TY - JOUR PY - 2002// TI - Growth prognosis after para-epiphyseal tangential epiphysial injuries of the lower extremity exemplified by the distal femur: outcome after injuries of epiphyses of the distal femur JO - Deutsche Gesellschaft fur Chirurgie Kongressband A1 - Weinberg, A. M. A1 - Castellani, C. A1 - Werner, C. A1 - Mayr, J. SP - 695 EP - 698 VL - 119 IS - N2 - Fractures of the distal end of the femur are rare. Premature partial closure of the physis may occur after metaphyseal fractures. After epiphyseal fractures it has a high incidence of occurrence. The cause of physeal arrest is not known. Stimulation of the physes ends in leg length discrepancy and was seen in 50% of all cases. Spontaneous correction of an axis deviation is possible after antecurvation up to an age of 5 years. But this should be only accepted during therapy of metaphyseal fractures of the distal femur. Side-to-Side deviations remodel in all cases. Aim of therapy in distal epiphyseal fractures should be an anatomical reduction and a definitive retention. Screw osteosynthesis seems to have an advantage.
Language: de
LA - de SN - 1868-1050 UR - http://dx.doi.org/ ID - ref1 ER -