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Journal of Long-Term Effects of Medical Implants
SJR: 0.145 SNIP: 0.491 CiteScore™: 0.89

ISSN 印刷: 1050-6934
ISSN オンライン: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2020035921
pages 119-123

Type IIIB Tibial Tubercle Avulsion Fracture: A Case Report

Dimitrios A. Flevas
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens Greece
Spyridon Sioutis
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
Achilles Bekos
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
Jimis Georgoulis
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
Thekla Antoniadou
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
Andreas F. Mavrogenis
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

要約

Tibial tubercle avulsion fractures are uncommon injuries that are seen mostly in adolescent male patients during athletic activities. The mechanism of injury usually involves a strong eccentric contraction of the quadriceps femoris muscle when the proximal tibial physis is closing, leading to failure of the physis at the patellar tendon insertion. The treatment of patients with tibial tubercle avulsion fractures depends on the fracture pattern; it can be conservative with immobilization in a long leg cast in extension for 6 weeks with minimal displacement (< 2 mm) and/or acceptable displacement after closed reduction/cast application. Or it can be surgical. This article presents a 14-year-old boy with an Ogden type IIIB tibial tubercle avulsion fracture that was misdiagnosed on radiographs at presentation as type IB. Open reduction and cannulated screw osteosynthesis was done. The outcome was excellent after a 12-week rehabilitation protocol.

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