Technical Note: Tibial Spine Avulsion Treatment with Arthroscopic Reduction and Internal Fixation with Kirschner Wires in Skeletally Immature Patients.

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Abstract

Conflict of interest statement: Each author declares that they have no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangement, etc.) that might pose a conflict of interest in connection with the submitted article. 13. Injury. 2020 Mar;51(3):611-619. doi: 10.1016/j.injury.2019.12.033. Epub 2019 Dec 23. Paediatric injuries around the knee: Bony injuries. Bailey MEA(1), Wei R(2), Bolton S(2), Richards RH(2). Author information: (1)British Orthopaedic Trainees Association, London, United Kingdom. Electronic address: meabailey@icloud.com. (2)British Orthopaedic Trainees Association, London, United Kingdom. The aim of this article is to discuss the diagnosis, management and pitfalls of bony injuries around the skeletally immature knee. Each within their own right is a relatively uncommon injury but associated with potential complications. Distal femoral physeal fractures can result in growth arrest and vascular injury. Tibial spine avulsions can result in an unstable knee. Tibial tubercle fractures can be associated with compartment syndrome and pose a risk to the extensor mechanism of the knee. Fixation can be complicated by growth arrest and subsequent recurvatum deformity. Finally, patella sleeve injuries are often missed and this can also threaten the extensor mechanism. We discuss the approach to clinical and radiological assessment of these injuries, and evidence based recommendations as to how they are best managed to avoid complications. Copyright © 2019. Published by Elsevier Ltd. DOI: 10.1016/j.injury.2019.12.033