, Volume 32, Issue 3, pp 213–221 | Cite as

La prognosi dei distacchi epifisari dell’arto inferiore

  • Cosimo GiganteEmail author
  • Marco Corradin
  • Giulio Gorgolini
  • Pierluigi Maglione
  • Ernesto Ippolito

The prognosis of fracture separations of the lower limbs


Physeal fractures, which represent almost 25% of all the fractures in children, are generally classified according to the Salter Harris (S-H) classification, which is accepted worldwide thanks to its simplicity and reproducibility. However, during the last two decades several reports have questioned its prognostic value. In this review, the main prognostic factors of lower limb physeal injuries were identified on the basis of our personal experience and of the most recent literature. Although a bad prognosis may be still recognised as S-H type III and type IV, particularly when anatomic reduction of the articular fracture is not obtained, type I and type II lesions may also have a poor outcome especially in case of high-energy trauma.


Conflitto di interesse

Gli autori Cosimo Gigante, Marco Corradin, Giulio Gorgolini, Pierluigi Maglione e Ernesto Ippolito dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

Per questo tipo di studio non è richiesto l’inserimento di alcuna dichiarazione relativa agli studi effettuati su esseri umani e animali.


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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018

Authors and Affiliations

  • Cosimo Gigante
    • 1
    Email author
  • Marco Corradin
    • 2
  • Giulio Gorgolini
    • 3
  • Pierluigi Maglione
    • 4
  • Ernesto Ippolito
    • 5
  1. 1.UOSD Ortopedia Pediatrica, Azienda OspedalieraUniversità di PadovaPadovaItalia
  2. 2.Clinica Ortopedica, Azienda OspedalieraUniversità di PadovaPadovaItalia
  3. 3.U.O.C. Ortopedia e Traumatologia, Fondazione Policlinico Tor VergataUniversità degli Studi di Roma “Tor Vergata”RomaItalia
  4. 4.Unità Operativa di Ortopedia, Dipartimento ChirurgicoOspedale Pediatrico Bambino Gesù IRCCSRomaItalia
  5. 5.Dipartimento di Ortopedia e Traumatologia, Facoltà di Medicina e ChirurgiaUniversità degli Studi di Roma “Tor Vergata”RomaItalia

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