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155 [95% CI1.114-4.168]; p = 0.023) were confirmed as independent risk factors for POUR. (Journal of Surgical Orthopaedic Advances 29(4)225-229, 202.Current literature suggests that distal tibia Salter-Harris Type III and IV fractures with 2 mm of displacement should be treated surgically to minimize growth arrest. The objective of the current study is to determine, in Salter-Harris Type III and IV distal tibia fractures, if gap displacements 2 mm post-surgery are associated with osteoarthritis, and to determine how often growth