Radhakrishna Veerappa N, Madhuri Vrisha
Department of Orthopaedics, Pediatric Orthopaedic Unit, Christian Medical College, Vellore, Tamil Nadu, India.
J Pediatr Orthop B. 2018 Jan;27(1):13-16. doi: 10.1097/BPB.0000000000000425.
We evaluated the novel application of supracutaneous locked plates in pediatric open tibia fractures. Pediatric open tibia fractures stabilized with a locked supracutaneous plate from January 2011 to December 2014 were reviewed. Twenty-eight children, mean age 8.9 years, with 29 open tibia fractures were included. Nine of these children who had metaphyseal or metadiaphyseal fractures did not require joint spanning. The mean follow-up duration was 13.5 months. The mean time to uneventful union was 11.46 weeks, with no unacceptable malunion. Supracutaneous locked plates showed early union and no refractures. They could favorably replace tubular external fixators in stabilizing pediatric open tibia fractures.
我们评估了皮下锁定钢板在儿童开放性胫骨骨折中的新应用。回顾了2011年1月至2014年12月期间采用锁定皮下钢板固定的儿童开放性胫骨骨折病例。纳入了28例儿童，平均年龄8.9岁，共29处开放性胫骨骨折。其中9例干骺端或干骺-骨干骨折的儿童无需跨越关节固定。平均随访时间为13.5个月。骨折顺利愈合的平均时间为11.46周，未出现不可接受的畸形愈合。皮下锁定钢板显示出早期愈合且无再骨折情况。在稳定儿童开放性胫骨骨折方面，它们可很好地替代管状外固定器。
