engleski

Successful outcomes depend on early recognition and treatment of specific pediatric ankle fracture patterns

Aim: The aim is to present the case of a 10-year- old girl who suffered an SH IV type of tibial fracture. Case description: A 10-year-old girl sledding suffered left ankle sprain. Clinical examination revealed a pronounced bimalleolar swelling. An X- ray of the ankle showed a fracture of the tibia type SH IV in the LL projection. Computed tomography verified oblique anterolateral fracture of the metaphysis and epiphysis of the tibia with diastase of fragments up to 5 mm. An anterolateral approach to the left ankle performed repositioning and fixation with two K-wires. After five weeks, the K-wires were removed and the girl began physical therapy. With prospective three- year follow-up, the status of the ankle is well. Conclusion: Displaced SH III and SH IV fracture patterns benefit from anatomic reduction, internal fixation, and restoration of joint space congruity. In the case of open reduction, it is important to avoid extensive dissection or periosteal stripping at the physis, as this may contribute to premature physeal arrest.

tibial fracture ; ankle ; children ; trauma ; pediatric surgery

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