| Abstract: | Types I and II growth mechanism fractures of the proximal tibia generally may be reduced closed and maintained by nonoperative methods. However, operative stabilization of even these patterns may be necessary in more complex injuries such as a floating knee or multiple trauma.Types III and IV injuries of the proximal physis and injuries at the periphery of the epiphysis, particularly the tibial spines and tibial tuberosity, usually require open reduction and internal fixation. Techniques of closed and operative management of these various injury patterns are described. |
