Seyfettinoğlu Firat, Duygun Fatih, Kovalak Emrah, Ersan Onder, Ateş Bülent, Ateş Yalim
Department of Orthopedics and Traumatology, Cankiri State Hospital, Cankiri, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Jul;15(4):371-6.
We aimed to assess treatment outcomes of forearm fractures in patients aged between 10-18 years, for whom strict guidelines for surgical and conservative treatment are not yet clear.
From a total of 41 patients between the ages of 10-18 years, 34 patients with a minimum of one-year follow-up in our clinic with the diagnosis of forearm fracture were evaluated retrospectively. All the patients had open epiphyses. Twenty-three of these patients were treated conservatively and 11 surgically. Patients were evaluated according to time of union, function and cosmesis. Average follow-up was two years (12-36 months).
Conservative treatment gave excellent and good results in 21 (91%), while surgical treatment gave excellent and good results in 9 (82%) of the patients when evaluated according to Anderson's criteria. A bad result was seen in one patient who did not accept an operation, and had an angulation of over 15 degrees. We also had one bad result in the operatively treated group because of implant failure and a need for a second operation.
According to our results, conservative treatment should be the mainstay in the treatment of childhood fractures of the forearm. However, we should not hesitate in considering surgical treatment when the patients have a malalignment of more than 15 degrees.
我们旨在评估年龄在10至18岁之间的前臂骨折患者的治疗效果，目前针对这类患者的手术和保守治疗尚无明确的严格指导方针。
在总共41例年龄在10至18岁之间的患者中，对34例在我们诊所进行了至少一年随访且诊断为前臂骨折的患者进行回顾性评估。所有患者骨骺均未闭合。其中23例患者接受保守治疗，11例接受手术治疗。根据骨折愈合时间、功能和美观情况对患者进行评估。平均随访时间为两年（12至36个月）。
根据安德森标准评估，保守治疗的21例（91%）患者取得了优和良的效果，而手术治疗的患者中有9例（82%）取得了优和良的效果。1例拒绝手术且成角超过15度的患者效果不佳。手术治疗组也有1例因植入物失败且需要二次手术而效果不佳。
根据我们的结果，保守治疗应作为儿童前臂骨折治疗的主要方法。然而，当患者畸形超过15度时，我们应毫不犹豫地考虑手术治疗。
