, Volume 4, Issue 1, pp 14-19
Date: 22 Sep 2007

Arthrofibrosis of the Knee After Tibial Spine Fracture in Children: A Report of Two Complicated Cases

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Introduction

Tibial spine fracture is an uncommon injury in children and adolescents [1]. According to Meyer’s classification [2], nondisplaced or minimally displaced type I and type II fractures can be treated by external splint or long leg cast in extension [14]. Displaced type III or type IV (displaced and comminuted) fractures often require closed or open reduction with either arthrotomy or arthroscopic-assisted methods using sutures or hardware [1, 3, 57]. In literature, the reported complications of tibial spine fractures include anterior knee instability, extension loss, quadriceps weakness, and chondromalacia [3, 8]. Although arthroscopic treatment has the advantages of early mobilization and reduced hospital stay, there have been reports of suboptimal clinical results, which include loss of knee extension or instability [6, 8].

This is a report of two children with type III tibial spine fracture treated by open reduction in one and arthroscopic reduction in another. Postoperat ...