Greiff J, Bergmann F
Acta Orthop Scand. 1980 Apr;51(2):315-20. doi: 10.3109/17453678008990805.
Orthoradiographs were produced from 13 to 36 months after tibial fractures in 85 children. Fifty-nine were complete i.e. tranverse or longitudinal, and 28 fractures were incomplete i.e. infractions or fissures. The difference in the length of the tibia from growth disturbance caused by the fracture was found to be related to the age of the child at the time of fracture and the sex. An overgrowth was found to occur in the age group from 3 to 10 years in girls and from 3 to 12 years in boys, whereas in the older children a growth retardation was demonstrated. No correlation with the type of fracture, or with the residual angulation after reduction, could be established. The growth disturbance appeared to last for 1 to 2 years. We conclude that a more concerned attitude towards residual shortening at the time of reduction should be adopted in girls from the age of 10 and boys from the age of 12 years in order to compensate for the growth retardation induced by the fracture.
对85名儿童的胫骨骨折进行了术后13至36个月的X线正位片检查。其中59例为完全骨折，即横形或纵形骨折，28例为不完全骨折，即骨皮质劈裂或骨裂。发现骨折引起的生长紊乱导致的胫骨长度差异与骨折时儿童的年龄和性别有关。结果发现，3至10岁的女孩和3至12岁的男孩会出现过度生长，而年龄较大的儿童则表现为生长迟缓。骨折类型及复位后残留成角与生长紊乱之间无相关性。生长紊乱似乎持续1至2年。我们得出结论，对于10岁女孩和12岁男孩，在骨折复位时应更加关注残留缩短问题，以补偿骨折引起的生长迟缓。
