1995
DOI: 10.1097/01241398-199507000-00013
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Fractures of the Distal Femoral Epiphyseal Plate

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Cited by 61 publications
(25 citation statements)
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“…fractures. [1][2][3][4][5][6][7][8][9] This occurs even with Salter-Harris type II fractures, which generally are associated with good outcomes in other physes. 2 It is a common hypothesis that the "undulating" surface of the distal femoral physis results in the fracture passing across multiple levels of the physis, thus predisposing to traumatic epiphyseodesis.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…fractures. [1][2][3][4][5][6][7][8][9] This occurs even with Salter-Harris type II fractures, which generally are associated with good outcomes in other physes. 2 It is a common hypothesis that the "undulating" surface of the distal femoral physis results in the fracture passing across multiple levels of the physis, thus predisposing to traumatic epiphyseodesis.…”
Section: Discussionmentioning
confidence: 99%
“…Clinically, its complex geometry is thought to be related to the unusually high incidence of growth disturbances following distal femoral physeal fractures. [1][2][3][4][5][6][7][8][9] Despite this recognition, there is limited literature regarding the topography of the distal femoral physis. A preliminary anatomic study of this physis found a central elevation of the epiphysis, located posteriorly at the midline.…”
mentioning
confidence: 99%
“…Closed reduction under general anesthesia with long leg casts has been tried for displaced fractures. However, series have reported rates of 43-70% of distal femoral fractures treated without internal fixation have displaced [5]. Unless a fracture is truly nondisplaced and stable, immobilization without fixation is no longer the treatment of choice [6].…”
Section: Discussionmentioning
confidence: 99%
“…The development of deformity is also related to the exactness of the reduction-the further from anatomic reduction, the greater the chance of deformity or other complications [5]. Thomson et al's retrospective analysis showed the best results occurred with anatomic reduction and internal fixation; 43 % of their fractures reduced without fixation subsequently displaced during cast treatment [9].…”
Section: Complicationsmentioning
confidence: 99%
“…There is a general consensus that displaced fractures should be operatively stabilized with internal fixation, including displaced Salter-Harris [8] I or II fractures, even if they have been successfully reduced with closed methods. The undulating physis remains unstable following reduction and should still be pinned since it cannot be fully stabilized with casting alone [9].…”
Section: Treatmentmentioning
confidence: 99%