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2021, Number 4

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Ortho-tips 2021; 17 (4)

Bilateral avulsion fractures of the tibial tuberosity in an adolescent, reinsertion and protection with a tension band: a case report

Balderas RGR, Ortiz MMS, Rodríguez HJA, Contreras CJA, Ochoa CCA

Language: Spanish
References: 24
Page: 237-241
PDF size: 242.59 Kb.


ABSTRACT

Bilateral 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. The most frequent approaches reported in the literature are open reduction and internal fixation with screws plus cast immobilization for four to six weeks. 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. 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. Immediate mobilization on the second day post-surgical. 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. 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. 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.


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