Feasibility of pre- and postoperative arthroscopic assessments with internal fixation for growth plate injury of the distal tibia: three case reports and a literature review

Isaka, Akira; Ichihara, Satoshi; Kawasaki, Kojiro; Hirose, Tomohiko

doi:10.1007/s00590-020-02741-z

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…Unfortunately, this topic is under-investigated in the literature, as only low-level research in the form of case reports and case series (e.g., level IV evidence) documenting the use of arthroscopy in the treatment of ankle fractures in the pediatric population is available for analysis. Our analysis in pediatric populations—as defined as patients below age 18—is consistent with the literature for adults in that ankle arthroscopy can be utilized either as a stand-alone treatment with percutaneous fixation for fixation of fractures or as an adjunct treatment to open approaches for fracture management ( 1 , 2 , 6 , 23 ). Fifty-three percent of patients (n=16) had arthroscopy along with another surgery in an adjunct manner while 47% of patients (n=14) underwent arthroscopic surgery with or without percutaneous fixation for fracture management.…”

Section: Discussionsupporting

confidence: 70%

Arthroscopic management of pediatric ankle fractures: a systematic review

Walley,

Baumann,

Curtis

et al. 2024

Ann Joint

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Background Arthroscopic-assisted treatment of ankle fractures has proven useful in the adult population, but little evidence exists for the utilization of arthroscopic-assisted ankle fracture fixation in the pediatric population. The purpose of this systematic review is to examine the management of pediatric ankle fractures using arthroscopy. Methods A systematic review was performed using PubMed, Web of Science, CINAHL, and MEDLINE from database inception to February 22 nd , 2023. Inclusion criteria for this systematic review was pediatric population less than age 18, arthroscopic surgery management, and ankle fracture. Results A total of 19 articles (n=30 patients) out of 176 articles met final inclusion criteria with all articles consisting of case reports or case series. The average patient age was 13.8±1.6 years. Sixteen of the patients (53%) had arthroscopic surgery along with an adjunct surgery as indicated, whereas 14 patients (47%) had arthroscopic surgery with or without percutaneous fixation. A high majority of patients demonstrated full range-of-motion and large improvements in function. Conclusions Arthroscopy is used with percutaneous fixation or in adjunct to open approaches for pediatric ankle fracture management with good results. More research is needed to determine the utility of arthroscopy in the management of pediatric ankle fractures.

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