DOI: 10.36347/sjams.2013.v01i06.0055

Pages: 898-900

Displaced Type -1 Salter Harris injury is very rarely seen in the clinical practice. And the treatment for it is closed reduction and internal fixation with K- wires. Here we are presenting a case of displaced extension type of Type-1 Salter Harris epiphyseal injury of distal femur treated with closed reduction and immobilization with above knee cast for six weeks and its follow up. A ten years boy came to the casualty with the history of two wheeler hit on his thigh and diagnosed to have displaced extension type of Type-1 Salter Harris epiphyseal injury of distal femur, and was treated conservatively by closed reduction and immobilization with above knee cast by keeping knee in 30 degrees of flexion was done, as at this position was stable even under anaesthesia hence not done internal fixation and given less flexed position than given in the literature. Check X ray was done day 1, 2 weeks and 6weeks. There is no redisplacement of the injury and physiotherapy was started, by three months follow-up patient gained full range of movement and returned to his daily activities. In conclusion, displaced extension type of Type-1 Salter Harris epiphyseal injury of distal femur is very rare injuries. It can be treated by closed reduction and immobilization with above knee cast for six weeks in 30 degrees of flexion, if the injury is stable under anaesthesia. Our method avoids the complications of internal fixation.