Type III Tibial Spine Avulsions Treated With Arthroscopic Acutrak??? Screw Reattachment

Davies, Evan; McLaren, Magnus

doi:10.1097/00003086-200107000-00028

Cited by 31 publications

(20 citation statements)

References 9 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: Epidemiologymentioning

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: Epidemiologymentioning

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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“…After surgical treatment, the limb is protected with a knee plaster brace for 6 weeks. In case of orthopedic treatment rehabilitation is started generally after 6 to 8 weeks of immobilization, but after surgical treatment it is started precociously at 4 weeks [5].…”

Section: Introductionmentioning

confidence: 99%

Tibial Spine Avulsion Fractures in Adult: Diagnostic and Therapeutic Actuality

Zaizi¹,

El²,

Bensiamar³

et al. 2019

Arch Sports Med

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“…6 Several arthroscopic techniques have been reported in the literature that use various means for fixation such as metal screws, [12][13][14][15][16][17] staples, 18 K-wires 6,19 and sutures only, 18,[21][22][23][24][25]33 and anchors only. 28,29 Success in treating tibial eminence fractures is dependent on secure fixation, which can allow for early postoperative knee mobilization, decreased risk of arthrofibrosis, and a more rapid return to full activity.…”

Section: Hybrid Fixation Of Tibial Eminence Fracturesmentioning

confidence: 99%

“…For markedly displaced fractures, immediate anatomic reduction and fixation of the fragments are generally recommended to allow early return to range of motion and prevent arthrofibrosis. 10,11 Several arthroscopic techniques have been reported, such as metal screw fixation, [12][13][14][15][16][17] staple fixation, 18 K-wire fixation, 6,19,20 suture fixation, 18,[21][22][23][24][25][26][27] and anchor fixation. 28,29 However, a number of these techniques violate the growth plate, and in the case of metal screw fixation, retained hardware can result in the need to reoperate to remove hardware.…”

mentioning

confidence: 99%

Hybrid Fixation of Tibial Eminence Fractures in Skeletally Immature Patients

Gans

Babatunde

Ganley

2013

Arthroscopy Techniques

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Tibial eminence fractures most commonly occur in children and adolescents. When treating displaced fractures of the tibial eminence, some surgeons prefer screw fixation whereas others prefer suture fixation. The ultimate goal is to limit morbidity through early return to range of motion and activity. In this technical note, we describe 2 hybrid fixation techniques for fixing tibial eminence fractures, one for type III and the other for type IV fractures. The first technique (variation A) is used to treat type III fractures and combines use of both a bioabsorbable compression screw and suture for fixation. The second technique (variation B) is used to treat type IV fractures and combines use of both a bioabsorbable compression screw and shoulder anchor fixation. We have found that these methods provide efficient, secure, and reliable fixation using standard techniques common to arthroscopic surgery. In addition, the growth plates are spared in children and adolescents, and the need for reoperation to remove hardware is eliminated.

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Type III Tibial Spine Avulsions Treated With Arthroscopic Acutrak??? Screw Reattachment

Cited by 31 publications

References 9 publications

Tibial eminence fractures in the paediatric population: A systematic review

Tibial eminence fractures in the paediatric population: A systematic review

Tibial Spine Avulsion Fractures in Adult: Diagnostic and Therapeutic Actuality

Hybrid Fixation of Tibial Eminence Fractures in Skeletally Immature Patients

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