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 |