[Fracture-avulsion of anterior tibial tuberositis associated with patellar tendon avulsion in adolescents. About 3 observations]

ABSTRACT

The association of a fracture-avulsion of the anterior tibial tubercle, with avulsion of the patellar ligament is exceptional. The authors report the observations of 3 adolescents with average age is 14 years old, having presented this lesion association during a sporting casualty [football, basketball, and jump]. In the 3 cases, it about lesion of IIIc state of Frankl, which has occurred at the longilineals subjects, without antecedent of disease of Osgood-Schlatter. The processing was surgical fixing of the anterior tubercle by transversal-bones points for 2 patients and by 2 posterior former screws pressed on disc for the third patient, reintegration of the patellar ligament by transversal-bone points. At the end of the intervention, a crural-foot plaster in extension was made during 4 to 5 weeks. The favourable evolution for 3 patients was marked by the consolidation by epiphysiodesis of the anterior tibial tubercle, after 5 months of evolution. The results obtained can be regarded as very good, in spite of the deficit of extension of 10° observed at one of the patients