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Salter-harris ii forearm fracture reduction and fixation using a buttress plate

Lookup NU author(s): Dr Jonathan Barnes, Paul Fearon


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Distal radius fractures are common injuries in children. Those that affect the growth plate ( physis) need to be managed carefully as inadequate management may lead to long-term deformity and a reduction in function. However, different management strategies all have drawbacks and controversy exists over how best to manage these cases. This is the case of a 13-year-old girl who presented with a Salter Harris II fracture, which was managed using a novel approach of utilising a T plate in a buttress mode to stabilise the fracture after anatomical reduction. This provided effective fracture fixation and should allow good bone healing without causing any iatrogenic growth plate damage and without fixing a plate across the physis, which may need removal in the future.

Publication metadata

Author(s): Barnes J, Webb M, Fearon PV

Publication type: Article

Publication status: Published

Journal: BMJ Case Reports

Year: 2014

Online publication date: 31/01/2014

Acceptance date: 01/01/1900

ISSN (print): 1757-790X

Publisher: BMJ Group


DOI: 10.1136/bcr-2013-202868


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