Hoffmann-von Kap-herr S
Klinik und Poliklinik für Kinderchirurgie, Johannes-Gutenberg-Universität, Mainz.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:207-9.
Guidelines for the treatment of fractures in children must meet the specific requirements of the growing organism. Diagnosis must be based on X-ray findings, but occasionally also on sonography or MRT. Treatment is successful only after one-stage exact reduction and safe, conservative or operative fixation. Secondary manipulations or a change in treatment have a negative effect. A growth-induced correction of a remaining false position cannot be anticipated. The older the child, the more must treatment result in perfect anatomic conditions. Especially injuries to the epiphysis require excellent reduction and perfect fixation. Damage of the growth plate and/or a posttraumatic false growth demand long-term follow-up and subsequent corrective surgery.
儿童骨折的治疗指南必须符合正在生长发育的机体的特殊要求。诊断必须基于X线检查结果，但偶尔也需借助超声或磁共振成像。只有在进行一期精确复位并采用安全的保守或手术固定后，治疗才会成功。二次手法操作或治疗方法的改变会产生负面影响。无法预期因生长而对残留的错位进行的矫正。儿童年龄越大，治疗就越必须达成完美的解剖条件。尤其是骨骺损伤需要极佳的复位和完美的固定。生长板损伤和/或创伤后畸形生长需要长期随访及后续的矫正手术。
