J Korean Fract Soc.  1999 Oct;12(4):1058-1064.

Distal Femoral Physeal Injury in Adolescence

• Shin DB
• Kim YJ
• Lee YS
• Choi JC
• Shin DE
• Baek JS

Abstract

The purpose of this study was to evaluate the results of distal femoral physeal injury in adolescence after various treatment 5 which had been performed for the last 4 years. This study consisted of 9 distal femoral physeal fractures from August 1993 to May 1996. Average length of follow up was 21 months. We evaluated the functional status such as range of motion, instability, pain and sports activity. They showed no abnormalities. We also assessed the lateral distal femoral angle, mechanical axis deviation, femorotibial angle and leg length discrepancy using orthoradiogram. 4 Cases showed the lateral distal femoral angle differences(more than 5), 7 cases showed the mechanical axis differences(average : 11.8mm), 6 cases showed the remorotibial angle differences(average : 5.8) and 6 cases showed the leg length discrepancy(average : 4.6mm). So we carefully concluded that the adequacy of the reduction is the most important prognostic factor and there are some problems in radiological angle difference despite the anatomical reduction.

Keyword

Femur; Distal Physeal Injury; Adolescence

MeSH Terms

Adolescent*
Axis, Cervical Vertebra
Femur
Follow-Up Studies
Humans
Leg
Range of Motion, Articular
Sports