Kramhøft M, Solgaard S
Department of Orthopedic Surgery, Hillerød Hospital, Denmark.
J Pediatr Orthop. 1989 Sep-Oct;9(5):586-9. doi: 10.1097/01241398-198909010-00015.
In a retrospective study of 70 children with 73 diaphyseal forearm fractures, we measured the radiographic angulation and sideways displacement initially, after reduction, at 1 week and at union. Statistical analysis was performed with a multivariate log linear regression model to evaluate the correlation between variables. We showed that the initial displacement of the fracture and the age of the patient had only a minor influence on the position at union. We constructed a classification system using the measurements initially, after reduction, and at 1 week and showed that the prognostic value of the classification system could be improved during the period of treatment. We recommend that all displaced diaphyseal forearm fractures in children should be radiographed after 1 week and after 2 weeks.
在一项对70例患有73处尺桡骨干骨折的儿童的回顾性研究中，我们在骨折复位后即刻、1周时以及骨折愈合时测量了X线片上的成角和侧方移位情况。采用多变量对数线性回归模型进行统计分析，以评估各变量之间的相关性。我们发现骨折的初始移位和患者年龄对骨折愈合时的位置仅有轻微影响。我们利用复位后即刻、1周时的测量结果构建了一个分类系统，并表明在治疗期间该分类系统的预后价值可以得到提高。我们建议，对于儿童所有移位的尺桡骨干骨折，均应在1周和2周后进行X线检查。
