Isolated avulsion of the tibial spine occurs in children and can be associated with residual insufficiency of the anterior cruciate ligament (ACL). Completely displaced tibial spine fractures are managed with open or arthroscopic surgical fixation. This retrospective study describes the results obtained with arthroscopic reduction at a mean follow-up of 81.6 months.Eleven patients were treated with arthroscopic suture fixation, at the last follow-up all patients exhibited a negative Lachman test and a negative pivot shift test, the mean International Knee Documentation Committee (IKDC) score was 97.9 and the mean Lysholm score was 96. All patients showed bone union at plain radiography.Arthroscopic reduction with suture fixation is a safe and reliable method to treat displaced or comminuted avulsion fractures of the tibial eminence.

Arthroscopic Management of Tibial Spine Avulsion in Children: a Retrospective Study with a Minimum Four Year Follow-Up

Oliviero, A;Oliva, F;Maffulli, N
2021

Abstract

Isolated avulsion of the tibial spine occurs in children and can be associated with residual insufficiency of the anterior cruciate ligament (ACL). Completely displaced tibial spine fractures are managed with open or arthroscopic surgical fixation. This retrospective study describes the results obtained with arthroscopic reduction at a mean follow-up of 81.6 months.Eleven patients were treated with arthroscopic suture fixation, at the last follow-up all patients exhibited a negative Lachman test and a negative pivot shift test, the mean International Knee Documentation Committee (IKDC) score was 97.9 and the mean Lysholm score was 96. All patients showed bone union at plain radiography.Arthroscopic reduction with suture fixation is a safe and reliable method to treat displaced or comminuted avulsion fractures of the tibial eminence.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11386/4805192
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