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We experienced residual deformities and reconstruction after distal tibial physeal fractures in six children. There were three boys and three girls. They were injured at 6.8 years on average. There were four open fractures and two closed fractures. All patients in this series had been treated at other medical centers. Corrective osteotomy was performed at 11.8 years on average and the mean follow-up period was 4.2 years. Angular deformity involved five varus and one valgus deformity. Limb-length discrepancy was 2.0cm on average. Reconstruction osteotomy combined leg lengthening and bridge resection or complete ipsilateral epiphysiodesis of the tibia and fibula. At final follow-up, there was limited range of motion in all open fractures, two of whom had slight pain in hard movement or longdistance walking. Angular deformity and limb-length discrepancy were more or less corrected except for one patient who was in the growing stage. In treating children with distal tibial physeal fracture, we should consider the age, the area of growth arrests, and range of angulation, and select adequate operative procedures.

Reconstruction of Residual Deformities after Distal Tibial Physeal Fractures in Children.