Hansen B A, Greiff J, Bergmann F
Acta Orthop Scand. 1976 Aug;47(4):448-53. doi: 10.3109/17453677608988718.
A total of 102 children, aged 1-15 years, treated for fissures, infractions, and fractures of the tibia were studied to elucidate the influence of age, type of fracture, and mechanism of trauma upon the course of union. In addition, an assessment was made of the possibilities the child has of correcting deformities of the diaphysis during continued growth. Eight-five of the children were followed up clinically and radiologically. The time taken for union to occur increased with increasing age. The "high energy" injuries were found to be more apt to cause transverse and comminuted fractures, with injury to the skin, than the "low energy" fractures. At the time of union, 25 patients had angular deformities. The mean correction of this deformity up to the time of follow-up was only 10 per cent. The tendency to correct the deformity ceased 18 months after the accident, and was independent of the child's age at the time of the accident.
对102名年龄在1至15岁之间因胫骨裂伤、骨损伤和骨折接受治疗的儿童进行了研究，以阐明年龄、骨折类型和创伤机制对愈合过程的影响。此外，还评估了儿童在持续生长过程中纠正骨干畸形的可能性。对其中85名儿童进行了临床和放射学随访。愈合所需时间随年龄增长而增加。与“低能量”骨折相比，“高能量”损伤更易导致横形和粉碎性骨折，并伴有皮肤损伤。在愈合时，25名患者存在角形畸形。至随访时，这种畸形的平均矫正率仅为10%。畸形矫正趋势在事故发生18个月后停止，且与事故发生时儿童的年龄无关。
