ArticleActa orthopaedica2023
The incidence of physeal fractures in the lower limb and the frequency of premature physeal closure: a cohort study of 236 patients.
Article in Acta orthopaedica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 10 citations in OpenAlex.
- Comparative outcomes of Kirschner wire and lag screw fixation in pediatric medial malleolar fractures.Journal of orthopaedic surgery and research · 2026Article
- Risk factors for the development of premature physeal closure after a McFarland fracture in children.International orthopaedics · 2025Article
- Evaluation of factors affecting development of complications in the early surgical treatment of distal tibial epiphyseal fractures.Joint diseases and related surgery · 2025Article
- Explainable machine learning-based prediction of early and mid-term postoperative complications in adolescent tibial fractures.Frontiers in surgery · 2025Article
- MRI identification of anatomical distribution of periosteal entrapment and its clinical outcomes in pediatric distal tibial Salter-Harris type II fractures.Frontiers in sports and active living · 2025Article
- Patients with trochlear dysplasia have dysplastic medial femoral epiphyseal plates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Osteogenesis imperfecta with repeated simultaneous bilateral proximal tibial epiphyseal injuries caused by minor trauma: A case report and literature review.International journal of surgery case reports · 2023Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
background and purposePhyseal fractures represent 15-20% of all pediatric fractures and may lead to premature physeal closure (PPC). The aim of our study was to determine the incidence rates of physeal fractures in the lower limb and the proportion of PPC that lead to limb length discrepancy (LLD), and/or angular deformity (AD). PATIENTS AND
methodsThis retrospective study included 236 consecutive children with physeal fracture in the tibia, distal femur, or distal fibula. We estimated incidence rates and reviewed medical records and radiographs to obtain information regarding the development of PPC leading to LLD and AD. Of the 236 children, 100 had planned growth control or were referred for growth control due to symptoms of PPC.
resultsThe total incidence rate was 35 (95% CI 30-39) per 100,000 person-years, with 1.2 (CI 0.5-23) for distal femur, 5.7 (CI 3.1-7.8) for proximal tibia, 14 (CI 11-17) for distal tibia, and 14 (CI 11-17) for distal fibula. The overall prevalence of PPC was 9.7% (CI 6.3-14), while the prevalence was 38% (CI 8.5-76) for distal femur, 15% (CI 5.9-31) for proximal tibia, 14% (CI 7.4--22) for distal tibia, and 1.1% (CI 0.3--59) for distal fibula. We found a significant higher hazard of PPC in fractures with ≥ 3 mm displacement (hazard ratio: 12, CI 1.5-97).
conclusion10% of children with physeal fractures developed PPC that led to LLD or AD. The highest hazard ratio was in children who had an initial fracture displacement. This study highlights the importance of routine and uniform growth evaluation after a physeal fracture.
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