Casas-López M, Romero-Ibarra J, Orivio-Gallegos JA

Language: Spanish
References: 14
Page: 160-169
PDF size: 469.84 Kb.

ABSTRACT

Introduction: Avulsions of the anterior tibial tuberosity are infrequent lesions that nevertheless have long-term functional repercussions as a result of the lesion itself and of the treatment provided. Material and methods: A series of 12 patients treated surgically from January 2008 to March 2012 was reviewed. Their diagnosis was Watson-Jones types II and III lesions; they were assessed by applying the Kujala functional scale and radiographically by measuring the tibial tuberosity index. The statistical analysis was done with central trend measurements and non-parametric tests. Results: All patients were male and right knee lesions were slightly predominant. All of them participated in sports activities and the predominant mechanism of injury was forced knee hyperflexion. The evaluation using the Kujala scale showed excellent results. The tibial tuberosity index was not statistically significant with respect to the implants used. Discussion: This type of injuries warrants surgical management to restore the function of the knee extensor mechanism.

REFERENCES

1. Tachdjian O: Ortopedia Pediátrica. Fracturas que abarcan la fisis tibia proximal y la apófisis del tubérculo tibial y fracturas avulsión de la apófisis del tubérculo tibial. Vol. IV, 2nd ed. Editorial Interamericana - McGraw-Hill; 1994: 3539-40.

2. Pesl T, Havranek P: Acute tibial tubercle avulsion fractures in children: selective use of the closed reduction and internal fixation method. J Child Orthop. 2008; (2): 353-6.

3. Abalo A, Akakpo-numado KG, Dossim A, et al: Avulsion fractures of the tibial tubercle. J Orthop Sur. 2008; 16 (3): 308-11.

4. Makram Z, Heidi A, Taoufik A, et al: Acute tibial tubercle avulsion fractures in the sporting adolescent. Ach Orthop Trauma Surg. 2008; 128: 1437-42.

5. Ogden JA, Southwick WO: Osgood-Schlatter´s disease and tibial tuberosity development. Clin Orthop. 1976; 116: 180-9.

6. Jalgaonkar AA, Dachepalli S, Al-Wattar Z: Atypical tibial tuberosity fracture in an adolescent. Sports Medicine. 2011; 34: e215-e8.

7. Panayiotis A, George C. Babis, Ioannis K: Triantafillopoulos. Avulsion fractures of the tibial tuberosity in adolescent athletes treated by internal fixation and tension band wiring. Knee Surg Sports Traumatol Arthrosc. 2004; 12: 271-6.

8. Tulic G, Sopta J, Bumbasirevic M, et al: Simoultaneous bilateral avulsión fracture of the tibial tubercle in adolescent: case report. Simultaneus bilateral avulsion fracture of the tibial tubercle in adolescent: a case report. J Pediatr Orthop B. 2010; 19: 118-21.

9. Burgos J: Lesiones traumáticas del niño. Avulsiones de la tuberosidad tibial. Madrid, España. Editorial Panamericana; 1995: 741-7.

10. Arredondo-Gómez E, López-Hernández JD, Chávez-Martínez F: Fractura por avulsión bilateral de la tuberosidad de la tibia. Reporte de un caso. Acta Ortopédica Mexicana, 2007; 21(3): 154-8.

11. Mosier SM, Stanitski CL: Acute tibial tubercle avulsión fractures. J Pediatr Orthop. 2004; 24: 181-4.

12. Legaye J, Lokietek W: Fracture-avulsion de la tubérosité tibiale antérieure chez l´adolescent. Acta Orthopaedic Belgica. 1991; 57(2): 199-203.

13. James HB, James RK: Rockwood and Wilkin´s. Fracturas en el niño. Avulsión de la tuberosidad anterior de la tibia. 5a ed. Editorial Marbán; 2003: 1019-26.

14. Jorge EA. Children’s fractures en Rüedi Thomas P. AO Principles Fracture Management. New York: AO Publishing Stuttgart; 2000: 675-98.