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An unusual Ogden type V tibial tubercle avulsion fracture: a case report and literature review.
Zhang, Mei-Ren; Zeng, Xiao; Xie, Qi-Jun; Chen, Hai-Yun.
Afiliação
  • Zhang MR; Guangzhou University of Chinese Medicine Second Affiliated Hospital (Guangdong Provincial Hospital of Chinese Medicine), Orthopedics Trauma Department Zhuhai Branch, Jingle Road Number 53, XiangZhou District, ZhuHai City, 519015, Guangdong Province, China. zhangmeiren@aliyun.com.
  • Zeng X; Guangzhou University of Chinese Medicine Second Affiliated Hospital (Guangdong Provincial Hospital of Chinese Medicine), Orthopedics Trauma Department Zhuhai Branch, Jingle Road Number 53, XiangZhou District, ZhuHai City, 519015, Guangdong Province, China.
  • Xie QJ; The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Jingle Road Number 53, XiangZhou District, ZhuHai City, 519015, Guangdong Province, China.
  • Chen HY; Guangzhou University of Chinese Medicine Second Affiliated Hospital (Guangdong Provincial Hospital of Chinese Medicine), Orthopedics Trauma Department Zhuhai Branch, Jingle Road Number 53, XiangZhou District, ZhuHai City, 519015, Guangdong Province, China.
J Med Case Rep ; 18(1): 441, 2024 Sep 14.
Article em En | MEDLINE | ID: mdl-39272123
ABSTRACT

BACKGROUND:

Ogden type V tibial tubercle avulsion fracture is an unusual type of physial injury. Thus, little is known about its mechanism of injury and treatment. The type of osteosynthesis is variable and depends on the experience of the surgeon. We commonly used cancellous screws fixation combined with tension band wiring for displaced fracture of the anterior tibial tuberosity. CASE PRESENTATION The present manuscript describes a case of a Han nationality 13-year-old boy who presented with severe pain of the left knee, which began after landing following a high jump. He had no significant past medical history apart from a high body mass index of 30.3. Radiographs revealed that he had an unusual Ogden type V tibial tubercle avulsion fracture. He was treated by open reduction and combined fixation with cannulated screws and tension-band wiring. After 3 months, the fracture healed without any complications or knee symptoms with full range of motion. He underwent reoperation for symptomatic hardware, which was removed at 5 months after initial surgery, and returned to his prior level of sporting activity at 1 year follow-up.

CONCLUSION:

Our case suggests that excellent functional outcome could be achievable by open reduction with the combination of internal fixation and tension-band wiring for Ogden type V tibial tubercle avulsion fracture. This type of osteosynthesis could not only achieve anatomical reduction and stable fixation for such fractures, but also avoid further damage to the proximal tibial epiphysis, which prevents serious complications, such difference in leg length.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas da Tíbia / Parafusos Ósseos / Fratura Avulsão / Fixação Interna de Fraturas Limite: Adolescent / Humans / Male Idioma: En Revista: J Med Case Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China País de publicação: Reino Unido
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas da Tíbia / Parafusos Ósseos / Fratura Avulsão / Fixação Interna de Fraturas Limite: Adolescent / Humans / Male Idioma: En Revista: J Med Case Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: China País de publicação: Reino Unido