Long-term followup of physeal injury to the ankle.
Sixty-eight patients with a distal physeal injury to the tibia and/or the fibula were reviewed, with an average followup of 27 years and 4 months from the initial lesion. The average age at injury was 12 years and 6 months, whereas the average age at follow-up was 40 years. Seventeen patients had a type I Salter-Harris injury, 27 type II, 10 type III, and 14 type IV. All the patients but six were treated conservatively. According to our criteria of evaluation, 47 patients had a good result, 13 fair and eight poor. The type of Salter-Harris lesion, the amount of the initial displacement and the quality of reduction were the three main parameters which determined the end-result. Radiographic signs of osteoarthritis were present in 11.8% of our patients and all of them had presented type III or IV lesions, except for one who had a type II lesion.
Caterini
R
R
Department of Orthopaedic Surgery, University of Reggio Calabria, Italy.
Farsetti
P
P
Ippolito
E
E
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D002370:Casts, Surgical; D002648:Child; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013997:Time Factors