![]() ![]() We cannot exclude that surgery may be of value in younger children with pronation-abduction or pronation-external rotation injuries. Interpretation - Operative treatment for displaced SH II distal tibial fractures did not seem to reduce the incidence of PPC compared with nonoperative treatment. The method of treatment, sex, presence of fibular fracture, residual displacement after closed reduction, and implant type were not predictive factors for the occurrence of PPC. Multivariable logistic regression analysis determined that significant risk factors for the occurrence of PPC were age at injury, and injury mechanism. ![]() Results - The incidence of PPC in patients who received nonoperative treatment was 13/52, whereas PPC incidence in patients who received operative treatment was 24/70 (p = 0.1). ![]() Logistic regression analyses were performed to identify risk factors for the occurrence of PPC. All patients were followed for ≥ 12 months after surgery, with a mean follow-up time of 21 months. Group 2 included 70 patients with operative treatment. Patients were assigned to 1 of 2 groups: Group 1 included 25 patients with nonoperative treatment, irrespective of size of residual gap (patients treated primarily at other hospitals). Patients and methods - We retrospectively reviewed 95 patients who were treated for SH II distal tibial fractures with residual gap of >3 mm after closed reduction. The most useful approach for these fractures is a combined approach to the craniolateral region of the shoulder joint and the proximal humerus. The humeral head or the greater tubercle can separate independently, but more commonly the two epiphyses can stay confluent. Factors that may be associated with the incidence of premature physeal closure (PPC) were analyzed. Fractures of the humeral head are usually Salter-Harris type I and II. We compared the outcomes of operative and nonoperative treatment of SH II distal tibial fractures with residual gap of >3 mm. Background and purpose - The optimal treatment of displaced Salter-Harris (SH) II fractures of the distal tibia is controversial. ![]()
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