Pediatric Distal Tibial Physeal Injuries and Their Role in Premature Physeal Arrest: A Multi-Center Retrospective Study.

Aim: To evaluate the impact of factors such as fracture type, initial displacement, reduction method, associated fibular fractures, and trauma mechanism on the occurrence of premature physeal arrest in pediatric distal tibial physeal fractures. Methods: This retrospective study included 83 pediatric patients who underwent surgical treatment for distal tibial physeal fractures between 2019 and 2024 at two centers. Data on fracture type (Salter-Harris classification, Mc.Farland, tillaux, triplanar), reduction method (open/closed), fixation technique, and mechanism of injury were analyzed. Angular deformities were assessed using lateral distal tibial angle (LDTA) and anterior distal tibial angle (ADTA). Statistical analysis was performed using SPSS software, with significance set at p