Abstract

QUINTA, Cláudia Martins et al. Fraturas da espinha da tíbia no joelho imaturo: Resultados funcionais após tratamento e nota técnica para uma abordagem artroscópica. Rev. Port. Ortop. Traum. [online]. 2017, vol.25, n.2, pp.136-143. ISSN 1646-2122.

Introduction: The tibial eminence fracture in the pediatric age is a rare lesion, equivalent to the anterior cruciate ligament rupture in the adult, that, depending on the severity of the lesion, may need surgical treatment. The reduction of the fracture through an arthroscopic technique and fixation with a screw or suture has gained increased popularity. Material and Methods: We present a case series of 8 patients with tibial eminence fractures, treated in our institution in the period 2011-2015. We describe the arthroscopic technique used in 3 of the 4 patients who required operative treatment. Results: With a median follow-up of 20 weeks, we observed 1 case of knee stiffness, that completely recovered after rehabilitation. A median value of 94 points (excellent) was obtained in the Tegner Lysholm Knee Scoring for the surgically treated patients. Conclusion: The reduction and fixation of theses lesions through an arthroscopic approach is a valuable option, allowing to obtain excellent functional results.

Keywords : Tibial eminence fracture; pediatric knee; arthroscopic fixation treatment.

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