Checa Betegón P, Arvinius C, Cabadas González M I, Martínez García A, Del Pozo Martín R, Marco Martínez F
Department of Traumatology and Orthopaedic Surgery, Hospital Clínico Universitario San Carlos, Madrid, Madrid, Spain.
Eur J Orthop Surg Traumatol. 2019 Jul;29(5):1073-1079. doi: 10.1007/s00590-019-02390-x. Epub 2019 Feb 6.
Fractures of the anterior tibial tubercle are infrequent lesions. They often occur in male adolescent athletes, usually in relation with sports involving powerful jumps. We present a retrospective study of 10 patients, with an average age of 15.1 years, all of them males, and a total of 11 acute avulsions of the anterior tibial tubercle. We analyzed the etiology of the lesion, the type of treatment used as well as non-weight bearing period, protected immobilization period, and time until sports reincorporation. We obtained 11 acute avulsions: one case of type I; three cases of type II; four cases of type III; and three cases of type IV. Five cases were treated conservatively, including the three cases of type IV, and surgery was only performed in six cases since an anatomical reduction was not obtained with closed reduction. The results were satisfactory in all cases, with 100% percentage of sport reincorporation in less de 25 weeks. We registered only one complication, intolerance of material, which did not require additional surgeries. These fractures, although rare, have an excellent prognosis. Even if they are often treated surgically, we have obtained good results with the conservative treatment in patterns previously reported as surgical.
胫骨结节前部骨折是一种少见的损伤。它们常发生于男性青少年运动员，通常与涉及强力跳跃的运动有关。我们对10例患者进行了一项回顾性研究，患者平均年龄为15.1岁，均为男性，共有11例胫骨结节前部急性撕脱伤。我们分析了损伤的病因、所采用的治疗类型以及非负重期、保护性固定期和恢复运动的时间。我们共获得11例急性撕脱伤：I型1例；II型3例；III型4例；IV型3例。5例采用保守治疗，包括3例IV型，仅6例进行了手术，因为闭合复位未获得解剖复位。所有病例结果均令人满意，在不到25周的时间内恢复运动的比例为100%。我们仅记录到1例并发症，即材料不耐受，无需额外手术。这些骨折虽然罕见，但预后良好。即使它们常采用手术治疗，但对于先前报道需手术治疗的类型，我们采用保守治疗也取得了良好效果。
