Salter-Harris VI fractures of the foot and ankle

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Published: Jun 11, 2015
DOI: https://doi.org/10.15417/369
Keywords:
Epiphysiolysis, Ankle, Children, Type VI physeal fractures, Physeal bar

Main Article Content

Julio Javier Masquijo
Departamento de Ortopedia y Traumatología Infantil, Sanatorio Allende, Cordoba, Argentina
Lucas Lanfranchi
Departamento de Ortopedia y Traumatología Infantil, Sanatorio Allende, Cordoba, Argentina
Victoria Allende
Departamento de Ortopedia y Traumatología Infantil, Sanatorio Allende, Cordoba, Argentina

Abstract

BackgroundSalter-Harris VI fractures (SHVI) are injuries in which part of the physis is missing. They are rare in children but potentially devastating. The aim of this study was to evaluate the mechanism of production, treatment, and functional outcomes of these injuries in the foot and ankle.MethodsAll patients with foot and ankle SHVI injuries treated between January 2010 and January 2013 were retrospectively analyzed. Demographics, classification, mechanism of injury, type and number of associated injuries that required surgery were documented. Patients were assessed functionally with the AOFAS score and a radiological evaluation was performed to determine the viability of the physis, limb length discrepancies or angular deformities.ResultsFive fractures in 4 patients were analyzed. The average age at injury was 7.5 years (range 6-10 years). Mean follow-up was 26.2 months (range 12-37 months). Three injuries occurred as a result of motorcycle accidents, and 2 in a car accident. All were associated with soft-tissue injuries, 75 % had more than one injured bone and 50% had tendon lesions. Each patient required an average of 3.2 surgeries (range 2-5). The average AOFAS was 79.8 points (range 62- 100). Radiographically, only 40% of the affected physis remained viable at last follow-up.ConclusionsSHVI fractures are associated with several injuries, require multiple surgeries and often result in premature growth arrest and some degree of disability. Prevention measures are required to prevent the exposure of children to this type of injury.

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How to Cite
Masquijo, J. J., Lanfranchi, L., & Allende, V. (2015). Salter-Harris VI fractures of the foot and ankle. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(2), 104-112. https://doi.org/10.15417/369
Issue
Vol 80 No 2 (2015)
Section
Clinical Research
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References

1. Peterson HA. Physeal fractures: part 3. Classification. J Pediatr Orthop 1994;14:439-48.

2. Peterson HA. Physeal fractures: part 2. Two previously unclassified types. J Pediatr Orthop 1994;14:431-8.

3. Rang M. The growth plate and its disorders. Edinburgh: Churchill Livingstone; 1969.

4. Ogden J. Skeletal growth mechanism injury patterns. J Pediatr Orthop 1982;2:371-7.

5. Salter RB, Harris WR. Injuries involving the epiphyseal plate. J Bone Joint Surg Am 1963;45(3):587-622.

6. Havranek P, Pesl T. Salter (Rang) type 6 physeal injury. Eur J Pediatr Surg 2010;20(3):174-7.

7. Mayr JM, Pierer GR, Linhart WE. Reconstruction of part of the distal tibial growth plate with an autologous graft from the
iliac crest. J Bone Joint Surg Br 2000;62:558-60.

8. Peterson HA, Jacobsen FS. Management of distal tibial medial malleolus type-6 physeal fractures. J Child Orthop 2008;2:151-
4.

9. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot,
midfoot, hallux, and lesser toes. Foot Ankle Int 1994;15:349-53.

10. Toupin JM, Lechevallier J. Post-traumatic epiphysiodesis of the distal end of the tibia in children. Rev Chir Orthop Reparatrice
Appar Mot 1997;83:112-22.

11. Ogden JA. Injury to the growth mechanisms. En: Ogden JA (ed.) Skeletal injury in the child, 2nd ed. Philadelphia: W. B.
Saunders; 1990:97-173.

12. Foster BK, John B, Hasler C. Free fat interpositional graft in acute physeal injuries: the anticipatory Langenskiold procedure.
J Pediatr Orthop 2000;20:282-5.

13. Yamauchi T, Yajima H, Tamai S, Kizaki K. Flap transfers for the treatment of perichondral ring injuries with soft tissue
defects. Microsurgery 2000;20:262-6.

14. Abbo O, Accadbled F, Laffosse JM, De Gauzy JS. Reconstruction and anticipatory Langenskiöld procedure in traumatic defect
of tibial medial malleolus with type 6 physeal fracture. J Pediatr Orthop Br 2012;21(5):434-8