Schärli A F
Kinderchirurgische Klinik, Kinderspital Luzern.
Ther Umsch. 1993 Jul;50(7):472-81.
The treatment of long bone fractures in children has been substantially changed within the past five years. The aim at conservative management, including closed reduction, retention and fixation, remains undebatable. Considerations of the biological and biomechanical healing process and the aim of short hospitalization and early mobilization have lead to an increased use of the intramedullary nailing technique. Simultaneously, the indication for osteosynthesis with plates has been limited to more restricted indications. The first multicentric results of the international working group of pediatric traumatology, together with our personal experience over 20 years, form the basis of a therapeutic concept for long bone fractures in children. Prospective studies of these recommendations will continuously analyse the quality assurance of fracture treatment.
在过去五年中，儿童长骨骨折的治疗方法发生了重大变化。保守治疗的目标，包括闭合复位、固定和保留，仍然无可争议。对生物和生物力学愈合过程的考虑以及短期住院和早期活动的目标，导致髓内钉技术的使用增加。同时，钢板内固定的适应症已局限于更严格的适应症。国际小儿创伤学工作组的首批多中心研究结果，以及我们20多年的个人经验，构成了儿童长骨骨折治疗理念的基础。对这些建议的前瞻性研究将持续分析骨折治疗的质量保证。
