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Introduction Tibia fractures are children's most typical lower limb fractures affecting their general and mental well-being. This study aims to evaluate the management and outcomes of displaced tibia fractures. Methods A retrospective study was conducted to review children up to 16 years of age with displaced tibia shaft fractures who received treatment in our department from January 2011 to December 2021.

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Introduction: Tibial shaft fractures are common occurrence in children and surgical treatment is sometimes required, particularly in unstable or open fractures, and in polytrauma. The aim of this study was to investigate the available evidence on the efficacy and safety of flexible intramedullary nailing (FIN) for both open and closed tibia fractures in children, exploring the main surgical outcomes and rate of complications.

Materials And Methods: Pubmed/Medline, Scopus and Cochrane Central databases were searched following the PRISMA guideline.

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Article Synopsis
  • Tibia shaft fractures make up 15% of fractures in children and are usually treated with casting, but refractures can delay activities and cause frustration for families.
  • A study analyzed the records of pediatric patients treated nonoperatively from 2000 to 2016, focusing on the rates of refracture within 18 months of the initial injury.
  • Out of 64 patients studied, only one experienced a refracture, resulting in a low rate of about 1.5%, supporting the effectiveness of conservative treatment methods.
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Combined surgery with 3-in-1 osteosynthesis in congenital pseudarthrosis of the tibia with intact fibula.

Orphanet J Rare Dis

March 2020

Department of pediatric orthopaedics, Hunan Children's Hospital, The Pediatric Academy of University of South China, 86 ziyuan road, yuhua district, Changsha City, Hunan Province, 410007, People's Republic of China.

Background: Re-fracture is the most serious complication in congenital pseudarthrosis of the tibia (CPT). There are reports that children with small cross-sectional areas in the sections of the pseudarthrosis are more prone to re-fracture. Presently, preventing complications is a challenge.

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