Epiphyseal plate sparing fixation for Salter-Harris IV ankle fractures.

The long-term consequences of epiphyseal plate injuries of the ankle certainly can be of high morbidity, and are well documented in the literature. This is especially true of the displaced Salter-Harris type IV fracture. The primary areas to be addressed in this injury are establishment of the proper diagnosis, open reduction with fixation not crossing the physis, and close long-term followup.