Hold G, Stauffer U G
Chirurg. 1982 Nov;53(11):704-8.
23 patients with traumatic epiphyseolysis of the distal tibia with and without additional metaphysical fragment have been seen at the Surgical Department of the University Children's Hospital, Zurich. 21 were treated conservatively, only 2 were operated upon. 21 of the 23 children were found for follow-up 2 to 11 years, mean 6 years after trauma. 15 were well and without any clinical symptoms, 6 had occasional slight pains with changing weather etc. Clinical examination was normal in all patients. 4 had axial malposition of more than 8 degrees at X-ray control. One patient with additional periostal interposition had an early epiphyseal closure and needed therefore an epiphyseodesis of the contralateral distal tibia. None of the 21 patients had more than 10 mm difference in length compared with the non-injured leg. Our late results confirm that in cases of traumatic epiphyseolysis, the conservative way is usually the treatment of choice.
苏黎世大学儿童医院外科收治了23例胫骨远端创伤性骨骺分离患者，其中部分伴有干骺端骨折块，部分没有。21例采用保守治疗，仅2例接受了手术。23例患儿中有21例在创伤后2至11年进行随访，平均随访时间为6年。15例情况良好，无任何临床症状，6例在天气变化等情况下偶尔有轻微疼痛。所有患者临床检查均正常。X线检查发现4例存在超过8度的轴向畸形。1例伴有骨膜嵌入的患者出现早期骨骺闭合，因此需要对侧胫骨远端骨骺固定术。21例患者中，与未受伤的腿相比，没有一例长度差异超过10毫米。我们的远期结果证实，对于创伤性骨骺分离病例，保守治疗通常是首选的治疗方法。
