Τίτλος:
Avulsion fractures of the tibial tuberosity in adolescent athletes
treated by internal fixation and tension band wiring
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Avulsion of the tibial tuberosity is a rarely reported fracture. It is
mainly considered as an athletic injury accounting for less than 3% of
all epiphyseal lesions. In this study, we hypothesized that the use of
tension band wiring as a supplement of the internal fixation for the
avulsion fractures of the tibial tuberosity would lead the adolescent
athletes to a more effective rehabilitation program and an earlier
resumption of their previous activity level. Ten patients were treated
in our department over a period of I I years (1985-1995). Operative
treatment was thought necessary for all our cases due to tibial
tuberosity displacement. Open reduction and internal fixation in
combination with tension band wiring was used. The result in all cases
was that the reduction was maintained intact and the fracture united.
The functional results were excellent, and all patients returned to
their previous athletic activities. Our conclusion is that the
combination of internal fixation and tension band wiring for avulsion
fractures of the tibial tuberosity seems to be more effective and
advantageous than conservative or other surgical methods. Avoiding the
need of external support and allowing early joint motion, the method
described prevents serious quadriceps atrophy, allowing the young
athletes to return earlier to their previous sport activities.
Συγγραφείς:
Nikiforidis, PA
Babis, GC
Triantafillopoulos, IK and
Themistocleous, GS
Nikolopoulos, K
Περιοδικό:
Knee Surgery, Sports Traumatology, Arthroscopy
Λέξεις-κλειδιά:
tibial tuberosity; avulsion fracture; internal fixation; tension band
wiring
DOI:
10.1007/s00167-003-0417-0
