31-181
Fracturas de las espinas tibiales en el niño y en el adulto
Fracture of the tibial spine in the child and in the adult
T. RUIZ VALDIVIESO, R. RODRÍGUEZ LÓPEZ, L. GARCÍA FLOREZ, J. A. DE MIGUEL VIELBA,J. I. ALVAREZ POSADAS y M. M. SÁNCHEZ MARTIN Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario de Valladolid.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
A series of 29 fractures of the tibial spine in 27 patients, 11 children and 16
adults. We followed Meyers and McKeever to classify the fractures, tipe II being the most frecuent.
Associated injuries of the knee were registered, being medial collateal ligament the most frecuent.
We found 2 Segond fractures in young patients. The treatment was conservative in 7 cases
and surgical in the remaining 22. To evaluate the final result we studied the displacement of the
fracture, mobility of the knee, anteroposterior and lateral inestabilities, muscle strength. We used
the Lysholm and the Tegner rating systems to evaluate the functional result. A complete radiological
evaluation (three views) was made in all the patients. The average follow-up times was 9.7 years
for the children group, and 8.2 years for the adult group. The overall results according to the Lysholm
rating scale were excellent, but 11 anteroposterior and 4 lateral laxities were registered,
though 11 of the 15 cases remains asymptomatic. Many of theese laxities appeared in anatomically
reduced fractures. We suggest that an arthroscopic study of the patients must be done to detect
associated injuries that produces a worse final result.
adults. We followed Meyers and McKeever to classify the fractures, tipe II being the most frecuent.
Associated injuries of the knee were registered, being medial collateal ligament the most frecuent.
We found 2 Segond fractures in young patients. The treatment was conservative in 7 cases
and surgical in the remaining 22. To evaluate the final result we studied the displacement of the
fracture, mobility of the knee, anteroposterior and lateral inestabilities, muscle strength. We used
the Lysholm and the Tegner rating systems to evaluate the functional result. A complete radiological
evaluation (three views) was made in all the patients. The average follow-up times was 9.7 years
for the children group, and 8.2 years for the adult group. The overall results according to the Lysholm
rating scale were excellent, but 11 anteroposterior and 4 lateral laxities were registered,
though 11 of the 15 cases remains asymptomatic. Many of theese laxities appeared in anatomically
reduced fractures. We suggest that an arthroscopic study of the patients must be done to detect
associated injuries that produces a worse final result.
Palabras clave (ES):
Adulto
Espina
Tibial
Niño
Fractura
Rodilla
Avulsión
Tibia
Epífisis
Resumen (EN)
A series of 29 fractures of the tibial spine in 27 patients, 11 children and 16
adults. We followed Meyers and McKeever to classify the fractures, tipe II being the most frecuent.
Associated injuries of the knee were registered, being medial collateal ligament the most frecuent.
We found 2 Segond fractures in young patients. The treatment was conservative in 7 cases
and surgical in the remaining 22. To evaluate the final result we studied the displacement of the
fracture, mobility of the knee, anteroposterior and lateral inestabilities, muscle strength. We used
the Lysholm and the Tegner rating systems to evaluate the functional result. A complete radiological
evaluation (three views) was made in all the patients. The average follow-up times was 9.7 years
for the children group, and 8.2 years for the adult group. The overall results according to the Lysholm
rating scale were excellent, but 11 anteroposterior and 4 lateral laxities were registered,
though 11 of the 15 cases remains asymptomatic. Many of theese laxities appeared in anatomically
reduced fractures. We suggest that an arthroscopic study of the patients must be done to detect
associated injuries that produces a worse final result.
adults. We followed Meyers and McKeever to classify the fractures, tipe II being the most frecuent.
Associated injuries of the knee were registered, being medial collateal ligament the most frecuent.
We found 2 Segond fractures in young patients. The treatment was conservative in 7 cases
and surgical in the remaining 22. To evaluate the final result we studied the displacement of the
fracture, mobility of the knee, anteroposterior and lateral inestabilities, muscle strength. We used
the Lysholm and the Tegner rating systems to evaluate the functional result. A complete radiological
evaluation (three views) was made in all the patients. The average follow-up times was 9.7 years
for the children group, and 8.2 years for the adult group. The overall results according to the Lysholm
rating scale were excellent, but 11 anteroposterior and 4 lateral laxities were registered,
though 11 of the 15 cases remains asymptomatic. Many of theese laxities appeared in anatomically
reduced fractures. We suggest that an arthroscopic study of the patients must be done to detect
associated injuries that produces a worse final result.
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