Clarke A C, Spencer R F
Department of Orthopaedic Surgery, University of Natal and Addington Hospital, Durban.
S Afr Med J. 1991 Feb 16;79(4):206-9.
A total of 39 fractures of the diaphyses of long bones in 31 children were subjected to operative fixation. Indications for surgery included concomitant severe head injury, multiple injuries, patients nearing skeletal maturity, inability to obtain a satisfactory reduction by conservative means, severe soft-tissue injury with or without vascular trauma, long-standing neurological disorder with incapacity and contractures, malunion, and delayed union. Although long-bone diaphyseal fractures in children are generally managed non-operatively, the use of fixation may be indicated in certain cases.
31名儿童的39处长骨干骨折接受了手术固定。手术指征包括伴有严重颅脑损伤、多发伤、接近骨骼成熟的患者、无法通过保守方法获得满意复位、伴有或不伴有血管损伤的严重软组织损伤、长期存在神经功能障碍且丧失能力和挛缩、畸形愈合以及延迟愈合。虽然儿童长骨干骨折一般采用非手术治疗，但在某些情况下可能需要使用固定术。
