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Review
. 2021 Jan;31(1):51-55.
doi: 10.1007/s00590-020-02741-z. Epub 2020 Jul 20.

Feasibility of pre- and postoperative arthroscopic assessments with internal fixation for growth plate injury of the distal tibia: three case reports and a literature review

Akira Isaka  1 , Satoshi Ichihara  2 , Kojiro Kawasaki  1 , Tomohiko Hirose  1
Affiliations
Review

Feasibility of pre- and postoperative arthroscopic assessments with internal fixation for growth plate injury of the distal tibia: three case reports and a literature review

Akira Isaka et al. Eur J Orthop Surg Traumatol. 2021 Jan.

Abstract

Background: Inappropriate treatment of growth plate injury may cause complications such as malunion or early arrest of the growth plate. Identification of intra-articular lesions is mandatory in patients with a growth plate injury of the distal tibia. Arthroscopic assessment is useful in identifying intra-articular injury. We report three cases of intra-articular growth plate injury of the distal tibia that were treated via internal fixation with arthroscopic assessment in our hospital.

Materials and methods: All three cases were performed pre- and postoperative arthroscopic assessment and open reduction and internal fixation with a cannulated cancellous screw (CCS; Meira, Japan). All patients were then examined for postoperative complications, functional recovery, at the end of the final follow-up consultation.

Results: Intraoperatively, a small cartilage injury was found in the non-fracture area in two cases; the remaining case had a reversed cartilage fragment at the talus, which was arthroscopically removed.

Conclusions: Arthroscopic assessment followed by internal fixation is a useful minimally invasive method for the identification of intra-articular lesions such as osteochondral injury or free bodies.

Keywords: Ankle arthroscopy; Distal tibia; Growth plate injury; Tillaux fracture.

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