Long-term followup of physeal injury to the ankle

Foot Ankle. 1991 Jun;11(6):372-83. doi: 10.1177/107110079101100607.


Sixty-eight patients with a distal physeal injury to the tibia and/or the fibula were reviewed, with an average followup of 27 years and 4 months from the initial lesion. The average age at injury was 12 years and 6 months, whereas the average age at follow-up was 40 years. Seventeen patients had a type I Salter-Harris injury, 27 type II, 10 type III, and 14 type IV. All the patients but six were treated conservatively. According to our criteria of evaluation, 47 patients had a good result, 13 fair and eight poor. The type of Salter-Harris lesion, the amount of the initial displacement and the quality of reduction were the three main parameters which determined the end-result. Radiographic signs of osteoarthritis were present in 11.8% of our patients and all of them had presented type III or IV lesions, except for one who had a type II lesion.

MeSH terms

  • Adolescent
  • Adult
  • Ankle Injuries*
  • Ankle Joint / diagnostic imaging
  • Ankle Joint / surgery
  • Casts, Surgical
  • Child
  • Female
  • Fibula / diagnostic imaging
  • Fibula / injuries*
  • Fibula / surgery
  • Follow-Up Studies
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Male
  • Middle Aged
  • Radiography
  • Tibia / diagnostic imaging
  • Tibia / injuries*
  • Tibia / surgery
  • Time Factors