Thirty-nine fractures of the tibia involving the proximal tibial
epiphyseal cartilage were treated at the Campbell Clinic over a
twenty-five-year period. Stress roentgenograms were essential in making the
diagnosis in three patients. Two patients had disruption of the popliteal
artery, and both had posterior displacement of the tibial shaft. The other
immediate complications that we encountered were anterior compartment
syndrome, peroneal-nerve palsy, and associated ligamentous and meniscal
injuries. Of twenty-eight fractures (twenty seven patients) with an average
follow-up of 7.1 years, there were satisfactory results in twenty-four.
Unsatisfactory results (four fractures) were due to chronic neurovascular
insufficiency, growth disturbance, or traumatic arthritis.