![]() ![]() Gougoulias N, Khanna A, Maffulli N (2009) Open tibial fractures in the paediatric population: a systematic review of the literature. Moon RJ, Harvey NC, Curtis EM, de Vries F, van Staa T, Cooper C (2016) Ethnic and geographic variations in the epidemiology of childhood fractures in the United Kingdom. Pediatr Rev 34(1):47–49īryson DJ, Shivji FS, Price KR, Lawniczak D, Chell J, Hunter JB (2016) The lost art of conservative management of paediatric fractures. Lippincott Williams and Wilkins, PhiladelphiaĬanares TL, Lockhart G (2013) Sprains. In: James HB, James RK (eds) Fractures in children. Rockwood CA, Beaty JH, Kasser JR (2010) Rockwood and Wilkins’ fractures in children. Kleiner JE, Raducha JE, Cruz AI Jr (2019) Increasing rates of surgical treatment for paediatric tibial shaft fractures: a national database study from between 20. Stenroos A, Laaksonen T, Nietosvaara N, Jalkanen J, Nietosvaara Y (2018) One in three of pediatric tibia shaft fractures is currently treated operatively: a 6-year epidemiological study in two university hospitals in Finland treatment of pediatric tibia shaft fractures. J Pediatr Orthop 8(3):306–310Ĭruz AI, Raducha JE, Swarup I, Schachne JM, Fabricant PD (2019) Evidence-based update on the surgical treatment of pediatric tibial shaft fractures. Shannak AO (1988) Tibial fractures in children: follow-up study. Hogue GD, Wilkins KE, Kim IS (2019) Management of pediatric tibial shaft fractures. Mashru RP, Herman MJ, Pizzutillo PD (2005) Tibial shaft fractures in children and adolescents. Open injuries require urgent assessment by a combined orthopaedic and plastic surgery team at a specialist tertiary centre. Operative management may be indicated for unstable fractures where satisfactory alignment cannot be maintained or in specific circumstances including open injuries and polytrauma. However, recent evidence highlights that a non-operative approach produces acceptable outcomes when used in simple closed fractures at any age. There has been a shift away from non-operative management of paediatric tibial shaft fractures over the last 30 years. Special attention is paid to the management of open tibial shaft fractures and to complications including infection and acute compartment syndrome. The relative merits of casting, plate fixation, elastic and rigid intramedullary nailing, and external fixation are discussed. Management recommendations and supporting evidence are given for fractures according to age (< 18 months, 18 months–5 years, 6–12 years, and 13–18 years). This article reviews the relevant anatomy, epidemiology and aetiology of tibial shaft fractures and summarises contemporary treatment principles. This review provides a summary of recent evidence surrounding the treatment of paediatric tibial shaft fractures and presents an algorithm to aid management of these injuries. ![]()
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