Kurz W, Vinz H
Zentralbl Chir. 1979;104(21):1402-9.
In a collective study of 22 surgical clinics 1235 closed diaphyseal tibial fractures in children from 0 to 14 years were analysed. The incidence of this type of fracture in relation to all fractures in childhood, was 6.2%. In pre-school children isolated tibial fractures and incomplete fractures predominated, while in children from 6 to 14 years tibial plus fibular fractures as well as displaced fractures occurred more frequently. Closed reduction and plaster cast were used as standard treatment. Traction was used only exceptionally. In only 3.0% osteosynthesis was performed under the following indications: irreducible fracture, multiple fractures, concomitant chest or abdominal injury, polytrauma.
在一项对22家外科诊所的综合研究中，分析了1235例0至14岁儿童闭合性胫骨干骨折。这种类型的骨折在儿童所有骨折中的发生率为6.2%。在学龄前儿童中，孤立性胫骨骨折和不完全骨折占主导，而在6至14岁的儿童中，胫腓骨双骨折以及移位骨折更为常见。闭合复位和石膏固定被用作标准治疗方法。仅在极少数情况下使用牵引。仅3.0%的病例在以下指征下进行了骨固定：骨折无法复位、多发性骨折、伴有胸部或腹部损伤、多发伤。
