TREATMENT OF DISPLACED MALLEOLAR FRACTURES AT CHILDREN
Abstract
Background. The exact knowledge of the anatomic relations of the juvenile skeleton is of great importance for the determination of the injury and proper treatment. The treatment should be uniform and carried out in one act. Considering this facts the functional results are usually very good and no late sequel are recorded.
Methods. In 5-years period 25 children with age 7 to 17 were treated with displaced fracture of ankle. The Salter-Harris classification (SHC) was used. Children were classified in two groups. In first group (G-I) 11 children were treated with closed reduction. Whole group was classified as type II fractures of SHC. In second group (G-II) 14 children were treated operatively. 10 cases were type III, 2 cases were type IV of SHC and 2 were juvenil Tillaux fracture. In follow-up we registered the duration of immobilisation, non-weight bearing period, mobility and residual pain at the end of the treatment.
Results. In G-I average non-weight bearing period was 10.4 weeks, in G-II only 7.8 weeks. At the end of the treatment in both groups very good functional results were achieved. There were no complications in operative group (G-II).
Conclusions. Children relatively often suffer ankle injuries. With proper diagnosis and early adequate treatment the prognosis is good and no functional sequel were recorded.
Downloads
References
Rang M. Adverse events. In: Epps CH, Bowen JR. Fractures in children. 3rd ed. Philadelphia: Lippincott, 1995: 249–9.
Spiegel P, Coopreman D, Laros G. Epiphyseal fractures of the distal ends of the tibia and fibula. J Bone Joint Surg 1978; GOA: 1046.
Peterson HA, Madhok R, Benson JT, Ilstrup DM, Melton LJ. Physeal fractures: Part 1, Epidemiology. Olmsted Ortop 1994; 14: 423–30.
Rockwood CA, Wilkins KE, Beaty JH. Fractures in children. Volume 3. Philadelphia: Lippincott-Raven, 1996.
Green NE, Swiontkowski MF. Skeletal trauma in children, vol. 3. London: Saunders, 1998.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
