الفهرس 
Title : Outcome and Evaluation of Closed Reduction and Percutaneous Fixation of Distal Tibial Physeal Injury
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Abstract
Background: Fractures involving distal tibial physeal injury are the second most
common injuries in children and accounts for about 15% of all physeal injuries.
The aim of the study is to evaluate the functional outcome of closed reduction and
percutaneous fixation of distal tibial physeal injury regarding: union time, range of
motion and complications.
Methods: We reviewed the cases of 24 patients with distal tibial physeal injury
with mean age of 13.8 years; 23 patients were males and 1 patient female. Patients
with Salter-Harris types 2, 3 and 4 were included in our study. Patients were
treated with closed reduction and percutaneous fixation with k-wires and
cannulated screws. Radiological and clinical union time, range of motion (ROM)
and the functional outcome was evaluated according to American Orthopedic Foot
and Ankle Society scoring scale.
Results: The mean follow-up time was 6.42 weeks (range 6-8weeks). The
radiological mean union time was 6.42 weeks (range 6-8weeks). A full range of
motion was achieved on average 0f 6.25 weeks (range 6-8weeks). Difference in
radiological union time (p<0.001), post-operative immobilization (P<0.001),
follow-up durations (P<0.001), range of motion (P=0.014), postoperative
complications (P= 0.010) and AOFAS score (P<0.001) were statically significant.
Conclusions: We achieved excellent functional outcome with closed reduction and
percutaneous fixation with shorter operation time, less intra-operative blood loss,
short hospital stay and faster fracture healing time with less complications rate.