Fracture de Mac Farland chez l'enfant. À propos de 15 cas

McFarland fractures are articular fractures of the ankle of the child, whose fracture line through the medial part of the growth cartilage of the lower end of the tibia. The treatment of these fractures remains problematic because of the risk of default or epiphysiodesis reduction intra-articular, with risks of malalignment and osteoarthritis. We report a series of 16 fractures including a bilateral McFarland collected over a period of six years between January 2004 and December 2009 in the service of trauma-orthopedic pediatric (CHU Hassan II of Fez). The average age of our patients was 12 years (five to 15 years) with female and eleven patients were operated: a screw in eight cases and a plug in three cases, the outcome was favorable with a mean of 23 months except for one patient who presented an epiphysiodesis.