Anatomical fixation of tibial intercondylar eminence fractures in children using a threaded pin with an adjustable lock

d’Ambrosio, Adrien; Schneider, L.; Bund, Laurent; Gicquel, Philippe

doi:10.1016/j.otsr.2021.103021

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…Multiple treatment methods using both open and arthroscopic approaches were encountered in our review. 7,11,13,21,22,34,40,57 Overall, generally good outcomes were seen among all patients, with similar patient-reported outcomes (Lysholm, Tegner, IKDC scores) across all groups. Nonunion was uncommon in our study, with only 13 patients of a possible 1638 having difficulty with fracture healing.…”

Section: Discussionmentioning

confidence: 70%

“…With recent advances in arthroscopic surgery, more surgeons have opted for a minimally invasive approach for treatment of these fractures with varying methods of fixation. 5,11,17,40 Despite recent advances, controversy and variability remain among treating physicians with regard to fixation methods, surgical timing, and optimal imaging modalities, among other factors. Given the heterogeneity of the literature, this study was performed to systematically review the literature on TSFs to determine the current treatment approaches, outcomes, and complications.…”

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confidence: 99%

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Tibial Spine Fractures in the Child and Adolescent Athlete: A Systematic Review and Meta-analysis

et al. 2023

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Background: Tibial spine fractures (TSFs) are uncommon injuries that may result in substantial morbidity in children. A variety of open and arthroscopic techniques are used to treat these fractures, but no single standardized operative method has been identified. Purpose: To systematically review the literature on pediatric TSFs to determine the current treatment approaches, outcomes, and complications. Study Design: Meta-analysis; Level of evidence, 4. Methods: A systematic review of the literature was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) guidelines using PubMed, Embase, and Cochrane databases. Studies evaluating treatment and outcomes of patients <18 years old were included. Patient demographic characteristics, fracture characteristics, treatments, and outcomes were abstracted. Descriptive statistics were used to summarize categorical and quantitative variables, and a meta-analytic technique was used to compare observational studies with sufficient data. Results: A total of 47 studies were included, totaling 1922 TSFs in patients (66.4% male) with a mean age of 12 years (range, 3-18 years). The operative approach was open reduction and internal fixation in 291 cases and arthroscopic reduction and internal fixation in 1236 cases; screw fixation was used in 411 cases and suture fixation, in 586 cases. A total of 13 nonunions were reported, occurring most frequently in Meyers and McKeever type III fractures (n = 6) and in fractures that were treated nonoperatively (n = 10). Arthrofibrosis rates were reported in 33 studies (n = 1700), and arthrofibrosis was present in 190 patients (11.2%). Range of motion loss occurred significantly more frequently in patients with type III and IV fractures ( P < .001), and secondary anterior cruciate ligament (ACL) injury occurred most frequently in patients with type I and II fractures ( P = .008). No statistically significant differences were found with regard to rates of nonunion, arthrofibrosis, range of motion loss, laxity, or secondary ACL injury between fixation methods (screw vs suture). Conclusion: Despite variation in TSF treatment, good overall outcomes have been reported with low complication rates in both open and arthroscopic treatment and with both screw and suture fixation. Arthrofibrosis remains a concern after surgical treatment for TSF, but no significant difference in incidence was found between the analysis groups. Larger studies are necessary to compare outcomes and form a consensus on how to treat and manage patients with TSFs.

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Section: Discussionmentioning

confidence: 70%

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confidence: 99%

Tibial Spine Fractures in the Child and Adolescent Athlete: A Systematic Review and Meta-analysis

et al. 2023

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“…A total of 21 cases used both screws and sutures. Thirteen studies reported outcomes with the use of screws only, of which ten studies used ARIF [ 18 , 21 , 24 , 25 , 26 , 29 , 30 , 36 , 39 , 42 ], one study used ORIF [ 33 ], and two studies used both ARIF and ORIF [ 43 , 47 ]. Twelve studies reported outcomes with the use of sutures only, of which nine studies used ARIF [ 11 , 13 , 16 , 31 , 32 , 37 , 45 , 46 , 48 ], and three studies used both ARIF and ORIF [ 17 , 19 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

Tibial Spine Avulsion Fractures in Paediatric Patients: A Systematic Review and Meta-Analysis of Surgical Management

Chandanani,

Jaibaji,

Jaibaji

et al. 2024

Children

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Background: Tibial spine avulsion fractures (TSAFs) account for approximately 14% of anterior cruciate ligament injuries. This study aims to systematically review the current evidence for the operative management of paediatric TSAFs. Methods: A search was carried out across four databases: MEDLINE, Embase, Scopus, and Google Scholar. Studies discussing the outcomes of the surgical management of paediatric TSAFs since 2000 were included. Results: Of 38 studies included for review, 13 studies reported outcomes of TSAF patients undergoing screw fixation only, and 12 studies used suture fixation only. In total, 976 patients underwent arthroscopic reduction and internal fixation (ARIF), and 203 patients underwent open reduction and internal fixation (ORIF). The risk of arthrofibrosis with the use of ARIF (p = 0.45) and screws (p = 0.74) for TSAF repair was not significant. There was a significantly increased risk of knee instability (p < 0.0001), reoperation (p = 0.01), and post-operative pain (p = 0.007) with screw fixation compared to sutures. Conclusions: While the overall benefits of sutures over screws and ARIF over ORIF are unclear, there is clear preference for ARIF and suture fixation for TSAF repair in practice. We recommend large-scale comparative studies to delineate long-term outcomes for various TSAF fixation techniques.

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Arthroskopisch assistierte Fadenosteosynthese von Frakturen der Eminentia intercondylaris bei Kindern und Jugendlichen

Frimberger,

Berger,

Kellnar

2024

Oper Orthop Traumatol

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Anatomical fixation of tibial intercondylar eminence fractures in children using a threaded pin with an adjustable lock

Cited by 5 publications

References 26 publications

Tibial Spine Fractures in the Child and Adolescent Athlete: A Systematic Review and Meta-analysis

Tibial Spine Fractures in the Child and Adolescent Athlete: A Systematic Review and Meta-analysis

Tibial Spine Avulsion Fractures in Paediatric Patients: A Systematic Review and Meta-Analysis of Surgical Management

Arthroskopisch assistierte Fadenosteosynthese von Frakturen der Eminentia intercondylaris bei Kindern und Jugendlichen

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