Peterson, N 
ORCID: 0000-0001-9575-8962 and Perry, DC ORCID: 0000-0001-8420-8252
(2023)
Displaced distal tibial Salter-Harris II fractures.
BONE & JOINT JOURNAL, 105B (5).
pp. 471-473.
Abstract
Salter-Harris II fractures of the distal tibia affect children frequently, and when they are displaced present a treatment dilemma. Treatment primarily aims to restore alignment and prevent premature physeal closure, as this can lead to angular deformity, limb length difference, or both. Current literature is of poor methodological quality and is contradictory as to whether conservative or surgical management is superior in avoiding complications and adverse outcomes. A state of clinical equipoise exists regarding whether displaced distal tibial Salter-Harris II fractures in children should be treated with surgery to achieve anatomical reduction, or whether cast treatment alone will lead to a satisfactory outcome. Systematic review and meta-analysis has concluded that high-quality prospective multicentre research is needed to answer this question. The Outcomes of Displaced Distal tibial fractures: Surgery Or Casts in KidS (ODD SOCKS) trial, funded by the National Institute for Health and Care Research, aims to provide this high-quality research in order to answer this question, which has been identified as a top-five research priority by the British Society for Children's Orthopaedic Surgery.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Growth Plate, Tibia, Humans, Tibial Fractures, Prospective Studies, Orthopedics, Child, Salter-Harris Fractures |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Population Health Faculty of Health and Life Sciences > Institute of Population Health > School of Health Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 05 Oct 2023 15:54 |
| Last Modified: | 05 Oct 2023 16:00 |
| DOI: | 10.1302/0301-620X.105B5.BJJ-2022-1289 |
| Open Access URL: | https://doi.org/10.1302/0301-620X.105B5.BJJ-2022-1... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3173483 |
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