Fixation with metallic screws is the most widely used method for treating malleolar epiphyseal fractures. Bioabsorbable screws eliminate the need for epiphyseal screw removal however, to date, there have been limited clinical results regarding the application of this method for treating malleolar epiphyseal fractures. indicated that similar results were achieved using metallic screws and bioabsorbable screws in the treatment of malleolar physeal fractures. A retrospective study conducted by Podeszwa et al. Metallic screws and bioabsorbable screws are useful for compression to maintain the reduced position. Therefore, Kirschner wires are typically used to assist in fracture reduction and serve as guides for cannulated screws. Kirschner wires are smooth and cause minimal damage to the epiphysis, but they cannot be used for compression. Each implant has advantages and disadvantages. Several types of implants have been used for the anatomical reduction of malleolar epiphyseal fractures, including Kirschner wires, metallic screws, and bioabsorbable screws. Therefore, epiphyseal fractures with more than 2 mm of displacement require surgical treatment to maintain the reduced position of the fracture and/or articular surface, in addition to aiding bone healing. Epiphyseal injuries often cause early arthrosis, joint deformity, and leg length discrepancies. It is considered a “threatening fracture” because the injury mechanism of the distal epiphysis of the tibia and fibula is very complex, and many ankle ligaments are attached at the medial and lateral malleoli. ![]() Malleolar epiphyseal fracture is one of the most common clinical injuries of the ankle joint, accounting for approximately 11% of epiphyseal injuries in children.
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