ArticleJournal of the Pediatric Orthopaedic Society of North America2024
Long leg cast versus hinged knee brace immobilization after surgical treatment of tibial tubercle fractures.
Article in Journal of the Pediatric Orthopaedic Society of North America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Background: Postoperative immobilization of tibial tubercle fractures (TTF) has historically been in the form of a long leg cast (LLC). The purpose of this study was to determine the functional outcome differences between LLC and hinged knee brace (HKB) in the postoperative management of TTF. Methods: We retrospectively reviewed TTF that underwent open reduction and internal fixation from May 2010 to February 2022 at a single Level 1 pediatric trauma center. Data parameters retrieved from the electronic medical record included: age, gender, body mass index, mechanism of injury, immobilization length of time, Immobilization type (HKB or LLC), time to full weight-bearing, time to return to play/sport, and time to full range of motion (ROM). Imaging was also reviewed to document Ogden classification, postoperative residual displacement, and time to radiographic fracture union. Differences in complications and management between the cohorts were evaluated. Results: A total of 64 patients ( Conclusions: Patients who sustain TTF can be effectively rehabilitated postoperatively in an HKB. HKB displayed expedited ROM recovery and was associated with a lower complication rate. Key Concepts: (1)Tibial tubercle fractures patients can be effectively rehabilitated postoperatively in an Hinged knee brace.(2)Those treated with Hinged knee brace vs Long leg cast displayed expedited ROM recovery.(3)Those treated with Hinged knee brace vs Long leg cast were associated with a lower complication rate. Level of Evidence: III.
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