Pediatric Tibial Shaft Fractures.

Abstract:

:Tibial shaft fractures are one of the most common pediatric fractures. They require appropriate diagnosis and treatment to minimize complications and optimize outcomes. Diagnosis is clinical and radiological, which can be difficult in a young child or with minimal clinical findings. In addition to acute fracture, Toddler's and stress fractures are important entities. Child abuse must always be considered in a nonambulatory child presenting with an inconsistent history or suspicious concomitant injuries. Treatment is predominantly nonoperative with closed reduction and casting, requiring close clinical and radiological followup until union. Although there is potential for remodeling, this may not be adequate with more significant deformities, thus requiring remanipulation or rarely, operative intervention. This includes flexible intramedullary nailing, Kirschner wire fixation, external fixation, locked intramedullary nailing, and plating. Complications are uncommon but include deformity, growth arrest, nonunion, and compartment syndrome.

journal_name

Indian J Orthop

authors

Patel NK,Horstman J,Kuester V,Sambandam S,Mounasamy V

doi

10.4103/ortho.IJOrtho_486_17

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

522-528

issue

5

eissn

0019-5413

issn

1998-3727

pii

IJOrtho-52-522

journal_volume

52

pub_type

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