Olgun Z Deniz, Maestre Stephanie
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Curr Rev Musculoskelet Med. 2018 Sep;11(3):475-484. doi: 10.1007/s12178-018-9510-3.
Summarize classic and recent information regarding the unique subset of ankle fractures in children with open growth plates and share the authors' decision-making and surgical techniques.
Recent research on pediatric ankle fractures has centered on the accurate prediction and prevention of growth arrest following fractures of the distal tibia. Another source of discussion is the necessity and benefit of CT scanning in classification and treatment approach. Pediatric ankle fractures continue to pose clinical challenges for orthopedic surgeons. While open anatomic reduction and internal fixation continue to produce good outcomes for intra-articular fractures, outcomes of physeal injuries are more difficult to predict. More studies are needed to determine which patients may benefit more from surgical treatment of physeal injuries.
总结有关儿童开放性生长板踝关节骨折这一独特亚组的经典及最新信息，并分享作者的决策制定及手术技术。
近期关于儿童踝关节骨折的研究主要集中在准确预测和预防胫骨干骺端骨折后的生长停滞。另一个讨论焦点是CT扫描在分类和治疗方法中的必要性及益处。儿童踝关节骨折继续给骨科医生带来临床挑战。虽然切开解剖复位内固定对于关节内骨折仍能取得良好效果，但骨骺损伤的结果更难预测。需要更多研究来确定哪些患者可能从骨骺损伤的手术治疗中获益更多。
