Ipsilateral distal femoral and proximal tibial epiphyseal growth plate injury: a case report

Journal of Medical Case Reports

Murat Asci¹  Cem Coskun Avci²  Guven Bulut³  Mehmet Erdem⁴  Deniz Gulabi³ 

[1] Department of Orthopaedics and Traumatology, Tokat Devlet Hastanesi, Tokat 60100, Turkey;Ümraniye Training and Research Hospital, Kazım Karabekir, Ümraniye, İstanbul 34000, Turkey;Dr. Lütfi Kırdar Kartal Training and Research Hospital, Semsi Denizer Cd E 5 Karayolu Cevizli Mevkii 4 Kartal, İstanbul 34890, Turkey;Sakarya Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Bilim Dalı, Esentepe Campus, Sakarya 51487, Turkey

关键词: Surgical treatment;    Epiphysiolysis;    Growth plate;    Knee;   

Others  :  1181173
DOI  :  10.1186/1752-1947-7-146

 received in 2013-01-02, accepted in 2013-05-02,  发布年份 2013

【 摘 要 】

Introduction

Both the isolated distal femoral epiphysiolysis and the isolated proximal tibial epiphysiolysis are the least common epiphyseal injuries. Even though they are uncommon, they have a high incidence rate of complications.

Case presentation

We present a case with Gustilo-Anderson grade 3b open and Salter-Harris type 1 epiphysiolysis of the distal femur and proximal tibia caused by a farm machinery accident. The patient was a 10-year-old boy, treated by open reduction and internal fixation.

Conclusion

Although distal femoral and proximal tibial growth plate injuries are rarely seen benign fractures, their management requires meticulous care. Anatomic reduction is important, especially to minimize the risk of growth arrest and the development of degenerative arthritis. However, there is a high incidence of growth arrest and neurovascular injury with these type of fractures.

【 授权许可】

   
2013 Gulabi et al.; licensee BioMed Central Ltd.

【 图 表 】

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