GROWTH PLATE DAMAGING FRACTURES

The anatomical and physiological characteristics of the growth plate make this region highly vul-nerable to trauma. These injuries constitute 18-30% of childhood fractures. Due to their role in bone growth, proper and timely management is essential. The hypertrophic zone of the physis is the most affected by trauma, as it is wider and structurally weaker than other zones. Fractures are commonly classified using the Salter-Harris classification. While SH Type I and II fractures can be treated with closed reduction methods, SH Type III and IV fractures typically require more precise anatomical reduction. Repeated or delayed reduction maneuvers can worsen permanent damage to the physis. The most specific complication of physeal fractures is growth disturbance, which may manifest as angular deformities or growth arrest. The location of the affected physis (reserve or proliferative zone) plays a key role in determining the severity of complications. The severity of the trauma and the presence of conditions affecting the germinal layer, such as SH Type III and IV fractures, also influence the prognosis.