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 journalArticlepeer-review

6 Scopus citations

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 languageEnglish
Pages (from-to)113-116
Number of pages4
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume41
Issue number3
StatePublished - Mar 2012

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