[Injury of the proximal physis of the tibia in children.].
During the last nine years (1986 to 1994) the authors treated 27 children with injuries of the proximal growth plate of the tibia, i. e. 0,8 % of all skeletal injuries treated during the above period at the clinic. Injuries type 2 Salter were encountered most frequently, in almost half the patients. In four instances a dislocated injury was involved which was treated by closed reposition, in one instance by open reposition and internal fixation. In the total number of patients one complication of partial growth stimulation occured with a subsequent angulation deformity of the proximal tibia (4,5%) and in one instance (4,5%) an early complication in a patient with a devastating injury of the leg and dorsum of the foot where the combined affection of the popliteal artery in the dislocated fracture of the proximal epiphysis of the tibia and the devastating injury of the leg led to a subsequent uncontrollable anaerobic infection, which called for amputation of the leg. Key words: physis, tibia, fractures in children.
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Klinika detské chirurgie IPVZ, Fakultní Thomayerova nemocnice, Praha.
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