Mouterde P, Rigault P, Padovani J P, Finidori G
Chir Pediatr. 1979;20(2):115-23.
In a series of 110 fractures of the ankle in children the authors have observed 27 cases of "at risque" lesions: Mac Farland types of fractures and crush injuries. Epiphysiodesis occurs in all cases of crush injuries and in 25% of fracture-separation of the tibial malleolus. In order to prevent this complication the only procedure is to obtain an anatomical reduction. Desepiphysiodesis is uncommunly possible (2 cases) and rarely effective. In case of varus deformity an osteotomy must be performed and repeated if the child is still young.
在一组110例儿童踝关节骨折中，作者观察到27例“有风险”的损伤：麦克法兰氏骨折类型和挤压伤。所有挤压伤病例以及25%的胫腓骨远端骨折-分离病例都会发生骨骺早闭。为预防这一并发症，唯一的办法是实现解剖复位。去骨骺早闭很少可行（2例）且效果不佳。对于内翻畸形，必须进行截骨术，若患儿仍年幼则需重复进行。
