Growth plate fractures of the distal femur

Journal of Pediatric Orthopedics
Eric J Wall, Megan M May

Abstract

Growth plate fractures of the distal femur are challenging to treat, with complications that require a secondary surgery 40% to 60% of the time. These fractures often necessitate operative intervention, even in the youngest patients and even with minimal apparent displacement. Treatment varies with the Salter-Harris (SH) classification and with the extent of initial displacement, ranging from simple casting for nondisplaced SH I fractures to open reduction and internal fixation for almost all SH III and IV fractures. Poor outcomes have been associated with pediatric fracture care of SH III and IV in 29% to 32% of cases. There are many pitfalls that have to be avoided in the treatment of these fractures to prevent malunion, growth arrest, and posttraumatic arthritis.

References

Jun 27, 2002·Injury·Abulfotooh M Eid, Mohamed A Hafez
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Sep 27, 2006·Journal of Pediatric Orthopedics. Part B·Brice IlharrebordeKeyvan Mazda
Aug 25, 2007·Journal of Pediatric Orthopedics·Alexandre ArkaderLawrence Wells
Mar 25, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Bruce A LevyUNKNOWN Knee Dislocation Study Group
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Apr 23, 2011·The Journal of Bone and Joint Surgery. British Volume·B R GarrettH Carrara

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Citations

Aug 14, 2015·The Cochrane Database of Systematic Reviews·Xavier L GriffinJohn McArthur
Aug 15, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Stephanie MayerJason W Stoneback
Jan 5, 2019·Der Unfallchirurg·J BauerT Neubauer
Jan 29, 2021·Journal of Surgical Case Reports·Timothy P DavisArpit Agrawal
Mar 23, 2021·JAMA Pediatrics·James MacDonaldEmily Sweeney
Apr 12, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sean DuffyFergal Monsell

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