UPDATES ON THE TREATMENT OF ANTERIOR TIBIAL TUBEROSITY AVULSION FRACTURES IN ADOLESCENTS.

Anterior tibial tuberosity avulsion fracture (ATF) is a rare injury in adolescents, usually associated with sports activities, ranging from mild to complex cases. Early diagnosis and appropriate treatment are essential to recover knee function and avoid complications. This study analyzed updates and innovations in the treatment of ATF in adolescents, highlighting recent therapeutic approaches and their efficacy. A narrative review of the literature was performed in the Lilacs, PubMed and Capes Periodicals databases. Treatment should be individualized, with a conservative approach for stable fractures and surgical fixation for severe cases. Advances such as fluoroscopy-guided percutaneous fixation have optimized recovery, allowing better joint assessment and less invasiveness. Postoperative management emphasizes early mobilization and physiotherapeutic rehabilitation, favoring functional recovery and a safe return to sports. The prognosis is generally favorable, provided the diagnosis is accurate and the follow-up is rigorous. Rehabilitation is essential to restore muscle strength and prevent relapses. Despite advances, the scarcity of long-term studies highlights the need for more research to standardize protocols and improve clinical outcomes. Level of Evidence II, Review Study.