Arthroscopic fixation techniques for tibial eminence fractures in pediatric patients: a review.

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Abstract

Conflict of interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. 15. Orthop J Sports Med. 2023 Jun 20;11(6):23259671231176991. doi: 10.1177/23259671231176991. eCollection 2023 Jun. Long-term Outcomes of Tibial Spine Avulsion Fractures After Open Reduction With Osteosuturing Versus Arthroscopic Screw Fixation: A Multicenter Comparative Study. Jääskelä M(1), Turati M(2)(3)(4), Lempainen L(4)(5)(6), Bremond N(7)(8), Courvoisier A(7)(8), Henri A(9), Accadbled F(10), Sinikumpu J(1)(11). Author information: (1)Department of Pediatric Orthopaedics and Surgery, Oulu University Hospital; Research Unit of Clinical Medicine, University of Oulu; and Medical Research Center, Oulu, Finland. (2)Orthopedic Department, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy. (3)Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. (4)Ripoll y De Prado FIFA Medical Centre of Excellence, Madrid, Spain. (5)FinnOrthopaedics/Hospital Pihlajalinna, Turku, Finland. (6)Department of Physical Activity and Health, Paavo Nurmi Centre, University of Turku, Turku, Finland. (7)Transalpine Center of Pediatric Sports Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. (8)Department of Paediatric Orthopaedic Surgery, Hospital Couple Enfant, Grenoble Alpes University, Grenoble, France. (9)Unité de Médecine du Sport, Centre Hospitalier Francois Mitterand de Pau, Pau, France. (10)Department of Orthopaedic Surgery, Hôpital des Enfants, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. (11)Hospital TerveysTalo, Oulu, Finland. BACKGROUND: More information is needed regarding return to preinjury sport levels and patient-reported outcomes after tibial spine avulsion (TSA) fracture, which is most common in children aged 8 to 12 years. PURPOSE: To analyze return to play/sport (RTP), subjective knee-specific recovery, and quality of life in patients after TSA fracture treated with open reduction with osteosuturing versus arthroscopic reduction with internal screw fixation. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This study included 61 patients 3 mm increased the risk of failure to RTP at preinjury level regardless of treatment group (adjusted odds ratio, 15.2; 95% CI, 1.2-194.9; P = .037). There was no difference in knee-specific recovery or quality of life between the treatment groups. CONCLUSION: Open surgery with osteosuturing was a more viable option for treating TSA fractures because it resulted in a quicker RTP time and a lower rate of failure to RTP as compared with arthroscopic screw fixation. Precise reduction contributed to improved RTP. © The Author(s) 2023. DOI: 10.1177/23259671231176991 PMCID: PMC10286196