Abstract
Over the past 11 years, we have treated distal tibial epihyseal injuries in 12 patients, and reviewed 11 of these cases in this paper.
There were 8 males and 3 females ranging in age from 6 to 14 years, with average of 11. By Salter-Harris classification, one patient had Type I, 5 Type II, 4 Type III, and one Type IV injury. The one undisplaced injury was treated in a below-knee plaster. Eight displaced injuries were treated by closed manipulation and percutaneous Kirshner wire fixation. Open reduction and internal fixation was necessary in 2 cases.
All patients except for one had equal leg length and no evidence of joint incongruity. One, Type III injury, caused pastial epiphyseal plate arrest with leg shortening and varus deformity of ankle. We are planning salvage operation for this case.
