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PRISM: Research

Tibial Spine

The Tibial Spine Research Interest Group is currently a group of orthopaedic surgeons, but would welcome sports medicine physicians, physical therapists, and athletic trainers who have an interest in the treatment and rehabilitation of tibial spine fractures. Tibial spine fractures are injuries that occur in the pediatric and adolescent age group in which there is an avulsion of the anterior cruciate ligament in the knee during childhood activities including riding a bike or sports. Most non-displaced fracture are treated without a surgery, but some displaced fracture are treated with either a closed reduction or a surgical procedure to reduce the fracture and secure the fracture (fixation). Treatment of tibial spine fracture is associated with complications including stiffness, meniscus tears, or an unstable knee. The tibial spine RIG is dedicated to further enhance our understanding in the best treatment and post-operative management to optimize outcomes and return our young athletes to their desired activity. 

Current Work:

  • Survey of Pediatric Orthopaedic Society of North American (POSNA) regarding treatment
  • Survey of Pediatric Research in Sports Medicine Regarding rehabilitation of tibial spine fractures
  • Survey to committee members regarding treatment consideration using radiographs
  • Multi-center retrospective review of tibial spine fractures
  • Quality Improvement initiative to review and collect tibial spine fracture treated in a delayed fashion
  • A validation study regarding classification and displacement measurement of tibial spine fractures

Future Work:

  • Development of a prospective tibial spine registry
  • Development of quality metric associated with tibial spine evaluation

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