Physeal Fracture Of The Ankle In Children

Objective：To investigate the causes of physeal fracture of the ankle in children,treatment, the correlation between the manifestations and prognosis, thecomplication and prevention are discussed.Method：Summary53cases on clinical information of physeal fracture of theancle in children from Jan2008to Jan2010,analysis the causes, types,treatment and follow-up. The study included32boys and21girls, with agefrom4to15years old. The causes of injury included31cases withmedium-low energy damage as sports injury, and22cases with high-energyinjuries such as high falling injury and car accident injury. All cases wereclassified with Salter-Harris type which he Treatment determined by.28cases were treated with the conservative treatment method as25caseswith surgical treatment:11with Hollow screw,6with Kirschner wires,4with absorbable screw,2with plate and screw system, surgical fixationmethods include closed reduction and internal fixation, open reduction andinternal fixation. Result:All patients were followed up for24to36months with an average of26months. We evaluated the follow-up with Cottalorda J ‘s method. There wereexcellent in20cases, good in6cases and poor in2cases in the cases treatedby conservative method as the excellent rate of93%.And there wereexcellent in15cases, good in3cases and poor in7cases, excellent rate of72%in surgical cases.Conclusion:(1) The mainly causes of physeal fracture of the ankle in children aremedium-low energy damage as sports injury, high-energy injury caused bytraffic accident gradually increased in recent years.(2) The factors that affect the prognostic of children ankle epiphysealinjuries include the type of injuries, the size of the trauma energy fracturecircumstances and the time from injury to treatment.(3) Ankle epiphyseal fracture of children involves the epiphyseal plate,the articular surface and the stability of the ankle, should be diagnosis andtreatas early as possible，the most suitable treatment should be based on thetype，displacement and so on. Try best to reduce the interference to theepiphyseal plate，reduce the risk of growth disorders。...