The Surgical Management of Tibial Spine Fractures in Children: A Survey of the Pediatric Orthopaedic Society of North America (POSNA)

Journal of Pediatric Orthopedics
Taylor J JacksonTibial Spine Interest Group

Abstract

Tibial spine fractures are rare, complex injuries. Management remains varied given a lack of consensus about the optimal approach. Thus, the purpose of this study is to determine prevailing strategies among pediatric orthopaedists and establish areas of agreement and ongoing controversy in the management of tibial spine fractures. An electronic survey was distributed to the Pediatric Orthopaedic Society of North America (POSNA) membership. Surgeon demographics, experience, and responses to clinical vignettes were collected. Surgeons were grouped according to how frequently they treat tibial spine fractures and responses were compared. Of the 180 POSNA members who completed the survey, all were attending surgeons and nearly all (90.4%) had academic affiliations, treated mostly skeletally immature patients (88.5%), and 3 or fewer fractures per year (62.4%). In younger patients, respondents were more likely to treat type II fractures closed and less likely to cross the physis. Arthrofibrosis was the most commonly reported complication and postoperative duration of immobilization was identified as a risk factor by most. However, high-frequency surgeons identified this risk factor more often (P=0.015) and recommended immobilization ...Continue Reading

References

Feb 1, 1987·Acta Orthopaedica Scandinavica·S V SkakJ Stürup
May 17, 2003·The American Journal of Sports Medicine·Mininder S KocherM Timothy Hresko
Feb 5, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert E Hunter, John A Willis
Jul 28, 2009·Journal of Orthopaedic Trauma·Claudia WilfingerAnnelie-Martina Weinberg
Jul 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Russell M LafranceMichael Maloney
Jun 10, 2011·Journal of Pediatric Orthopedics·Kelly L VanderhaveEdward M Wojtys
Dec 21, 2011·Journal of Orthopaedic Surgery·David Christopher KieserStephan Dreyer
Feb 14, 2012·Journal of Pediatric Orthopedics·Neeraj M PatelTheodore J Ganley
Sep 21, 2013·Journal of Pediatric Orthopedics. Part B·Nicholas A BeckTheodore J Ganley
Nov 22, 2013·The American Journal of Sports Medicine·Itai GansTheodore J Ganley
Mar 4, 2014·Journal of Children's Orthopaedics·Christy CoyleManoj Ramachandran
Jul 6, 2014·Journal of Pediatric Orthopedics·Justin J MitchellJason T Rhodes
Nov 14, 2014·Journal of Pediatric Orthopedics·Eric W EdmondsAndrew T Pennock
Nov 2, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stefan BrunnerCarlo Camathias

❮ Previous
Next ❯

Citations

Feb 9, 2021·Orthopaedic Journal of Sports Medicine·UNKNOWN Tibial Spine Research GroupR Jay Lee
Dec 11, 2020·JBJS Reviews·Brendan M StrianoTheodore J Ganley
Jan 5, 2019·Journal of Children's Orthopaedics·T De MulderA Van Campenhout
Oct 16, 2021·The American Journal of Sports Medicine·Haley E SmithNeeraj M Patel

❮ Previous
Next ❯

Software Mentioned

POSNA
SPSS
SPSS Statistics for Mac
Research Electronic Data Capture ( REDCap )
Excel

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.