Abstract
Fracturts in children differ in many ways from those seen in adults ; healing is rapid, pseudoarthrosis rarely occurs and there is a pronounced capability for remodelling. Therefore, fractures on the children are commonly handled conservatively. This gives us a certain freedom as to the preferable method of reduction, but there should be careful consideration on the effects of the fracture and the normal growth process effected by the method employed. Although there have been considerable achievements parallel with large increase in the annual traffic accidents, there has been some contradictory information concerning these problems. In the present paper, a follow-up study on fractures of lower extremity in children was studied with consideration on the remarkable improvement over the last the last twenty years in growth and physical development. The effect of various displacement and resultant various angle deformity that persists especially after the fracture at the alignment of the lower leg and the growth plates were studied from the point of normal recovery of function. Although it is theoretically supposed that the persistence of angle deformity should increase the displacement from knee center on the Mickliz line, I could not see a pronounced displacement. Stress on the growth plates is large since affected children mostly tend to walk in the early phase of recovery. This reaction appears more evident for the latter, with a tendency of adaptation of Mickliz line. Moreover, it is assumed that normal walking in an extremely early phase will cause some delay in the correction of local angle deformity.
