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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2009, Number 3

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Ortho-tips 2009; 5 (3)

Fracturas de la metáfisis proximal de la tibia

Wilkins KE

Language: Spanish
References: 33
Page: 255-265
PDF size: 255.51 Kb.


ABSTRACT

Tibia valga following greenstick proximal metaphyseal fractures involves both iatrogenic and biological factors. The iatrogenic problems can be eliminated by obtaining an anatomic reduction and immobilizing the leg in a well molded, long leg, extended knee cast for 4-6 weeks. The resultant deformity is best managed only at the termination of growth. A corrective osteotomy soon after the fracture may result in a recurrent deformity and should be avoided. The parents should be warned before treatment is initiated that a valgus deformity may develop despite the best of care.


REFERENCES

  1. Cozen L. Fracture of the proximal portion of the tibia in children followed by valgus deformity. Surg Gynecol Obstet 1953; 97(2): 183-8.

  2. Jackson DW, Cozen L. Genu valgum as a complication of proximal tibial metaphyseal fractures in children. J Bone Joint Surg (Am) 1971; 53: 1571.

  3. Balthazar DA, Pappas AM. Acquired valgus deformity of the tibia in children. J Pediatr Orthop 1984; 4(5): 538-41.

  4. Bassey LO. Valgus deformity following proximal metaphyseal fractures in children: Experiences in the African tropics. J Trauma 1990; 30(1): 102-107.

  5. Ben Itzhak I, Eiken EH, Malkin C. Progressive valgus deformity after juxta epiphyseal fracture of the upper tibia in children. Injury 1997; 18: 169-173.

  6. Brougham DI, Nicol RO. Valgus deformity after proximal tibial fractures in children. J Bone Joint Surg (Br) 1987; 69(3): 482.

  7. Robert M, Khouri N, Carlioz H, Alain JL. Fractures of the proximal tibial metaphysis in Children: Review of a series of 25 cases. J Pediatr Orthop 1987; 7(4): 444-9.

  8. Salter RB, Best T. The pathogenesis and prevention of valgus deformity following fractures of the proximal metaphyseal region in the tibia in children. J Bone Joint Surg (Am) 1973; 55: 1324.

  9. Salter RB, Best TN. Pathogenesis of progressive valgus deformity following fractures of the proximal metaphyseal region of the tibia in young children. Instr Course Lect 1992; 41: 409 411.

  10. Skak SV. Valgus deformity following proximal tibial metaphyseal fracture in children. Acta Orthop Scand 1982; 53(1): 141-7.

  11. Visser J, Veldhvizen A. Valgus deformity after fractures of the proximal tibial metaphysis in childhood. Acta Orthop Scand 1982; 53(4): 663-7.

  12. Salenius P, Vankaa E. The development of the tibiofemoral angle in children. J Bone Joint Surg (Am) 1975; 57: 259 261.

  13. Parsch K. Proximal metaphyseal fractures of the tibia. How can progressive valgus angulation be prevented? 2nd Swedish International Seminar on Fractures in Children Stockholm, Sweden; September, 1992: 23-25.

  14. Taylor SL. Tibial overgrowth: A cause of genu valgum. J Bone Joint Surg (Am) 1963; 45: 659.

  15. Rang M. Tibia. Children’s fractures. 2nd ed. Philadelphia: J.B. Lippincott, 1983: 189.

  16. Weber BG. Fibrous interposition causing valgus deformity after fracture of the upper tibial metaphysis in children. J Bone Joint Surg (Br) 1977; 59(3): 290-2.

  17. Coates R. Knock knee deformity following upper tibial «greenstick» fractures. J Bone Joint Surg (Br) 1977; 59: 516.

  18. Pollen AG. Fractures and dislocations in children. Baltimore: Williams & Wilkins, 1973: 179.

  19. Bahnson DH, Lovell WW. Genu valgum following fractures of the proximal tibial metaphysis in children. Orthop Trans 1980; 4: 306.

  20. Green NE. Tibia valga caused by asymmetrical overgrowth following a nondisplaced fracture of the proximal tibia metaphysis. J Pediatr Orthop 1983; 3(3): 235-7.

  21. Jordan SE, Alonso JE, Cook, FF. The etiology of valgus angulation after metaphyseal fractures of the tibia in children. J Pediatr Orthop 1987; 7(4): 450-7.

  22. Zionts LE, Harcke HT, Brooks KM, MacEwen GD. Post-traumatic tibia valga: A case demonstrating asymmetric activity at the proximal growth plate on technetium bone scan. J Pediatr Orthop 1987; 7(4): 458-62.

  23. Keret D, Harcke HT, Bowen JR. Tibia valga after fracture: Documentation of mechanism. Arch Orthop Trauma Surg 1991; 110(4): 216 219.

  24. Ogden JA. Skeletal injury in the child. Philadelphia: Sanders & Saunders, 1990: 822.

  25. Crilly RG. Longitudinal overgrowth of chicken radius. J Anat 1972; 112 (Pt 1): 11 18.

  26. Warrell E, Taylor JF. The effect of trauma on tibial growth. J Bone Joint Surg (Br) 1970; 58:375.

  27. Aronson DD, Stewart MC, Crissman JD. Experimental tibial fractures in rabbits simulating proximal tibial metaphyseal fractures in children. Clin Orthop Relat Res 1990; 255: 61-67.

  28. Houghton GR, Rooker GD. The role of the periosteum in the growth of long bones. An experimental study in the rabbit. J Bone Joint Surg (Br) 1979; 61: 218-220.

  29. Irwin CE. Iliotibial band. Its role in producing deformity in poliomyelitis. J Bone Joint Surg (Am) 1949; 34: 141-146.

  30. Zionts LE, MacEwen GD. Spontaneous improvement of post traumatic tibia valga. J Bone Joint Surg (Am) 1986; 68(5): 680-7.

  31. Herring JA, Moseley C. Post-traumatic valgus deformity of the tibia: Instructional case. J Pediatr Orthop 1981; 1: 435-439.

  32. Ippolito E, Pentimalli C. Post-traumatic valgus deformity of the knee in proximal tibial metaphyseal fractures in children. Ital J Orthop Traumatol 1984; 10: 103-108.

  33. Rooker G, Salter R. Presentation of valgus deformity following fracture of the proximal metaphysis of the tibia in children. J Bone Joint Surg (Br) 1980; 62: 527.




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