Abstract
This study retrospectively analyzed cast treatment of 75 adolescent closed tibial diaphyseal fractures. The average age was 13.3 years (range, 10-17.4 years). Of the patients, 21% (16/75) required cast change/wedging in the clinic for loss of reduction, and three patients (4%, 3/75) injured in vehicular collisions had failure of cast treatment, requiring an unplanned surgical intervention. Initial and immediate postreduction radiographic deformities were greater (P<0.05) in patients who required cast change/wedging. Of the patients, 59% (44/75) required over 3 months of cast immobilization. Casting is successful in the majority of adolescent patients despite prolonged immobilization and the need for cast change/wedging.
Original language | English (US) |
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Pages (from-to) | 114-117 |
Number of pages | 4 |
Journal | Journal of Pediatric Orthopaedics Part B |
Volume | 24 |
Issue number | 2 |
DOIs | |
State | Published - Mar 6 2015 |
Keywords
- adolescent
- cast
- nonoperative management
- tibial fracture
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Orthopedics and Sports Medicine