Van Leemput Wim, De Ridder Koen
Sint-Augustinus Hospital Wilrijk, Belgium.
Acta Orthop Belg. 2009 Jun;75(3):306-9.
We retrospectively reviewed 39 distal metaphyseal radius fractures in children. This study compares the results of closed reduction with or without percutaneous pinning. Twenty-four fractures were treated by closed reduction and above-elbow cast immobilisation. Re-displacement was noted after one week in three patients, for which they were revised with reduction and pinning. Fifteen patients were initially treated by closed reduction and pinning. In these patients we saw no redisplacement after six weeks immobilisation in a forearm cast. We recommend closed reduction and pinning as a predictable and safe alternative for unstable distal metaphyseal radius fractures.
我们回顾性分析了39例儿童桡骨远端干骺端骨折。本研究比较了闭合复位加或不加经皮穿针固定的治疗结果。24例骨折采用闭合复位及上臂石膏固定治疗。3例患者在1周后出现再移位，为此对其进行了复位及穿针治疗。15例患者最初采用闭合复位及穿针治疗。在这些患者中，前臂石膏固定6周后未出现再移位。我们推荐闭合复位及穿针作为不稳定桡骨远端干骺端骨折一种可预测且安全的治疗选择。
