We retrospectively analyzed cases of intra-articular medial malleolar fractures in skeletally-immature patients (Salter-Harris III and IV) with suboptimal outcomes at St. Louis Children's Hospital and Shriner's Hospital for Children. Common causes of poor outcome were frac-ture malunion or malreduction and physeal damage. Malreductions of only 2 mm does not appear to be toler-ated and the concept of "remodeling" does not apply to these fracture patterns. Based on this study, we "recom-mend" fracture reduction and fixation if there is greater than 1 mm of fracture step-off..
|Number of pages||4|
|Journal||American journal of orthopedics (Belle Mead, N.J.)|
|State||Published - Mar 2012|