Kuner E H
Langenbecks Arch Chir. 1976 Nov 15;342:291-8. doi: 10.1007/BF01267384.
There is a great difference in the internal fixation of infant and adult fractures. Biological and anatomical pecularities in childhood make it possible for lingitudinal growth to be impaired by the implanted material, its size, its topographic relationship to the growth organ and the duration of implantation. Internal fixation in children should therefore be limited to a few cases and should not be undertaken. Without excellent operative techniques and special aseptic operating rooms. Various ASIF techniques, such as Kirschner wiring, screwing, and fixation with plates, are suitable. Medullary nailing (Küntscher) should not be used in children.
婴儿骨折与成人骨折的内固定存在很大差异。儿童时期的生物学和解剖学特点使得植入材料、其尺寸、与生长器官的位置关系以及植入持续时间都有可能损害纵向生长。因此,儿童的内固定应限于少数情况,且不应在没有精湛手术技术和特殊无菌手术室的条件下进行。各种AO内固定技术,如克氏针内固定、螺丝钉固定和钢板固定都是适用的。儿童不应使用髓内钉固定(Küntscher法)。