Complications – Malunion

– common problem – usually related to inadequate initial closed reduction
– in the proximal tibia, valgus deformity may occur despite anatomic reduction; likely related to vascular disturbance

– accept 10 of angulation ,45 of malrotation, and complete displacement as long as the interosseous space is maintained
– angulatory deformity may remodel, but there is no potential for rotational deformity to remodel
– in general, midshaft fractures in children less than 8 yrs tend to remodel – but after age 11, don’t count on remodeling to correct your fucking up of the initial reduction!
– remodeling is, in general, better the closer to the epiphysis, and in line of joint movement

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