The treatment with compression screws and tension bands on teenagers with this condition proves to be effective, moreover, we eliminated the aftermath derived from the immobilization of a patient, post-surgery. After a year of evolution, we found knees without deformities, painless and practicing sports activity, without requiring thorough physical rehabilitation or the discomfort caused by any type of immobilization. Traumatic extensor dysfunction of the knee in children is a rare injury, with the majority resulting from tibial tubercle avulsion fracture or patellar. Diagnosis can be confirmed with radiographs of the knee. After three months of evolution, the tension band fatigue osteosynthesis material is removed, finding tuberosities with consolidation data and complete mobility, without interrupting active mobilization. A Tibial Eminence Fracture, also known as a tibial spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity. Immediate mobilization on the second day post-surgical. We describe a successful treatment with open reduction and internal fixation with 4.0 mm screws, washers, and protection with tension bands without the need of immobilization with orthopedic devices. We present the case of a 14-year-old male patient with a history of Osgood-Schlatter disease suffering from bilateral avulsion fractures of the tibial tuberosity type Ogden IIA secondary to energetic contraction of the quadriceps to avoid falling from a skateboard. Since they are generally the result of external rotation and abduction, they are almost always seen in. They are generally of good prognosis if the care is fast and the reduction is anatomical and stable followed by a re-education adapted allowing a resumption of all the sporting activities. Fractures of the lateral margin of the distal tibia are usually avulsion fractures of the anterior or posterior tibial tubercle, caused when the anterior or posterior inferior tibiofibular ligament fails to tear during an injury. The most frequent approaches reported in the literature are open reduction and internal fixation with screws plus cast immobilization for four to six weeks. suMMARY Tibial tuberosity fractures are rare in childhood, most frequently due to exce- ssive quadriceps muscle contraction. The fracture avulsion of the tibial spines is a rare lesion in adults they pose a problem of therapeutic choice, given the multitude of fixation techniques. Tibial fracture, reduction of open fractures, knee injuries, fractures, avulsion.īilateral avulsion fractures of the tibial tuberosity are a very rare condition, with an occurrence rate ranging from 0.4 to 2.7% of all epiphyseal injuries.
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