scholarly journals Tibial Spine Fracture Type I in a 6 Years Old Patient: Complications and Treatment

2021 ◽  
Vol 03 (03) ◽  
Author(s):  
Philippe Nicolini
Keyword(s):  
Spine Fracture ◽  
Type I ◽  
Fracture Type ◽  
Tibial Spine ◽  
Tibial Spine Fracture

Open reduction of a malunited tibial spine fracture in a 12-year-old male

1985 ◽  
Vol 13 (6) ◽  
pp. 419-422 ◽  
Author(s):  
A. Brant Lipscomb ◽  
Allen F. Anderson
Keyword(s):  
Open Reduction ◽  
Spine Fracture ◽  
Tibial Spine ◽  
Tibial Spine Fracture

Surgical Treatment of the Anterior Tibial Spine Fracture: Surgical Indication and Results

1987 ◽  
Vol 22 (5) ◽  
pp. 1039
Author(s):  
Myung Sang Moon ◽  
Young Kyun Woo ◽  
Kee Yong Ha ◽  
Jeong Nam Yoo
Keyword(s):  
Surgical Treatment ◽  
Surgical Indication ◽  
Spine Fracture ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Anterior Tibial

Anterior Cruciate Ligament Injury at the Time of Anterior Tibial Spine Fracture in Young Patients

2019 ◽  
Vol 39 (9) ◽  
pp. e668-e673 ◽  
Author(s):  
Meredith H. Mayo ◽  
Justin J. Mitchell ◽  
Derek P. Axibal ◽  
Jorge Chahla ◽  
Claire Palmer ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Injury ◽  
Cruciate Ligament ◽  
Young Patients ◽  
Spine Fracture ◽  
Ligament Injury ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Anterior Tibial ◽  
Anterior Cruciate

scholarly journals RISK FACTORS FOR ARTHROFIBROSIS IN TIBIAL SPINE FRACTURES: A NATIONAL 10-SITE MULTICENTER STUDY

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0017
Author(s):  
Joshua T Bram ◽  
Julien T Aoyama ◽  
R Justin Mistovich ◽  
Yi-Meng Yen ◽  
Henry B Ellis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cruciate Ligament ◽  
Weight Bearing ◽  
Post Treatment ◽  
Spine Fracture ◽  
Spine Fractures ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Anterior Cruciate ◽  
Multi Center Study

Background: Tibial spine fractures are common pediatric injuries with similar mechanism of injury to anterior cruciate ligament tears. Post-operative arthrofibrosis remains the most common complication following treatment of this injury, and many patients require subsequent manipulation under anesthesia. Several prior studies have examined risk factors for the development of arthrofibrosis, but with small patient populations and varying reported predictors. Therefore, our objective was to identify risk factors for arthrofibrosis in the largest known cohort of pediatric tibial spine patients. Hypothesis/Purpose: Identify risk factors for developing arthrofibrosis after TSF treatment. Methods: This was a retrospective, multi-center study across ten institutions of 448 patients <25 years old who presented to care with a tibial spine fracture between 1/2000 and 2/2019. Patient records were reviewed for a multitude of pre-operative, intra-operative, and post-operative characteristics. Patients were then separated into two cohorts based on if they suffered from post-treatment arthrofibrosis. Results: Chart review demonstrated that 43 (9.6%) of the patients suffered from post-treatment arthrofibrosis. There were no demographic differences observed between the two groups. However, based on MRIs at the time of injury, distal femoral and proximal tibial growth plates were more frequently closed in the arthrofibrosis group (17.6% vs 4.4%, p=0.023 for both comparisons). Additionally, there was no difference in Meyers & McKeever (MM) classification (p=0.597). All arthrofibrosis patients received operative treatment (p=0.003), though there was no difference in fixation technique (p=0.734). Intraoperatively, a higher number of screws were used in the arthrofibrosis group (p=0.002) with the placement of hardware more likely to be epiphyseal (p=0.007). Other operative parameters including number of sutures were not different. Post-operatively, arthrofibrosis patients were more likely to have been immobilized in a cast (p<0.001) with no difference observed for weight-bearing status. After multivariate regression, screw number (OR 8.9, CI 1.9-41.7, p=0.005) and immobilization in a cast (OR 7.8, CI 1.0-60.4, p=0.049) remained significant predictors of post-treatment arthrofibrosis. Conclusion: This serves as the largest study of tibial spine fractures to analyze risk factors for the development of post-treatment arthrofibrosis. Our study demonstrates that pre-operative factors were largely similar between groups, but that intra-operative decisions, including the number of screws used for fixation and placement of hardware in relation to the physis, were significant predictors of post-treatment arthrofibrosis. These findings may influence operative decision-making in tibial spine fracture patients. Additionally, post-operative immobilization in a cast should be avoided given the high risk of arthrofibrosis. [Table: see text]

scholarly journals Risk Factors for Arthrofibrosis in Tibial Spine Fractures: A National 10-Site Multicenter Study

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0046
Author(s):  
Julien Aoyama ◽  
Justin Mistovich ◽  
Yi-Meng Yen ◽  
Henry Ellis ◽  
Jay Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chart Review ◽  
Weight Bearing ◽  
Post Treatment ◽  
Spine Fracture ◽  
Spine Fractures ◽  
Demographic Differences ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Multi Center Study

Objectives: To identify risk factors for developing arthrofibrosis after TSF treatment. Methods: This was a retrospective, multi-center study across ten institutions of 448 patients <25 years old who presented to care with a tibial spine fracture between 1/2000 and 2/2019. Patient records were reviewed for a multitude of pre-operative, intra-operative, and post-operative characteristics. Patients were then separated into two cohorts based on if they suffered from post-treatment arthrofibrosis. Results: Chart review demonstrated that 43 (9.6%) of the patients suffered from post-treatment arthrofibrosis. There were no demographic differences observed between the two groups. However, based on MRIs at the time of injury, distal femoral and proximal tibial growth plates were more frequently closed in the arthrofibrosis group (17.6% vs 4.4%, p=0.023 for both comparisons). Additionally, there was no difference in Meyers & McKeever (MM) classification (p=0.597). All arthrofibrosis patients received operative treatment (p=0.003), though there was no difference in fixation technique (p=0.734). Intraoperatively, a higher number of screws were used in the arthrofibrosis group (p=0.002) with the placement of hardware more likely to be epiphyseal (p=0.007). Other operative parameters including number of sutures were not different. Post-operatively, arthrofibrosis patients were more likely to have been immobilized in a cast (p<0.001) with no difference observed for weight-bearing status. After multivariate regression, screw number (OR 8.9, CI 1.9-41.7, p=0.005) and immobilization in a cast (OR 7.8, CI 1.0-60.4, p=0.049) remained significant predictors of post-treatment arthrofibrosis. Conclusion: This serves as the largest study of tibial spine fractures to analyze risk factors for the development of post-treatment arthrofibrosis. Our study demonstrates that pre-operative factors were largely similar between groups, but that intra-operative decisions, including the number of screws used for fixation and placement of hardware in relation to the physis, were significant predictors of post-treatment arthrofibrosis. These findings may influence operative decision-making in tibial spine fracture patients. Additionally, post-operative immobilization in a cast should be avoided given the high risk of arthrofibrosis. [Table: see text]

scholarly journals OLD AND DISPLACED TIBIAL SPINE FRACTURE FIXATION BY OPEN APPROACH-PREFERABLE

2020 ◽  
pp. 51-52
Author(s):  
Dibakar Ray
Keyword(s):  
Fracture Fixation ◽  
Gold Standard ◽  
Functional Results ◽  
Spine Fracture ◽  
Open Approach ◽  
Complex Situation ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Fracture Reduction And Fixation ◽  
Knee Pathology

In the era of athroscopy all intraarticular knee pathology including tibial spine fracture can be managed satisfactory results.In highly displaced situation and in delayed cases open approach is still a gold standard for managing this complex situation to get a saticfactory fracture reduction and fixation and ultimately good functional results.

Incidence of anterior tibial spine fracture among skiers does not differ with age

2021 ◽  
Author(s):  
Benjamin Albertson ◽  
Bruce Beynnon ◽  
Nathan Endres ◽  
Robert Johnson
Keyword(s):  
Spine Fracture ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Anterior Tibial

Tibial Spine Fracture

2011 ◽  
pp. 421-432
Author(s):  
Dennis E. Kramer
Keyword(s):  
Spine Fracture ◽  
Tibial Spine ◽  
Tibial Spine Fracture

Anterior Cruciate Ligament Injury Versus Tibial Spine Fracture in the Skeletally Immature Knee

2004 ◽  
pp. 185-188
Author(s):  
Mininder S. Kocher ◽  
Rahul Mandiga ◽  
Kevin Klingele ◽  
Louis Bley ◽  
Lyle J. Micheli
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Injury ◽  
Cruciate Ligament ◽  
Spine Fracture ◽  
Ligament Injury ◽  
Skeletally Immature ◽  
Tibial Spine ◽  
Tibial Spine Fracture ◽  
Anterior Cruciate
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