Surgical management of type II tibial intercondylar eminence fractures in children.
The objective of this study was the evaluation of the therapeutic options in type II tibial intercondylar eminence fractures. Seventeen children were treated surgically. Open reduction, curettage of the fracture area and internal fixation were performed. The average follow-up was 3 years. No reduction in sport activities or instability have been noted. The average Lysholm score was 99.7 at the latest follow-up. We recommend the surgical procedure for type II tibial intercondylar eminence fractures in children. Surgical treatment with the curettage of the fracture area limits risks of residual knee laxity and could improve the risks of arthritis decompensation and meniscus lesion at long-term follow-up.
Louis
Marie-Laure
ML
Service d'Orthopédie Pédiatrique, CHU Timone, 264 rue Saint Pierre, Marseille Cedex 05, France.
Guillaume
Jean-Marc
JM
Launay
Franck
F
Toth
Christophe
C
Jouvre
Jean-Luc
JL
Bollini
Gérard
G
D000293:Adolescent; D001182:Arthroscopy / Q000379:methods; D002648:Child; D015331:Cohort Studies; D003475:Curettage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D015601:Injury Severity Score; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging; D010147:Pain Measurement; D011182:Postoperative Care / Q000379:methods; D011336:Probability; D016059:Range of Motion, Articular / Q000502:physiology*; D012189:Retrospective Studies; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000070600:Tibial Meniscus Injuries; D014057:Tomography, X-Ray Computed