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Tibial tuberosity fractures in adolescents
S A Buhari1, S Singh, H P Wong
1Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Singapore Medical Journal
|October 1, 1993
Summary
Tibial tuberosity fractures are rare injuries in adolescent boys, often occurring during sports. Surgical repair with screws and wiring yielded excellent outcomes, including complete healing and full motion recovery.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Pediatric orthopedics
Background:
- Tibial tuberosity fractures are uncommon injuries.
- These fractures predominantly affect adolescent males, often during athletic activities.
Purpose of the Study:
- To review outcomes of surgical management for tibial tuberosity fractures.
- To evaluate the efficacy of open reduction and internal fixation in adolescent athletes.
Main Methods:
- Retrospective review of five adolescent male patients with tibial tuberosity fractures.
- Surgical treatment involved open reduction and internal fixation with cancellous screws and tension band wiring for comminuted fragments.
Main Results:
- All five patients achieved excellent results.
- Complete fracture union was observed in all cases.
- Full range of motion was regained within three to five months post-surgery.
- No complications were noted during an average follow-up of thirty months.
Conclusions:
- Open reduction and internal fixation provide excellent outcomes for tibial tuberosity fractures in adolescent athletes.
- This surgical approach ensures fracture healing, restoration of knee function, and a low complication rate.