Salter harris 2 fracture1/15/2024 ![]() ![]() Timing of presentation or time from injury to reduction was not associated with a complication (p=0.3733 and p=0.2415, respectively). Leg-length discrepancy ranged from 0.5-1.5 cm, and two patients also developed valgus deformities greater than 10°. Six patients (33%) out of 18 who had open physes at injury developed complication due to physeal arrest two requiring further surgical intervention. TH fragments less than 3 cm in either dimension were more commonly treated with wire fixation (59% vs. TH fragments greater than 3 cm in height and width were fixed with cannulated screws in 85% of cases. Fractures treated with only screw fixation of TH fragments had fragments 14.7 mm larger in height (P = 0.001) and 9.6 mm larger in width (P = 0.001) on average than fractures fixed by wire cross-pinning. All patients had surgical fixation of their fractures ( Figure 1) 51% received Thurston-Holland (TH) screw fixation, 26% retrograde Kirschner wire cross-pinning, and 17% anterograde cross-pinning. High energy mechanisms (motor vehicle involvement, sports, ATV, lawnmower) were responsible for the majority of injuries (60%). Results: Of the 53 subjects, 68% were male and 32% female, with a mean age of 11.7 years (range: 0.9-17.7 years). Mann-Whitney test was used to compare means between groups. Demographic, radiographic, and treatment data were collected. Subjects were identified via ICD-9 and ICD-10 codes and attending operative notes at a single level-1 trauma center between 2004-17. Method: A retrospective review of 53 patients diagnosed with SH-II fracture, under the age of 19, was performed. ![]() The purpose of this study is to evaluate fracture characteristics that may affect treatment or outcome of Salter-Harris type II (SH-II) fractures. Purpose: Despite recognition that physeal fractures of the distal femur have a high risk of growth arrest, specific factors contributory to this risk are poorly understood. ![]()
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |