J Korean Fract Soc.
1999 Oct;12(4):1065-1070.
Treatment of Distal Tibial Epiphyseal fracture
Salter-Harris Type I & II
- Affiliations
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- 1Department of Orthopaedic Surery, National Plice Hospital, Seoul, Korea.
Abstract
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It is known that the Salter-Harris type I and II fractures of the distal tibial epiphysis usually
can be treated by conservative method. But according to Spiegel, unpredictable group(type II)
fractures might have more complications than expected when treated by conservative method
without accurate reduction. Eleven cases in type I or II fractures were treated at the National
Police Hospital between March 1992 and March 1997.
If more than 2mm displacement was present compared to contralateral side after closed
reduction, open reduction and internal fixation method was done and in those all cases,
periosteal interposition was found on the operative field that might interrupt anatomical
reduction and cause late complications such as angular deformity.