Weber B G
Langenbecks Arch Chir. 1976 Nov 15;342:283-6. doi: 10.1007/BF01267382.
As fractures sustained during childhood are "different", the treatment for them is also different than that for fractures in adults. In general the treatment is conservative. A childhood fracture has in its favor the enormous potential of the growing skeleton for healing and correction, while against it is the possibility of impaired growth following certain injuries in growth areas. There are quite specific indications for operative treatment; in other words, some fractures require internal fixation, e.g. genuine epiphyseal fracture, fracture of the neck of the femur, displacement of the head of the radius.
由于儿童期发生的骨折“有所不同”,其治疗方法也与成人骨折不同。一般来说,治疗是保守的。儿童骨折的有利因素是生长中的骨骼具有巨大的愈合和矫正潜力,而不利因素是生长部位受到某些损伤后可能会影响生长。手术治疗有相当明确的指征;换句话说,一些骨折需要内固定,例如真正的骨骺骨折、股骨颈骨折、桡骨头脱位。