الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Fractures involving distal tibial physeal injury are the second most common injuries in children and accounts for about 15% of all physeal injuries. The aim of the study is to evaluate the functional outcome of closed reduction and percutaneous fixation of distal tibial physeal injury regarding: union time, range of motion and complications. Methods: We reviewed the cases of 24 patients with distal tibial physeal injury with mean age of 13.8 years; 23 patients were males and 1 patient female. Patients with Salter-Harris types 2, 3 and 4 were included in our study. Patients were treated with closed reduction and percutaneous fixation with k-wires and cannulated screws. Radiological and clinical union time, range of motion (ROM) and the functional outcome was evaluated according to American Orthopedic Foot and Ankle Society scoring scale. Results: The mean follow-up time was 6.42 weeks (range 6-8weeks). The radiological mean union time was 6.42 weeks (range 6-8weeks). A full range of motion was achieved on average 0f 6.25 weeks (range 6-8weeks). Difference in radiological union time (p<0.001), post-operative immobilization (P<0.001), follow-up durations (P<0.001), range of motion (P=0.014), postoperative complications (P= 0.010) and AOFAS score (P<0.001) were statically significant. Conclusions: We achieved excellent functional outcome with closed reduction and percutaneous fixation with shorter operation time, less intra-operative blood loss, short hospital stay and faster fracture healing time with less complications rate. |