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Physeal fractures of the distal tibia and fibula
Journal article

Physeal fractures of the distal tibia and fibula

M J Herman and G D MacEwen
Current orthopaedics, v 17(1), pp 56-62
01 Feb 2003

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology
Physeal fractures of the ankle are among the most common fractures. Torsional and direct forces acting on the foot and ankle result in Salter-Harris I, II, III, and IV fractures of the distal tibia, as well as the transitional fractures of the older adolescent, i.e. juvenile Tillaux and triplane injuries. Most of them are best treated by closed manipulation with cast immobilization. Closed manipulation in combination with percutaneous fixation and limited open techniques are the mainstay of surgical treatment for displaced or unstable fractures. Complications include growth disturbance resulting in angular deformities or leg length inequality and post-traumatic degenerative arthritis. Restoration of near-anatomic overall limb alignment and anatomic reduction of the ankle joint improve the outcome. (C) 2003 Published by Elsevier Science Ltd.

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