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Hinged knee brace with early motion and weight bearing as tolerated
13%
221/1720
Cast immobilization with close clinical followup
71%
1226/1720
Closed reduction and percutaneous pinning
11%
194/1720
Open reduction with pin fixation
3%
52/1720
Open reduction with plate fixation
1%
10/1720
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The clinical presentation, physical exam, and radiographs are consistent with a Salter-Harris Type I fracture of the distal femoral physis. The radiographs show subtle physeal widening, but no displacement. If there is no displacement following the injury, as in this case, then cast immobilization is acceptable treatment. However, these fractures are associated with a high incidence of deformity so close clinical followup is mandatory. If there is evidence of displacement with a SHI or SHII, then closed reduction percutaneous pinning would be indicated. Open reduction is reserved for SHIII and SHIV fractures, or fractures that can not be reduced.
3.0
(44)
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