An analysis of suboptimal outcomes of medial malleolus fractures in skeletally immature children.

Scott J. Luhmann; Jon E. Oda; June O'Donnell; Kathryn A. Keeler; Perry L. Schoenecker; Matthew B. Dobbs; J. Eric Gordon

An analysis of suboptimal outcomes of medial malleolus fractures in skeletally immature children.

Scott J. Luhmann, Jon E. Oda, June O'Donnell, Kathryn A. Keeler, Perry L. Schoenecker, Matthew B. Dobbs, J. Eric Gordon

Research output: Contribution to journal › Article › peer-review

Abstract

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..

Original language	English
Pages (from-to)	113-116
Number of pages	4
Journal	American journal of orthopedics (Belle Mead, N.J.)
Volume	41
Issue number	3
State	Published - Mar 2012

Cite this

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title = "An analysis of suboptimal outcomes of medial malleolus fractures in skeletally immature children.",

abstract = "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..",

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AU - Luhmann, Scott J.

AU - Oda, Jon E.

AU - O'Donnell, June

AU - Keeler, Kathryn A.

AU - Schoenecker, Perry L.

AU - Dobbs, Matthew B.

AU - Gordon, J. Eric

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N2 - 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..

AB - 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..

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SN - 1078-4519

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JO - American journal of orthopedics (Belle Mead, N.J.)

JF - American journal of orthopedics (Belle Mead, N.J.)

IS - 3

ER -

An analysis of suboptimal outcomes of medial malleolus fractures in skeletally immature children.

Abstract

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