Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital

Introduction: Tibial eminence fractures (TEF) occur most often in children, and disrupt the bony attachment of the anterior cruciate ligament (ACL) to the tibia. Displaced TEF are managed surgically with reduction and fixation of the displaced fragment. This study compares the two most common method...

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Main Author: Anciano Granadillo, Victor
Format: Others
Language:en
Published: Harvard University 2015
Online Access:http://nrs.harvard.edu/urn-3:HUL.InstRepos:17295885
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spelling ndltd-harvard.edu-oai-dash.harvard.edu-1-172958852017-07-27T15:52:35ZComparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens HospitalAnciano Granadillo, VictorIntroduction: Tibial eminence fractures (TEF) occur most often in children, and disrupt the bony attachment of the anterior cruciate ligament (ACL) to the tibia. Displaced TEF are managed surgically with reduction and fixation of the displaced fragment. This study compares the two most common methods of surgical fixation, suture and screw fixation. Methods: A retrospective case-study review of 78 patients treated at Boston Childrens Hospital for tibial eminence fractures comparing surgical results following suture or screw fixation. Results: Seventy-eight tibial spine injuries were analyzed with an average age at surgery of 11. Thirty-six knees were treated with sutures versus 35 with screws. Sport related injuries were found to be the most common cause of TEF. Mild activity-related pain was reported in 23% of patients. It was noticed that concurrent meniscal pathology leads to statistically significantly higher rates of loss of flexion. The total complication rate of the cohort was found to be 33%. Conclusions: We concluded that no major outcome differences were seen with suture vs. screw fixation. Numerous observations can be made from this study regarding percentage of complications and residual symptoms. Future work will aim to follow patients prospectively for assessment of knee function.2015-07-13T19:43:56Z2015-052015-06-0820152015-07-13T19:43:56ZThesis or Dissertationtextapplication/pdfAnciano Granadillo, Victor. 2015. Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital. Doctoral dissertation, Harvard Medical School.http://nrs.harvard.edu/urn-3:HUL.InstRepos:17295885enopenhttp://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAAHarvard University
collection NDLTD
language en
format Others
sources NDLTD
description Introduction: Tibial eminence fractures (TEF) occur most often in children, and disrupt the bony attachment of the anterior cruciate ligament (ACL) to the tibia. Displaced TEF are managed surgically with reduction and fixation of the displaced fragment. This study compares the two most common methods of surgical fixation, suture and screw fixation. Methods: A retrospective case-study review of 78 patients treated at Boston Childrens Hospital for tibial eminence fractures comparing surgical results following suture or screw fixation. Results: Seventy-eight tibial spine injuries were analyzed with an average age at surgery of 11. Thirty-six knees were treated with sutures versus 35 with screws. Sport related injuries were found to be the most common cause of TEF. Mild activity-related pain was reported in 23% of patients. It was noticed that concurrent meniscal pathology leads to statistically significantly higher rates of loss of flexion. The total complication rate of the cohort was found to be 33%. Conclusions: We concluded that no major outcome differences were seen with suture vs. screw fixation. Numerous observations can be made from this study regarding percentage of complications and residual symptoms. Future work will aim to follow patients prospectively for assessment of knee function.
author Anciano Granadillo, Victor
spellingShingle Anciano Granadillo, Victor
Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital
author_facet Anciano Granadillo, Victor
author_sort Anciano Granadillo, Victor
title Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital
title_short Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital
title_full Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital
title_fullStr Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital
title_full_unstemmed Comparison of Two Fixation Methods in Treating Displaced Pediatric Tibial Eminence Fractures at Boston Childrens Hospital
title_sort comparison of two fixation methods in treating displaced pediatric tibial eminence fractures at boston childrens hospital
publisher Harvard University
publishDate 2015
url http://nrs.harvard.edu/urn-3:HUL.InstRepos:17295885
work_keys_str_mv AT ancianogranadillovictor comparisonoftwofixationmethodsintreatingdisplacedpediatrictibialeminencefracturesatbostonchildrenshospital
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