Hadizie D, Munajat I
Department of Orthopaedics, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Malays Orthop J. 2017 Nov;11(3):1-9. doi: 10.5704/MOJ.1711.009.
Both-bone forearm fractures in children can be treated non-operatively with a cast. Most previous studies have shown favourable outcome; however, information on the functional outcome after skeletal maturity is still scanty. Therefore, this study was conducted to determine the functional outcome after skeletal maturity in fractures with at least four years of growth remaining. This retrospective study was conducted from March 2012 until March 2013. Age at the time of fracture was taken as until 10 years for females and until 12 years old for males with at least four years of growth remaining. Fractures occurring in the diaphysis were included in the study. Functional outcomes were assessed at or after skeletal maturity. Forty-four children fulfilled the criteria. The ages of the youngest and the oldest at the time of fracture was five and 12 years old respectively. Follow-up of the male and female patients were 7.4 years and 5.5 years respectively. There was a significant difference between post-reduction angulation and angulation at skeletal maturity of the radius and ulna (p<0.001). Out of 44 patients, 39 had excellent and five had good functional outcomes. No patient had fair or poor functional outcome. There was no association between the functional outcome and the angulation of forearm bones after skeletal maturity. Age at the time of fracture had a significant association with the functional outcome. Non-operative treatment of both-bone diaphyseal forearm fractures in a cast has good to excellent functional outcomes in children who still have four years of growth remaining.
儿童双骨折前臂骨折可以通过石膏进行非手术治疗。大多数先前的研究都显示出良好的结果；然而，关于骨骼成熟后的功能结果的信息仍然很少。因此，本研究旨在确定在剩余至少四年生长时间的骨折患者骨骼成熟后的功能结果。这项回顾性研究于2012年3月至2013年3月进行。骨折时的年龄定义为女性直到10岁，男性直到12岁，且剩余至少四年的生长时间。发生在骨干的骨折被纳入研究。在骨骼成熟时或之后评估功能结果。44名儿童符合标准。骨折时最年轻和最年长的年龄分别为5岁和12岁。男性和女性患者的随访时间分别为7.4年和5.5年。桡骨和尺骨复位后成角与骨骼成熟时成角之间存在显著差异（p<0.001）。在44名患者中，39名功能结果为优，5名功能结果为良。没有患者功能结果为中或差。骨骼成熟后功能结果与前臂骨成角之间没有关联。骨折时的年龄与功能结果有显著关联。对于仍有四年生长时间的儿童，采用石膏对双骨干前臂骨折进行非手术治疗具有良好至优异的功能结果。
