Bae Donald S, Waters Peter M, Montgomery Kenneth, Pribaz Julian
Department of Orthopaedic Surgery, Children's Hospital, Boston, Massachusetts 02115, USA.
J Orthop Trauma. 2003 Jul;17(6):450-8. doi: 10.1097/00005131-200307000-00012.
Open physeal fractures associated with severe overlying soft tissue loss present significant challenges to the pediatric orthopaedic surgeon. In addition to providing adequate soft tissue coverage, preventing chronic infection, and achieving bony healing, surgical care should attempt to preserve the physis to maintain growth for the best long-term outcomes. Here we present two cases of open physeal disruptions with severe soft tissue loss. In each case, early use of vascularized flap coverage assisted in fracture healing and contributed to preservation of the physis and subsequent bony growth.
伴有严重覆盖软组织缺损的开放性骺板骨折给小儿骨科医生带来了重大挑战。除了提供足够的软组织覆盖、预防慢性感染和实现骨愈合外，手术治疗还应尝试保留骺板以维持生长，从而获得最佳的长期效果。在此，我们展示两例伴有严重软组织缺损的开放性骺板损伤病例。在每例病例中，早期使用带血管蒂皮瓣覆盖有助于骨折愈合，并有助于保留骺板及随后的骨骼生长。
