Functional outcome following closed reduction and percutaneous osteosynthesis of distal tibia articular fractures in children

Acta Orthop Belg. 2020 Mar;86(1):102-108.

Abstract

Closed reduction and percutaneous osteosynthesis is an alternative to the open procedure for articular fractures of distal tibia of children. 38 patients were retrospectively reviewed. The measured parameters were : the score of Gleizes and the discrepancies between preoperative radiographic and CT scan measurements and postoperative radiographs. A significant correlation was found between the gap and the step-off in preoperative radiographic and CT scan. A significant decrease of the gap and step-off displacement was noticed after surgery. The Gleizes scoring showed 35 good results, 2 average results and 1 poor result. Percutaneous fixation of ankle articular fractures in children is a simple and effective treatment giving similar results to open techniques while minimizing the risk of joint stiffness and healing complications. Growth complications are comparable with both techniques.

MeSH terms

  • Adolescent
  • Bone Nails*
  • Bone Screws*
  • Child
  • Female
  • Fracture Fixation, Internal / methods*
  • Humans
  • Intra-Articular Fractures / surgery*
  • Male
  • Retrospective Studies
  • Tibial Fractures / surgery*