Retrospective cohort study of 50 children with tibial eminence fractures evaluated at average 4-year follow-up, asking whether objective ACL laxity persists long-term and whether open versus closed reduction affects stability outcomes.
When you treat a tibial eminence fracture in a child, counsel the family that objective ACL laxity is the expected long-term result regardless of whether you reduce it open or closed — but also reassure them that functional instability complaints are rare and most kids return to full sport.
Reserve ORIF for truly irreducible fractures, and use arthroscopy to confirm reduction rather than to achieve a stability advantage.
Retrospective cohort study of 50 children with tibial eminence fractures evaluated at average 4-year follow-up, asking whether objective ACL laxity persists long-term and whether open versus closed reduction affects stability outcomes.
When you treat a tibial eminence fracture in a child, counsel the family that objective ACL laxity is the expected long-term result regardless of whether you reduce it open or closed — but also reassure them that functional instability complaints are rare and most kids return to full sport.
Reserve ORIF for truly irreducible fractures, and use arthroscopy to confirm reduction rather than to achieve a stability advantage.