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Journal of Bone and Joint Surgery, 1974;56:1383-1390.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Traumatic Separation of the Distal Femoral Epiphyseal Cartilage Plate

DAVID C. STEPHENS M.D.1 and DEAN S. LOUIS M.D.1

1 From the Section of Orthopaedic Surgery, Wayne County General Hospital, Eloise, and the University of Michigan Medical Center, Ann Arbor

Twenty patients with fractures of the distal femoral epiphyseal cartilage were followed for an average of four years and three months. At the time of follow-up fifteen patients were skeletally mature. In four of the remaining five patients premature epiphyseal closure had developed. The more severe injuries progressed to premature closure of the growth plate. Five of fifteen Salter and Harris Type-II injuries resulted in shortening which averaged 2.3 centimeters. In four patients this occurred despite anatomically maintained reductions. This also occurred in one patient with a Type-I injury. Although Type-I and II injuries generally have an excellent prognosis for normal growth, this is not uniformly true of injuries to the distal femoral epiphyseal cartilage plate. Close follow-up of patients with these injuries is advocated.


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