scholarly journals Genu Recurvatum after Tibial Tuberosity Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Senthil T. Nathan ◽  
Shital N. Parikh
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Skeletal Maturity ◽  
Treatment Plan ◽  
Tibial Tuberosity ◽  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Tibial Tuberosity Fracture ◽  
Genu Recurvatum ◽  
Fracture Management

Fractures of the tibial tuberosity are infrequent injuries that occur during adolescence. Displaced tibial tuberosity fractures are typically treated with open reduction and internal fixation. Since these fractures occur at or near skeletal maturity, growth disturbances are not seen. This paper presents a case, the first report to our knowledge, of genu recurvatum deformity after open reduction and internal fixation of a tibial tuberosity fracture. A successful treatment plan of tibial tuberosity osteotomy with proximal tibial opening wedge osteotomy was used for the correction of genu recurvatum deformity and to maintain appropriate patellar height. At eighteen-month followup, the deformity remains corrected with satisfactory functional results. This case highlights the importance of recognition of potential complications of fracture management in adolescence.

Anterolateral Proximal Tibial Opening Wedge Osteotomy to Treat Symptomatic Genu Recurvatum with Valgus Alignment

2014 ◽  
Vol 4 (3) ◽  
pp. e71 ◽  
Author(s):  
Trevor R. Gaskill ◽  
Casey M. Pierce ◽  
Evan W. James ◽  
Robert F. LaPrade
Keyword(s):  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Genu Recurvatum ◽  
Valgus Alignment

Juvenile fracture of tillaux. A distal tibial epiphyseal fracture

1989 ◽  
Vol 79 (6) ◽  
pp. 295-299 ◽  
Author(s):  
WH Simon ◽  
R Floros ◽  
H Schoenhaus ◽  
RM Jay
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Skeletal Maturity ◽  
Functional Results ◽  
Anatomical Reduction ◽  
Fracture Fragment ◽  
Reduction Techniques ◽  
Tibial Epiphysis ◽  
Tillaux Fracture

The juvenile fracture of Tillaux is a Salter-Harris type III fracture of the distal tibial epiphysis. The mechanism of injury is an external rotational force of the foot. The fracture fragment is avulsed from the anterolateral aspect of the distal tibial epiphysis by the anteroinferior tibiofibular ligament. Treatment is based on the amount of displacement after closed reduction techniques are attempted. If complete anatomical reduction cannot be obtained, the authors recommend open reduction with internal fixation. The method of internal fixation should be based on the skeletal maturity of the distal tibial epiphysis. The prognosis usually is good if anatomical reduction is performed. The most serious complication reported is pain and stiffness secondary to articular incongruity following inadequate closed reduction techniques. The case of a 14-year-old girl with a juvenile Tillaux fracture treated by open reduction with excellent functional results at 11 months follow-up was presented.

Anterior Opening Wedge Osteotomy of the Tibia for the Treatment of Genu Recurvatum

2017 ◽  
Vol 32 (1) ◽  
pp. 66-73 ◽  
Author(s):  
Vincent Villa ◽  
Romain Gaillard ◽  
Jonathan Robin ◽  
Caroline Debette ◽  
Elvire Servien ◽  
...  
Keyword(s):  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Genu Recurvatum

scholarly journals Feasibility and Reliability of Open Reduction Internal Fixation in Delayed Distal Radius Fracture Management

2019 ◽  
Vol 1 (3) ◽  
pp. 138-143
Author(s):  
Christopher Lee ◽  
Clifford Pereira ◽  
Stephen Zoller ◽  
Jason Ghodasra ◽  
Kent Yamaguchi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Radius Fracture ◽  
Fracture Management

Fractures of the Calcaneus Part II: Treatment

1996 ◽  
Vol 17 (6) ◽  
pp. 360-366 ◽  
Author(s):  
Robert B.W. Lowery ◽  
Jason H. Calhoun
Keyword(s):  
Internal Fixation ◽  
Classification System ◽  
Open Reduction ◽  
Subtalar Joint ◽  
Calcaneal Fractures ◽  
Articular Fracture ◽  
Articular Fractures ◽  
Anatomic Reduction ◽  
Fracture Management

Extra-articular fracture management of the calcaneus is well accepted. Despite advancements, there is still no consensus on the treatment of intra-articular calcaneal fractures. Although the results of open reduction and internal fixation appear promising, evaluation is difficult because there is no universally accepted classification system. We believe that a consensus is developing for the evaluation, staging, and treatment of the acute calcaneus fracture and its chronic problems. Advancements in the understanding of the anatomy, injury mechanism, and classification of calcaneal fractures were presented in Parti ( Foot & Ankle International, 17(4):230–235, 1996). Treatment of displaced intra-articular fractures gives superior results when anatomic reduction of the subtalar joint is achieved.

scholarly journals Rare case of bilateral anterolateral and symmetrical bowing of tibia successfully treated with a distal tibial opening wedge osteotomy

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Margarida Miranda ◽  
Carolina Afonso ◽  
Carla Martins ◽  
João Carvalho ◽  
Armando Campos
Keyword(s):  
Functional Result ◽  
Skeletal Maturity ◽  
Wedge Osteotomy ◽  
Fibular Graft ◽  
Foot Deformity ◽  
Cast Immobilization ◽  
Opening Wedge ◽  
Lateral Border ◽  
K Wires ◽  
Tibia Osteotomy

Abstract The anterolateral bowing of the tibia is closely associated with the development of its pseudarthrosis. Roughly, all deformities are unilateral so the shortening and angulation are easy to identify. We present a 6-year-old boy with an exuberant bilateral anterolateral bowing of tíbia. He has short stature, disturbed gait and callosity at the lateral border of the foot. Deformity was successfully treated by opening wedge tibia osteotomy and filled the remaining gap with structural fibular graft. It was fixed with two crossed K-wires and cast immobilization for 6 weeks. We decided to correct it before skeletal maturity due to the significant disturbance of the gait and esthetic impairment. It was obtained a satisfactory morphological and functional result with a simple and fast technique.

The use of transarticular external skeletal fixation in the management of failed tibial tuberosity transposition in five dogs

2010 ◽  
Vol 23 (02) ◽  
pp. 109-113 ◽  
Author(s):  
A. Coughlan ◽  
R. Pettitt ◽  
N. MacDonald ◽  
J. Innes ◽  
M. Owen ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Tibial Tuberosity ◽  
Fracture Reduction ◽  
Bone Stock ◽  
Tibial Tuberosity Fracture ◽  
Long Term Follow Up ◽  
Fixation Techniques ◽  
Implant Size

SummaryThe management of tibial tuberosity fracture-avulsion after tibial tuberosity transposition can be challenging. Implants must be able to resist the strong distractive force of the quad-riceps mechanism, yet implant size is limited by the amount of tuberosity bone stock available. Revision fixation is compromised further by fragmentation of the tubercle. Five stifle joints had temporary transarticular external skeletal fixators applied to manage complications of tibial tuberosity transposition. Fracture reduction was confirmed in four out of five tibial tuberosity fractures. Frames were in place for a mean of 44 days. Frame associated complications occurred in four out of five limbs, the most common being pin tract discharge and associated osteolucency. All frame-associated complications resolved. Long-term follow-up information was available for three of the five animals at 13 to 18 months after frame removal. All three owners reported occasional lameness, but this was attributed to concurrent orthopaedic disease. Transarticular external skeleton fixation protects internal fixation techniques, and good limb function was achieved in most cases. Transarticular external skeleton fixation can be successfully used to augment repair of tibial tuberosity fracture after tibial tube-rosity transposition.

scholarly journals Tibial Tubercle Avulsion Fractures in Adolescents: A Narrative Review & Case Report

2021 ◽  
Vol 2 (3) ◽  
pp. 12-18
Author(s):  
Gregory W. Kunis ◽  
Joshua A. Berko ◽  
Jeffrey C. Shogan ◽  
Joshua B. Sharan ◽  
Derek Jones
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Avulsion Fracture ◽  
Open Reduction Internal Fixation ◽  
Fracture Pattern ◽  
Tibial Tuberosity ◽  
Tibial Tubercle ◽  
Significant Past Medical History ◽  
Anterior Portion ◽  
Avulsion Fractures

Intro: Tibial tuberosity avulsion fractures are rare fracture patterns accounting for less than 1% of all pediatric fractures. These fractures occur when there is a sudden unbalancing of forces through the patellar tendon that separates the tibial tubercle from the anterior portion of the proximal tibia. These forces are commonly introduced in sporting activities and show a predominance for adolescent males. Treatment with open reduction internal fixation commonly results in favorable outcomes with minimal complications. In this presentation, we explore a case of a tibial tuberosity avulsion fracture and give an in-depth review of all aspects concerning this fracture pattern. Case Description: A 14-year-old male with no significant past medical history presented via emergency medical services after a ground level fall while playing basketball. Radiographs of the left knee and tibia revealed an Ogden Type III, distracted avulsion fracture of the tibial tuberosity with suprapatellar effusion. Surgical intervention was achieved through open reduction internal fixation of the left tibial tubercle. Discussion: Although a relatively rare fracture pattern, this case demonstrates a classic presentation and treatment of a tibial tuberosity avulsion fracture. This case serves as a reminder that despite the rarity of the injury, a clinician with an appropriate index of suspicion can accurately diagnose and treat this fracture and achieve positive outcomes in returning the patient to pre-injury activities. For those reasons, we provide a comprehensive overview of all aspects regarding this fracture pattern including the anatomy, embryology, mechanism of action, predisposing conditions, treatment considerations, complications and associated injuries.

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