Rettig H, Brudet J
Aktuelle Traumatol. 1987 Apr;17(2):60-4.
Fractures of the distal part of the femur in children are difficult to classify as suggested by Aitken, Harris and Salter if the epiphyseal cartilage is injured. Such injuries are rare if seen in relation to the grand total of paediatric lesions. There are late complications, however. In unilateral closure of the epiphyseal cartilage growth will be irregular and there will be differences in leg length. The sequels to knee joint distortions with ruptures of the ligaments are significant. These ruptures will also result in leg malpositioning due to epiphyseal closure. Corrective measures are often necessary to straighten out the axial deviation and to compensate the differences in leg length. The authors' own patient material comprises besides epiphyseal fractures eight such ligamentous lesions with late complications.
如果骺软骨受伤，儿童股骨远端骨折就很难按照艾特肯、哈里斯和索尔特所建议的方法进行分类。相对于儿科损伤的总数而言，这类损伤很罕见。然而，存在晚期并发症。在骺软骨单侧闭合的情况下，生长会不规则，腿长也会出现差异。膝关节因韧带断裂而变形的后遗症很严重。这些断裂还会因骺闭合导致腿部位置不正。通常需要采取矫正措施来纠正轴向偏差并补偿腿长差异。作者自己的患者资料除了骺骨折外，还包括8例这类伴有晚期并发症的韧带损伤。
