Unterschenkel

Weinberg, Annelie‐Martina; Kutschera, C.; Kutscha-Lissberg, F.; Mayr, Johannes; Kal, E.

doi:10.1007/3-540-36006-9_22

Cited by 2 publications

(3 citation statements)

References 94 publications

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“…13 In animal studies, periosteal interposition within the physeal fracture can cause growth plate arrest by stimulating the development of bone, fibrocartilage or fibrous tissue, 14,15 and most clinical studies emphasise the importance of anatomical reduction. 5,6,9,10 Traditionally, open reduction was thought to be a risk factor for growth arrest, 16 but it is currently thought that anatomical reduction prevents physeal complications. 5,9,17 In this study we reviewed 20 patients who were treated operatively for Salter-Harris type III and IV McFarland fractures of the medial malleolus in order to identify factors leading to physeal complications.…”

mentioning

confidence: 99%

Prognostic factors for premature growth plate arrest as a complication of the surgical treatment of fractures of the medial malleolus in children

Petratos

Kokkinakis

Ballas

et al. 2013

The Bone & Joint Journal

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McFarland fractures of the medial malleolus in children, also classified as Salter-Harris Type III and IV fractures, are associated with a high incidence of premature growth plate arrest. In order to identify prognostic factors for the development of complications we reviewed 20 children with a McFarland fracture that was treated surgically, at a mean follow-up of 8.9 years (3.5 to 17.4). Seven children (35%) developed premature growth arrest with angular deformity. The mean American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale for all patients was 98.3 (87 to 100) and the mean modified Weber protocol was 1.15 (0 to 5). There was a significant correlation between initial displacement (p = 0.004) and operative delay (p = 0.007) with premature growth arrest. Both risk factors act independently and additively, such that all children with both risk factors developed premature arrest whereas children with no risk factor did not. We recommend that fractures of the medial malleolus in children should be treated by anatomical reduction and screw fixation within one day of injury.

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mentioning

confidence: 99%

Prognostic factors for premature growth plate arrest as a complication of the surgical treatment of fractures of the medial malleolus in children

Petratos

Kokkinakis

Ballas

et al. 2013

The Bone & Joint Journal

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“…In der Lehrbuchliteratur finden sich Angaben, dass bis zum 6. Lebensjahr 20° Achsabweichungen in der Sagittalund Frontalebene belassen werden können, später maximal 10° [18,26,29].…”

Section: Salterharrisiiverlet Zungen üBerwiegenunclassified

“…Aus diesem Grund wurden in der eigenen Untersuchung Daten zum Verletzungshergang nicht erhoben. [18,26,29]. Für die Seit-zu-Seit-Verschiebung konnten wir diese Konsistenz nicht nachweisen, da sie meist nicht als die für die Therapieentscheidung wichtigste Fehlstel-lung angesehen wurde.…”

Section: Diskussionunclassified

Traumatische Wachstumsfugenlösungen der distalen Tibia

Kraus

Herbst²,

Perler

et al. 2011

Unfallchirurg

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Traumatic physeal separations (SH I/II) of the lower extremities are rare. Complications are reported in 2.2-39.6%. The current study is intended to provide recent data concerning epidemiology and treatment decisions in physeal separation of the distal tibia. All patients who suffered a physeal separation of the distal tibia in a 36-month period were included in a multicenter study. Age, gender, mechanism of injury, classification, therapeutic decision, and early complications were recorded online. There were 150 cases (64.6% male, 35.4% female, average age 11.8 years). The most frequent mechanism of injury was sportive activity (42%); 76% of cases needed reduction. Antecurvation was tolerated up to 10° (p=0.0021) and valgus up to 7° (p=0.0155). Tolerance ranges up to 5° of retrocurvation and varus were not statistically significant. The investigation confirmed epidemiological data of former studies. For the first time data concerning the treatment reality of physeal separations of the distal tibia were recorded. They consistently follow the recommendations of the appropriate literature.

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Unterschenkel

Cited by 2 publications

References 94 publications

Prognostic factors for premature growth plate arrest as a complication of the surgical treatment of fractures of the medial malleolus in children

Prognostic factors for premature growth plate arrest as a complication of the surgical treatment of fractures of the medial malleolus in children

Traumatische Wachstumsfugenlösungen der distalen Tibia

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