Follow-up Study of Arthroscopic Reduction and Fixation of Type III Tibial-Eminence Fractures

Clinical and radiological results of arthroscopically treated tibial spine fractures in childhood

“…Although a few studies have shown no difference in outcome of displaced tibial spine fractures treated conservatively versus surgically [2,4,17,23,24], many other authors advocate the surgical option so as to treat possible associated lesions, like meniscal tears or osteochondral injuries [12,13]. Moreover, they support the opinion that the surgical option facilitates a more satisfactory reduction of the fracture, thus avoiding the possible risk of a meniscal entrapment under the fractured tibial eminence or a possible healing of the fracture in a non-anatomical position, with the consequence of further instability or loss of extension of the knee [4,6,13,19].…”

Hybrid Fixation of Tibial Eminence Fractures in Skeletally Immature Patients

“…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.…”

“…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.…”

Arthrofibrosis of the Knee after Tibial Spine Fracture in Children: A Report of Two Complicated Cases

“…Displaced type III or type IV (displaced and comminuted) fractures often require closed or open reduction with either arthrotomy or arthroscopic-assisted methods using sutures or hardware [1,3,[5][6][7]. In literature, the reported complications of tibial spine fractures include anterior knee instability, extension loss, quadriceps weakness, and chondromalacia [3,8]. Although arthroscopic treatment has the advantages of early mobilization and reduced hospital stay, there have been reports of suboptimal clinical results, which include loss of knee extension or instability [6,8].…”

“…According to Meyer_s classification [2], nondisplaced or minimally displaced type I and type II fractures can be treated by external splint or long leg cast in extension [1][2][3][4]. Displaced type III or type IV (displaced and comminuted) fractures often require closed or open reduction with either arthrotomy or arthroscopic-assisted methods using sutures or hardware [1,3,[5][6][7].…”