PMID: 19209516Feb 13, 2009

Proximal tibial growth plate trauma in childhood and options for its management

Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
J SkvarilP Gál

Abstract

Traumas to the proximal tibial epiphyseal growth plate account for less than 2% of all physeal injuries, therefore, it may cause diagnostic or therapeutic difficulties. The authors studied a group of patients treated in the Clinic of pediatric surgery, orthopedics and traumatology of the Brno Faculty Hospital (FN Brno) during past 11 years, in order to assess its treatment outcomes and complication rates. Based on the Salter-Harris (SH) classification, the studied patients with proximal tibia epiphyseolyses were assigned to groups using the following criteria: type of epiphyseolysis and treatment approach, and the authors identified associated complications in individual patients. The follow up assessment of the treatment course and results were performed for each of the groups. The studied parametres included: fixation duration, duration of subsequent rehabilitation care, knee joint mobility and complication rates (angulation, limb shortening, skeletal porosis and eventual reoperation). The studied complications were recorded in 2 subjects in the undislocated epiphyseolysis group treated conservatively, and a single complication was recorded in the traumatic fragment dislocation group. Out of the total of 19 patients, complica...Continue Reading

Related Concepts

Epiphyses, Slipped
Epiphysial Cartilage
Bone Structure of Tibia
Classification
Complication
Limb Structure
Hospitals
Literature
Orthopedics
Rehabilitation Therapy

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