Related Experiment Videos
Isolated tibial fractures in children
T W Briggs1, M M Orr, C D Lightowler
1Institute of Orthopaedics, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
Injury
|January 1, 1992
Summary
Isolated tibial fractures are common in children under 11, often caused by torsional forces. Most heal well without complications, but some oblique or spiral fractures may require monitoring and intervention.
Area of Science:
- Pediatric Orthopedics
- Traumatology
Background:
- Isolated tibial fractures are a subset of pediatric fractures.
- Understanding their incidence and characteristics is crucial for appropriate management.
Purpose of the Study:
- To analyze the incidence, mechanisms, and treatment outcomes of isolated tibial fractures in children.
- To identify specific fracture patterns requiring closer follow-up and potential intervention.
Main Methods:
- Retrospective review of 65 pediatric tibial fractures.
- Analysis of 25 cases with isolated tibial fractures, categorizing fracture types and injury mechanisms.
- Radiographic assessment for displacement and union, with follow-up protocols detailed.
Main Results:
- Isolated tibial fractures constitute one-third of all tibial fractures in children under 11.
- Indirect torsional forces are the most common cause.
- Transverse fractures show no displacement; spiral/oblique fractures may displace within 2 weeks.
- Varus displacement >5 degrees necessitates manipulation within the first 2 weeks.
Conclusions:
- Isolated tibial fractures are not uncommon and generally unite well.
- Early identification of displaceable fracture patterns (spiral/oblique) is key.
- Non-operative management is recommended, with specific criteria for intervention in displaceable fractures.