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BMJ Case Rep. 2014 Jan 31;2014. pii: bcr2013202868. doi: 10.1136/bcr-2013-202868.

Salter-Harris II forearm fracture reduction and fixation using a buttress plate.

Author information

1
Department of Trauma and Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Abstract

Distal radius fractures are common injuries in children. Those that affect the growth plate (physis) need to be managed carefully as inadequate management may lead to long-term deformity and a reduction in function. However, different management strategies all have drawbacks and controversy exists over how best to manage these cases. This is the case of a 13-year-old girl who presented with a Salter Harris II fracture, which was managed using a novel approach of utilising a T plate in a buttress mode to stabilise the fracture after anatomical reduction. This provided effective fracture fixation and should allow good bone healing without causing any iatrogenic growth plate damage and without fixing a plate across the physis, which may need removal in the future.

PMID:
24488665
PMCID:
PMC3912392
DOI:
10.1136/bcr-2013-202868
[Indexed for MEDLINE]
Free PMC Article

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