Bowler J R, Mubarak S J, Wenger D R
Orthopaedic Research Department, Children's Hospital and Health Center, San Diego, California.
J Pediatr Orthop. 1990 Sep-Oct;10(5):653-7. doi: 10.1097/01241398-199009000-00016.
Two cases of premature closure of the anterior portion of the proximal tibial physis with associated genu recurvatum deformity in adolescent males who had sustained a closed femur fracture are reported. In both cases, physeal closure occurred without use of a proximal tibial traction pin. In one patient, treatment included distal femoral pin traction; the other patient was treated with skin traction followed by spica cast. We believe that development of recurvatum of the tibia after femoral fracture in children is not necessarily iatrogenic and related to a tibial traction pin, but instead may result from physeal injury incurred at the time of the original trauma.
报告了两例青春期男性在闭合性股骨骨折后出现胫骨近端骨骺前部过早闭合并伴有膝反屈畸形的病例。在这两例中，骨骺闭合均未使用胫骨近端牵引针。其中一例患者接受了股骨远端骨牵引治疗；另一例患者先接受了皮肤牵引，随后使用了髋人字石膏固定。我们认为，儿童股骨骨折后胫骨反屈的发展不一定是医源性的，也不一定与胫骨牵引针有关，而可能是由原始创伤时发生的骨骺损伤所致。
