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. 2014 Mar;8(2):149-59.
doi: 10.1007/s11832-014-0571-6. Epub 2014 Mar 2.

Tibial eminence fractures in the paediatric population: a systematic review

Christy Coyle  1 , Simond Jagernauth, Manoj Ramachandran
Affiliations

Tibial eminence fractures in the paediatric population: a systematic review

Christy Coyle et al. J Child Orthop. 2014 Mar.

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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Figures

Fig. 1
Fig. 1
Modified Meyers and McKeever classification according to Zaricznyj [13]
Fig. 2
Fig. 2
Flow diagram showing the identification of relevant articles
See this image and copyright information in PMC

References

    1. Kocher MS, Foreman ES, Micheli LJ. Laxity and functional outcome after arthroscopic reduction and internal fixation of displaced tibial spine fractures in children. Arthroscopy. 2003;19(10):1085–1090. doi: 10.1016/j.arthro.2003.10.014. - DOI - PubMed
    1. Pellacci F, Mignani G, Valdiserri L. Fractures of the intercondylar eminence of the tibia in children. Ital J Orthop Traumatol. 1986;12(4):441–446. - PubMed
    1. Oostvogel HJ, Klasen HJ, Reddingius RE. Fractures of the intercondylar eminence in children and adolescents. Arch Orthop Trauma Surg. 1988;107(4):242–247. doi: 10.1007/BF00449677. - DOI - PubMed
    1. Vander Have KL, Ganley TJ, Kocher MS, Price CT, Herrera-Soto JA. Arthrofibrosis after surgical fixation of tibial eminence fractures in children and adolescents. Am J Sports Med. 2010;38(2):298–301. doi: 10.1177/0363546509348001. - DOI - PubMed
    1. Wilfinger C, Castellani C, Raith J, Pilhatsch A, Hollwarth ME, Weinberg AM. Nonoperative treatment of tibial spine fractures in children-38 patients with a minimum follow-up of 1 year. J Orthop Trauma. 2009;23(7):519–524. doi: 10.1097/BOT.0b013e3181a13fe4. - DOI - PubMed