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儿童前臂中段骨折的成角重塑

Angular remodeling of midshaft forearm fractures in children.

作者信息

Vittas D, Larsen E, Torp-Pedersen S

机构信息

Department of Orthopaedic Surgery, Gentofte Hospital, University of Copenhagen, Denmark.

出版信息

Clin Orthop Relat Res. 1991 Apr(265):261-4.

PMID:2009667
Abstract

Thirty-six children treated for angulated midshaft forearm fractures were roentgenographically reexamined after a median time of four years (range, two to 5.8 years). The angulation of the fractures and epiphyseal plates was measured at the time of healing and at the follow-up examination. In children younger than 11 years of age, there was a significant correlation between fracture correction and change in epiphyseal plate angulation, with the highest degree of correction being 13 degrees. In children older than 11 years, no correlation was found, and the degree of fracture correction was unpredictable. The study points to an important influence of the epiphyseal plate on fracture remodeling, which decreases in late childhood.

摘要

对36例中段尺桡骨成角骨折患儿进行了X线复查,中位时间为4年(范围2至5.8年)。在骨折愈合时及随访检查时测量骨折和骨骺板的成角情况。在11岁以下儿童中,骨折矫正与骨骺板成角变化之间存在显著相关性,最大矫正度为13度。在11岁以上儿童中,未发现相关性,骨折矫正程度不可预测。该研究指出骨骺板对骨折重塑有重要影响,而这种影响在儿童后期会减弱。

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