Fracturas de las espinas tibiales en el niño y en el adulto
- T. RUIZ VALDIVIESO
- R. RODRÍGUEZ LÓPEZ
- L. GARCÍA FLOREZ
- J. A. DE MIGUEL VIELBA
- J. I. ALVAREZ POSADAS
- M. M. SÁNCHEZ MARTIN
ISSN: 0304-5056
Year of publication: 1996
Volume: 31
Issue: 181
Pages: 21-26
Type: Article
More publications in: Revista española de cirugía osteoarticular
Abstract
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.