与时俱进开拓创新造福儿童

张立军; 吉士俊

doi:10.3969/j.issn.2095-252X.2017.07.001

摘要：There are huge and rapid developments in the field of pediatric orthopedics in China particularly due to the internet-driven information age. We can obtain the latest medical information at the same time with other researchers all over the world and thereby narrow the distance with developed countries. The minimally invasive treatment has gradually become an essential method in the treatment of pediatric traumas. Closed reduction and percutaneous pinning versus open reduction techniques have taken over in the treatment of supracondylar fractures of the humerus and a guideline has been developed in China. Open reduction and plate fixation for femoral shaft fractures has been abandoned and replaced by the elastic stable intramedullary nail, with the advantages of small trauma and satisfactory results. The interlocking intramedullary nail system has been adapted for older children. The triple osteotomy of the acetabulum has become a suitable technique for developmental dysplasia of the hip in older children. A breakthrough in the treatment of congenital tibial pseudarthrosis is on its way. The surgical versus nonsurgical treatment for Legg-Calvé-Perthes disease ( LCPD ) remains controversial, but as a preliminary finding it appears that the cases of the femoral head with poor covering require surgical intervention. Rapid developments in the treatment of moderate and severe slipped capital femoral epiphysis ( SCFE ) are occurring. The surgical dislocation and anatomical reduction with fixation largely differing from in situ fixation are huge innovations. However, the uneven distribution of the specialized pediatric orthopedists and the fewer professional pediatric orthopedists in China have unfortunately led to a lot of iatrogenic injuries resulting from the practice of similar treatment concepts and methods used for adult patients. Therefore, the young Chinese patients and their parents need to be more aware of the needs for specialized pediatric orthopedists and popularized knowledge in this field, while the pediatric orthopedists need to continue to learn and update his or her professional knowledge and rapidly grasp the available international standards.