Original Article: PDF OnlyFractures of the Proximal Tibial Metaphysis in Children Review of a Series of 25 CasesRobert, M. M.D.; Khouri, N. M.D.*; Carlioz, H.*; Alain, J. L. M.D.Author Information Pediatric Surgery Service, University Hospital, Limoges: and *Department of Pediatric Orthopaedics, Hôpital Trousseau, Paris, France Journal of Pediatric Orthopaedics: July 1987 - Volume 7 - Issue 4 - p 444-449 Buy Abstract Twenty-five cases of fractures of the proximal tibial metaphysis in children are reported. They are divided into three groups: torus fractures, greenstick fractures, and complete fractures. Genu valgum appeared in 12 cases of complete or greenstick fractures. Eleven deformities deteriorated progressively in the year following trauma. Three of these were spontaneously compensated for by growth at the inferior epiphyseal plate. Four corrective osteotomies were performed in the series, but this procedure is not recommended because of the significant risk of recurrence and the possibility of compartment syndrome, even with associated fibular osteotomy. A persistent valgus deformity can be corrected during puberty, if necessary, by a medial tibial epiphysiodesis. © Lippincott-Raven Publishers.
