Comminuted epiphyseal fracture of the distal tibia. A case report and review of the literature.

Classification of epiphyseal injuries include only simple fractures and few cases of comminuted fracture of the distal tibial epiphysis, epiphyseal plate and adjacent metaphysis. On the basis of a review of the literature, as well as our own experience, it appears that that fracture is unstable and requires open reduction and internal fixation.