• Furkan Çağlayan Aslantaş, Mustafa Yalın, Mehmet Hakan İlter, Alkan Bayrak, Erdem Edipoğlu, Bülent Tanrıverdi, Altuğ Duramaz, and Mustafa Gökhan Bilgili.
• Department of Orthopedics and Traumatology, Ardahan State Hospital, Ardahan-Turkey.
• Ulus Travma Acil Cer. 2020 May 1; 26 (3): 425-430.

BackgroundDistal tibial epiphyseal fractures damage to epiphyseal growth plate. Epiphyseal growth arrest (EGA), reflex sympathetic dystrophy and ankle joint stiffness may also occur after distal tibial epiphyseal injury. This study aims to evaluate the role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and EGA in the surgically treated distal tibial epiphyseal fractures.MethodsTwenty seven patients who underwent surgery for distal tibial epiphyseal fracture between the 2011 and 2017 were evaluated retrospectively. The effects of trauma mechanism, fixation technique, preoperative duration, fracture patterns on the clinical results and EGA were examined. AOFAS (The American Orthopedic Foot and Ankle Score) and MOXFQ (The Manchester-Oxford Foot Questionaire) were used for clinical evaluation.ResultsTwenty seven patients (17 male and 10 female) were included in this study. The most important complication of epiphyseal injury was the growth pause in eight patients. No statistically significant difference was observed concerning clinical scores and complications according to trauma mechanism, fixation techniques and fracture patterns (p>0.05).ConclusionRegardless of the trauma mechanism, fracture pattern and the fixation material, an anatomical reduction should be obtained in distal tibial epiphyseal fractures to reduce complications and prevent the EGA.

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