Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 12

Complex Physeal Fracture of the Distal Tibia - Description of a New Fracture Pattern

Nuno Vieira da Silva*, Susana Neto, Marta Cerqueira, Francisco Bernardes, Diogo Soares and Fernando Silva

Orthopaedics Department, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal

*Corresponding Author: Nuno Vieira da Silva, Orthopaedics Department, Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal.

Received: October 20, 2022; Published: November 13, 2022


Pediatric ankle fractures are the second most common physeal injuries, accounting for almost 40% of all physeal injuries and for 5% of all pediatric fractures [1]. High-energy suprasyndesmotic fractures are associated with hard complications [2]. Although the surgical planning being not based only on the fracture pattern alone, it is mandatory to know the different fracture classifications and its mechanism influence on the treatment.

Keywords: Physeal Fracture; Ankle; Distal Tibia; Fracture Pattern; Salter-Harris; Ogden; Dias and Tachdjian


  1. “Ankle Fractures – Pediatric” (2021).
  2. Mohammed R., et al. “Evaluation of the syndesmotic-only fixation for Weber-C ankle fractures with syndesmotic injury”. Indian Journal of Orthopaedics5 (2011): 454-458.
  3. Rockwood and Wilkins' fractures in children. Philadelphia: Lippincott Williams and Wilkins (2020).
  4. Pomeranz CB and Bartolotta R J. “Pediatric ankle injuries: utilizing the Dias-Tachdjian classification”. Skeletal Radiology4 (2020): 521-530.
  5. Ogden J A. “Injury to the growth mechanisms of the immature skeleton”. Skeletal Radiology4 (1981): 237-253.
  6. Kamin K., et al. “Fixateur externe: temporäre Fixation und Weichteilmanagement am oberen Sprunggelenk [External fixator: temporary fixation and soft tissue management of the ankle]”. Operative Orthopadie und Traumatologie5 (2020): 421-432.
  7. Ebraheim N A., et al. “Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis”. Foot and Ankle International8 (1997): 513-521.
  8. Su A W and Larson AN. “Pediatric Ankle Fractures: Concepts and Treatment Principles”. Foot and Ankle Clinics 4 (2015): 705-719.


Citation: Nuno Vieira da Silva., et al. “Complex Physeal Fracture of the Distal Tibia - Description of a New Fracture Pattern”. Acta Scientific Orthopaedics 5.12 (2022): 142-144.


Copyright: © 2022 Nuno Vieira da Silva., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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