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Abstract
In a review of 65 tibial fractures in children of which 25 were isolated and not associated
with a fracture of the fibula, we found that isolated tibial fractures were not uncommon,
and accounted for one-third of all tibial fractures in children under 11 years of
age. They occur after two types of force, the most common being indirect violence
involving a torsional injury. Isolated fractures unite easily without delayed union.
Isolated transverse fractures never displace, and consequently do not require further
radio-graphs following the initial check radiograph after the application of the plaster
cast. In seven of the 25, the fracture was spiral or oblique and displacement into
varus occurred for up to 2 weeks after the initial injury. These need careful follow-up,
with weekly radiographs for the first 2 weeks. If the varus displacement is greater
than 5 ° we recommend manipulation in that period. After this time the fracture site
is sticky, and manipulation will fail. Non-operative treatment is recommended for
this fracture.
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References
- Knochenwachstam nach deform Verheilten Unterschenkelschaftfrakturen bei Kindern.Zentrabl. Chir. 1966; 91: 633
- 3rd Ed. Fractures in Children. Williams & Wilkins, Baltimore1955
- Fractures of the tibia in children.Acta Orthop. Scand. 1976; 47: 448
- Crural fractures in children.Arch. Chir. Neurol. 1971; 23: 259
- Problems associated with tibial fractures with intact fibulae.J. Bone Joint Surg. 1980; 62A: 770
Article info
Publication history
Accepted:
October 23,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.
