Surgical management of type II tibial intercondylar eminence fractures in children

Louis, Marie-Laure; Guillaume, Jean-Marc; Launay, Franck; Toth, C.; Jouvre, Jean-Luc; Bollini, G.

doi:10.1097/bpb.0b013e32830b61f4

Cited by 37 publications

(37 citation statements)

References 27 publications

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“…This does not represent the true incidence of the different types in the population, as inclusion criteria for several studies only included type II and III tibial eminence fractures. Most type IV fractures were included with type III fractures; ten papers included the Zarincznyj modification separately [2, 15, 18, 20, 21, 27, 31, 33, 35, 40]. …”

Section: Resultsmentioning

confidence: 99%

Tibial eminence fractures in the paediatric population: A systematic review

Coyle

Jagernauth

Ramachandran

2014

Journal of Children's Orthopaedics

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IntroductionWe present a systematic review of the literature for the management of tibial eminence fractures in the paediatric population. Our aims were to assess modalities of injury, treatment options available and their associated complications.Materials and methodsWe found 740 relevant citations in the English literature up to 1 October 2012, of which 36 full text articles met our inclusion criteria.ResultsOur results show that skiing, sports and motor vehicle accidents are increasingly common modes of injury, in addition to the commonly described fall off of a bicycle. Most studies advocate non-operative management for type I Meyer’s and McKeever’s fractures and reduction and internal fixation for type II and III fractures. Better long-term results have been reported with arthroscopic surgery compared to open surgery. There is no consensus as to which type of fixation is best suited for tibial eminence fractures; methods available include excision of the bony fragment, K-wire, screw and, absorbable suture fixation, and more recently, suture anchor and meniscal arrow. The main complications reported include arthrofibrosis, non-union, mal-union, pain and severe laxity. Early post-operative range of motion exercises have been shown to reduce the incidence of arthrofibrosis.ConclusionAs all papers report results from small case series, Level I studies are required to produce more definitive evidence for the management of paediatric tibial eminence fractures.

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Section: Resultsmentioning

confidence: 99%

Tibial eminence fractures in the paediatric population: A systematic review

Coyle

Jagernauth

Ramachandran

2014

Journal of Children's Orthopaedics

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“…Although many successful arthroscopic reduction and internal fixation (ARIF) techniques using a variety of fixation methods have been described in the literature, fixation is most commonly achieved with pull-out sutures or with screws [2,8,12,13,16,17,19,27,28,31,36,44]. However, the screw fixation and the pull-out suture fixation with nonabsorbable sutures have several limitations [7,14,21,42,44,45].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical comparison of three techniques for fixation of tibial avulsion fractures of the anterior cruciate ligament

Kwak

Moon

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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These biomechanical results suggest that the initial fixation strength of suture anchor fixation was not less than that of screw fixation or pull-out suture fixation. And, the initial displacement of suture anchor fixation was lower than that of screw fixation or pull-out suture fixation. The suture anchor fixation appears to be a good alternative fixation technique for repair of anterior cruciate ligament tibial avulsion fracture.

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“…Fixation can be performed with sutures [77][78][79][80][81], (Fig. 5) metal screws [82][83][84][85], bioabsorbable nails [86], Kirschner wires [36,41,43,76], or suture anchors [87,88]. Several reports have found that screws can actually weaken the small fragment or cause comminution [78] and thus recommend suture fixation, which has demonstrated similar or improved strength profiles [89][90][91].…”

Section: Tibial Eminence Fracturementioning

confidence: 99%

Pediatric ACL injuries: evaluation and management

Mall¹,

Paletta

2013

Curr Rev Musculoskelet Med

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The anterior cruciate ligament (ACL) is a stabilizing structure to both anterior translation of the tibia with respect to the femur as well as rotation of the knee joint. Children and adolescents are susceptible to these injuries, and there are some who believe the incidence of ACL injuries in this population is increasing due to year round single sport participation. Pediatric ACL injuries are typically seen in several forms: tibial avulsion fractures, partial ACL tears, and full thickness ligament tears. There were and still are some who feel that ACL injuries should be treated non-operatively in the pediatric and adolescent population; however, recent literature refutes this notion. Several factors must be considered during pediatric and adolescent ACL reconstruction, each of which will be examined in this manuscript, including: status of the physis, reconstruction technique, and graft source.

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Surgical management of type II tibial intercondylar eminence fractures in children

Cited by 37 publications

References 27 publications

Tibial eminence fractures in the paediatric population: A systematic review

Tibial eminence fractures in the paediatric population: A systematic review

Biomechanical comparison of three techniques for fixation of tibial avulsion fractures of the anterior cruciate ligament

Pediatric ACL injuries: evaluation and management

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