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KMID : 0386419950080020378
Journal of the Korean Fracture Society
1995 Volume.8 No. 2 p.378 ~ p.385
Treatment of Clhildren's Ankle Fractures




Abstract
Children's ankle fractures induce angular deformity, limb-length discrepancy, or incongruity of the joint surface unless anatomical reduction of the epiphsyeal plate and articular surface have failed.
We made a retrospective study for the result of 20 cases of children's ankle fractures which had been treated at Yonsei University College of Medicine from Jan. 1989 to June 1993. The age ranged from 6 to 15 years and the mean was 11.8
years
old. Most of them had got traffic accident (14 cases, 70%). According to the Dias and Tachdjian's classification, pronation-eversion-external rotation injuries were 9 cases(45%) and supination and inversion injuries wee 7
cases(35%).
According to the Salter-Harris classification, type II were 13 cases(655) and type III were 6 cases(30%). Sixteen cases were treated by gentle closed reduction and plaster cast. Four cases were treated by open reduction and
internal
fixation. Among the asses which underwent closed reduction, 2 cases of angular deformity, one case of joint surface were found. One case was treated with Ilizarov external fixation for the correction of angular deformity.
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