Salter-Harris II Distal Femur Fracture

A 13-year-old boy sustained a closed displaced Salter-Harris II fracture of the right distal femur when struck by a truck as a pedestrian while walking home from school. This injury was part of a high energy injury with a concussion, pulmonary contusions, and multiple additional contusions and abrasions. Following initial trauma evaluation and stabilization, he was treated with open reduction and internal fixation. He was initially allowed to perform toe touch weightbearing on the right leg while wearing a knee immobilizer. At two and a half weeks postoperatively he was transitioned to a hinged knee brace with 0-40° of motion and instructed to begin working on straight leg raises to address his quadriceps atrophy and weakness. At 6 weeks postoperatively he was given full range of motion in a hinged knee brace and he required further work with physical therapy on range of motion and strengthening. He was seen 1 year postoperatively to evaluate his leg lengths and alignment.