TIBIAL DIAPHYSEAL FRACTURES IN CHILDREN

被引:2
作者
Santili, Claudio [1 ]
de Oliveira Gomes, Caetano Maria [1 ]
Akkari, Miguel [1 ]
Waisberg, Gilberto [1 ]
Braga, Susana dos Rets [1 ]
Lino, Wilson, Jr. [1 ]
Santos, Fabricio Guimaraes [1 ]
机构
[1] Fac Ciencias Med Santa Casa Sao Paulo, Dept Orthoped & Traumatol, Sao Paulo, Brazil
来源
ACTA ORTOPEDICA BRASILEIRA | 2010年 / 18卷 / 01期
关键词
Tibial fractures; Child; Leg injuries; Orthopedics; INTRAMEDULLARY NAILS; IMPROVEMENT; FIXATION; VALGA;
D O I
10.1590/S1413-78522010000100009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Tibial diaphyseal fractures in children and adolescents are relatively common injuries and often evolve with good results when treated through traditional methods of conservative treatment. Their elevated frequency is due to the high degree of exposure of children in physical activities and also to the topographic location, exposing them to direct or indirect trauma. The approach used should consider and respect some features regarding age, place of affection (whether proximal or distal), type of fracture and therapy. The anatomical advantage of a thicker periosteum and flexibility when submitted to angular impacts can provide younger children with greater stability and, consequently, increases their chances of a better prognosis than older children and adolescents. In the latter, the degree of exposure to high-energy trauma and the greater complexity and severity of injuries have caused the recent trend towards stabilization surgery to become more common. Frequent complications in the evolution of fractures in adults such as infection, delayed union and nonunion are much less common in children, although the risk of occurrence of compartment syndrome is an event that requires attention, especially with plaster.
引用
收藏
页码:44 / 48
页数:5
相关论文
共 30 条
[1]   Treatment of type II and type III open tibia fractures in children [J].
Bartlett, CS ;
Weiner, LS ;
Yang, EC .
JOURNAL OF ORTHOPAEDIC TRAUMA, 1997, 11 (05) :357-362
[2]  
BEATY JH, 2004, ROCKWOOD WILKINS FRA
[3]  
BLAZIER RD, 1996, CLIN ORTHOP RELAT R, P261
[4]   Severe (type III) open fractures of the tibia in children [J].
Buckley, SL ;
Smith, GR ;
Sponseller, PD ;
Thompson, JD ;
Robertson, WW ;
Griffin, PP .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1996, 16 (05) :627-634
[5]   Open fracture of the tibia in children [J].
Cullen, MC ;
Roy, DR ;
Crawford, AH ;
Assenmacher, J ;
Levy, MS ;
Wen, DL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1996, 78A (07) :1039-1047
[6]  
El-Adl G, 2009, ACTA ORTHOP BELG, V75, P512
[7]  
Gougoulias NE, 2009, HIPPOKRATIA, V13, P147
[8]   FRACTURES OF TIBIA IN CHILDREN [J].
HANSEN, BA ;
GREIFF, J ;
BERGMANN, F .
ACTA ORTHOPAEDICA SCANDINAVICA, 1976, 47 (04) :448-453
[9]   OPEN FRACTURES OF THE TIBIA IN CHILDREN [J].
IRWIN, A ;
GIBSON, P ;
ASHCROFT, P .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1995, 26 (01) :21-24
[10]  
Koval KJ., 2006, Handbook of Fractures