Article PDF :

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Article type :

Case Report

Author :

Arun Padmanandan, Ritabh Kumar, Arun Padmanandan, Ritabh Kumar, Arun Padmanandan, Ritabh Kumar

Volume :

12

Issue :

3

Abstract :

Physeal fractures account for 15% to 30% of all bony injuries in children. Type II Salter Harris represent the most common type of fractures characterized by fracture along the physis into the metaphysis without crossing into the growing epiphyseal region of the bone. Type II Salter Harris fractures are usually managed by closed reduction and usually must be monitored for complications such as growth arrest. Here the authors present an uncommon case of Salter Harris Type 2 fracture of the distal femur in an adolescent resulting from fall and was managed by open reduction and internal fixation. A 14-year-old boy was bought to casualty with an alleged history of fall while trying to jump over a gate. He had a visible deformity on his left knee, skin was intact with significant swelling. X rays confirmed the diagnosis of Type II Salter Harris fracture of the distal femur of left knee. Closed reduction was attempted twice but fracture was found to be displacing and was highly unstable. Open reduction attempted and was achieved by varus and hyperextension. Final fixation was then done by placing medial distal femur osteotomy plate. He was on regular follow up post operatively. Follow up x rays were taken at 6, 12, 24 and 30 weeks. Implant was removed six months from the primary injury. Knee range of motion was good.