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Trampoline-related fractures of the proximal tibia in children.
Jeong, Changhoon; Lee, Sang Uk; Kim, Hyun Gyun; Joo, Sun Young.
Afiliación
  • Jeong C; Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Republic of Korea.
  • Lee SU; Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dong-su ro, Bupyeong-gu, Incheon, 21431, Republic of Korea.
  • Kim HG; Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dong-su ro, Bupyeong-gu, Incheon, 21431, Republic of Korea.
  • Joo SY; Department of Orthopedic Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dong-su ro, Bupyeong-gu, Incheon, 21431, Republic of Korea. jsy9528@gmail.com.
J Orthop Surg Res ; 16(1): 551, 2021 Sep 08.
Article en En | MEDLINE | ID: mdl-34496913
BACKGROUND: Trampoline-related fractures of the proximal tibial metaphysis are common in children and have been linked to subsequent valgus deformity of the tibia. The purpose of this study was to investigate the characteristics of trampoline-related proximal tibial fractures in young children. METHODS: We evaluated 40 patients with proximal tibial fracture after trampolining between 2013 and 2019. The median duration of follow-up was 18 months. Standing long leg radiographs were obtained at the last follow-up to evaluate angular deformity and limb length inequality in the patients. The measurements recorded include the lower limb length, mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle (MPTA), mechanical axis deviation (MAD), and anatomical tibio-femoral angle (aTFA). The anterior tilt angle (ATA) was measured using a lateral radiograph of the tibia. RESULTS: The median age at injury was 40.0 months. Using trampoline with a heavier person was the most common mechanism of injury. aTFA and MAD were found to be increased towards the valgus at the last follow-up in our patient; however, the increase was not statistically significant (p = 0.692 and p = 0.973, respectively). The anterior tilt angle was increased in the injured leg at the last follow-up. But the change was not statistically significant (p = 0.09). CONCLUSIONS: Using trampoline with a heavier person carries the risk of trampoline-related proximal tibial fracture in young children. We did not find a significant change in limb alignment at a minimum of one year of follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tibia / Fracturas de la Tibia Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Child, preschool / Humans Idioma: En Revista: J Orthop Surg Res Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tibia / Fracturas de la Tibia Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Child, preschool / Humans Idioma: En Revista: J Orthop Surg Res Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido