No article notes available at this time.
• Gives trainees pooled, quantitative benchmarks for counseling families on prognosis after distal femoral physeal fractures — growth disturbance is common across all Salter-Harris types, not just an occasional complication. • Reinforces that displacement is a major driver of growth arrest risk (4-fold higher odds), supporting careful attention to reduction quality regardless of fracture type. • The fixation data are worth understanding with nuance — fixation was associated with a lower rate of clinically significant disturbance but not a lower overall rate, and the fixation group included fractures that initially lost reduction, so this is not proof that fixation is protective; it highlights the difficulty of drawing firm treatment conclusions from pooled retrospective data.
No article notes available at this time.
• Gives trainees pooled, quantitative benchmarks for counseling families on prognosis after distal femoral physeal fractures — growth disturbance is common across all Salter-Harris types, not just an occasional complication. • Reinforces that displacement is a major driver of growth arrest risk (4-fold higher odds), supporting careful attention to reduction quality regardless of fracture type. • The fixation data are worth understanding with nuance — fixation was associated with a lower rate of clinically significant disturbance but not a lower overall rate, and the fixation group included fractures that initially lost reduction, so this is not proof that fixation is protective; it highlights the difficulty of drawing firm treatment conclusions from pooled retrospective data.