Partial Remodeling after Conservative Treatment of Trampoline Fractures in Children

Abstract

(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°, p p 1 year after the trauma showed advanced remodeling, suggesting that one year is too short to observe complete remodeling.

Keywords

• trampoline
• trampoline fracture
• proximal tibia
• positive anterior tilt angle
• remodeling