ReviewChildren (Basel, Switzerland)2024
Tibial Spine Avulsion Fractures in Paediatric Patients: A Systematic Review and Meta-Analysis of Surgical Management.
Review in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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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.
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Who cites it
5 citing papers in PubMed.
- High-speed electric-scooter crash causing a tibial spine fracture with physeal extension in an adolescent: a case report.Trauma case reports · 2026Article
- Trends in Magnetic Resonance Imaging Utilization and Treatment of Pediatric Tibial Spine Fractures: A National Database Study.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Tibial Spine Avulsion Injuries in Children and Adolescents: A Narrative Review of Anatomy, Management Strategies, and Return-to-Sport Considerations.Healthcare (Basel, Switzerland) · 2026Review
- Arthroscopic Three Hybrid Anchor Construct Fixation in Skeletally Immature Patients With Tibial Eminence Fractures.Arthroscopy techniques · 2026Article
- Arthroscopic Four-Quadrant Cross-Suture Fixation Using Mini-Tunnels for Tibial Avulsion Fractures of the Anterior Cruciate Ligament.Arthroscopy techniques · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTibial spine avulsion fractures (TSAFs) account for approximately 14% of anterior cruciate ligament injuries. This study aims to systematically review the current evidence for the operative management of paediatric TSAFs.
methodsA search was carried out across four databases: MEDLINE, Embase, Scopus, and Google Scholar. Studies discussing the outcomes of the surgical management of paediatric TSAFs since 2000 were included.
resultsOf 38 studies included for review, 13 studies reported outcomes of TSAF patients undergoing screw fixation only, and 12 studies used suture fixation only. In total, 976 patients underwent arthroscopic reduction and internal fixation (ARIF), and 203 patients underwent open reduction and internal fixation (ORIF). The risk of arthrofibrosis with the use of ARIF (
conclusionsWhile the overall benefits of sutures over screws and ARIF over ORIF are unclear, there is clear preference for ARIF and suture fixation for TSAF repair in practice. We recommend large-scale comparative studies to delineate long-term outcomes for various TSAF fixation techniques.
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