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McKenna SM, Hamilton SW, Barker SL. Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared. J Investig Med High Impact Case Rep. 2013;1(3):2324709613500238doi: 10.1177/2324709613500238.
McKenna, S. M., Hamilton, S. W., & Barker, S. L. (2013). Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared. Journal of investigative medicine high impact case reports, 1(3), 2324709613500238. https://doi.org/10.1177/2324709613500238
McKenna, Sean M, et al. "Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared." Journal of investigative medicine high impact case reports vol. 1,3 (2013): 2324709613500238. doi: https://doi.org/10.1177/2324709613500238
McKenna SM, Hamilton SW, Barker SL. Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared. J Investig Med High Impact Case Rep. 2013 Jul 29;1(3):2324709613500238. doi: 10.1177/2324709613500238. eCollection 2013. PMID: 26425580; PMCID: PMC4586811.
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J Investig Med High Impact Case Rep. 2013 Jul 29;1(3):2324709613500238. doi: 10.1177/2324709613500238. eCollection 2013.

Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared.

Journal of investigative medicine high impact case reports

Sean M McKenna, Steven W Hamilton, Simon L Barker

Affiliations

  1. Royal Aberdeen Children's Hospital, Foresterhill, Scotland.

PMID: 26425580 PMCID: PMC4586811 DOI: 10.1177/2324709613500238

Abstract

Salter Harris-type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle-brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion for a vascular injury. Ideally reduction, stabilization, and vascular repair, if necessary, should be carried out within 6 hours of the initial event. There should be a low threshold for fasciotomies. These 2 cases demonstrate the importance of having a high index of suspicion for vascular injury and the need for continued reassessment.

Keywords: Salter Harris distal femoral fracture; knee dislocation; vascular injury

References

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