Outcomes After Salter–Harris II Distal Tibia Fractures in Children
Background/Objectives: Salter–Harris II (SH-II) distal tibia fractures are the most common physeal ankle fractures in children; however, indications for surgical management remain controversial, and patient-reported outcomes for different management strategies are unknown. The purpose of the current...
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MDPI AG
2024-12-01
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| author | Robert Pearce Alexander Markes Toshali Katyal Jeremy Siu Ishaan Swarup |
| author_facet | Robert Pearce Alexander Markes Toshali Katyal Jeremy Siu Ishaan Swarup |
| author_sort | Robert Pearce |
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| description | Background/Objectives: Salter–Harris II (SH-II) distal tibia fractures are the most common physeal ankle fractures in children; however, indications for surgical management remain controversial, and patient-reported outcomes for different management strategies are unknown. The purpose of the current study is to compare differences in clinical and patient-reported outcomes following operative and non-operative management of this injury. Methods: We performed a retrospective cohort study of pediatric patients who were treated at a single institution for SH-II distal tibia fractures between 2013 and 2020. Variables included age, gender, operative versus non-operative treatment, and premature physeal closure (PPC). Patients were also contacted for patient-reported outcome scores (PROs), which included the visual analog scale foot and ankle (VAS-FA) and the PROMIS pediatric mobility instrument obtained at a minimum of 2 years post-injury. Results: Demographic and clinical information was obtained for 46 patients. Our cohort was 52% male with mean age of 11.9 years at injury. At 6 months, the rate of PPC in our cohort was 25%, with no differences between operative and non-operative patients (29% vs. 24%, <i>p</i> = 0.80). A total of 15 of the 46 patients provided PROs, with an average follow-up time of 5.1 years (range: 2.9–9.1). VAS-FA and PROMIS pediatric mobility scores were similar between operative and non-operative patients. Conclusions: This pilot study suggests no differences in PROs following operative and non-operative management for SH-II distal tibia fractures; however, future studies with larger cohort sizes and longer follow-up times are needed to further examine these outcomes. |
| format | Article |
| id | doaj-art-7fd9081d7e6445b9b2ca379a6da4177a |
| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Children |
| spelling | doaj-art-7fd9081d7e6445b9b2ca379a6da4177a2025-01-24T13:27:06ZengMDPI AGChildren2227-90672024-12-011214510.3390/children12010045Outcomes After Salter–Harris II Distal Tibia Fractures in ChildrenRobert Pearce0Alexander Markes1Toshali Katyal2Jeremy Siu3Ishaan Swarup4Department of Orthopaedic Surgery, UCSF Benioff Children’s Hospitals, Oakland, CA 94609, USADepartment of Orthopaedic Surgery, UCSF Benioff Children’s Hospitals, Oakland, CA 94609, USADepartment of Orthopaedic Surgery, UCSF Benioff Children’s Hospitals, Oakland, CA 94609, USADepartment of Orthopaedic Surgery, UCSF Benioff Children’s Hospitals, Oakland, CA 94609, USADepartment of Orthopaedic Surgery, UCSF Benioff Children’s Hospitals, Oakland, CA 94609, USABackground/Objectives: Salter–Harris II (SH-II) distal tibia fractures are the most common physeal ankle fractures in children; however, indications for surgical management remain controversial, and patient-reported outcomes for different management strategies are unknown. The purpose of the current study is to compare differences in clinical and patient-reported outcomes following operative and non-operative management of this injury. Methods: We performed a retrospective cohort study of pediatric patients who were treated at a single institution for SH-II distal tibia fractures between 2013 and 2020. Variables included age, gender, operative versus non-operative treatment, and premature physeal closure (PPC). Patients were also contacted for patient-reported outcome scores (PROs), which included the visual analog scale foot and ankle (VAS-FA) and the PROMIS pediatric mobility instrument obtained at a minimum of 2 years post-injury. Results: Demographic and clinical information was obtained for 46 patients. Our cohort was 52% male with mean age of 11.9 years at injury. At 6 months, the rate of PPC in our cohort was 25%, with no differences between operative and non-operative patients (29% vs. 24%, <i>p</i> = 0.80). A total of 15 of the 46 patients provided PROs, with an average follow-up time of 5.1 years (range: 2.9–9.1). VAS-FA and PROMIS pediatric mobility scores were similar between operative and non-operative patients. Conclusions: This pilot study suggests no differences in PROs following operative and non-operative management for SH-II distal tibia fractures; however, future studies with larger cohort sizes and longer follow-up times are needed to further examine these outcomes.https://www.mdpi.com/2227-9067/12/1/45pediatric traumaopen reduction internal fixation (ORIF)distal tibia fractureankle fracture |
| spellingShingle | Robert Pearce Alexander Markes Toshali Katyal Jeremy Siu Ishaan Swarup Outcomes After Salter–Harris II Distal Tibia Fractures in Children Children pediatric trauma open reduction internal fixation (ORIF) distal tibia fracture ankle fracture |
| title | Outcomes After Salter–Harris II Distal Tibia Fractures in Children |
| title_full | Outcomes After Salter–Harris II Distal Tibia Fractures in Children |
| title_fullStr | Outcomes After Salter–Harris II Distal Tibia Fractures in Children |
| title_full_unstemmed | Outcomes After Salter–Harris II Distal Tibia Fractures in Children |
| title_short | Outcomes After Salter–Harris II Distal Tibia Fractures in Children |
| title_sort | outcomes after salter harris ii distal tibia fractures in children |
| topic | pediatric trauma open reduction internal fixation (ORIF) distal tibia fracture ankle fracture |
| url | https://www.mdpi.com/2227-9067/12/1/45 |
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