Vainionpää S, Böstman O, Pätiälä H, Rokkanen P
Acta Orthop Scand. 1987 Apr;58(2):121-3. doi: 10.3109/17453678709146454.
Fourteen children with severely displaced diaphyseal fractures of both bones of the forearm treated with open reduction and internal fixation were reviewed; these operations represented 9 per cent of all the diaphyseal forearm fractures in children during a 9-year period. The mean age of the patients at the time of the injury was 12 (7-14) years; they were reexamined 8 (5-11) years later, all after cessation of growth. At follow-up, limited prosupination, observed in 8 patients, was associated with a fracture of the proximal third of the forearm; limited motion of the radiocarpal joint, in 2 patients, was associated with shortening of the ulna. Only 4 patients complained of pain or were aware of restricted motion, and the average function was good. Open reduction and internal fixation is indicated in displaced fractures of the forearm even in children.
对14例采用切开复位内固定治疗的儿童双侧尺桡骨干严重移位骨折进行了回顾性研究；在9年期间，这些手术占儿童所有尺桡骨干骨折的9%。受伤时患者的平均年龄为12（7 - 14）岁；8（5 - 11）年后在生长停止后对他们进行了复查。随访时，8例患者出现的旋前受限与前臂近端三分之一骨折有关；2例患者桡腕关节活动受限与尺骨短缩有关。只有4例患者主诉疼痛或意识到活动受限，平均功能良好。即使是儿童，前臂移位骨折也需行切开复位内固定术。
