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Article

Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children

1
Unit of Pediatrics Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
2
Struttura Complessa di Ortopedia e Traumatologia, University of Modena e Reggio Emilia, Policlinico di Modena, 41124 Modena, Italy
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IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
4
RAMSES Laboratory, RIT Department, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
*
Author to whom correspondence should be addressed.
Received: 25 August 2020 / Revised: 1 October 2020 / Accepted: 3 October 2020 / Published: 9 October 2020
(This article belongs to the Section Pediatric Surgery)
Avulsion fracture of the tibial spine (TSA) is uncommon in children, although its incidence is increasing with the earlier practice of competitive sport activities. This study aims to report mid to long term outcomes in children who sustained a TSA, with a special focus on a return to sport activities. Skeletally immature patients with a TSA, treated in two orthopedic hospitals, were evaluated for range of motion and knee laxity using KT1000, KiRA and Rolimeter. The pediatric International Knee Documentation Committee score (Pedi-IKDC) and the Hospital for Special Surgery pediatric Functional Activity Brief Scale (Pedi-FABS) questionnaires were recorded during the latest visit. Forty-two children were included. Twenty-six were treated nonoperatively and 16 underwent surgery. At a mean follow-up of 6.9 ± 3.6 years, 36 patients completed the questionnaires and 23 patients were tested with arthrometers. Among them, 96% had normal knee laxity. The Pedi-IKDC score averaged 96.4 ± 5.7 points, while the mean Pedi-FABS was 22.2 ± 5.9 points, without statistically significant differences between groups. Twenty-eight patients (78%) returned to their previous level of sport activity (eight amateur, 13 competitive, seven elite athletes). Eight patients (22%) quit sport, mostly because of re-injury fear. If properly treated, pediatric TSAs achieve a high rate of successful healing, with complete restoration of knee stability and an early return to sport activities. View Full-Text
Keywords: tibial spine avulsion; tibial eminence fracture; pedi-IKDC; pedi-FABS; PAMI; return to sport tibial spine avulsion; tibial eminence fracture; pedi-IKDC; pedi-FABS; PAMI; return to sport
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MDPI and ACS Style

Stallone, S.; Selleri, F.; Trisolino, G.; Grassi, A.; Macchiarola, L.; Magnani, M.; Olivotto, E.; Zaffagnini, S.; Stilli, S.; Catani, F. Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children. Children 2020, 7, 173. https://0-doi-org.brum.beds.ac.uk/10.3390/children7100173

AMA Style

Stallone S, Selleri F, Trisolino G, Grassi A, Macchiarola L, Magnani M, Olivotto E, Zaffagnini S, Stilli S, Catani F. Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children. Children. 2020; 7(10):173. https://0-doi-org.brum.beds.ac.uk/10.3390/children7100173

Chicago/Turabian Style

Stallone, Stefano, Filippo Selleri, Giovanni Trisolino, Alberto Grassi, Luca Macchiarola, Marina Magnani, Eleonora Olivotto, Stefano Zaffagnini, Stefano Stilli, and Fabio Catani. 2020. "Good Subjective Outcomes, Stable Knee and High Return to Sport after Tibial Eminence Avulsion Fracture in Children" Children 7, no. 10: 173. https://0-doi-org.brum.beds.ac.uk/10.3390/children7100173

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