritk\u00e1bban van sz\u00fcks\u00e9g nark\u00f3zisra\n f\u00e9melt\u00e1vol\u00edt\u00e1skor, nincs t\u00f6bb szeptikus sz\u00f6v\u0151dm\u00e9ny annak ellen\u00e9re, hogy a b\u0151r\u00f6n\n k\u00edv\u00fcl helyezkednek el.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Az epicutan hagyott\n dr\u00f3tok alkalmaz\u00e1sa el\u0151ny\u00f6snek t\u0171nik: ritk\u00e1bban ig\u00e9nyel nark\u00f3zist az\n elt\u00e1vol\u00edt\u00e1suk, \u00edgy az \u00f6sszes k\u00f3rh\u00e1zi \u00e1pol\u00e1si nap sz\u00e1ma alacsonyabb. Orv Hetil.\n 2024; 165(23): 908\u2013912.\n <\/jats:p>","DOI":"10.1556\/650.2024.33051","type":"journal-article","created":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T11:26:47Z","timestamp":1717932407000},"page":"908-912","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A gyermekkori t\u00f6r\u00e9sek r\u00f6gz\u00edt\u00e9se percutan Kirschner-dr\u00f3tos t\u0171z\u00e9ssel: epi- vagy subcutan hagyjuk a dr\u00f3tot?"],"prefix":"10.1556","volume":"165","author":[{"given":"Bal\u00e1zs","family":"Fadgyas","sequence":"first","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Seb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly Budapest, \u00dcll\u0151i \u00fat 86., 1089 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanni Gy\u00f6ngyi","family":"B\u00e1tyi","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr An\u00e4sthesie, Klinikum am Plattenwald Bad Friedrichshall N\u00e9metorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia Petronella","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"\u00c9szak-budai Szent J\u00e1nos Centrumk\u00f3rh\u00e1z: K\u00fatv\u00f6lgyi K\u00f3rh\u00e1z, S\u00fcrg\u0151ss\u00e9gi Betegell\u00e1t\u00f3 Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Hungarian Central Statistical Office. 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BMC Musculoskelet\n Disord. 2022; 23: 362.","DOI":"10.1186\/s12891-022-05305-w"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"J\u00f3zsa G, Devecseri G, Vajda P, et al. Distance of the fracture from\n the radiocarpal surface in childhood: does it determine surgical technique? A\n retrospective clinical study: a STROBE compliant observational study. Medicine\n 2020; 99: e17763.","DOI":"10.1097\/MD.0000000000017763"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Fadgyas B, \u0150ri D, Vajda P. Effect of the COVID\u201319 pandemic on the\n outcome of testicular torsion in children. [A COVID\u201319-j\u00e1rv\u00e1ny hat\u00e1sa a\n gyermekkori herecsavarod\u00e1sok kimenetel\u00e9re.] Orv Hetil. 2023; 164: 1367\u20131372.\n [Hungarian]","DOI":"10.1556\/650.2023.32854"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Fadgyas B, Garai GI, Ringwald Z. How COVID\u201319 pandemic influences\n paediatric acute appendicitis cases? 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Kirschner wire pin tract\n infection rates: a randomized controlled trial between percutaneous and buried\n wires. J Hand Surg. 2004; 29: 374\u2013376.","DOI":"10.1016\/J.JHSB.2004.03.003"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Schneidmueller D, Kertai M., B\u00fchren V, et al. Kirschner wire\n osteosynthesis for fractures in childhood: bury wires or not? Results of a\n survey on care reality in Germany. [Kirschner-Draht-Osteosynthese bei Frakturen\n im Kindesalter: Dr\u00e4hte versenken oder nicht?] Unfallchirurg. 2018; 121: 817\u2013824.\n [German]","DOI":"10.1007\/s00113-018-0465-z"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Suganuma S, Tada K, Takagawa S, et al. Comparing exposed and buried\n Kirschner wires in fixation for pediatric supracondylar humerus fractures: a\n propensity score-matched study. 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