Avulsion Fracture of the Tibial Tuberosity in Adolescents: A Rare Case and Surgical Fixation Technique

Farzad Amouzadeh Omrani, K. Ghamsari, Mojtaba Baroutkoub, Sina Afzal, S. Kokly
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Abstract

Background: Only 3% of all proximal tibial fractures result in an avulsion fracture of the tibial tuberosity. It is often seen in youngsters between the ages of 3 and 6 and is less frequent after puberty. Case Report: A 15-year-old boy was presented with severe left knee pain following a high jump. X-ray and computed tomography (CT) scan showed a tibial tuberosity fracture with joint surface involvement. The damaged part was fixed with a 4.5mm cannulated screw and washer, reinforced with 2 SwiveLock anchors. In the sixth week, full weight bearing and full range of motion (ROM) were obtained. Conclusion: The primary objective in managing tibial tubercle fractures is the restoration of both the extensor mechanism and the integrity of the joint surface in cases where they have been compromised.  
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青少年胫骨结节撕脱性骨折:罕见病例与手术固定技术
背景:在所有胫骨近端骨折中,只有 3% 会导致胫骨结节撕脱性骨折。胫骨结节撕脱性骨折多见于 3-6 岁的青少年,青春期后发病率降低。病例报告:一名 15 岁男孩在跳高后出现左膝剧烈疼痛。X 射线和计算机断层扫描(CT)显示胫骨结节骨折,关节表面受累。用 4.5 毫米套管螺钉和垫圈固定了受损部位,并用 2 个 SwiveLock 固定器进行了加固。第六周时,患者可完全负重并完全恢复活动范围(ROM)。结论处理胫骨结节骨折的首要目标是在伸展机制和关节表面完整性受到损害的情况下恢复这两者。
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审稿时长
12 weeks
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