Daum R
Langenbecks Arch Chir. 1976 Nov 15;342:323-8. doi: 10.1007/BF01267390.
The appropriateness of surgical therapy in polytraumatized children is influenced by a series of facts, such as severe additional injuries, the age of the child, type and localization of the fracture etc. Fractures of the neck of the femur and fractures involving extensive injuries of soft tissue are an indication for immediate operative treatment. Transepiphyseal fractures and fractures in cases of additional cerebral contusion are an indication for early treatment. Fractures of the forearm or the lower leg are treated conservatively after the stabilization of circulation (wiring, plaster cast).
多发伤儿童手术治疗的适宜性受一系列因素影响，如严重的附加损伤、儿童年龄、骨折类型及部位等。股骨颈骨折以及伴有广泛软组织损伤的骨折是立即进行手术治疗的指征。经骺骨折以及伴有脑挫伤的骨折是早期治疗的指征。前臂或小腿骨折在循环稳定后（钢丝固定、石膏固定）采取保守治疗。
