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Journal of Children's Orthopaedics

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Open Access 01-03-2014 | Original Clinical Article

Tibial eminence fractures in the paediatric population: a systematic review

Authors: Christy Coyle, Simond Jagernauth, Manoj Ramachandran

Published in: Journal of Children's Orthopaedics | Issue 2/2014

Abstract

Introduction

We present a systematic review of the literature for the management of tibial eminence fractures in the paediatric population. Our aims were to assess modalities of injury, treatment options available and their associated complications.

Materials and methods

We found 740 relevant citations in the English literature up to 1 October 2012, of which 36 full text articles met our inclusion criteria.

Results

Our results show that skiing, sports and motor vehicle accidents are increasingly common modes of injury, in addition to the commonly described fall off of a bicycle. Most studies advocate non-operative management for type I Meyer’s and McKeever’s fractures and reduction and internal fixation for type II and III fractures. Better long-term results have been reported with arthroscopic surgery compared to open surgery. There is no consensus as to which type of fixation is best suited for tibial eminence fractures; methods available include excision of the bony fragment, K-wire, screw and, absorbable suture fixation, and more recently, suture anchor and meniscal arrow. The main complications reported include arthrofibrosis, non-union, mal-union, pain and severe laxity. Early post-operative range of motion exercises have been shown to reduce the incidence of arthrofibrosis.

Conclusion

As all papers report results from small case series, Level I studies are required to produce more definitive evidence for the management of paediatric tibial eminence fractures.

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Title: Tibial eminence fractures in the paediatric population: a systematic review
Authors: Christy Coyle
Simond Jagernauth
Manoj Ramachandran
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Journal of Children's Orthopaedics / Issue 2/2014
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI: https://doi.org/10.1007/s11832-014-0571-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Tibial eminence fractures in the paediatric population: a systematic review

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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