TY - JOUR
T1 - Tibia Shaft Fractures in Adolescents
T2 - How and When Can They be Managed Successfully With Cast Treatment?
AU - Ho, Christine A.
PY - 2016/4/13
Y1 - 2016/4/13
N2 - Despite the increasing popularity of operative treatment in adolescent tibia fractures, casting remains a viable first-line treatment. Because the selection bias in published reports does not allow direct comparison between casting and flexible nail treatment of closed pediatric tibia fractures, it is unclear whether flexible nailing offers any advantages over casting. This overview discusses parameters of acceptable alignment, indications, techniques for successful reduction and casting, subsequent inpatient and outpatient management including wedging of casted tibia fractures, expected outcomes, and comparison of casting with flexible nailing. As with any orthopaedic procedure, careful attention to patient selection, indications, and detail facilitates successful cast treatment in this older pediatric population.
AB - Despite the increasing popularity of operative treatment in adolescent tibia fractures, casting remains a viable first-line treatment. Because the selection bias in published reports does not allow direct comparison between casting and flexible nail treatment of closed pediatric tibia fractures, it is unclear whether flexible nailing offers any advantages over casting. This overview discusses parameters of acceptable alignment, indications, techniques for successful reduction and casting, subsequent inpatient and outpatient management including wedging of casted tibia fractures, expected outcomes, and comparison of casting with flexible nailing. As with any orthopaedic procedure, careful attention to patient selection, indications, and detail facilitates successful cast treatment in this older pediatric population.
UR - http://www.scopus.com/inward/record.url?scp=84963502667&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84963502667&partnerID=8YFLogxK
U2 - 10.1097/BPO.0000000000000762
DO - 10.1097/BPO.0000000000000762
M3 - Article
C2 - 27078230
AN - SCOPUS:84963502667
SN - 0271-6798
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
ER -