Feasibility of pre- and postoperative arthroscopic assessments with internal fixation for growth plate injury of the distal tibia: three case reports and a literature review
| Autor: | Satoshi Ichihara, Akira Isaka, Tomohiko Hirose, Kojiro Kawasaki |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Adolescent Intra-Articular Fractures medicine.medical_treatment Salter-Harris Fractures Growth Plate Injury Perioperative Care Arthroscopy Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Japan Humans Medicine Internal fixation Orthopedics and Sports Medicine In patient 030212 general & internal medicine Malunion Reduction (orthopedic surgery) 030222 orthopedics Tibia business.industry Cartilage musculoskeletal system Functional recovery medicine.disease Distal tibia Surgery Tibial Fractures Open Fracture Reduction Treatment Outcome medicine.anatomical_structure Feasibility Studies Female business |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology. 31:51-55 |
| ISSN: | 1432-1068 1633-8065 |
| Popis: | Inappropriate treatment of growth plate injury may cause complications such as malunion or early arrest of the growth plate. Identification of intra-articular lesions is mandatory in patients with a growth plate injury of the distal tibia. Arthroscopic assessment is useful in identifying intra-articular injury. We report three cases of intra-articular growth plate injury of the distal tibia that were treated via internal fixation with arthroscopic assessment in our hospital. All three cases were performed pre- and postoperative arthroscopic assessment and open reduction and internal fixation with a cannulated cancellous screw (CCS; Meira, Japan). All patients were then examined for postoperative complications, functional recovery, at the end of the final follow-up consultation. Intraoperatively, a small cartilage injury was found in the non-fracture area in two cases; the remaining case had a reversed cartilage fragment at the talus, which was arthroscopically removed. Arthroscopic assessment followed by internal fixation is a useful minimally invasive method for the identification of intra-articular lesions such as osteochondral injury or free bodies. |
| Databáze: | OpenAIRE |
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