Volume 9, Issue 2 (5-2022)
J. Res. Orthop. Sci. 2022, 9(2): 93-98 |
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Maleki A, Qoreishy M, Kazemi S M, Yahya G. Pediatric Tibial Shaft Fractures Remodeling After Casting. J. Res. Orthop. Sci. 2022; 9 (2) :93-98
URL: http://jros.iums.ac.ir/article-1-2204-en.html
URL: http://jros.iums.ac.ir/article-1-2204-en.html
1- Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (658 Views)
Background and The tibial shaft fracture is the most common long bone fracture in children. This type of fracture has a high capacity for deformity correction, a process known as remodeling. In many circumstances, casting is the choice of treatment.
Objectives: This study aims to investigate the rate of tibial fracture remodeling after 6 months of non-rigid fixation.
Methods: This research was a retrospective study conducted from March 2017 to March 2018. The study population included 74 children with tibial shaft fracture, treated with a long leg plaster under general anesthesia. Patients were evaluated by obtaining anteroposterior (AP) and lateral view x-rays in the first week, second week, 2 months, and 6 months after casting.
Results: Seventy-four individuals were admitted with a diagnosis of tibial shaft fracture. A total number of 39 patients (52%)-13 girls and 26 boys- were treated with the long-leg casting under general anesthesia. The patients’ average age was 7.94±2.69 years (2-14 years). In the second week, four cases were excluded. Remodeling in the fracture site was significant in AP radiography at the end of the second month (P=0.044). Six-month follow-up showed that the remodeling in AP was significant (P=0.017) while in lateral was partially significant (P=0.05).
Conclusion: Due to the presence of the growth plate and a dense periosteum, remodeling of the tibial shaft fracture is extremely likely, and the remaining deformity is corrected over time by casting, and no surgical intervention is required. Level of evidence: IV
Objectives: This study aims to investigate the rate of tibial fracture remodeling after 6 months of non-rigid fixation.
Methods: This research was a retrospective study conducted from March 2017 to March 2018. The study population included 74 children with tibial shaft fracture, treated with a long leg plaster under general anesthesia. Patients were evaluated by obtaining anteroposterior (AP) and lateral view x-rays in the first week, second week, 2 months, and 6 months after casting.
Results: Seventy-four individuals were admitted with a diagnosis of tibial shaft fracture. A total number of 39 patients (52%)-13 girls and 26 boys- were treated with the long-leg casting under general anesthesia. The patients’ average age was 7.94±2.69 years (2-14 years). In the second week, four cases were excluded. Remodeling in the fracture site was significant in AP radiography at the end of the second month (P=0.044). Six-month follow-up showed that the remodeling in AP was significant (P=0.017) while in lateral was partially significant (P=0.05).
Conclusion: Due to the presence of the growth plate and a dense periosteum, remodeling of the tibial shaft fracture is extremely likely, and the remaining deformity is corrected over time by casting, and no surgical intervention is required. Level of evidence: IV
Type of Study: Research Article |
Subject:
Pediatrics
Received: 2022/09/1 | Accepted: 2023/08/26 | Published: 2022/05/1
Received: 2022/09/1 | Accepted: 2023/08/26 | Published: 2022/05/1
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