小儿骨折后易出现骨折延迟愈合、骨折畸形愈合、骨质疏松症、维生素D缺乏性佝偻病、糖尿病等影响愈合的因素，因此骨折后需要特别关注和治疗。

1.骨折延迟愈合

骨折延迟愈合是指骨折后超过正常愈合时间仍未愈合，导致软组织损伤、血液循环受阻和感染等问题，进而影响骨骼修复。对于骨折延迟愈合的情况，可以考虑使用促进骨折愈合的药物进行治疗，如仙灵骨葆胶囊、伤科接骨片等。这些药物能够改善局部微循环，促进骨折部位的新陈代谢，从而加速骨折愈合过程。

2.骨折畸形愈合

Fracture malunion occurs when the bone heals at an abnormal angle or position due to improper alignment during healing, leading to functional impairments such as limited range of motion or chronic pain.Treatment for fracture malunion may include physical therapy, orthotic devices, and in some cases, surgical intervention such as corrective osteotomy.

3.骨质疏松症

Osteoporosis is characterized by low bone mass and deterioration of bone tissue, which increases the risk of fractures due to weakened bones.Medical management of osteoporosis includes medications like bisphosphonates, calcitonin, and teriparatide that help prevent bone loss and increase bone density.

4.维生素D缺乏性佝偻病

Vitamin D deficiency rickets results from inadequate vitamin D intake or absorption, leading to impaired mineralization of growing bones and causing deformities.Skeletal health can be improved through supplementation with vitamin D and calcium to support normal bone growth and development.

5.糖尿病

Diabetes mellitus impairs blood circulation and microvascular function, affecting the supply of nutrients and oxygen to the fracture site, which hinders proper healing.Glucose control through diet, exercise, and medication management is crucial to minimize the impact of diabetes on fracture healing.

针对小儿骨折患者，建议定期监测钙磷水平以评估骨质状况，还可遵医嘱进行X线检查以观察骨折愈合情况。饮食方面，应确保均衡营养，适当补充富含钙、磷的食物，如牛奶、虾皮等，有利于骨骼健康。