Nonoperative Treatment of Tibial Spine Fractures in Children-38 Patients With a Minimum Follow-up of 1 Year

Wilfinger, C.; Castellani, Christoph; Raith, J.; Pilhatsch, Alexander; Höllwarth, Michael E.; Weinberg, Annelie‐Martina

doi:10.1097/bot.0b013e3181a13fe4

Cited by 65 publications

(55 citation statements)

References 27 publications

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“…Song EK et al found that there is no significant difference between adults and children in terms o f final range of motion in avulsion fractures that were treated surgically. 5 Wilfinger et al 6 showed a good outcome at 1 year fo llow up in his study of 38 pediat ric cases managed conservatively, however, there are no studies regarding conservative management in adults.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic staple fixation in the management of displaced anterior cruciate ligament avulsion fractures

2020

IJOS

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Introduction: Knee injuries are commonly associated with anterior cruciate ligament (ACL) avulsion fractures and its management is controversial ranging from conservative treatment to arthroscopic fixation. The purpose of our study was to ass ess the clinical and radiological results of arthroscopic staple fixation in the management of ACL avulsion fractures. Materials and Methods: This study included twenty -two patients (17 males and 5 females) who were analyzed after undergoing arthroscopic staple fixation for displaced ACL avulsion fractures. The mean age was 32.2 years (15-55 years. The mean follow up was of 21 months (6-36 months). The patients were assessed clinically by calculating their Lysholm and International Knee Documentation Committee (IKDC) scores. Radiological union was assessed in the follow up radiographs. Results: The mean Lysholm score was 95.4 (83-100) and the mean IKDC score was 91.1 (77-100) at the final follow up. Anterior drawer's test was negative in 20 patients at the end of final follow up while two patients had grade I laxity. Seven cases had associated knee injuries. The final outcome was not greatly influenced by the presence of associated injuries when treated simultaneously. It was found that all the patients when examined at their final follow up were able to return to their pre-injury occupation. Conclusion:The procedure of arthroscopic staple fixation in the management of displaced ACL avulsion fractures was found to be safe and reliable method for producing clinical and radiological outcome.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic staple fixation in the management of displaced anterior cruciate ligament avulsion fractures

2020

IJOS

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“…Good functional results have been reported with conservative treatment of eminence fractures. Wilfi nger et al, have reported excellent subjective results at 3.5 years follow-up in 38 children, although MRI's depicted an absent ACL and partial rupture in some cases [ 52 ] . Surgical treatment is indicated in these cases.…”

Section: Conservative Treatmentmentioning

confidence: 97%

Arthroscopic Treatment of Intra-Articular Fractures of the Knee

Tandoğan¹

2012

European Instructional Lectures

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“…This consists of closed reduction, possible aspiration of the hemarthrosis [27,30,33,34], and immobilization in 0-20°of extension [4,[34][35][36][37]. When closed reduction is attempted, good quality post-reduction radiographs or CT are helpful to assess the adequacy of the reduction.…”

Section: Treatmentmentioning

confidence: 99%

“…CT may be used for preoperative planning and to better quantify the amount of displacement of the fragment [6,32]. MRI, which, unlike CT does not involve radiation, is useful in evaluating this injury since the incidence of concomitant intra-articular injuries is high, and this modality is better at identifying associated collateral ligament and meniscal involvement than CT or radiographs [25,33].…”

Section: Radiographic Findingsmentioning

confidence: 99%

Physeal fractures about the knee

Little

Milewski

2016

Curr Rev Musculoskelet Med

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While some fractures may be managed similarly in adults and children, physeal fractures are uniquely limited to the pediatric population and require special consideration. Although physeal fractures about the knee are relatively rare, they are occurring more frequently due to increasing youth participation in sports and high-energy recreational activities. The evaluation and management of distal femoral and proximal tibial physeal fractures are similar to one another, but fractures of the tibial spine and tibial tubercle are approached somewhat differently. A thorough understanding of the pertinent developmental anatomy is critical for correlating the clinical findings with the imaging work-up, and for anticipating the most common and the most serious complications of each fracture. Diagnosis is usually made with appropriate plain radiographs with advanced imaging often used for preoperative planning. In general, fracture pattern and degree of displacement determine the need for surgical intervention and the overall outcome. While a variety of fixation techniques or constructs may be used, because of the importance of restoring physeal and articular anatomy for avoidance of growth disturbance and degenerative joint disease, respectively, achieving anatomic, rigid fixation is of greater importance than with many other fracture locations in the growing skeleton.

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Nonoperative Treatment of Tibial Spine Fractures in Children-38 Patients With a Minimum Follow-up of 1 Year

Abstract: Based on our results, nonoperative management can still be recommended as the primary treatment for tibial spine fractures in children.

Cited by 65 publications

References 27 publications

Arthroscopic staple fixation in the management of displaced anterior cruciate ligament avulsion fractures

Arthroscopic staple fixation in the management of displaced anterior cruciate ligament avulsion fractures

Arthroscopic Treatment of Intra-Articular Fractures of the Knee

Physeal fractures about the knee

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