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
- 1 January 2021
- journal article
- review article
- Published by Springer Science and Business Media LLC in European Journal of Orthopaedic Surgery & Traumatology
- Vol. 31 (1), 51-55
- https://doi.org/10.1007/s00590-020-02741-z
Abstract
BackgroundInappropriate 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.Materials and MethodsAll 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.ResultsIntraoperatively, 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.ConclusionsArthroscopic 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.Keywords
This publication has 13 references indexed in Scilit:
- Complications of Pediatric Foot and Ankle FracturesOrthopedic Clinics of North America, 2017
- Prognostic factors for premature growth plate arrest as a complication of the surgical treatment of fractures of the medial malleolus in childrenThe Bone & Joint Journal, 2013
- Ankle Fractures in ChildrenThe Journal of Bone & Joint Surgery, 2012
- Chronic Pain After Ankle Fracture: An Arthroscopic Assessment Case SeriesFoot & Ankle International, 2005
- Surgical Management of Chronic Lateral Ankle Instability in AdolescentsJournal of Pediatric Orthopaedics, 2003
- Distal Tibial Triplane Fractures: Long-Term Follow-upJournal of Pediatric Orthopaedics, 1996
- Physeal Fractures: Part 1. Epidemiology in Olmsted County, Minnesota, 1979-1988Journal of Pediatric Orthopaedics, 1994
- Long-Term Followup of Physeal Injury to the AnkleFoot & Ankle, 1991
- Epiphyseal fractures of the distal ends of the tibia and fibula. A retrospective study of two hundred and thirty-seven cases in children.The Journal of Bone & Joint Surgery, 1978
- Fracture of the Lateral Portion of the Distal Tibial EpiphysisThe Journal of Bone & Joint Surgery, 1964