Fractures of the tibial eminence and the diaphyseal tibia are common pediatric orthopaedic injuries. Although most tibial fractures can be treated nonsurgically, those that require surgical intervention may encounter specific complications. Surgical treatment of fractures of the tibial eminence may be complicated by failed fixation, knee joint stiffness, and arthrofibrosis of the knee, a complication rarely seen in children but occurring most frequently after tibial eminence injuries. Complications of healing after tibial fractures in pediatric patients are uncommon, although some tibial shaft fractures exhibit delayed union or nonunion, infection, and soft-tissue complications.
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Oper Orthop Traumatol
November 2024
Klinik für Kinderchirurgie, Klinikum Dritter Orden, München, Deutschland.
Objective: The surgical goal is the arthroscopically assisted, closed reduction, and suture osteosynthesis of fractures of the tibial eminence in children and adolescents.
Indications: Fractures of the tibial eminence type (II)-III according to Meyers & McKeever or type IV according to Zaricznyj.
Contraindications: Fracture of the tibial eminence type I, conservatively treatable fracture type II according to Meyers & McKeever and ligamentous rupture of the anterior cruciate ligament.
Orthop Surg
November 2024
Sports Medicine Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Arthroscopy
November 2024
Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.. Electronic address:
Purpose: To evaluate the available literature on the relationship between knee bony morphology and medial meniscus posterior root tears (MMPRTs) to determine which tibiofemoral morphologic risk factors may predispose the development of MMPRTs.
Methods: Embase, MEDLINE, and PubMed databases were searched to identify all relevant human clinical studies investigating knee morphologic features and MMPRTs. Shape features were compared between control groups and patients with MMPRTs.
Medicina (Kaunas)
September 2024
Department of Orthopedics and Traumatology, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Cureus
September 2024
Orthopaedics, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Anterior cruciate ligament (ACL) avulsion fractures without any concomitant injuries are extremely rare in skeletally mature patients and sporadically reported in the literature. Such injuries are more likely to be associated with tibial plateau fractures, other knee ligament ruptures, distal femoral fractures, or knee dislocations. In this article, a case of a 55-year-old male, who suffered a combined displaced ACL-posterior cruciate ligament (PCL) avulsion fracture, without any related injuries, is reported.
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