Aslantaş Furkan Çağlayan, Yalın Mustafa, İlter Mehmet Hakan, Bayrak Alkan, Edipoğlu Erdem, Tanrıverdi Bülent, Duramaz Altuğ, Bilgili Mustafa Gökhan
Department of Orthopedics and Traumatology, Ardahan State Hospital, Ardahan-Turkey.
Department of Orthopedics and Traumatology, Elazığ Training and Research Hospital, Elazığ-Turkey.
Ulus Travma Acil Cerrahi Derg. 2020 May;26(3):425-430. doi: 10.14744/tjtes.2019.27354.
Distal tibial epiphyseal fractures damage to epiphyseal growth plate. Epiphyseal growth arrest (EGA), reflex sympathetic dystrophy and ankle joint stiffness may also occur after distal tibial epiphyseal injury. This study aims to evaluate the role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and EGA in the surgically treated distal tibial epiphyseal fractures.
Twenty seven patients who underwent surgery for distal tibial epiphyseal fracture between the 2011 and 2017 were evaluated retrospectively. The effects of trauma mechanism, fixation technique, preoperative duration, fracture patterns on the clinical results and EGA were examined. AOFAS (The American Orthopedic Foot and Ankle Score) and MOXFQ (The Manchester-Oxford Foot Questionaire) were used for clinical evaluation.
Twenty seven patients (17 male and 10 female) were included in this study. The most important complication of epiphyseal injury was the growth pause in eight patients. No statistically significant difference was observed concerning clinical scores and complications according to trauma mechanism, fixation techniques and fracture patterns (p>0.05).
Regardless of the trauma mechanism, fracture pattern and the fixation material, an anatomical reduction should be obtained in distal tibial epiphyseal fractures to reduce complications and prevent the EGA.
胫骨远端骨骺骨折会损伤骨骺生长板。胫骨远端骨骺损伤后还可能发生骨骺生长停滞（EGA）、反射性交感神经营养不良和踝关节僵硬。本研究旨在评估创伤机制、骨折类型和固定技术在手术治疗胫骨远端骨骺骨折的临床结局和EGA中的作用。
回顾性评估2011年至2017年间接受胫骨远端骨骺骨折手术的27例患者。研究了创伤机制、固定技术、术前持续时间、骨折类型对临床结果和EGA的影响。采用美国矫形足踝协会（AOFAS）评分和曼彻斯特-牛津足部问卷（MOXFQ）进行临床评估。
本研究纳入27例患者（17例男性和10例女性）。骨骺损伤最重要的并发症是8例患者出现生长停滞。根据创伤机制、固定技术和骨折类型，在临床评分和并发症方面未观察到统计学上的显著差异（p>0.05）。
无论创伤机制、骨折类型和固定材料如何，胫骨远端骨骺骨折均应实现解剖复位，以减少并发症并预防EGA。
