Evidence map›Paper›PMID 41815517›Full record

ArticleOrthopaedic journal of sports medicine2026

Complications Leading to Reoperation After Pediatric Tibial Spine Fracture Fixation.

Benjamin R Caruso, Suzanna M Ohlsen, Keinan Agonias, Robert L Van Pelt, Michelle M Son, Michael G Saper, Jason Rhodes, J Marc Cardelia, Jay C Albright, Shital N Parikh and 32 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

42 authors.

Benjamin R CarusoWashington State University Elson S. Floyd College of Medicine, Spokane, Washington, USA.ORCID https://orcid.org/0009-0009-3428-2767
Suzanna M OhlsenDepartment of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA.ORCID https://orcid.org/0000-0003-0758-6254
Keinan AgoniasScottish Rite for Children, Dallas, Texas, USA.
Robert L Van PeltScottish Rite for Children, Dallas, Texas, USA.
Michelle M SonDepartment of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-1028-1614
Michael G SaperDepartment of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA; Seattle Children's Hospital, Seattle, Washington, USA.
Jason RhodesChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.
J Marc CardeliaChildren's Hospital of The King's Daughters, Norfolk, Virginia, USA.
Jay C AlbrightChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.
Shital N ParikhCincinnati Children's, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0003-4391-0525
Kevin G SheaStanford Medicine, Stanford University, Stanford, California, USA.
Henry B EllisScottish Rite for Children, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-5444-094X
Philip L WilsonScottish Rite for Children, Dallas, Texas, USA.
members of the SCORE Quality Improvement Registry (Indexed Authors):
Sheila AlganOklahoma Children's Hospital, Oklahoma City, Oklahoma, USA.
Jennifer J BeckCenter for Spine & Orthopedics, Boulder, Colorado, USA.
Richard E BowenDepartment of Orthopaedic Surgery, David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, California, USA.
Jennifer M BreyNorton Healthcare, Elizabethtown, Kentucky, USA.
Matthew J BrownElite Sports Medicine at Connecticut Children's, Farmington, Connecticut, USA.
Christian ClarkOrthoCarolina Pediatric Orthopedic Center, Charlotte, North Carolina, USA.
Allison CrepeauElite Sports Medicine at Connecticut Children's, Farmington, Connecticut, USA.
Eric W EdmondsRady Children's Hospital, San Diego, California, USA.
Matthew EllingtonCentral Texas Pediatric Orthopedics; Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.
Peter D FabricantHospital for Special Surgery, New York, New York, USA.
Jeremy FrankJoe DiMaggio Children's Hospital, Hollywood, Florida, USA.
Theodore J GanleyChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Daniel W GreenHospital for Special Surgery, New York, New York, USA.
Benton HeyworthBoston Children's Hospital, Boston, Massachusetts, USA.
Ryan J KoehlerChildren's Mercy, Kansas City, Missouri, USA.
Alfred A MansourUTHealth Houston, McGovern Medical School, Houston, Texas, USA.
Stephanine MayerSteadman Hawkins Clinic Denver, University of Colorado, Denver, Colorado, USA.
Scott D McKayTexas Children's Hospital, Houston, Texas, USA.
Molly C MeadowsStanford Children's Hospital, Stanford, California, USA.
Matthew MilewskiBoston Children's Hospital, Boston, Massachusetts, USA.
Emily L NiuChildren's National, Washington, DC, USA.
Donna M PaciccaElite Sports Medicine at Connecticut Children's, Farmington, Connecticut, USA.
Stephanie S PearceNemours Children's Health, Jacksonville, Florida, USA.
Matthew R SchmitzRady Children's, San Diego, California, USA.
Stephen StorerJoe DiMaggio Children's Hospital, Hollywood, Florida, USA.
Curtis VandenBergChildren's Hospital Colorado, Aurora, Colorado, USA.
Yi-Meng YenBoston Children's, Boston, Massachusetts, USA.
Gregory A SchmaleDepartment of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA; Seattle Children's Hospital, Seattle, Washington, USA.ORCID https://orcid.org/0000-0002-1558-7583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tibial spine fractures (TSFs) are uncommon injuries in pediatric patients, often requiring operative fixation. While complications such as arthrofibrosis and anterior cruciate ligament (ACL) insufficiency have been previously reported, the risk factors associated with unplanned reoperation remain incompletely understood. Purpose: To identify the most common complications leading to reoperation and to evaluate associated risk factors, using a multicenter quality improvement registry. Study Design: Case-control study; Level of evidence, 3. Methods: A multicenter registry of operatively treated pediatric TSFs was retrospectively reviewed from July 2018 to March 2025 across 27 institutions. Grade 3 complications were defined as complications resulting in reoperation, unplanned hospitalization, or interventional radiologic procedures. Complication types, patient and injury characteristics, fixation methods, and intraoperative findings were analyzed. Bivariate and multivariate logistic regression analyses were performed to identify independent risk factors for Clavien-Dindo grade 3 complications. Results: A total of 532 patients were included (mean age, 12.1 years; 73.4% men). Overall, 56 patients (10.5%) underwent reoperation. The most common reasons for reoperation were stiffness (4.9%) and ACL insufficiency (3.6%). Screw fixation of TSFs was associated with a 4.5-fold increased risk of grade 3 complications compared with suture fixation ( Conclusion: Stiffness and ACL insufficiency represented the most frequent indications for reoperation after TSF fixation. Screw fixation, meniscal entrapment, and prolonged operative time were significant predictors of reoperation. Older age and concomitant meniscal injuries increased the risk of delayed ACLR.

Indexed as

anterior cruciate ligamentclinical assessment/grading scalespediatric sports medicine

Identifiers

PMID41815517
PMCPMC12972563

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LicenceCC BY-NC-ND
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Registered trials

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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.