Kosuge D, Barry M
The Princess Alexandra Hospital NHS Trust, Harlow, Essex CM20 1QX, UK.
The Royal London Hospital, London E1 1BB, UK.
Bone Joint J. 2015 Apr;97-B(4):442-8. doi: 10.1302/0301-620X.97B4.34723.
The management of children's fractures has evolved as a result of better health education, changes in lifestyle, improved implant technology and the changing expectations of society. This review focuses on the changes seen in paediatric fractures, including epidemiology, the increasing problems of obesity, the mechanisms of injury, non-accidental injuries and litigation. We also examine the changes in the management of fractures at three specific sites: the supracondylar humerus, femoral shaft and forearm. There has been an increasing trend towards surgical stabilisation of these fractures. The reasons for this are multifactorial, including societal expectations of a perfect result and reduced hospital stay. Reduced hospital stay is beneficial to the social, educational and psychological needs of the child and beneficial to society as a whole, due to reduced costs.
由于健康教育的改善、生活方式的改变、植入技术的进步以及社会期望的变化，儿童骨折的管理方式也在不断演变。本综述重点关注小儿骨折中出现的变化，包括流行病学、肥胖问题的增加、损伤机制、非意外伤害和诉讼。我们还研究了三个特定部位骨折管理的变化：肱骨髁上骨折、股骨干骨折和前臂骨折。这些骨折的手术稳定治疗呈上升趋势。其原因是多方面的，包括社会对完美治疗效果的期望以及缩短住院时间。缩短住院时间有利于满足儿童的社会、教育和心理需求，并且由于成本降低，对整个社会也有益。
