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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2016, Number 2

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Rev Esp Med Quir 2016; 21 (2)

Functional results in lesions of the anterior tuberosity of the tibia in adolescents

Hernández LÓR, Mora RFG, Mejía RLC, Anaya MA

Language: Spanish
References: 16
Page: 48-54
PDF size: 870.25 Kb.


ABSTRACT

Background: Avulsion fracture of the anterior tibial tuberosity is a rare injury that affects the growth cartilage of adolescents caused by the inability to withstand the stress to which it is submitted by the extensor apparatus, refers an incidence of 0.4% to 2.7% of the physis injuries, being reported various types of treatment.
Objetive: Reporting the functional results obtained through the open reduction and cannulated screws placement treated at the General Ignacio Zaragoza Regional Hospital, ISSSTE.
Material and Methods: It is a retrospective, transversal study, wich was conducted through a systematic review of patients with diagnosis of avulsion fracture of the anterior tibial tuberosity and theirs treatment with cannulated screw placement, at the General Ignacio Zaragoza Regional Hospital, ISSSTE. Within the period March 2007 to March 2015.
Results: The study universe consisted of a total of 18 patients, of whom 15 were male (83%) and 3 female (17%). Finding satisfactory results, by means of open reduction and cannulated screws placement compression.
Conclusion: open reduction and internal fixation with cannulated screws placement is a surgery indicated in the injury of anterior tuberosity of the tibia in adolescents presenting good functional results.


REFERENCES

  1. Ogden, J.A.; Tross, R.B.; Murphy, M.J.: Fractures of the tibial tuberosity in adolescents. J. Bone Joint Surg. 1980, 62-A: 205-215.

  2. 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.

  3. Bauer T, Milet A, Odent T, Padovani JP, Glorion C, Avulsion fracture of the tibial tubercle in adolescents: 22 cases and review of the literature. Revue de Chirurgie Orthopedique et Reparatrice de L’appareil Moteur. Service de Chirurgie Orthopédique et Traumatologique, Hôpital Ambroise-Paré, Boulogne [2005, 91(8):758-767].

  4. Heinrich, SD, Mooney, JF. Fractures of the shaft of the tibia and fibula. In: Rockwood and Wilkins’ fractures in Children, 4th, Rockwood, CA, Wilkins, KE, Beaty, BH (Eds), Lippincott- Raven, Philadelphia 2006. p.1033.

  5. S. Frey, et al., “Tibial Tuberosity Fractures in Adolescents,” Journal of Children’s Orthopedics, Vol. 2, No. 6, 2008, pp. 469-474. doi:10.1007/s11832-008-0131-z.

  6. Brodie E. McKoy, Carl L. Stanitski. Acute tibial tubercle avulsion fractures. Ortophedic Clinics of North America. Volume 34, 2013 Pages 397-403 doi:10.1016/S0030- 5898(02)00061-5.

  7. Ares O, Seijas R, Casas-Duhrkop D, Catala J. Fractura de la tuberosidad anterior de la tibia en el adolescente. Casos clínicos. Acta Ortopédica Mexicana 2012; 26(2): Mar.-Abr: 121-124.

  8. Mubarak SJ, Kim JR, Edmonds EW, et al. Classification of proximal tibial fractures in children. Journal of Children’s Orthopaedics, 2009; 3:191.

  9. Pranav Chitkara, Raja Anne, Sherlin Lavianlivi, Scott Lehto, Srinivas Kolla. Imaging Review of Adolescent Tibial Tuberosity Fractures, Open Journal of Medical Imaging, 2013, 3, 90-96 http://dx.doi.org/10.4236/ojmi.2013.33014.

  10. Rajiv Subbu, Rajpal Nandra, Robert Jordan, Steve Krikler. Lessons learnt from managing an avulsion fracture of the tibial tubercle extending into the tibial physis. BMJ Case Rep 2013. doi:10.1136/bcr-2013-200551.

  11. Mashru RP, Herman MJ, Pizzutillo PD. Tibial shaft fractures in children and adolescents. Journal American Academic Orthophedic Surgery 2005; 13:345.

  12. Tang Y, Zhang YT, Fu QG, Zhang CC, Zhang X, Wang PF. Application of cannulated compression screws for the treatment of tibial tubercle avulsion fractures of Ogden type III in adolescents. China Journal of Orthopedics and Traumatology, 2013, 26(9):717-719.

  13. Shannak AO. Tibial fractures in children: follow-up study. Journal Pediatric Orthopedics 1988;8:306.

  14. M. J. Bolesta and R. D. Fitch, “Tibial Tubercle Avulsions,” Journal of Pediatric Orthopedics, Vol. 6, No. 2, 1986, pp. 186-192. doi:10.1097/01241398-198603000-00013.

  15. T. Pesl and P. Havranek, “Acute Tibial Tubercle Avulsion Fractures in Children: Selective Use of the Closed Reduction and Internal Fixation Method,” Journal of Children’s Orthopaedics, Vol. 2, No. 6, 2008, pp. 469- 474.

  16. A.I. Kapandji: Fisiologia articular “Miembro Inferior” Tomo 2 6ta Ed. Editorial medica Panamericana, 2006, pp. 71-81.




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