骨骺损伤的分类和内固定治疗的研究进展

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.

Research Progress in Classification and Internal Fixation of Epiphyseal Injury

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.