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介绍１９９３年～１９９６年收治的儿童胫骨棘撕脱骨折１１例，保守治疗５例，手术治疗６例。进行了骨折稳定性观察，发现在膝伸直位骨折块复位后无明显上移趋势，股骨髁对较大骨块有压迫固定作用，患儿伤后主要临床表现又为膝伸直受限，所以作者采用膝伸直位固定。对闭合复位后仍有膝伸直受限５°以上者，采用手术切开复位，经骨骺而不通过骺板丝线内固定本组所有病例均获得优良效果。作者认为：（１）骨折复位后宜伸膝位固定。（２）不通过骺板的丝线内固定有诸多优点。
Described in 1993 to 1996 years of children treated with tibial spine avulsion fracture in 11 cases, conservative treatment in 5 cases, 6 cases of surgical treatment. The stability of the fracture was observed and found no obvious upward trend after the reduction of knee extensor fractures, femoral condyle has the role of oppression and immobilization of the larger bones, the main clinical manifestations of the injured children is knee extension and limitation, So the author used knee extension position fixed. After the closure of the knee is still limited after the extension of more than 5 ° limited, using surgical incision and reduction, without the epiphyseal plate epiphyseal plate fixation in all cases of this group were excellent results. The author thinks: (1) should be stretched knee position after fracture reduction. (2) There are many advantages in the fixation of silk without the epiphyseal plate.