Document Detail


Intercondylar eminence avulsion fracture in children: long-term follow-up of 14 cases at the end of skeletal growth.
MedLine Citation:
PMID:  20473183     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to report the long-term clinical outcome in a group of 14 patients treated for an avulsion fracture of the tibial spine. On the basis of the Meyers and McKeever classification, there were four type I avulsions, three type II and seven type III. Seven patients were treated nonoperatively and seven patients were operated according to one of the two different protocols: open reduction and internal fixation and arthroscopic reduction and internal fixation. At follow-up, four patients had clinical signs of joint instability, but no subjective instability. One patient with a type III lesion treated nonsurgically showed severe instability. All other patients returned to the same sport activity level that they had had before the fracture. We obtained good results in 13 out of 14 cases. Good results can be obtained when type I fractures are treated nonoperatively. Type II and type III lesions showed better results after arthroscopic reduction and internal fixation. Nonabsorbable suture fixation for osteosynthesis is recommended. The prognosis is strictly related to the type of fracture, anatomic reduction and articular congruity.
Authors:
Cosimo Tudisco; Roberto Giovarruscio; Alessandro Febo; Eugenio Savarese; Salvatore Bisicchia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  19     ISSN:  1473-5865     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-11-12     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  403-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Rome, Tor Vergata, Rome, Italy. cosimo.tudisco@uniroma2.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Arthroscopy
Child
Female
Follow-Up Studies
Fracture Fixation, Internal / methods*
Fracture Healing
Humans
Immobilization / methods*
Joint Instability / physiopathology
Knee Joint / physiopathology
Male
Menisci, Tibial / injuries*,  pathology
Prognosis
Range of Motion, Articular
Suture Techniques
Tibial Fractures / classification,  pathology,  therapy*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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