Tibial shaft fractures in adolescents: Analysis of cast treatment successes and failures

Christine A. Ho, Greg Dammann, David A. Podeszwa, Jeffrey Levy

Research output: Contribution to journalReview article

6 Scopus citations

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 languageEnglish (US)
Pages (from-to)114-117
Number of pages4
JournalJournal of Pediatric Orthopaedics Part B
Volume24
Issue number2
DOIs
StatePublished - Mar 6 2015

Keywords

  • adolescent
  • cast
  • nonoperative management
  • tibial fracture

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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