The text discusses the high rate of complications associated with distal femoral physeal fractures, which can result in growth arrest, deformity, and angular deformity. These fractures account for a small percentage of all physeal injuries, but have a 30-80% complication rate, with growth arrest and angular deformity being the most common. While overall complication rates are low, displaced fractures have a higher rate of complications. All types of Salter-Harris fractures have a 30% rate of growth disturbance, but Type V is less common at 5%. The most common complication of any growth plate fracture is early growth arrest, which can lead to a shortened or crooked limb. Approximately 31% of patients experience complications, with the highest rates observed in Salter-Harris IV, Seymour, and mallet fractures.