Qairul I H, Kareem B A, Tan A B, Harwant S
Orthopaedic Unit, Universiti Putra Malaysia, 8th Floor, Grand Seasons Avenue, 72, Jalan Pahang, 53000, Kuala Lumpur.
Med J Malaysia. 2001 Dec;56 Suppl D:34-7.
The forearm fracture is a fracture of the upper limb between the elbow and the wrist. It is a common injury in children, accounting for more than half of all children's fractures, and mostly occur when a child falls on the outstretched arm. A difficult clinical problem that often arises is how much angulation can be accepted in the child and how much remodeling will occur. One hundred consecutive cases of forearm fractures that were admitted at Childrens Orthopaedic Ward, Institute of Paediatrics at Hospital Kuala Lumpur between 1st January 1997 to 31st December 1998 were studied. We found that all fractures united 3 to 6 weeks, with a remodeling rate of about 2.5 degrees/month: the proximal fractures having the most potential to remodel. We conclude that the early remodeling potential of forearm fractures in children is 1.5 degrees/month in midshaft fractures and 2.5 degrees/month in distal and proximal fractures. We recommend accepting a 10-20 degree angulation in midshaft fractures, and a 20-30 degree angulation in metaphyseal fractures; based on our study of early remodeling potential.
前臂骨折是指上肢在肘部和腕部之间的骨折。它是儿童常见的损伤，占所有儿童骨折的一半以上，大多发生在儿童伸展手臂摔倒时。经常出现的一个棘手临床问题是，儿童骨折可以接受多大程度的成角以及会发生多少重塑。对1997年1月1日至1998年12月31日期间在吉隆坡医院儿科研究所儿童骨科病房收治的100例连续前臂骨折病例进行了研究。我们发现所有骨折在3至6周内愈合，重塑率约为每月2.5度：近端骨折的重塑潜力最大。我们得出结论，儿童前臂骨折的早期重塑潜力在骨干中段骨折中为每月1.5度，在远端和近端骨折中为每月2.5度。基于我们对早期重塑潜力的研究，我们建议骨干中段骨折接受10至20度的成角，干骺端骨折接受20至30度的成角。
