Evidence map›Paper›PMID 37645394›Full record

ArticleArthroscopy, sports medicine, and rehabilitation2023

Fixation Strategy Does Not Affect Risk of Growth Disturbance After Surgical Treatment of Pediatric Tibial Spine Fracture.

Ryan O'Donnell, Nicholas J Lemme, Lauren Piana, Julien T Aoyama, Theodore J Ganley, Peter D Fabricant, Daniel W Green, Scott D McKay, Gregory A Schmale, R Justin Mistovich and 5 more

Open access · goldAbstract read
In one paragraph

Article in Arthroscopy, sports medicine, and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pediatric knee avulsion fractures: A systematic review of injury patterns, treatment strategies, and outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Ryan O'DonnellDepartment of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island, U.S.A.
Nicholas J LemmeDepartment of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island, U.S.A.
Lauren PianaDepartment of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island, U.S.A.
Julien T AoyamaDivision of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
Theodore J GanleyDivision of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
Peter D FabricantPediatric Orthopaedic Surgery Service, Hospital for Special Surgery, New York, New York, U.S.A.
Daniel W GreenPediatric Orthopaedic Surgery Service, Hospital for Special Surgery, New York, New York, U.S.A.
Scott D McKayDepartment of Orthopedics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, U.S.A.
Gregory A SchmaleDivision of Pediatric Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, Washington, U.S.A.
R Justin MistovichDepartment of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio, U.S.A.
Soroush BaghdadiDivision of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
Yi-Meng YenDepartment of Orthopedic Surgery, Boston Children's Hospital, Boston, Massachusetts, U.S.A.
Henry B EllisDepartment of Orthopedics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, U.S.A.
Tibial Spine Research Interest Group
Aristides I CruzDepartment of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island, U.S.A.
Children's Hospital of Philadelphia · USBrown University · USHospital for Special Surgery · USTexas Children's Hospital · USBoston Children's Hospital · USCase Western Reserve University · USSeattle Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To characterize growth abnormalities after surgical treatment of tibial spine fractures and to investigate risk factors for these abnormalities. Methods: A retrospective analysis of children who underwent treatment of tibial spine fractures between January 2000 and January 2019 was performed, drawing from a multicenter cohort among 10 tertiary care children's hospitals. The entire cohort of surgically treated tibial spine fractures was analyzed for incidence and risk factors of growth disturbance. The cohort was stratified into those who were younger than the age of 13 years at the time of treatment in order to evaluate the risk of growth disturbance in those with substantial growth remaining. Patients with growth disturbance in this cohort were further analyzed based on age, sex, surgical repair technique, implant type, and preoperative radiographic measurements with χ Results: Nine patients of 645 (1.4%) were found to have growth disturbance, all of whom were younger than 13 years old. Patients who developed growth disturbance were younger than those without (9.7 years vs 11.9 years, Conclusions: In this study, we found an overall low incidence of growth disturbance after surgical treatment of tibial spine fractures. There was no association with surgical technique and risk of growth disturbance. Level of Evidence: Level III, retrospective comparative study.

Identifiers

PMID37645394
PMCPMC10461139
OpenAlexW4382796621

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.