Barnes Jonathan, Webb Mark, v Fearon Paul
Department of Trauma and Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
BMJ Case Rep. 2014 Jan 31;2014:bcr2013202868. doi: 10.1136/bcr-2013-202868.
Distal radius fractures are common injuries in children. Those that affect the growth plate (physis) need to be managed carefully as inadequate management may lead to long-term deformity and a reduction in function. However, different management strategies all have drawbacks and controversy exists over how best to manage these cases. This is the case of a 13-year-old girl who presented with a Salter Harris II fracture, which was managed using a novel approach of utilising a T plate in a buttress mode to stabilise the fracture after anatomical reduction. This provided effective fracture fixation and should allow good bone healing without causing any iatrogenic growth plate damage and without fixing a plate across the physis, which may need removal in the future.
桡骨远端骨折是儿童常见的损伤。那些影响生长板（骺板）的骨折需要谨慎处理，因为处理不当可能导致长期畸形和功能减退。然而，不同的处理策略都有缺点，对于如何最好地处理这些病例存在争议。这是一名13岁女孩的病例，她患有Salter Harris II型骨折，采用了一种新颖的方法进行处理，即在解剖复位后，以支撑模式使用T形钢板来稳定骨折。这提供了有效的骨折固定，应能实现良好的骨愈合，而不会造成任何医源性生长板损伤，也不会在骺板上固定钢板，因为将来可能需要取出钢板。
