Clinical and radiological results in distal tibial physeal injuries

Taşkıran, Mustafa Can; Turgut, Ali; Kalenderer, Önder; Ağuş, Haluk

doi:10.5505/tjtes.2012.46548

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Taşkıran et al [16] performed the first study that the AOFAS scoring system was used as a quantitative data in children with tibial distal growth plate fractures. The AOFAS score for their study was 86.6.…”

Section: Discussionmentioning

confidence: 99%

“…In the series where plain thin K-wires were used, there were less growth plate problems compared to the series made with other fixation materials. [16] In our patients, K wires or cannulated screws were used as the fixation material after anatomic reduction under the fluoroscopic guidance. In our study, a cannulated screw was preferred for anatomic fixation and compression of the fracture line in Salter-Harris Type 3 fractures.…”

Section: Discussionmentioning

confidence: 99%

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The role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and epiphyseal growth arrest in the surgical treatment of distal tibial epiphysiolysis

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et al. 2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Distal tibial epiphyseal fractures damage to epiphyseal growth plate. Epiphyseal growth arrest (EGA), reflex sympathetic dystrophy and ankle joint stiffness may also occur after distal tibial epiphyseal injury. This study aims to evaluate the role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and EGA in the surgically treated distal tibial epiphyseal fractures. METHODS:Twenty seven patients who underwent surgery for distal tibial epiphyseal fracture between the 2011 and 2017 were evaluated retrospectively. The effects of trauma mechanism, fixation technique, preoperative duration, fracture patterns on the clinical results and EGA were examined. AOFAS (The American Orthopedic Foot and Ankle Score) and MOXFQ (The Manchester-Oxford Foot Questionaire) were used for clinical evaluation. RESULTS:Twenty seven patients (17 male and 10 female) were included in this study. The most important complication of epiphyseal injury was the growth pause in eight patients. No statistically significant difference was observed concerning clinical scores and complications according to trauma mechanism, fixation techniques and fracture patterns (p>0.05). CONCLUSION:Regardless of the trauma mechanism, fracture pattern and the fixation material, an anatomical reduction should be obtained in distal tibial epiphyseal fractures to reduce complications and prevent the EGA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and epiphyseal growth arrest in the surgical treatment of distal tibial epiphysiolysis

Aslantaş

Yalın

İlter

et al. 2019

Ulus Travma Acil Cerrahi Derg

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“…Fracture healing was followed on direct roentgenograms after the operation. The American Orthopedic Foot and Ankle Society (AOFAS) scoring system was used for clinical evaluation [11] .…”

Section: Methodsmentioning

confidence: 99%

Hybrid external fixation via a minimally invasive method for tibial pilon fractures - Technical note

Bülbül

Kuyucu

Say

et al. 2015

Annals of Medicine &Amp; Surgery

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IntroductionWe aimed to present the clinical and radiological outcomes of patients with tibial pilon fractures who were treated with hybrid external fixators. Shanz screws were applied synchronously and used as joysticks for fracture reduction. Radiological evaluations were conducted on roentgenograms at the second week, sixth week, third month and first year.Material and methodsThe study group included 42 patients with tibial pilon fractures that were classified as 43C according to the AO/OTA classification system. We used 2-hydroxyapatite-coated Schanz screws for the tibial pilon reduction. Schanz screws fixated to two separate motors were synchronously passed through the fracture fragments. An external fixator was applied after the fracture was stabilized with Schanz screws.Results and discussionThe mean operation duration was 45 min Fracture healing was observed in all patients, and the mean fracture healing time was 17 (range, 12–32 weeks) weeks. The mean lateral distal tibial angle was 89°. Joint surface irregularity was not observed in any patient. All of the patients had 0–15° of ankle dorsiflexion. None of the patients had restricted ankle plantar flexion. No wound complications were observed. According to the AOFAS scoring system, the clinical evaluation was excellent in 26 patients, good in 14 patients and fair in 2 patients. Malunion and nonunion may necessitate additional surgical procedures, delay the return to activities of daily living, and increase treatment costs. Good alignment was achieved, with a mean lateral distal tibial angle of 89 (range, 84–92) degrees.ConclusionPermanent hybrid external fixator applied using Schanz screws via a mini open technique is a fast, easily applied alternative with low morbidity and satisfying results.

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Treatment Of Ankle Varus Deformity Due To Physeal Bar Formation: A Case Report

Tunçez¹

2020

Ulus Travma Acil Cerrahi Derg

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Treatment of ankle deformities caused by the physeal bar after a fracture sequel is complicated. Each patient should be treated individually depending on of the severity of the deformity and bar location. We presented a case report of a successful treatment of an 11-year-old male patient with progressive varus deformity and bar formation due to trauma in the distal tibial physis. Tibia distal open wedge osteotomy, fibula closed wedge osteotomy, bar resection, and autogenic adipose tissue interposition were performed. The patient is at 4 year follow-up without any complication. We think that bar resection technique provides favorable results even in severe ankle deformity.

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Clinical and radiological results in distal tibial physeal injuries

Cited by 4 publications

References 7 publications

The role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and epiphyseal growth arrest in the surgical treatment of distal tibial epiphysiolysis

The role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and epiphyseal growth arrest in the surgical treatment of distal tibial epiphysiolysis

Hybrid external fixation via a minimally invasive method for tibial pilon fractures - Technical note

Treatment Of Ankle Varus Deformity Due To Physeal Bar Formation: A Case Report

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