骨骺损伤的分类和内固定治疗的研究进展  

Research Progress in Classification and Internal Fixation of Epiphyseal Injury

作　　者：刘建军[1] 张春慕 刘保健[1] 

机构地区：[1]甘肃中医学院附属医院骨伤二科,兰州730020

出　　处：《医学综述》2013年第20期3739-3741,共3页Medical Recapitulate

摘　　要：治疗儿童骨骺损伤需要有耐心,对于活跃的孩子需要适当的固定。索尔特Ⅰ型和Ⅱ型的骨折经常表现出惊人的重塑潜力,而关节内索尔特Ⅲ型和Ⅳ型骨折通常需要手术修复,往往出现生长障碍和创伤性关节炎。为让患者家属安心、提高其治疗的依从性并理解损伤生长面可能出现的不良预后结果,医师应与孩子及其父母建立互相信任的关系。Special patience is required in treatment of epiphyseal injuries in children, and methods of immobilization must be modified appropriately for the active children. Salter Type I and II fractures frequently demonstrate remarkable remodeling potential,whereas intra-articular Salter III and IV fractures often require surgical repair and may be more frequently associated with later problems of growth and post-traumatic arthri- tis. Physicians should establish a trusting relationship with the child and parents in order to provide comfort- ing reassurance, facilitate treatment and increase compliance, and promote the understanding of the possible outcomes associated with injuries of the vulnerable growth plate.

关 键 词：骨骺损伤 分类 内固定 治疗进展 

分 类 号：R683[医药卫生—骨科学]