{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:26:35Z","timestamp":1783646795451,"version":"3.55.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Partial growth arrest of the medial part of the distal tibial physis following fractures that penetrated the epiphysis is relatively common. We present the results of treatment, based on a protocol of supramalleolar tibial and fibular osteotomy for ankle alignment correction, and contralateral epiphysiodesis of distal tibia and fibula to balance leg length discrepancy (LLD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This case series study describes the results of 7 patients with a median age of 14 years (range = 10-15 years) who were operated in our institution. All were treated by closed or open reduction and internal fixation after Salter-Harris (SH) types 3 and 4 fractures of the distal tibia. All patients had a partial medial growth arrest, distal tibial varus, relative overlengthening of the distal fibula, and slight leg shortening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment Protocol<\/jats:title>\n                    <jats:p>Contralateral distal tibial and fibular epiphysiodesis to prevent significant LLD, completion of closure of the ipsilateral epiphysis, supramalleolar osteotomy of the distal tibia and fibula, and insertion of a triangular wedge cortical allograft into the tibial osteotomy creating a normal ankle joint orientation. The osteotomy was supported by a medial anatomically contoured locking plate. The fibula was fixed with an intramedullary wire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients had uneventful healing of the osteotomy after 6 weeks. At the latest follow-up (mean 3 years, range 1.5-5 years), 6 out of 7 patients reached maturity, and the lateral distal tibial angle was within normal limits. The LLD in all patients was less than 8 mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our protocol provides anatomic correction with the restoration of the ankle joint and prevents the progression of LLD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence:<\/jats:title>\n                    <jats:p>Level IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400211029130","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T23:33:44Z","timestamp":1640820824000},"page":"146-154","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Correction of Posttraumatic Medial Growth Arrest of the Distal Tibia in Adolescents"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9487-0327","authenticated-orcid":false,"given":"Pavel","family":"Kotlarsky","sequence":"first","affiliation":[{"name":"Pediatric Orthopedics, Ruth Rappoport Children\u2019s Hospital, Rambam Health Care Campus, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Abu Dalu","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedics, Ruth Rappoport Children\u2019s Hospital, Rambam Health Care Campus, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Eidelman","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedics, Ruth Rappoport Children\u2019s Hospital, Rambam Health Care Campus, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,29]]},"reference":[{"key":"bibr1-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B2.3346295"},{"key":"bibr2-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1148\/96.2.289"},{"key":"bibr3-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197204000-00002"},{"key":"bibr4-19386400211029130","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860080-00004"},{"key":"bibr5-19386400211029130","volume-title":"Rockwood and Wilkins\u2019 Fractures in Children","author":"Shea GS","year":"2015","edition":"8"},{"key":"bibr6-19386400211029130","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466050-00002"},{"key":"bibr7-19386400211029130","volume-title":"The Child\u2019s Foot and Ankle","author":"Kling T","year":"1992"},{"key":"bibr8-19386400211029130","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365080-00005"},{"key":"bibr9-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2011.11.007"},{"key":"bibr10-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100140619"},{"key":"bibr11-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1177\/107110078700700505"},{"issue":"199","key":"bibr12-19386400211029130","first-page":"72","author":"Tarr RR","year":"1985","journal-title":"Clin Orthop"},{"key":"bibr13-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800705"},{"key":"bibr14-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2015.09.001"},{"key":"bibr15-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2011.11.002"},{"key":"bibr16-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2017.05.003"},{"key":"bibr17-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2009.06.002"},{"key":"bibr18-19386400211029130","first-page":"145","volume":"56","author":"Moon MS","year":"1997","journal-title":"Bull Hosp Jt Dis"},{"key":"bibr19-19386400211029130","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199802000-00008"},{"key":"bibr20-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-59373-4_1"},{"key":"bibr21-19386400211029130","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0462-2"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400211029130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19386400211029130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400211029130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:31:47Z","timestamp":1777411907000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19386400211029130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,29]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/19386400211029130"],"URL":"https:\/\/doi.org\/10.1177\/19386400211029130","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,29]]}}}