Display options
Cite
Peterson HA, Jacobsen FS. Management of distal tibial medial malleolus type-6 physeal fractures. J Child Orthop. 2008;2(2):151-4doi: 10.1007/s11832-008-0091-3.
Peterson, H. A., & Jacobsen, F. S. (2008). Management of distal tibial medial malleolus type-6 physeal fractures. Journal of children's orthopaedics, 2(2), 151-4. https://doi.org/10.1007/s11832-008-0091-3
Peterson, Hamlet A, and Jacobsen, F Stig. "Management of distal tibial medial malleolus type-6 physeal fractures." Journal of children's orthopaedics vol. 2,2 (2008): 151-4. doi: https://doi.org/10.1007/s11832-008-0091-3
Peterson HA, Jacobsen FS. Management of distal tibial medial malleolus type-6 physeal fractures. J Child Orthop. 2008 Mar;2(2):151-4. doi: 10.1007/s11832-008-0091-3. Epub 2008 Feb 28. PMID: 19308594; PMCID: PMC2656788.
Copy Download .nbib Format: NLM
Share it on

J Child Orthop. 2008 Mar;2(2):151-4. doi: 10.1007/s11832-008-0091-3. Epub 2008 Feb 28.

Management of distal tibial medial malleolus type-6 physeal fractures.

Journal of children's orthopaedics

Hamlet A Peterson, F Stig Jacobsen

Affiliations

  1. Department of Orthopedics, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, [email protected].

PMID: 19308594 PMCID: PMC2656788 DOI: 10.1007/s11832-008-0091-3

Abstract

PURPOSE: Type 6 is an open fracture in which part of the physis is missing. It is the least common physeal fracture, but has the highest rate of complications, particularly the formation of a physeal bar. Without preemptive treatment, a physeal bar always forms, producing growth retardation and angular deformity, and excision of these physeal bars has been uniformly unsuccessful. The distal medial malleolus is a common site for the fracture.

METHODS: Strategies for the treatment of two varieties of acute medial malleolar type-6 fractures and two types of late deformities following type-6 fracture are given. The acute fractures were treated with either fat or cartilage applied to the exposed physis. The late deformities were treated with corrective iliac bone grafting.

RESULTS: The acute fractures were prevented from forming physeal bars and the two late deformities were fully corrected with good outcomes.

CONCLUSION: Fat applied to an acute type-6 physeal fracture has a good chance of preventing bar formation. Ankle deformities due to bars can be corrected by means of iliac bone grafting.

References

  1. J Pediatr Orthop. 1994 Jul-Aug;14(4):431-8 - PubMed
  2. Microsurgery. 2000;20(5):262-6 - PubMed
  3. J Bone Joint Surg Br. 2000 May;82(4):558-60 - PubMed
  4. J Pediatr Orthop. 1994 Jul-Aug;14(4):439-48 - PubMed
  5. J Bone Joint Surg Am. 1994 Mar;76(3):325-34 - PubMed

Publication Types