[Epiphyseal growth fractures: epidemiology and treatment. Retrospective report of 44 cases].

OBJECTIVE: To value the frequency of epiphyseal growth fracture and to take out the therapeutic aspects of the epiphyseal growth fracture and to value the results for un good management. PATIENTS AND METHOD: It is about a retrospective study carrying on 44 children aged of less than 15 years hospitalized and treated in the pediatric surgery department or the Tokoin teaching hospital (Lome) from 1st January 2002 to 31st December 2006. RESULTS: The prevalence of epiphyseal growth fracture was of 3.6% with a masculine predominance(59.1%). The middle age was of 9.8 }3.2 years.The type 2 lesions of Salter and Harris classification represented 44%. The accidents of game were the main suppliers (41 %) with affluence in April and August. The orthopedic treatment was applied in 64.4% of case. With a middle receding of 2 years, 4 patients had presented some afterrnaths. CONCLUSION: Epiphyseal growth fracture has a relatively frequency. The diagnostic trap of the epiphyseal growth fracture is numerous and is sometimes the origin of the therapeutic mistake. Their treatment must be well codified to avoid some long-term afterrnaths.