Tibial eminence fractures in children: earlier posttreatment mobilization results in improved outcomes

Journal of Pediatric Orthopedics
Neeraj M PatelTheodore J Ganley

Abstract

Arthrofibrosis and decreased range of motion (ROM) are well-described sequelae of tibial eminence fractures. We sought to evaluate the effects of timing of ROM rehabilitation and postsurgical immobilization on clinical outcomes in children with fractures of the tibial eminence. We retrospectively reviewed the records of all children diagnosed with closed tibial eminence fractures between 2000 and 2010. Patients were treated by experienced surgeons with uniform requirements for return to full activity. Fourteen females and 26 males (40 knees) of mean age 12 years (range, 5 to 17 y) started ROM therapy for a mean of 23 days after treatment (range, 4 to 47 d). Seven patients required additional surgeries for arthrofibrosis at a mean of 3 months after initial fracture treatment (range, 1.5 to 5.5 mo). Compared with patients who started ROM rehabilitation within 4 weeks of treatment, those who started later than 4 weeks required more days to return to full activity (215 vs. 103 d; P=0.011) and were 12 times more likely to develop arthrofibrosis (P=0.029). Even when accounting for other factors in multivariate regression, earlier initiation of ROM therapy was associated with earlier return to full activity (P<0.001). Surgical patient...Continue Reading

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Citations

Nov 23, 2013·Arthroscopy Techniques·Itai GansTheodore J Ganley
Mar 4, 2014·Journal of Children's Orthopaedics·Christy CoyleManoj Ramachandran
Nov 22, 2013·The American Journal of Sports Medicine·Itai GansTheodore J Ganley
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Apr 19, 2015·Journal of Pediatric Orthopedics·Chad D WattsTodd A Milbrandt
Dec 17, 2014·Current Opinion in Pediatrics·Yong-Woon ShinDaniel W Green
Jan 19, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Raghav Badrinath, Cordelia W Carter
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Feb 9, 2021·Orthopaedic Journal of Sports Medicine·UNKNOWN Tibial Spine Research GroupR Jay Lee
Oct 16, 2021·The American Journal of Sports Medicine·Haley E SmithNeeraj M Patel

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