Background class='Para'>Proximal tibial physeal injuries are quite rare, but their complications can be of great importance. The purpose of this study was to evaluate the effect '/> Lower limb deformity following proximal tibia physeal injury: long-term follow-up
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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Lower limb deformity following proximal tibia physeal injury: long-term follow-up
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Lower limb deformity following proximal tibia physeal injury: long-term follow-up

机译：胫骨近端干eal端损伤后下肢畸形：长期随访

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class="Heading">Background class="Para">Proximal tibial physeal injuries are quite rare, but their complications can be of great importance. The purpose of this study was to evaluate the effect of this injury on the axis and length of a child’s limb. class="Heading">Materials and methods class="Para">This study focused on 12 patients with proximal physeal injury of the tibia (8 boys and 4 girls; mean age at the time of injury: 8.9?years). Injuries were classified according to the Salter–Harris scheme into 5 types (type II—7 patients, type III—3 patients, type IV—1 patient, type V—1 patient). In 5 cases, a coexisting fracture of the injured limb was observed (fibular fracture—3 cases, intercondylar fracture—1 case, tibial tubercle fracture—1 case). Ten patients were treated conservatively and 2 patients underwent an operation. Seven of the 12 patients were available for long-term follow-up, with a mean duration of 14.4?years (11.2–22.0?years). class="Heading">Results class="Para">Angular deformity was observed in 6 of the 7 patients, with a mean valgus deformity of 2.7°, within an average of 5.8?months after the injury. After 3?years of follow-up, complete remodeling was observed in all of those 6 cases (4 of the patients were treated conservatively and 2 underwent surgery). One patient developed 6?mm of tibial shortening. No functional limitation or pain was recorded in any of the patients during the follow-up. class="Heading">Conclusions class="Para">Injury to the proximal tibial epiphysis, while rare, may result in angular or length disturbance, regardless of the initial treatment (conservative or surgical). Parents should always be informed of this possibility, and long follow-up is indicated. Nevertheless, this type of injury rarely results in functional limitations.
机译：class =“ Heading”>背景 class =“ Para”>胫骨近端骨干损伤非常少见，但其并发症可能非常重要。这项研究的目的是评估这种伤害对儿童肢体的轴和长度的影响。 class =“ Heading”>材料和方法 class =“ Para”>这项研究的重点是12例胫骨近端骨干损伤（8名男孩和4名女孩;受伤时的平均年龄：8.9岁）。根据Salter-Harris计划，将伤害分为5种类型（II型7例，III型3例，IV型1例，V型1例）。在5例中，观察到受伤的肢体并存骨折（腓骨骨折3例，con间骨折1例，胫骨结节骨折1例）。保守治疗10例，手术2例。 12名患者中有7名可进行长期随访，平均持续时间为14.4？年（11.2–22.0？年）。 class =“ Heading”>结果 7例患者中有6例观察到角畸形，平均外翻畸形为2.7°，平均在受伤后5.8个月内。随访3年后，在这6例患者中均观察到完全重塑（其中4例患者接受了保守治疗，其中2例接受了手术）。一名患者发生了6？mm的胫骨缩短。在随访期间，没有任何患者出现功能受限或疼痛。 class =“ Heading”>结论 class =“ Para”>胫骨近端骨epi损伤，尽管很少见，但不管初始治疗（保守或手术）如何，都可能导致角度或长度干扰。应始终将这种可能性告知父母，并指示长期随访。尽管如此，这种伤害很少会导致功能限制。

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