Long-term follow-up of anterior tibial eminence fractures.
Most children who have sustained a tibial eminence fracture have objective evidence of anterior cruciate ligament (ACL) laxity at long-term follow-up, but few have subjective complaints. Clinical signs of anterior instability were noted in 64% of patients (32 of 50) examined at an average follow-up of 4 years. Objective evidence of laxity determined with a KT-1000 arthrometer was noted in 74% of patients (37 of 50). Five patients (10%) complained of pain, but no patient complained of instability at follow-up. Assessment of long-term stability showed that the method of management (open vs. closed methods) had no bearing on eventual outcome.
Division of Orthopaedic Surgery, University of Western Ontario, London, Canada.
R B
RB
Willis
C
C
Blokker
T M
TM
Stoll
D C
DC
Paterson
R D
RD
Galpin
D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000150:complications* / Q000503:physiopathology