Comminuted Salter-Harris IV distal femoral fracture

(A) Comminuted Salter-Harris IV fracture of the distal femur in a 14-year-old boy involved in a motor vehicle collision.
(B) Appearance six months after open reduction and internal fixation using cannulated screws in the metaphysis and epiphysis.

Reproduced with permission from: Price CT, Herrera-Soto J. Extra-articular injuries of the knee. In: Rockwood and Wilkins' Fractures in Children, 7th edition, Beaty JH, Kasser JR. (Eds), Lippincott Williams & Wilkins, Philadelphia 2010. Copyright © 2010 Lippincott Williams & Wilkins. www.lww.com.

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Comminuted Salter-Harris IV distal femoral fracture