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When a childhood fracture of the proximal tibial metaphysis with valgus dislocation is not anatomically reduced, a valgus deformity comparable with the angulation seen on the accident X-ray develops within a few weeks. The angulation o the proximal tibia shows neither exacerbation nor regression, but in a number of cases correction of the mechanical axis occurs in the distal epiphyseal plate.
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Visser et al. (1982) studied this question.
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