Proximal tibial epiphysiolysthetics. Case report

Abstract

Introduction: The incidence of proximal tibial epiphysiolysis in pediatric patients is relatively rare, affecting approximately 0.5-3% of the patients. The most common mechanism of injury is the indirect trauma to a hyperextended varus or valgus knee, or direct high-energy trauma. Resulting in a fracture, compromising the cartilage growth. Treatment is focused on performing closed reduction and stabilization with Kirschner pins.  Complications as asymmetric physeal closure can appeared, leading to angular deformity.

Objective: Describe a surgical clinical case of proximal tibial epiphysiodesis, of an 8 years old patient form the Roberto Gilbert Elizalde children's hospital in Guayaquil - Ecuador

Material and Methods: Retrospective descriptive case study, presenting a clinical surgical case from the Roberto Gilbert Elizalde children's hospital in Guayaquil - Ecuador. The patient was treated with closed reduction and Kirschner pins stabilization

Results: A 8-year-old patient who suffered crushing of the left knee by motorcycle, presented epiphysiolysis of the proximal tibia. Treatment consisted of closed reduction and Kirschner pins stabilization. Positive results were obtained with mechanical and anatomical alignment, improving the mobility range.

Conclusion: The appropriate and recommended treatment for proximal tibial epiphysiodesis is closed reduction and osteodesis with Kirschner pins. In the present study, positive results were obtained in terms of functionality, adequate gait without claudication and none complications were arise.