GROWTH DISTURBANCES AFTER INJURIES OF THE PROXIMAL TIBIAL EPIPHYSIS

Proximal tibial epiphyseal fractures are very rare. Partial growth arr est of the physis can cause important axial malalignment in the fronta l or the sagittal plane or both, with subsequent shift of the weight-b earing axis onto the injured compartment of the knee joint. To detect the exact extent of the deformity, comparative radiographs of the cont ralateral side in two planes using long films as well as standing whol e leg orthoradiographs are desirable. Accurate measurements in our ser ies of six patients revealed deformities in two, which required second ary surgical correction.