Proximal Tibial Metaphyseal Fracture
A 5-year female twisted her right knee while sledding sustaining a nondisplaced fracture of the proximal tibia metaphysis. This was treated in a long leg cast initially healing with good angular alignment. About 6 months after the injury, the patient developed progressive valgus in the proximal tibia, a known complication of this fracture pattern. Initially, this was treated with observation, and with time the patient showed some correction of alignment but eventually stopped improving. Guided growth was used at age 10 for correction of the deformity.
References and Suggested Reading
- Riccio A, Wilson P, Wimberly RL (2014) Tachdjian’s pediatric orthopaedics: lower extremity injuries, 5th edn. Elsevier Saunders, Philadelphia, pp 1459–1465Google Scholar