骨科英文书籍精读（285）｜儿童股骨干骨折的治疗
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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Treatment
The principles of treatment in children are the same as in adults but it should be emphasized that in young children open treatment is rarely necessary. The choice of closed method depends largely on the age and weight of the child. As children get older (and larger), fractures take longer to heal and conservative treatment is more likely to result in problems associated with long hospitalization and a greater risk of malunion (Poolman, Kocher et al. 2006). Coupled to this is the cost of protracted bed occupancy.Consequently there has been a trend towards treating femoral shaft fractures in older children by operation, but the argument is flawed if this is based on cost alone – many of these children will have to return for implant removal. Perhaps it is the risk of malunion, particularly in unstable fracture patterns, that renders surgery a better option for older children and adolescents.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
Coupled to this is the cost of protracted bed occupancy.与此相联系的是长期占用床位的费用。
protracted /prəˈtræktɪd,proʊˈtræktɪd/
adj. 拖延的v. 拖延；绘制；伸展（protract的过去分词）
Consequently there has been a trend towards treating femoral shaft fractures in older children by operation, but the argument is flawed if this is based on cost alone – many of these children will have to return for implant removal. 因此，现在有一种趋势是通过手术治疗年龄较大的儿童股骨干骨折，但是，如果这仅仅是基于成本来考虑，那么这个论点是有缺陷的——这些儿童中的大多数将不得不返回来移除内固定。
argument /ˈɑːrɡjumənt/n. 论点，论证；论据；争吵；内容提要；
render /ˈrendər/v. 致使；提供
百度翻译：
治疗
儿童的治疗原则与成人相同，但应强调的是，儿童很少需要开放治疗。封闭法的选择在很大程度上取决于孩子的年龄和体重。随着儿童年龄的增长（或变大），骨折需要更长的时间才能愈合，保守治疗更有可能导致与长期住院有关的问题和更大的死亡风险马尔联（Poolman，Kocher等人，2006年）。再加上这是长期占用床位的成本。因此，通过手术治疗年龄较大的儿童股骨干骨折已成为一种趋势，但如果仅以成本为基础，这种观点是有缺陷的——这些儿童中的许多人将不得不返回进行植入物移除。也许正是畸形愈合的风险，特别是在不稳定的骨折模式下，使得手术对年龄较大的儿童和青少年来说是更好的选择。