Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children
(1) Background: Trampoline fractures (proximal tibia fracture with positive anterior tilt) are increasing. This study represents the first attempt to determine the extent of remodeling in these fractures after conservative treatment (2) Methods: This Swiss prospective multicenter study included chil...
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| Format: | Article |
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MDPI AG
2023-02-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/2/282 |
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| author | Laura Zaccaria Enno Stranzinger Theodoros Xydias Sabine Schaedelin Kai Ziebarth Mike Trück Vivienne Sommer-Joergensen Christoph Aufdenblatten Peter Michael Klimek |
| author_facet | Laura Zaccaria Enno Stranzinger Theodoros Xydias Sabine Schaedelin Kai Ziebarth Mike Trück Vivienne Sommer-Joergensen Christoph Aufdenblatten Peter Michael Klimek |
| author_sort | Laura Zaccaria |
| collection | DOAJ |
| description | (1) Background: Trampoline fractures (proximal tibia fracture with positive anterior tilt) are increasing. This study represents the first attempt to determine the extent of remodeling in these fractures after conservative treatment (2) Methods: This Swiss prospective multicenter study included children aged 2 to 5 years with a trampoline fracture who were radiologically examined on the day of the accident and after one year. In addition, the anterior tilt angle was compared between the injured and unaffected tibia. Remodeling was defined as complete (final anterior tilt angle ≤ 0°), incomplete (smaller but still >0°), or no remodeling. (3) Results: The mean extent of remodeling was −3.5° (95% CI: −4.29°, −2.66°, <i>p</i> < 0.001). Among the 89 children included in the study, 26 (29.2%) showed complete, 63 (70.8%) incomplete, and 17 patients (19.1%) no remodeling. Comparison of the anterior tilt angles between the fractured and healthy tibia showed that the anterior tilt angle on the fractured leg was, on average larger by 2.82° (95% CI: 2.01°, 3.63°; <i>p</i> < 0.001). (4) Conclusions: Although the anterior tilt angle decreased during the study period, the majority of patients showed incomplete remodeling. In contrast, children with radiological examinations >1 year after the trauma showed advanced remodeling, suggesting that one year is too short to observe complete remodeling. |
| first_indexed | 2024-03-11T08:59:57Z |
| format | Article |
| id | doaj.art-6a6085bc3e204586b80198a598a52d4d |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T08:59:57Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-6a6085bc3e204586b80198a598a52d4d2023-11-16T19:48:34ZengMDPI AGChildren2227-90672023-02-0110228210.3390/children10020282Partial Remodeling after Conservative Treatment of Trampoline Fractures in ChildrenLaura Zaccaria0Enno Stranzinger1Theodoros Xydias2Sabine Schaedelin3Kai Ziebarth4Mike Trück5Vivienne Sommer-Joergensen6Christoph Aufdenblatten7Peter Michael Klimek8Department of Pediatric Surgery, Hospital Center Biel, 2501 Biel, SwitzerlandDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, SwitzerlandPediatric Radiology, Cantonal Hospital Aarau, 5001 Aarau, SwitzerlandDepartment of Clinical Research and Data Analysis, University Hospital Basel, 4031 Basel, SwitzerlandDepartment of Pediatric Orthopaedics and Traumatology, University Children’s Hospital Bern, Inselspital Bern, 3010 Bern, SwitzerlandDepartment of Pediatric Surgery, Cantonal Hospital Lucerne, 6002 Lucerne, SwitzerlandDepartment of Pediatric Surgery, University Children’s Hospital Basel, 4056 Basel, SwitzerlandDepartment of Pediatric Orthopaedics and Traumatology, University Children’s Hospital Zurich, 8032 Zurich, SwitzerlandDepartment of Pediatric Surgery, Kantonsspital Aarau, 5001 Aarau, Switzerland(1) Background: Trampoline fractures (proximal tibia fracture with positive anterior tilt) are increasing. This study represents the first attempt to determine the extent of remodeling in these fractures after conservative treatment (2) Methods: This Swiss prospective multicenter study included children aged 2 to 5 years with a trampoline fracture who were radiologically examined on the day of the accident and after one year. In addition, the anterior tilt angle was compared between the injured and unaffected tibia. Remodeling was defined as complete (final anterior tilt angle ≤ 0°), incomplete (smaller but still >0°), or no remodeling. (3) Results: The mean extent of remodeling was −3.5° (95% CI: −4.29°, −2.66°, <i>p</i> < 0.001). Among the 89 children included in the study, 26 (29.2%) showed complete, 63 (70.8%) incomplete, and 17 patients (19.1%) no remodeling. Comparison of the anterior tilt angles between the fractured and healthy tibia showed that the anterior tilt angle on the fractured leg was, on average larger by 2.82° (95% CI: 2.01°, 3.63°; <i>p</i> < 0.001). (4) Conclusions: Although the anterior tilt angle decreased during the study period, the majority of patients showed incomplete remodeling. In contrast, children with radiological examinations >1 year after the trauma showed advanced remodeling, suggesting that one year is too short to observe complete remodeling.https://www.mdpi.com/2227-9067/10/2/282trampolinetrampoline fractureproximal tibiapositive anterior tilt angleremodeling |
| spellingShingle | Laura Zaccaria Enno Stranzinger Theodoros Xydias Sabine Schaedelin Kai Ziebarth Mike Trück Vivienne Sommer-Joergensen Christoph Aufdenblatten Peter Michael Klimek Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children Children trampoline trampoline fracture proximal tibia positive anterior tilt angle remodeling |
| title | Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children |
| title_full | Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children |
| title_fullStr | Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children |
| title_full_unstemmed | Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children |
| title_short | Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children |
| title_sort | partial remodeling after conservative treatment of trampoline fractures in children |
| topic | trampoline trampoline fracture proximal tibia positive anterior tilt angle remodeling |
| url | https://www.mdpi.com/2227-9067/10/2/282 |
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