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Journals / Acta Medica Nicomedia / 2026 / Cilt: 9

EVALUATION OF THE ENDOBUTTON TECHNIQUE IN THE TREATMENT OF PEDIATRIC TIBIAL EMINENCE FRACTURES

PEDİATRİK TİBİAL EMİNENCE KIRIKLARININ TEDAVİSİNDE ENDOBUTTON TEKNİĞİNİN DEĞERLENDİRİLMESİ

Recep Taşkin(kastamonu tıp fakültesi)0000-0002-3656-6140
Mehmet Köse(Istanbul Bahcelievler MedicalPark Hastanesi)0000-0001-9948-3855
Fatih Uğur(KASTAMONU ÜNİVERSİTESİ)0000-0001-6109-8425
Güneş Sarikaya(Erzurum Şehir Hastanesi)0000-0003-3822-5590
Ahmet Emre Paksoy(ATATÜRK ÜNİVERSİTESİ)0000-0002-8333-6137
Murat Topal(KASTAMONU ÜNİVERSİTESİ)0000-0002-5114-4691
Pages
1–7
Publication Date
2026-03-06
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Despite limitations such as small sample size, retrospective design, and a heterogeneous patient group, the long-term follow-up results indicate that the EndoButton technique is a safe and effective method for treating pediatric tibial eminence fractures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to evaluate the effectiveness of the EndoButton technique in the treatment of tibial eminence (intercondylar eminence) fractures in pediatric patients with open epiphyseal plates under the age of 18.
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Key Findings & Data:Methods: This retrospective study included 21 pediatric patients.
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Conclusion & Impact:Despite limitations such as small sample size, retrospective design, and a heterogeneous patient group, the long-term follow-up results indicate that the EndoButton technique is a safe and effective method for treating pediatric tibial eminence fractures.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:Emnensia Kırığı · Pediatrik · Ön Çapraz Bağ

Abstract

Objective: The aim of this study was to evaluate the effectiveness of the EndoButton technique in the treatment of tibial eminence (intercondylar eminence) fractures in pediatric patients with open epiphyseal plates under the age of 18. Methods: This retrospective study included 21 pediatric patients. According to the Meyers and McKeever classification, 52.4% of the fractures were classified as Type II and 47.6% as Type III. All patients underwent arthroscopic fixation using the EndoButton technique. Results: Postoperative follow-up demonstrated a significant improvement in functional outcomes. The mean Lysholm Knee Score (LKS) increased from 48.6 preoperatively to over 96 at both 6 and 12 months postoperatively. No major complications were observed, and all patients returned to their previous activity levels. Conclusion: The EndoButton technique offers strong fixation, facilitates early mobilization, and reduces the risk of knee stiffness, resulting in low complication rates and high functional recovery. Importantly, no adverse effects on the growth plate (physis) were observed. Despite limitations such as small sample size, retrospective design, and a heterogeneous patient group, the long-term follow-up results indicate that the EndoButton technique is a safe and effective method for treating pediatric tibial eminence fractures.

Özet

Amaç: Bu çalışmanın amacı, açık epifiz plaklarına sahip 18 yaş altı pediatrik hastalarda tibial eminens (interkondiler eminens) kırıklarının tedavisinde EndoButton tekniğinin etkinliğini değerlendirmektir. Yöntem: Retrospektif olarak planlanan bu çalışmaya toplam 21 pediatrik hasta dahil edilmiştir. Meyers ve McKeever sınıflamasına göre hastaların %52,4’ü Tip II, %47,6’sı ise Tip III kırık grubunda yer almaktadır. Tüm hastalara artroskopik olarak EndoButton yöntemiyle tespit uygulanmıştır. Bulgular: Postoperatif takiplerde fonksiyonel sonuçlarda anlamlı bir iyileşme gözlemlenmiştir. Hastaların ortalama Lysholm Diz Skoru (LKS), ameliyat öncesinde 48,6 iken, postoperatif 6. ve 12. aylarda 96’nın üzerine çıkmıştır. Hiçbir hastada ciddi komplikasyon izlenmemiş ve tüm hastalar önceki fiziksel aktivite düzeylerine geri dönmüştür. Sonuç: EndoButton tekniği, güçlü tespit sağlaması, erken mobilizasyona olanak tanıması ve diz sertliğini önlemesi sayesinde düşük komplikasyon oranı ve yüksek fonksiyonel iyileşme sağlamaktadır. Ayrıca, büyüme kıkırdağı (fizis) üzerinde olumsuz bir etkisi gözlemlenmemiştir. Her ne kadar çalışmanın küçük örneklem büyüklüğü, retrospektif tasarımı ve heterojen hasta grubu gibi bazı sınırlılıkları bulunsa da uzun dönem takip sonuçları bu tekniğin pediatrik tibial eminens kırıklarının tedavisinde güvenli ve etkili bir yöntem olduğunu göstermektedir.

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Cite This Article

Taşkin, R., Köse, M., Uğur, F., Sarikaya, G., Paksoy, A. E., Topal, M. (2026). EVALUATION OF THE ENDOBUTTON TECHNIQUE IN THE TREATMENT OF PEDIATRIC TIBIAL EMINENCE FRACTURES. Acta Medica Nicomedia, Cilt: 9, 1–7. https://doi.org/10.53446/actamednicomedia.1734080

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