Fractures of the proximal tibial epiphysis and apophysis are rare. Data of
ten patients seen in the last 17 yr with an epiphyseal (6) or apophyseal (4
) fracture of the proximal tibia were reviewed. Three patients with an epip
hyseal fracture were treated by open reduction and fixation, the other thre
e by closed reduction. All apophyseal fractures were treated by open reduct
ion and internal fixation. No major complications occurred. The final resul
ts were food. (C) 2000 Elsevier Science Ltd. All rights reserved.