Gruber R, von Laer L R
Aktuelle Traumatol. 1979 Oct;9(5):251-9.
The etiology of the refracture after forearm fractures in childhood has been studied in a follow-up examination of 199 patients with dislocated forearm fractures. The incidence of the refracture was 13%. In all cases the primary fracture was a greenstick fracture of at least one of the two forearm bones. The incompletely broken through greenstick fracture was found to be significantly responsible for the refracture. Duration of immobilisation or residual axis deviation at consolidation showed no relationship. The pathophysiology is briefly discussed. In every greenstick-fracture of the forearm the necessity of completing the fracture by total reposition is emphasized to prevent a refracture.
通过对199例前臂骨折脱位患儿的随访检查，研究了儿童前臂骨折后再骨折的病因。再骨折发生率为13%。所有病例中，原发性骨折均为两根前臂骨中至少一根的青枝骨折。发现未完全折断的青枝骨折是再骨折的重要原因。固定时间或骨折愈合时的残余轴线偏移与之无关。简要讨论了病理生理学。强调在每例前臂青枝骨折中，通过完全复位来完成骨折的必要性，以防止再骨折。
