骨科英文书籍精读（295）｜儿童股骨远端骨骺分离的并发症

我们正在精读国外经典骨科书籍《Apley’s System of Orthopaedics and Fractures》，想要对于骨科英文形成系统认识，为以后无障碍阅读英文文献打下基础，请持续关注。

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Complications

EARLY 

Vascular injury 

There is danger of gangrene unless the hyperextension injury is reduced without delay.

LATE 

Physeal arrest 

Damage to the physis is not uncommon and residual deformity may require corrective osteotomy at the end of the growth period. Small areas of tethering across the growth plate can sometimes be successfully removed and normal growth restored. Shortening, if it is marked, can be treated by femoral lengthening.

---from 《Apley’s System of Orthopaedics and Fractures》

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重点词汇整理：

There is danger of gangrene unless the hyperextension injury is reduced without delay. 如果不及时减少过伸性损伤，就有坏疽的危险。

gangrene /ˈɡæŋɡriːn/n. [外科] 坏疽vt. 使生坏疽vi. 生坏疽；腐败

hyperextension/,haipərik'stenʃən/n. 过伸；伸展过度；

without delay立即；毫不迟延地

Vascular injury 生长板停滞

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百度翻译：

早期并发症

血管损伤

如果不及时减少过伸性损伤，就有坏疽的危险。

晚期并发症

生长板停滞

骨骺损伤并不罕见，残留的畸形可能需要在生长期结束时进行矫正截骨术。有时可以成功去除生长板上的小区域栓结，恢复正常生长。如有明显缩短，可采用股骨延长治疗。

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