当科における小児とう骨遠位端骨折の治療の検討（骨端線損傷も含む）

Abstract

We evaluated the clinical results of distal radius fractures in children accompanied by epiphyseal injury. We treated 36 patients between July 1999 and June 2002. The average age was 9.8 years (range : 3 to 15 years). Twenty-two patients underwent conservative treatment and 14 patients pinning. All 7 patients under 7 years of age were treated conservatively. Both conservative treatment and pinning provided good results. Because the natural corrective power in the children was very strong, under 30°bone deformity healed satisfactorily. However both methods required a long time to achieve correction. Conservative treatment is the treatment of first choice, but if reduction is difficult or after reduction position is unstable, pinning is a useful method.