Walcher K
Arch Orthop Unfallchir. 1975 Dec 22;83(3):247-68. doi: 10.1007/BF00416279.
The indications and techniques of an arthrodesis procedure, in children and adolescents, differ greatly with that of adults. And this, on account of, the growth of the epiphysis and its circulation during that period, and also, due to the thick cartilage coating the joint's surface. And therefore, only for the rare exceptions, where there are strict indications that the procedure is weeded, should it be performed, and preferably, when possible in late adolescence. It is advised to perform the arthrodesis even earlier, when it will prevent an increase in the static's impairement especially that of the feet. In general, for the seldom splintplastics one should consider autologous material, as primary choice. To conclude, special arthrodesis will be mentioned later.
儿童和青少年关节融合术的适应症和技术与成人有很大不同。这是由于该时期骨骺的生长及其血液循环，还因为关节表面覆盖着厚厚的软骨。因此，只有在极少数有严格适应症表明该手术是必要的情况下才应进行，并且最好在青春期后期尽可能进行。如果该手术能防止尤其是足部静态损伤的加重，建议更早进行关节融合术。一般来说，对于很少的夹板整形手术，应首选自体材料。总之，特殊的关节融合术将在后面提及。
