【摘要】 34例儿童踝关节骨骺损伤。随访时间平均9.5年。30例保守治疗,4例手术治疗。88%结果优良。就骺损伤类型、骨折复位及受伤时的年龄对预后的影响进行了讨论。提出了 Salter-Harris(S-H)Ⅲ或Ⅳ型骨骺损伤为高危骨折,有1/3出现并发症,强调必须解剖复位。更多还原

【Abstract】 Thirty-four children aged 1-14 yrs with epiphyseal fracture of the distal end of the tibia and fibula were reviewed.All patients were followed up for 5 to 14 yrs (9.5 yrs on average).Thirty cases were treated conservatively and 4 cases surgically.Excellent and good results were found in 80% cases.The factors contributed to the prognosis,such as types of epiphyseal injury,the extensiveness of truama,the child’s age and the reduction are discussed.Salter-Harris type Ⅲ/or Ⅳ of distal tibial epiphyseal fractures are the high risk fractures and 1/3 with complications.The importance of surgical treatment and anatomical reduction for S-H type Ⅲ or Ⅳ distal epiphyseal tibial fractures are stressed.更多还原