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目的 探讨儿童胫骨棘骨折简单有效的治疗方法。方法 10具 8～ 12岁儿童尸体双膝解剖研究 ,模拟Ⅲ型胫骨棘骨折丝线内固定 ,屈伸膝关节观察骨折块稳定性 ,发现在膝伸直位复位后的骨折块前后方均无移位 ;对 14例临床病例进一步观察 ,得出同样的结果。对 8例切开复位者采用经骨骺而不通过骺板的丝线内固定。结果 所有病例随访 1～ 5年均获优良效果。结论 骨折复位后宜伸膝位固定 ;不通过骺板的丝线内固定 ,有诸多优点。
Objective To investigate the simple and effective treatment of children’s tibial spine fractures. Method 10 Anatomical study of the knees of 8 ~ 12-year-old children’s cadaver was performed. The stability of fractures of the type III tibial spine fractures was simulated. The flexion and extension of the knee joint was used to observe the stability of the fractures. ; Further observation of 14 cases of clinical cases, reached the same result. 8 cases of open reduction using epiphyseal not through the epiphyseal plate fixation. Results All cases were followed up 1 to 5 years were excellent results. Conclusion Fracture reduction should be extended knee position; not through the epiphyseal plate fixation, there are many advantages.