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Salter Harris Fractures of the Distal Femur: Learning Points From Two Cases Compared
Sean M McKenna1, Steven W Hamilton1, Simon L Barker1
1Royal Aberdeen Children's Hospital, Foresterhill, Scotland.
Abstract:
Salter Harris-type injuries of the distal femur should be treated as a dislocation of the knee and therefore as a medical emergency. Senior medical staff should be involved early, ankle-brachial index ratio should be measured in all patients and the clinician should have a high index of suspicion for a vascular injury. Ideally reduction, stabilization, and vascular repair, if necessary, should be carried out within 6 hours of the initial event. There should be a low threshold for fasciotomies. These 2 cases demonstrate the importance of having a high index of suspicion for vascular injury and the need for continued reassessment.
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