Endoscopic-assisted percutaneous fixation for displaced anterior inferior iliac spine avulsion fractures: a prospective cohort study. in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology / J Orthop Traumatol. 2025 Mar 8;26(1):16. doi: 10.1186/s10195-025-00831-4.
2025
AOU Città della Salute di Torino
AOU Città della Salute di Torino
Tipo pubblicazione
Journal Article
Autori/Collaboratori (6)Vedi tutti...
Audisio A
Pediatric Orthopaedics and Traumatology, Regina Margherita Children's Hospital, Piazza Polonia 94, 10126, Turin, Italy. andrea.audisio@outlook.com.
Aprato A
Pediatric Orthopaedics and Traumatology, Regina Margherita Children's Hospital, Piazza Polonia 94, 10126, Turin, Italy.
Reinaudo V
Department of Surgical Sciences, University of Turin, Turin, Italy.
et alii...
Pediatric Orthopaedics and Traumatology, Regina Margherita Children's Hospital, Piazza Polonia 94, 10126, Turin, Italy. andrea.audisio@outlook.com.
Aprato A
Pediatric Orthopaedics and Traumatology, Regina Margherita Children's Hospital, Piazza Polonia 94, 10126, Turin, Italy.
Reinaudo V
Department of Surgical Sciences, University of Turin, Turin, Italy.
et alii...
Abstract
INTRODUCTION: Anterior inferior iliac spine (AIIS) avulsion fractures commonly occur in adolescent patients during sports activities. To systematically evaluate fracture severity and guide management, an adaptation of the Hetsroni classification system was used to categorize fractures on the basis of their displacement relative to the acetabular rim. Traditional open reduction and internal fixation reported satisfactory consolidation rates but complications such as lateral femoral cutaneous nerve (LFCN) neuropathies, heterotopic ossifications (HO), and subspine impingement. The objectives of this work are to (1) report short- and mid-term radiographic and clinical outcomes and (2) propose an adapted classification system based on the risk of subsequent subspine impingement. MATERIALS AND METHODS: A prospective cohort study was conducted on patients with AIIS avulsion fracture with ??1.5 cm displacement who underwent surgery between 2021 and 2024. Patients with follow-up
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PMID : 40057584
DOI : 10.1186/s10195-025-00831-4
Keywords
Humans; Male; Prospective Studies; Ilium/surgery/transplantation; Adolescent; Fractures, Avulsion/surgery/diagnostic imaging; Fracture Fixation, Internal/methods; Female; Endoscopy/methods; Treatment Outcome; Postoperative Complications; Anterior Inferior Iliac Spine; Avulsion Fracture; Endoscopic-Assisted Fixation; Pediatric Sports Injuries; Prospective Cohort Study; Subspine Impingement;