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Research Paper | Synapse

March 4, 2026

Quantifying Proximal Tibial Physeal Injury in Rigid Intramedullary Nailing in Adolescent Patients

Key Points

The study aims to quantify the impact of rigid intramedullary nailing on proximal tibial physeal injuries in adolescents.
Conducted a simulation study to assess injury outcomes during rigid intramedullary nailing.
Focused on measuring growth plate violations in skeletally immature patients with tibia fractures.
Identified specific parameters affecting growth plate integrity during surgery.
Provided insights that could influence surgical techniques to minimize injury risk.

Abstract

This simulation study informs surgical decision-making and provides insights on growth plate violation when using RIMN to treat skeletally immature tibia fractures.

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Authors

S

Stephanie T. Kha

Cleveland Clinic

M

Mark Johnston

Saskatchewan Research Council (Canada)

J

Justin R. Ryan

Children's Hospital Foundation

Journals

Journal of Pediatric Orthopaedics

Actions

Institutions

University of California, San Diego

Neurological Surgery

Naval Medical Research Command

References and Citations

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Cite this study

Kha et al. (Mon,) studied this question.

synapsesocial.com/papers/69a7cd3dd48f933b5eed9608 — DOI: https://doi.org/10.1097/bpo.0000000000003247