Reversible Physeal Arrest In An Adolescent Intraarticular Distal Femur Fracture With Unusual Configuration: A Case Report

Vol 35 | Issue 3 | September-December 2020 | page: 44-48 |  Atin Jaiswal, Yashwant Singh Tanwar


Authors: Atin Jaiswal [1], Yashwant Singh Tanwar [2]

[1] Department of Orthopedics, Vivekanand polyclinic and institute of medical sciences, Lucknow, Uttar Pradesh, India.
[2] Department of Orthopedics, Indraprastha Appolo Hospital, New Delhi, India.

Address of Correspondence:
Dr. Atin Jaiswal,
Vivekanand polyclinic and institute of medical sciences, Lucknow, Uttar Pradesh, India.
E-mail: atin.jaiswal@yahoo.com


Abstract:
Distal femur physeal fracture in adolescent age group are unpredictable in view of their prognosis and complications. We present a case of distal end femur fracture due to its unusual configuration and management in a 13 years male patient. This patient was treated by open reduction and internal fixation with distal femoral locking plate with screws spanning the physes. We also want to report this case as it showed features of impending physeal arrest which was reversible after removal of transphyseal screws which were promoting epiphysiodesis. End result was anatomical healing of fracture with no limb length discrepancy and deformity and fully preserved joint motion. This report shows that effective management of physeal injuries and timely intervention can lead to successful outcome even in a limited resource setup. However we should be prepared to anticipate and manage adverse outcome and complications while handling such injuries.
Keywords: Physeal, Distal femur, Fracture


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How to Cite this Article: Jaiswal A, Tanwar Y S | Reversible Physeal Arrest In An Adolescent Intraarticular Distal Femur Fracture With Unusual Configuration: A Case Report | Journal of Bone and Joint Diseases | September-December 2020; 35(3): 444-48.

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