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This systematic review demonstrates that surgical treatment improves function and stability in children with type II tibial spine fractures, suggesting suture fixation is preferred.
Surgical treatment should be considered the preferred option for type II TSFs in active children and adolescents as it provides better stability and function. Suture fixation appears advantageous over screws and minimizes laxity, motion loss, and secondary procedures. High-quality randomized studies are needed to refine treatment algorithms.
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Sapienza et al. (2026) studied this question.
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