K-Wire-Based External Fixator for Management of Salter-Harris Type-II Distal Femur Physeal Injury

Cureus. 2023 Sep 27;15(9):e46070. doi: 10.7759/cureus.46070. eCollection 2023 Sep.

Abstract

We present a case of a 16-year-old male with a Salter-Harris type II physeal slip of the distal femur managed with closed reduction and K wire and clamp-based external fixator. Knee range of motion exercises were initiated after one week. The union was observed at 10 weeks, and implant removal was done on an outpatient basis. At one year follow-up, the patient had good clinical and radiological outcomes. The K-wire-based external fixator frame is an effective fixation method for distal femur physeal slips in older children, providing favorable radiological and functional outcomes.

Keywords: disal femur physeal slip; external fixation; joshi external stabilization system; k wire-based external fixation; physeal injuries; physeal slip; salter-harris.

Publication types

  • Case Reports