zabmedvestnikЗабайкальский медицинский вестникTransbaikalian Medical Bulletin1998-6173Читинская государственная медицинская академия10.52485/19986173_2025_2_120zabmedvestnik-372Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWSПереломы костей предплечья у детей: обновленная информация о консервативном леченииForearm bone fractures in children: updated information on conservative treatmentМакогоновИ. В.MakogonovI. V.

Игорь Владимирович Макогонов, врач-травматолог-ортопед, аспирант

кафедра травматологии и ортопедии

414000; ул. Бакинская, 121; 414011;  ул. Медиков, 6; Астрахань

Traumatologist-orthopedist, Postgraduate Student 

Department of Traumatology and Orthopedics

414000; 121 Bakinskaya St.; 414011; 6 Medikov St.; Astrakhan

Bearproh@mail.ruТарасовА. Н.TarasovA. N.

Алексей Николаевич Тарасов, д. м. н., доцент, профессор, врач – детский травматолог-ортопед

кафедра травматологии и ортопедии

414000; ул. Бакинская, 121; 414018; ул. Адмирала Нахимова, 135; Астрахань

AuthorID: 238605

Doctor of Medical Sciences, Associate Professor, Professor, children`s traumatologist-orthopedist

Department of Traumatology and Orthopedics

414000; 121 Bakinskaya St.; 414018; 135 Adm. Nakhimov St.; Astrakhan

AuthorID: 238605

tarasov_an@mail.ruФГБОУ ВО «Астраханский государственный медицинский университет» Министерства Здравоохранения РФ; ГБУЗ АО «Областная детская клиническая больница им. Н.Н. Силищевой»РоссияAstrakhan State Medical University; Regional Children's Clinical Hospital named after N.N. SilishchevaRussian FederationФГБОУ ВО «Астраханский государственный медицинский университет» Министерства Здравоохранения РФ; ГБУЗ АО «Городская поликлиника № 3»РоссияAstrakhan State Medical University; City Polyclinic № 3Russian Federation20250407202502120129Copyright © Макогонов И.В., Тарасов А.Н., 20252025Макогонов И.В., Тарасов А.Н.Makogonov I.V., Tarasov A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.zabmedvestnik.ru/jour/article/view/372

   Консервативное лечение переломов костей предплечья у детей считается золотым стандартом. В статье проанализированы возможности ремоделирования переломов, сросшихся со смещением, определены возрастные рамки восстановления приемлемой анатомической формы костей предплечья. Отмечено, что наиболее неблагополучными при консервативном лечении являются переломы дистального отдела лучевой кости. В обзоре рассмотрены возможные осложнения консервативного лечения переломов данной локализации и классифицированы факторы, приводящие к вторичному смещению костных отломков. Определение данных прогностических факторов позволяет выявить пациентов с наибольшим риском повторного смещения и скорректировать тактику лечения.

   Conservative treatment of forearm bone fractures in children is considered the gold standard. The article analyses the possibilities of remodeling fractures that have healed with displacement and determines the age limits for restoring an acceptable anatomical shape of the forearm bones. It is noted that fractures of the distal radius are the most unfavorable for conservative treatment. In the rewiew possible complications of conservative treatment of fractures of this localization are considered and factors leading to secondary displacement of bone fragments are classified. Determination of these prognostic factors allows to identify patients with the highest risk of re-displacement and to adjust treatment tactics.

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The authors declare that there are no conflicts of interest present.