UPDATES ON THE TREATMENT OF ANTERIOR TIBIAL TUBEROSITY AVULSION FRACTURES IN ADOLESCENTS

Area of Science:

• Orthopedics and Sports Medicine
• Pediatric Traumatology
• Rehabilitative Medicine

Background:

• Anterior tibial tuberosity avulsion fracture (ATF) is a rare but significant knee injury in adolescents, often linked to athletic activities.
• Timely diagnosis and effective management are crucial for restoring knee function and preventing long-term complications in young athletes.

Purpose of the Study:

• To review and analyze recent advancements and innovations in the treatment strategies for adolescent anterior tibial tuberosity avulsion fractures.
• To evaluate the efficacy of current therapeutic approaches, including conservative and surgical interventions, and postoperative rehabilitation protocols.

Main Methods:

• A comprehensive narrative literature review was conducted utilizing major databases: Lilacs, PubMed, and Capes Periodicals.
• The review focused on identifying and synthesizing updated treatment guidelines, surgical techniques, and rehabilitation protocols for adolescent ATF.

Main Results:

• Treatment is individualized: conservative management for stable fractures and surgical fixation for severe cases.
• Fluoroscopy-guided percutaneous fixation represents a significant advancement, offering less invasiveness and improved joint assessment.
• Early mobilization and dedicated physiotherapy are emphasized for optimal functional recovery and safe return to sports.

Conclusions:

• The prognosis for adolescent ATF is generally favorable with accurate diagnosis and rigorous follow-up.
• Rehabilitation plays a vital role in restoring strength and preventing recurrence.
• Further long-term studies are needed to standardize treatment protocols and enhance clinical outcomes.