The role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and epiphyseal growth arrest in the surgical treatment of distal tibial epiphysiolysis
| Autor: | Mustafa Yalın, Bülent Tanrıverdi, Mustafa Gökhan Bilgili, Altuğ Duramaz, Alkan Bayrak, Mehmet Hakan İlter, Furkan Çağlayan Aslantaş, Erdem Edipoğlu |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Epiphyses Slipped medicine Humans Epiphyseal Fracture Retrospective Studies 030222 orthopedics Tibia business.industry Dystrophy Retrospective cohort study 030229 sport sciences Surgery Tibial Fractures Anesthesiology and Pain Medicine medicine.anatomical_structure Epiphysiolysis Orthopedic surgery Emergency Medicine Female Ankle Complication business |
| Zdroj: | Turkish Journal of Trauma and Emergency Surgery. |
| ISSN: | 1306-696X |
| Popis: | Background Distal tibial epiphyseal fractures damage to epiphyseal growth plate. Epiphyseal growth arrest (EGA), reflex sympathetic dystrophy and ankle joint stiffness may also occur after distal tibial epiphyseal injury. This study aims to evaluate the role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and EGA in the surgically treated distal tibial epiphyseal fractures. Methods Twenty seven patients who underwent surgery for distal tibial epiphyseal fracture between the 2011 and 2017 were evaluated retrospectively. The effects of trauma mechanism, fixation technique, preoperative duration, fracture patterns on the clinical results and EGA were examined. AOFAS (The American Orthopedic Foot and Ankle Score) and MOXFQ (The Manchester-Oxford Foot Questionaire) were used for clinical evaluation. Results Twenty seven patients (17 male and 10 female) were included in this study. The most important complication of epiphyseal injury was the growth pause in eight patients. No statistically significant difference was observed concerning clinical scores and complications according to trauma mechanism, fixation techniques and fracture patterns (p>0.05). Conclusion Regardless of the trauma mechanism, fracture pattern and the fixation material, an anatomical reduction should be obtained in distal tibial epiphyseal fractures to reduce complications and prevent the EGA. |
| Databáze: | OpenAIRE |
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