Tibia fractures: what should be fixed?

Journal of Pediatric Orthopedics
Joe Eric Gordon, June C O'Donnell

Abstract

The purpose of this study is to provide a summary of the absolute and the relative surgical indications for both closed and operative treatment of tibial shaft fractures. A literature review of the pertinent literature was undertaken, and a limited number of the most significant papers are cited. Recommendations are provided for fractures that are most likely to need surgical intervention and relative indications for fractures that may benefit from surgical stabilization. Successful closed treatment can be achieved either by casting and conventional 3-point molding or by utilizing the Sarmiento technique of casting. Either technique depends on soft tissues to maintain bony alignment. The reported results are significantly improved after surgical stabilization after open tibial shaft fractures and tibial shaft fractures associated with ipsilateral femoral fractures. Relative indications for surgical stabilization include comminuted fractures, displaced fractures with an intact fibula, and displaced fractures in adolescents. Compartment syndrome remains the most significant early complication encountered when treating tibial shaft fractures in children and adolescents by either closed or surgical methods and should be considered ...Continue Reading

References

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Citations

Feb 6, 2014·Pakistan Journal of Biological Sciences : PJBS·Jafar SoleimanpourMohamad Goldust
Jan 3, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·A StenroosY Nietosvaara
Apr 9, 2015·Journal of Pediatric Orthopedics·Emin ÖzkulSeher G Arslan
Aug 5, 2017·Journal of Pediatric Orthopedics·Andrew T PennockVidyadhar V Upasani
Oct 29, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Anthony EssilfieCurtis VandenBerg
Feb 26, 2020·Journal of Orthopaedic Trauma·Michael MurphyWilliam Lack
Sep 8, 2016·Journal of Pediatric Orthopedics·Matthew C KinneyAndrew T Pennock
Aug 23, 2019·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Antti StenroosJussi Kosola
Jan 9, 2021·Journal of Pediatric Orthopedics·Scott A BarnettMichael J Heffernan
Jan 9, 2021·Journal of Pediatric Orthopedics·Alper ÖztürkKadir B Alemdaroğlu
Jul 6, 2021·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S Widbom-Kolhanen, I Helenius

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