title: [Malunited juvenile fractures in the knee joint region].
abstract: There is a tendency for malunion to occur in fractures of the knee region in children because the growth plates are often affected. Leg length discrepancies are reported in more than 50% of the children and axis deviations in 20-40%. The prognostic significance of epiphyseal lesions is described (not always accurately) by the classifications of Salter and Harris or Aitken. Treatment is mostly directed at leg-length discrepancies and axis deviations by resection of callus formations, epiphysiodeses and osteotomies. A complete bone growth history is necessary to plan the operative procedure.
authors.affiliation: Orthopädische Universitätsklinik, Heidelberg.
authors.forename: D
authors.initials: D
authors.lastname: Gast
authors.forename: F U
authors.initials: FU
authors.lastname: Niethard
authors.forename: H
authors.initials: H
authors.lastname: Cotta
mesh_terms: D000293:Adolescent; D002648:Child; D004838:Epiphyses / Q000293:injuries; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology* / Q000601:surgery; D007718:Knee Injuries / Q000150:complications*; D007719:Knee Joint / Q000000981:diagnostic imaging; D007869:Leg Injuries / Q000150:complications*; D007870:Leg Length Inequality / Q000209:etiology / Q000601:surgery; D010027:Osteotomy; D011859:Radiography
vernacular_title: Fehlverheilte kindliche Frakturen im Kniegelenkbereich.