Table 1 .
Summary of the relevant cases
| Age (years) | Gender | Activity | WHO diagnosis | Fracture morphology | Treatment | Complication 1 | Treatment of complication |
|---|---|---|---|---|---|---|---|
| 1 | M | Fall from approximately 1 m | DS821 | Non-dislocated fissure of proksimale tibia 2 cm below the epiphyseal line Infraction of fibula |
Casting, circular after 3 days. Total of 4 weeks. Full weight bearing | Genus valgus | Followed by paediatric orthopaedic specialist |
| 3 | F | Trampoline | DS821 | Non-displaced transverse fracture 1.4 cm distal to the epiphysis | Casting 3 weeks. No weight bearing | Cast below knee instead of above knee | Casting for 3 more weeks. Above knee cast |
| 4 | F | Sledging | DS821 | Dislocated fracture through the epiphysis and the tibial shaft, non-dislocated fracture of the fibula | Internal fixation with Kirschner-wires. Circular cast above knee 6 weeks | Suboptimal placement of Kirschner wires | Secondary surgery 2 days later |
| 4 | M | Trampoline | DS821 | Non-dislocated transverse fracture of the tibial shaft 3 cm distal to the joint | Cast above knee 6 weeks | Pes equinus in cast, decubitus of heel | Change of cast |
| 10 | F | Skiing | DS821D | Dislocated comminuted fracture of the eminentia | Athroscopic fixation with biofix rods. ROM-splint 0–10° 5 weeks. Full weight bearing | Non-union | Secondary fixation with osteo-suture 7 months after. Brissement force 8 months after |
| 12 | F | ? | DS821 | Epiphysiolysis | None Missed diagnosis |
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| 12 | F | Jump from a slope | DS821C | Non-dislocated fracture of both condyles and the eminentia | Circular cast above knee 6 weeks | Continues pain. Limited movement | Diagnostic arthroscopy. Big chondral injury |
| 13 | M | Motor cross | DS821D | Dislocated eminentia avulsion | ROM splint 0-10° 1 week Fracture not diagnosed before 7 weeks after injury |
None | None |
| 14 | M | Team handball | DS821 | Dislocated epiphysiolysis | Internal fixation with Kirschner wires | Infection | Synovectomi + hardware removal 10 days post op followed by above knee casting and antibiotics. Synovectomi and brissement forcé 3 months after followed by CPM treatment |
| 14 | F | Bicycle | DS821D | Eminentia avulsion with pseudo arthrosis 4 months after injury. Not X-rayed primarily | None Missed diagnosis |
Continues pain | Arthroscopic fixation with 2 smart nails 5 months later. 2.5 years later arthroscopic reduction of the eminentia fragment and notch plastic |
| 15 | M | Moped | DS821C | Dislocated fracture of the medial condyle | Surgery planed for next day | Lesion of popliteal artery | Fasciotomi suture of the popliteal artery, Fracture treated with 2 cannulated screws |
| 15 | F | Mountain bike | DS821D | Eminentia avulsion. Not X-rayed primarily | None Missed diagnosis |
Continues pain | Eminentia removed and ACL resected 1 month after when attempt to fixate it failed |
| 15 | M | ? | DS821B | Small osteochondral lesion after dislocation of the patella | Conservative | Removal of osteochondral fragment |
| Age (years) | Gender | Complication 2 | Reason for complaint | Lex Maria\ | Acknowledged | Compensation (Euros) |
Follow-up (months) | Charge of doctor involved |
|---|---|---|---|---|---|---|---|---|
| 1 | M | Dissatisfied with correct treatment | 1 | No. Not injured by the treatment | 0 | 10 | ? | |
| 3 | F | Leg 1.2 cm shorter | Casting problems | 1 | Yes. Prolonged period of illness | Not settled | 8 | Junior |
| 4 | F | Peroneal paralysis. Nerve intact on ENS | Dissatisfied with correct treatment | 0 | No. Not injured by the treatment | 0 | 26 | Consultant |
| 4 | M | Reduced dorsal flexion and general reduced muscle strength. Normal function after rehabilitation |
Casting problems | 1 | No. Not injured by the treatment | 0 | 9 | Junior |
| 10 | F | Limited ability to extend the knee and shortening at the Achilles tendon | Insufficient surgery | 2a | Yes | 70,000 | 20 | Consultant |
| 12 | F | Missed diagnosis | 1 | No. No damage | 0 | 47 | Junior | |
| 12 | F | Dissatisfied with correct treatment | 0 | No. Not injured by the treatment | 0 | 54 | Junior | |
| 13 | M | None | Missed diagnosis | 2b | Yes. But under triviality limit | 0 | 15 | Junior |
| 14 | M | Pain, limited movement of knee | Complications. Period of illness prolonged | 2b | Yes. Severe complication | 30,000 | 16 | Consultant |
| 14 | F | Limited extension (normal range of movement after 2nd surgery) Continues pain |
Missed diagnosis and insufficient surgery | 2a | Yes. Missed diagnosis | 9,600 | 38 | Junior |
| 15 | M | Partial peroneal paralysis, mild instability of knee. Flexion contracture of 1st toe |
Missed diagnosis | 3 | Yes. Missed diagnosis | 24,000 | 30 | Junior |
| 15 | F | ACL instability | Missed diagnosis | 2a | Yes. Missed diagnosis | Not settled | 5 | Junior |
| 15 | M | Missed diagnosis | 1 | Yes. But under triviality limit | 0 | 39 | Junior |
ACL Anterior cruciate ligament, ENS electric nerve stimulation, ? unknown