No article notes available at this time.
• This challenges the assumption that more aggressive surgical management improves outcomes in distal femur physeal fractures — the complication rate stayed essentially unchanged despite treating a much higher proportion of patients operatively. • Growth arrest remains a common and difficult-to-prevent complication (20 of 70 patients here), reinforcing that families should be counseled about a high baseline complication risk regardless of treatment approach. • The findings suggest complication risk in these injuries may be driven more by injury severity (energy, displacement) than by the treatment threshold chosen, which is relevant when setting expectations after high-energy trauma.
No article notes available at this time.
• This challenges the assumption that more aggressive surgical management improves outcomes in distal femur physeal fractures — the complication rate stayed essentially unchanged despite treating a much higher proportion of patients operatively. • Growth arrest remains a common and difficult-to-prevent complication (20 of 70 patients here), reinforcing that families should be counseled about a high baseline complication risk regardless of treatment approach. • The findings suggest complication risk in these injuries may be driven more by injury severity (energy, displacement) than by the treatment threshold chosen, which is relevant when setting expectations after high-energy trauma.