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The Foot and Ankle Online Journal 3 (7): 2 Salter Harris Type II ankle injuries are reviewed in 10 cases. Potential premature physeal closure (PPC) is a real complication in most open reductions of this fracture.
They reviewed 72 patients with femoral shaft fractures and tibial or ankle fractures requiring internal fixation over a six year period. All femoral shaft fractures were treated with reamed intramedullary nails, and the patients were divided into groups, based on whether the tibial or ankle injury was managed surgically with or without a tourniquet.