{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:53:22Z","timestamp":1773604402637,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2003,7,16]],"date-time":"2003-07-16T00:00:00Z","timestamp":1058313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Avulsion fractures of the anterior tibial spine are uncommon injuries, and most often seen in childhood. They can be associated with other intraarticular lesions and have, if adequately treated, a good long\u2010term prognosis. In adults these fractures can be complicated by loss of knee extension because of the displacement of the bony fragment. This is most often as a result of non\u2010 or malunion of the displaced fragment. We review two cases of malunited fractures of the anterior tibial spine. Both patients reported persistent knee pain and loss of knee extension, and had had an anterior knee laxity for a long time. They had been treated extensively by physiotherapy. In one patient, arthroscopy in another hospital revealed no reasons for the clinical symptoms. More than twenty years after the initial trauma, both patients visited our hospital. A radiograph and a magnetic resonance imaging were respectively carried out both of which revealed a malunited avulsion fracture. According to the examinations, the patients were treated by open reduction and internal fixation, and in the follow up exploration both no longer had discomfort. Clinical and radiological features of this less common and rarely reported injury are discussed and the surgical treatment is demonstrated.<\/jats:p>","DOI":"10.1007\/s00167-003-0387-2","type":"journal-article","created":{"date-parts":[[2004,3,18]],"date-time":"2004-03-18T21:45:18Z","timestamp":1079646318000},"page":"159-161","source":"Crossref","is-referenced-by-count":11,"title":["Treatment of malunited fractures of the anterior tibial spine"],"prefix":"10.1002","volume":"12","author":[{"given":"M. H.","family":"Baums","sequence":"first","affiliation":[{"name":"Department of Radiology Georg\u2010August\u2010University of G\u00f6ttingen Robert\u2010Koch\u2010Strasse 40 37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.\u2010M.","family":"Klinger","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Georg\u2010August\u2010University of G\u00f6ttingen G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"H\u00e4rer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery KTE\u2010Klinik Bad Hersfeld Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,7,16]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.4823"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.015067"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200105000-00008"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199410000-00019"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80012-X"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199501000-00013"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052080-00024"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20101383(99)00084\u20104"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(00)90082-3"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70137-9"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-003-0387-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-003-0387-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-003-0387-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:28:06Z","timestamp":1760884086000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-003-0387-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,7,16]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2004,3]]}},"alternative-id":["10.1007\/s00167-003-0387-2"],"URL":"https:\/\/doi.org\/10.1007\/s00167-003-0387-2","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,7,16]]}}}