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La prognosi dei distacchi epifisari dell’arto inferiore

The prognosis of fracture separations of the lower limbs

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LO SCALPELLO-OTODI Educational

Abstract

Physeal fractures, which represent almost 25% of all the fractures in children, are generally classified according to the Salter Harris (S-H) classification, which is accepted worldwide thanks to its simplicity and reproducibility. However, during the last two decades several reports have questioned its prognostic value. In this review, the main prognostic factors of lower limb physeal injuries were identified on the basis of our personal experience and of the most recent literature. Although a bad prognosis may be still recognised as S-H type III and type IV, particularly when anatomic reduction of the articular fracture is not obtained, type I and type II lesions may also have a poor outcome especially in case of high-energy trauma.

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Author information

Authors and Affiliations

  1. UOSD Ortopedia Pediatrica, Azienda Ospedaliera, Università di Padova, Padova, Italia

    Cosimo Gigante

  2. Clinica Ortopedica, Azienda Ospedaliera, Università di Padova, Padova, Italia

    Marco Corradin

  3. U.O.C. Ortopedia e Traumatologia, Fondazione Policlinico Tor Vergata, Università degli Studi di Roma “Tor Vergata”, Roma, Italia

    Giulio Gorgolini

  4. Unità Operativa di Ortopedia, Dipartimento Chirurgico, Ospedale Pediatrico Bambino Gesù IRCCS, Roma, Italia

    Pierluigi Maglione

  5. Dipartimento di Ortopedia e Traumatologia, Facoltà di Medicina e Chirurgia, Università degli Studi di Roma “Tor Vergata”, Roma, Italia

    Ernesto Ippolito

Authors
  1. Cosimo Gigante
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  2. Marco Corradin
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  3. Giulio Gorgolini
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  4. Pierluigi Maglione
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  5. Ernesto Ippolito
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Corresponding author

Correspondence to Cosimo Gigante.

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Gli autori Cosimo Gigante, Marco Corradin, Giulio Gorgolini, Pierluigi Maglione e Ernesto Ippolito dichiarano di non avere alcun conflitto di interesse.

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Gigante, C., Corradin, M., Gorgolini, G. et al. La prognosi dei distacchi epifisari dell’arto inferiore. LO SCALPELLO 32, 213–221 (2018). https://doi.org/10.1007/s11639-018-00289-6

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