title: [Growth prognosis after para-epiphyseal tangential epiphysial injuries of the lower extremity exemplified by the distal femur: outcome after injuries of epiphyses of the distal femur].
abstract: Fractures of the distal end of the femur are rare. Premature partial closure of the physis may occur after metaphyseal fractures. After epiphyseal fractures it has a high incidence of occurrence. The cause of physeal arrest is not known. Stimulation of the physes ends in leg length discrepancy and was seen in 50% of all cases. Spontaneous correction of an axis deviation is possible after antecurvation up to an age of 5 years. But this should be only accepted during therapy of metaphyseal fractures of the distal femur. Side-to-Side deviations remodel in all cases. Aim of therapy in distal epiphyseal fractures should be an anatomical reduction and a definitive retention. Screw osteosynthesis seems to have an advantage.
authors.affiliation: Kinderchirurgische Klinik, Universität Graz, Auenbruggerplatz 34, 8036 Graz, Osterreich. annelie.weinberg@t-online.de
authors.forename: A M
authors.initials: AM
authors.lastname: Weinberg
authors.forename: C
authors.initials: C
authors.lastname: Castellani
authors.forename: C
authors.initials: C
authors.lastname: Werner
authors.forename: J
authors.initials: J
authors.lastname: Mayr
mesh_terms: D000293:Adolescent; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000601:surgery*; D016723:Bone Remodeling / Q000502:physiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005594:Fracture Fixation, Intramedullary; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D000072042:Salter-Harris Fractures
vernacular_title: Wachstumsprognose nach fugennaher und fugentangierender Verletzung der unteren Extremität am Beispiel des distalen Femurs: Ergebnisse nach Verletzungen der Wachstumsfugen am distalen Femur.