Factors Influencing Premature Physeal Closure following Physeal Injury of the Ankle in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 672-676, 2008.
Article
in Korean
| WPRIM
| ID: wpr-646514
ABSTRACT
PURPOSE:
To evaluate the factors influencing premature physeal closure (PPC) following physeal fractures of the ankle in children. MATERIALS ANDMETHODS:
Forty-eight children with physeal injuries of the ankle were analyzed retrospectively after a minimum follow-up of 1 year. We undertook statistical analysis according to age, gender, cause, fracture type, mechanism of injury, and treatment methods for incidence of PPC.RESULTS:
Ten fractures (28.3%) were complicated by PPC. There were three cases of leg length discrepancy (LLD) more than 2 cm, five cases of angulation with LLD more than 2 cm, and two cases of fibula shortening. There were no correlation between PPC and age, sex, cause, or injury mechanism (p>0.05). There was a statistically significant correlation between the rate of PPC and treatment methods (p=0.018).CONCLUSION:
Operative treatment may decrease the frequency of PPC in some fractures. Regardless of treatment method, we recommend anatomic reduction to decrease the risk of PPC.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Incidence
/
Retrospective Studies
/
Follow-Up Studies
/
Fibula
/
Leg
/
Ankle
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Animals
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2008
Type:
Article
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