Management and Outcomes of Tibial Eminence Fractures in the Pediatric Population: A Systematic Review.

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Abstract

Conflict of interest statement: The authors Beatrice Limone, Francesco Zambianchi, Giorgio Cacciola, Stefano Seracchioli, Fabio Catani and Luigi Tarallo or any member of their immediate family, have no funding or commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. 10. J ISAKOS. 2024 Jun;9(3):415-417. doi: 10.1016/j.jisako.2024.02.012. Epub 2024 Mar 20. Arthroscopic suture fixation of tibial spine fractures. Alakkas E(1), Drager J(2), Kerrigan A(2), Carsen S(2). Author information: (1)Orthopedic Division, Children's Hospital of Eastern Ontario, Ottawa, K1H 8L1, Canada. Electronic address: eyadakkas@gmail.com. (2)Orthopedic Division, Children's Hospital of Eastern Ontario, Ottawa, K1H 8L1, Canada. A tibial spine fracture refers to an intraarticular fracture of the osseous insertion of the anterior cruciate ligament at the proximal tibia, commonly seen in pediatric and adolescent patients. This fracture is classified based on the degree of displacement and the presence or absence of an intact posterior hinge point. For significantly displaced fractures, surgical reduction and fixation are often recommended. Both open and arthroscopic approaches have been described. This technical note describes our technique for arthroscopic-assisted reduction and fixation of tibial spine fractures using trans-osseous tunnels and suture fixation over a bone bridge. This technique restores native anatomy, provides fracture compression, and has favorable biomechanical properties, allowing for early range of motion. Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jisako.2024.02.012