TY - JOUR
T1 - Pediatric tibial shaft fractures
AU - Patel, Nirav K.
AU - Horstman, Joanna
AU - Kuester, Victoria
AU - Sambandam, Senthil
AU - Mounasamy, Varatharaj
N1 - Publisher Copyright:
© 2018 Indian Journal of Orthopaedics | Published by Wolters Kluwer-Medknow.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - 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.
AB - 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.
KW - Flexible intramedullary nail
KW - fracture
KW - intramedullary nailing
KW - k-wire
KW - pediatric
KW - tibia MeSH terms: Pediatrics
KW - tibial fractures
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U2 - 10.4103/ortho.IJOrtho_486_17
DO - 10.4103/ortho.IJOrtho_486_17
M3 - Article
C2 - 30237610
AN - SCOPUS:85054325480
SN - 0019-5413
VL - 52
SP - 522
EP - 528
JO - Indian Journal of Orthopaedics
JF - Indian Journal of Orthopaedics
IS - 5
ER -