title: [Surgical treatment of epiphysiolyses of the distal femur and the proximal tibia].
abstract: OBJECTIVE
  Anatomic reduction and stabilization in case of dislocated injuries.
  
  
  METHODS
  Dislocated epiphysiolyses types Harris-Salter I and II of the distal femur and the proximal tibia.
  
  
  METHODS
  General contraindications to anesthesia and surgical treatment as well as nondislocated injuries.
  
  
  METHODS
  After initial closed anatomic reduction, the fracture is stabilized with crossing Kirschner wires. If closed reduction is not successful, open reduction via a small medial or lateral incision becomes necessary. Selected injuries with a big metaphyseal wedge should be stabilized with screws, which are inserted parallel to the physis.
  
  
  METHODS
  Postoperative management of epiphysiolyses of the distal femur requires a pelvic leg cast for 4-6 weeks. In epiphysiolyses of the proximal tibia, a long-leg cast is adequate.
  
  
  RESULTS
  According to studies, complications after epiphysiolysis of the distal femur occur in 37-70%. Sound studies concerning epiphysiolysis of the proximal tibia do not exist.
authors.affiliation: Abteilung für Unfall- und Wiederherstellungschirurgie, Kindertraumatologie, St. Josefskrankenhaus Freiburg, Sautierstrasse 1, 79104, Freiburg, Germany. mike.oberle@rkk-sjk.de
authors.forename: Mike
authors.initials: M
authors.lastname: Oberle
authors.forename: Marco
authors.initials: M
authors.lastname: Bonetta
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schlickewei
mesh_terms: D001863:Bone Screws; D001864:Bone Wires; D002648:Child; D004839:Epiphyses, Slipped / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome